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I was an administrator at one of the country's most famous hospitals for twenty years.In the 80's I was invited to visit with an African physician who spent a short time training at my hospital.He was a top staff member of the Muhimbili Medical Center in Dar Es Salaam,Tanzania.While there he gave me a tour of the hospital and I was stunned...speechless.This was the largest and most important hospital in the entire country and to call it primitive would be to heap praise upon it.IOW...you can be damn sure that the medical workers dropping like flies in Africa aren't able to come within 500 light years of the infection control procedures that you'd find routinely practiced at Snowshoe Community Hospital in Deadhorse Montana.
Thanks for the comment.
Personal protective equipment, as you are no doubt aware, is not supposed to be the primary protection against spread of pathogens. That’s handled by general sanitation and cleanliness, with the PPE acting as backup.
In highly unsanitary conditions, PPR, even if available and used, is very likely to be inadequate.
soiled linens?
little/no human waste disposal?
no biohazard disposal?
non-filtered, well water?
reused needles?
no iodine/bacine soap use?
insufficient PPE?
shared straws for oral rehydration?
rectal to oral thermometer useage without sterilization?
Am I getting close?
Probably a big factor but western doctors have gotten it too. Its extremely contagious.
I remember a friend, who is a big ice skating fan, telling me about some skater who got sick, or injured while in Russia. The person’s friends had to bring sheets and towels and even bandages, iirc. I can’t remember if this was before or after the fall of the USSR, but that might not make much difference.