Wilkinson Annie, Fairhead James
Institute of Development Studies, University of Sussex , Brighton , UK.
Department of Anthropology, University of Sussex , Brighton , UK.
Crit Public Health. 2017 Jan 1;27(1):14-27. doi: 10.1080/09581596.2016.1252034. Epub 2016 Nov 9.
Sierra Leone and Guinea share broadly similar cultural worlds, straddling the societies of the Upper Guinea Coast with Islamic West Africa. There was, however, a notable difference in their reactions to the Ebola epidemic. As the epidemic spread in Guinea, acts of violent or everyday resistance to outbreak control measures repeatedly followed, undermining public health attempts to contain the crisis. In Sierra Leone, defiant resistance was rarer. Instead of looking to 'culture' to explain patterns of social resistance (as was common in the media and in the discourse of responding public health authorities) a comparison between Sierra Leone and Guinea suggests that explanations lie in divergent political practice and lived experiences of the state. In particular the structures of state authority through which the national epidemic response were organised integrated very differently with trusted institutions in each country. Predicting and addressing social responses to epidemic control measures should assess such political-trust configurations when planning interventions.
塞拉利昂和几内亚有着大致相似的文化背景，横跨上几内亚海岸社会与伊斯兰西非社会。然而，它们对埃博拉疫情的反应存在显著差异。随着疫情在几内亚蔓延，针对疫情控制措施的暴力或日常抵抗行为屡屡发生，破坏了公共卫生部门控制危机的努力。在塞拉利昂，公然的抵抗较为罕见。与其寻求用“文化”来解释社会抵抗模式（这在媒体和应对公共卫生当局的话语中很常见），塞拉利昂与几内亚的比较表明，解释在于不同的政治实践和国家的实际经历。特别是，组织国家疫情应对的国家权威结构在每个国家与受信任机构的整合方式截然不同。在规划干预措施时，预测和应对社会对疫情控制措施的反应应评估此类政治信任配置。
