The three West African nations ravaged by Ebola could struggle to prevent another major outbreak as vigilance fades among health workers and the public, a health expert says.
Ebola victims in recent flare-ups in Liberia and Sierra Leone were inspected by health workers who were not wearing protective clothing, while the corpse of one female victim was washed by several people, contrary to best practice.
Health facilities must reinforce infection prevention and control measures or risk widening the spread of new Ebola outbreaks, according to Armand Sprecher, public health specialist at medical charity Medecins Sans Frontieres (MSF).
Communities must also help to keep Ebola at bay by avoiding old habits that can transmit the disease, such as eating bushmeat, caring for the ill and touching the dead, he said.
"It wasn't so long ago that Ebola was a real and present danger, yet many people have reverted to traditional practices," Sprecher said on Monday, two years after the world's worst Ebola outbreak was first declared in Guinea.
News that makes sense
Your trusted source for staying up-to-date with the world around you. Get free daily news updates and analysis, straight to your inbox.
"It is surprising that the ordeal they went through has not been enough to maintain a change in behaviour in the long term."
More than 28,600 people have been infected and 11,300 have died - mostly in Guinea, Liberia and Sierra Leone - since the epidemic began in December 2013.
While the epidemic is now under control, all three countries have suffered flare-ups recently.
Experts have warned that Ebola could resurface at any time, as it can linger in the eyes, nervous system and bodily fluids of survivors.
Four people have died of Ebola in Guinea since a flare-up was announced on Thursday, just hours after the World Health Organisation (WHO) declared Sierra Leone's latest outbreak over.
