Sierra Leone awaits countdown to Ebola-free declaration

1In this photo taken Friday, Aug. 14, 2015, people celebrate as they are released from Ebola quarantine by Sierra Leone President Ernest Bai Koroma, in the village of Massessehbeh on the outskirts of Freetown, Sierra Leone.
2Five long months after a man traveled to his hometown for festivities marking the end of Ramadan, and died suddenly from Ebola, President Koroma has come to cut down the fencing to mark the formal end of Sierra Leone's largest remaining Ebola quarantine.
3MASSESSEHBEH, Sierra Leone (AP) - It had been five months since an Ebola death when Musa Kamara traveled to his hometown for festivities to mark the end of Ramadan.
4Not long after his sudden death in this roadside village, authorities came with a grim message: The killer virus was back.
5Soon officials barricaded this community of nearly 600 people, putting up orange plastic fencing to quarantine half the town for the 21-day Ebola incubation period after potential exposure.
6But late last week, residents who could only talk to family on the other side of the fence by phone erupted into song and dance when President Ernest Bai Koroma came to cut it down, marking the formal end of Sierra Leone's largest remaining quarantine.
7Alie Senkoh, 21, said he couldn't wait to "move all around town" after days of playing cards and dice at home with his aunt and grandmother.
8"We are feeling good because we are healthy and there is no more Ebola here," he said.
9"We believe this was the only way to stop the transmission."
10Even amid the jubilation, there was reason for caution.
11Authorities continue to monitor dozens of others who came into contact with 23-year-old Kamara, his mother and uncle, who later became infected.
12Both are recovering, health authorities said.
13The World Health Organization announced Monday that 43 people will remain in quarantine until the end of this week, while 38 others in the capital, Freetown, where Kamara lived, must stay in quarantine until Aug. 29.
14Officials desperately hope they can soon announce the start of the countdown to an Ebola-free declaration from WHO nearly 15 months after the first patient tested positive in Sierra Leone.
15After the last patient is released, the country must go 42 days - two incubation periods - before such a declaration can be made.
16The benchmark already was reached in Liberia, only for that country to face a brief setback when new cases emerged.
17Billboards plastered throughout Sierra Leone's capital still warn people to dial the 117 hotline to report all deaths, and others encourage families to "pray from at least one meter (yard) away" to avoid contact with highly infectious corpses.
18Yet there are signs the country is starting to let down its guard.
19The main road from the capital east to the second city of Bo and onwards to the town of Kenema still has more than half a dozen stopping points where passengers must undergo temperature checks.
20But hand soap is no longer put out with many of the hand-washing buckets that were once so essential.
21Koroma has warned Sierra Leoneans about such complacency amid the recent successes in the fight against Ebola.
22During his visit to this quarantined village, he reminded people how they had made it 150 days without a case "only to return to square one" when the latest victim was buried by his family before his diagnosis of Ebola was known.
23"You should report people who are sick and all dead bodies," the president urged the crowds celebrating their release.
24When Kamara returned to his home village, the family did not suspect Ebola.
25More than two dozen of his closest relatives were considered at high risk, though only his mother and an uncle developed Ebola.
26It was a much better outcome than initially feared when it was learned he had sought treatment at two health facilities before dying - and then had a traditional burial because the family did not think he had Ebola.
27Contact with bodies has been a major source of disease transmission since the first case emerged in neighboring Guinea in late 2013.
28While authorities have released most residents from quarantine, about a dozen of Kamara's relatives must remain inside their homes for another week until the incubation period has passed.