Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Dec:64:15-22.
doi: 10.1016/j.annepidem.2021.05.003. Epub 2021 May 28.

Finding the graves: SLED Family Reunification Program

Affiliations

Finding the graves: SLED Family Reunification Program

Diana Bensyl et al. Ann Epidemiol. 2021 Dec.

Abstract

Purpose: In 2015, the Sierra Leone Ministry of Health and Sanitation (MoHS) and the Centers for Disease Control and Prevention (CDC) agreed to consolidate data recorded by MoHS and international partners during the Ebola epidemic and create the Sierra Leone Ebola Database (SLED). The primary objectives were helping families to identify the location of graves of their loved ones who died from any cause at the time of the Ebola epidemic and creating a data source for epidemiological research. The Family Reunification Program fulfills the first SLED objective. The purpose of this paper is to describe the Family Reunification Program (Program) development, functioning, and results.

Methods: The MoHS, CDC, SLED Team, and Concern Worldwide developed, tested, and implemented methodology and tools to conduct the Program. Family liaisons were trained in protection of the personally identifiable information.

Results: The SLED Family Reunification Program allows families in Sierra Leone, who did not know the final resting place of their loved ones, to be reunited with their graves and to bring them relief and closure.

Conclusion: Continuing family requests in search of the burial place of loved ones 5 years after the end of the epidemic shows that the emotional burden of losing a family member and not knowing the place of burial does not diminish with time. As of February 2021, the Program continues and is described to allow its replication for other emergency events including COVID-19 and new Ebola outbreaks.

Keywords: Disaster burials; Ebola virus disease; Family Reunification; Graves; Sierra Leone Ebola Database.

PubMed Disclaimer

Figures

Fig. 1.
Fig. 1.
Introduction of temporary markers to mark the graves with a grave number matched to the database.
Fig. 2.
Fig. 2.
Example of new grave markers with burial information (provided by Concern Worldwide).
Fig. 3.
Fig. 3.
Waterloo Cemetery, Sierra Leone (provided by Concern Worldwide).
Fig. 4.
Fig. 4.
The diagram for the SLED Family Reunification Program July 2018–June 2019.
Fig. 5.
Fig. 5.
The diagram for the SLED Family Reunification Program from July 2019 on-ward.
Fig. 6.
Fig. 6.
A total of 117 call operators taking phone calls.
Fig. 7.
Fig. 7.
Family Reunification information search process diagram

References

    1. World Health Organization. Statement on the end of the Ebola outbreak in Sierra Leone. Retrieved May 2020, from https://www.afro.who.int/news/statement-end-ebola-outbreak-sierra-leone.
    1. Dowell SF, Mukunu R, Ksiazek TG, Khan AS, Rollin PE, Peters CJ. Transmission of Ebola hemorrhagic fever: a study of risk factors in family members, Kikwit, Democratic Republic of the Congo, 1995. Commission de Lutte contre les Epidémies à Kikwit. J Infect Dis 1999. Feb;179(Suppl 1):S87–S91. - PubMed
    1. Dietz PM, Jambai A, Paweska JT, Yoti Z, Ksaizek TG. Epidemiology and risk factors for Ebola virus disease in Sierra Leone—23 May 2014 to 31 January 2015. Clin Infect Dis 2015;61(11):1648–54. - PubMed
    1. World Health Organization. Emergencies preparedness, response. Safe and dignified burials. Retrieved May 2020, from https://www.who.int/csr/disease/ebola/training/safe-burials/en/.
    1. Launching ceremony for emergency response plan. Script, 2014. Retrieved May 2020, from https://www.umc.org/en/content/united-methodist-health-workers-treat-ebola.