@article{fdi:010069473,
  title = {{A}ccepted monitoring or endured quarantine ? {E}bola contacts' perceptions in {S}enegal},
  author = {{D}esclaux, {A}lice and {B}adji, {D}. and {N}dione, {A}. {G}. and {S}ow, {K}.},
  editor = {},
  language = {{ENG}},
  abstract = {{D}uring the 2014-2016 {W}est {A}frica {E}bola epidemic, transmission chains were controlled through contact tracing, i.e., identification and follow-up of people exposed to {E}bola cases. {WHO} recommendations for daily check-ups of physical symptoms with social distancing for 21 days were unevenly applied and sometimes interpreted as quarantine. {C}riticisms arose regarding the use of coercion and questioned contact tracing on ethical grounds. {T}his article aims to analyze contact cases perceptions and acceptance of contact monitoring at the field level. {I}n {S}enegal, an imported case of {E}bola virus disease in {S}eptember 2014 resulted in placing 74 contact cases in home containment with daily visits by volunteers. {A}n ethnographic study based on in-depth interviews with all stakeholders performed in {S}eptember-{O}ctober 2014 showed four main perceptions of monitoring: a biosecurity preventive measure, suspension of professional activity, stigma attached to {E}bola, and a social obligation. {C}ontacts demonstrated diverse attitudes. {I}nitially, most contacts agreed to comply because they feared being infected. {T}hey adhered to the national {E}bola response measures and appreciated the empathy shown by volunteers. {L}ater, acceptance was improved by the provision of moral, economic, and social support, and by the final lack of any new contamination. {B}ut it was limited by the socio-economic impact on fulfilling basic needs, the fear of being infected, how contacts' family members interpreted monitoring, conflation of contacts as {E}bola cases, and challenging the rationale for containment. {A}cceptance was also related to individual aspects, such as the professional status of women and health workers who had been exposed, and contextual aspects, such as the media's role in the social production of stigma. {E}thnographic results show that, even when contacts adhere rather than comply to containment through coercion, contact monitoring raises several ethical issues. {T}hese insights should contribute to the ethics debate about individual rights versus crisis public health measures.},
  keywords = {{S}enegal ; {A}frica ; {E}bola ; {C}ontact tracing ; {S}ocial distancing ; {E}thics ; {Q}uarantine ; {SENEGAL}},
  booktitle = {},
  journal = {{S}ocial {S}cience and {M}edicine},
  volume = {178},
  numero = {},
  pages = {38--45},
  ISSN = {0277-9536},
  year = {2017},
  DOI = {10.1016/j.socscimed.2017.02.009},
  URL = {https://www.documentation.ird.fr/hor/fdi:010069473},
}