{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T12:09:12Z","timestamp":1782734952547,"version":"3.54.5"},"reference-count":15,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2022,3,14]],"date-time":"2022-03-14T00:00:00Z","timestamp":1647216000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:p>We set out to assess the feasibility of community-focused randomized qualitative assessment at the start of an emergency to identify the root causes of fear-based responses driving the pandemic. We used key informant interviews, focus group discussions, reviewing of government and non-government organization documents, combined with direct field observation. Data were recorded and analyzed for key-themes: (1) lack of evidence-based information about Ebola; (2) lack of support to quarantined families; (3) culturally imbedded practices of caring for ill family members; (4) strong feeling that the government would not help them, and the communities needed to help themselves: (5) distrust of nongovernmental organizations and Ebola treatment centers that the communities viewed as opportunistic. On-the-ground real-time engagement with stakeholders provided deep insight into fear-based-responses during the Ebola epidemic, formed a coherent understanding of how they drove the epidemic, presenting an alternative to the standard disaster-response United Nations-strategy, producing community-driven solutions with local ownership.<\/jats:p>","DOI":"10.1017\/dmp.2021.358","type":"journal-article","created":{"date-parts":[[2022,3,14]],"date-time":"2022-03-14T10:05:56Z","timestamp":1647252356000},"source":"Crossref","is-referenced-by-count":3,"title":["Germs, Guns, and Fear in Disaster Response: A Rapid Qualitative Assessment to Understand Fear-Based Responses in the Population at Large: Lessons From Sierra Leone 2014-2015"],"prefix":"10.1017","volume":"17","author":[{"given":"Cora P.","family":"Nally","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Van de Voorde","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marleen","family":"Temmerman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Adam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2022,3,14]]},"reference":[{"key":"S193578932100358X_ref1","doi-asserted-by":"publisher","DOI":"10.31887\/DCNS.2002.4.3\/tsteimer"},{"key":"S193578932100358X_ref5","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0224511"},{"key":"S193578932100358X_ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-017-0415-7"},{"key":"S193578932100358X_ref10","doi-asserted-by":"crossref","first-page":"1586","DOI":"10.1086\/420936","article-title":"The use and interpretation of quasi-experimental studies in infectious diseases","volume":"38","author":"Harris","year":"2004","journal-title":"Clin Infect Dis."},{"key":"S193578932100358X_ref9","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0143036"},{"key":"S193578932100358X_ref4","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiw345"},{"key":"S193578932100358X_ref13","doi-asserted-by":"publisher","DOI":"10.3389\/fcomm.2020.562588"},{"key":"S193578932100358X_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2017.07.029"},{"key":"S193578932100358X_ref11","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000151062.00501.60"},{"key":"S193578932100358X_ref7","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/s12962-020-00207-x","article-title":"Costs and benefits of early response in the Ebola virus disease outbreak in Sierra Leone","volume":"18","author":"Kellerborg","year":"2020","journal-title":"Cost Eff Resour Alloc."},{"key":"S193578932100358X_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(15)70010-0"},{"key":"S193578932100358X_ref12","unstructured":"12. United Nations. United Nations disaster assessment and coordination handbook 2018. Accessed January 2, 2022. https:\/\/www.unocha.org\/sites\/unocha\/files\/1823826E_interactive_menu.pdf"},{"key":"S193578932100358X_ref8","first-page":"1085","article-title":"The effect of Ebola virus disease on maternal and child health services and child mortality in Sierra Leone, 2014-2015: implications for COVID-19","volume":"104","author":"Ngo","year":"2021","journal-title":"Am J Trop Med Hyg."},{"key":"S193578932100358X_ref2","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1007\/s11920-016-0741-y","article-title":"The role of fear-related behaviors in the 2013\u20132016 West Africa Ebola virus disease outbreak","volume":"18","author":"Shultz","year":"2016","journal-title":"Curr Psychiatry Rep."},{"key":"S193578932100358X_ref15","doi-asserted-by":"publisher","DOI":"10.1186\/s12960-017-0210-7"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S193578932100358X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T15:05:56Z","timestamp":1675263956000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S193578932100358X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,14]]},"references-count":15,"alternative-id":["S193578932100358X"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2021.358","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,14]]},"article-number":"e86"}}