Staying Safe Inside Liberia's Ebola Zone

By Alex Crawford, Special Correspondent, in Liberia

Priority number one: Do not spread the Ebola disease. Priority number two: Do not catch it.

With these twin priorities in mind, cameraman Dave Rees and I set off for the north of Liberia.

We were going to the epicentre of the world's most serious outbreak of the deadly Ebola virus to try to find out more about it and the efforts being done to combat its spread.

We took a case-load of protective gear provided by Sky News. It was mostly waterproof all-in-one outfits with goggles and plastic gloves - all easily disposable once used.

Ebola is spread by infected people or animals - through close contact with infected blood and other bodily fluids such as sweat and tears.

There's also a possibility of contracting the virus through indirect contact - by touching infected clothes or furniture for instance, or even eating infected food.

It was imperative that we remained on high alert for the entire time we were in the infected zone - a period of about four days.

Dave also took a plastic covering for the camera so he can still film. But we were prepared to destroy the camera too if needs be.

Crawford started by wearing an all-in-one outfit and a mask

We also had the usual anti-mosquito sprays, anti-malaria tablets, dehydration tablets as well as some of our own food provisions plus sleeping bags and camping equipment.

The north of Liberia is under-developed with poor infrastructure and few resources in a country which is one of the poorest in the world.

The road journey to the north from the Liberian capital Monrovia took nine hours on mostly unmarked, unpaved roads. It was a bone-jangling experience travelling to Foya, right on the northern tip of Liberia and very close to the border with Guinea and Sierra Leone.

Our first sight of the infection wards was a large blue tented area. The medics have tried to rename it as a treatment centre but few seem to have bought into the new name.

Once anyone is diagnosed or even suspected of having Ebola, they are immediately segregated and taken there, where few others want to enter.

Those who do, underwent a series of stringent disinfecting procedures to ensure they did not catch the virus or leave with it to spread it further among the outside population.

The soles of our shoes were sprayed with disinfectant and we were ordered to wash our hands with chlorine. I inadvertently touched the wooden post marking the entrance and am told to re-wash my hands.

Once inside, nurse Adeyemi Babatunde took care of us, leading us first into the low-risk area where we were kitted up. Dave had already encased the camera in a sealed plastic container.

The first thing we were asked to do is put on gloves, then we slipped on scrubs before we all start putting on the PPE (personal protection equipment).

The medical team provided us with their equipment so our Sky-provided gear was untouched.

Then she covered her face with a large hood and visor

We put on rubber boots, then climbed into all-in-one waterproof outfits. The temperature was 37C inside the tent and with the all-in-one plastic outfit on I could feel my body temperature climbing fast.

Next was the mouth guard followed by a huge hood which had panels covering my neck and front. We put visors on top, a second pair of thicker gloves and by this time, I could barely breathe.

"Breathe through your mouth," I was told. "Don't touch anything when you are inside," Nurse Adeyemi said.

"If you feel uncomfortable then leave quickly without touching anything."

The final piece of clothing was a huge plastic apron which reaches from just below my neck and hangs right down my body to just above my ankles. The whole process has taken a good three-quarters of an hour.

Nurse Adeyemi guided us through a series of marked lanes inside the body of the tent.

"The infection ward is separated into two areas," he explained.

"Those who are suspected of having Ebola, and those who are confirmed. We only ever pass from the suspected area to the confirmed - never back the other way. After the confirmed area, the only route is out."

With all the plastic and rubber on us, we were crinkling with every step and sweating profusely by this time. The nurses have to kit themselves out in this gear every time they enter the infected area.

On leaving there was a laborious series of disinfecting steps to take to ensure outside remains virus-free - including the burning of all the kit, gloves and all-in-one outfits.

They kept the rubber boots and plastic aprons only after dunking them in several buckets of disinfectant. The work is both dangerous and difficult and the workers risk their lives every time they enter the infected zone.

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