…by the time he left Liberia, and did he lie about it in a form he signed on leaving the country? That’s the meme that’s been spreading, and it’s now widely believed.
I don’t buy it. I’m writing a piece on the subject that I might submit to PJ or some other publication if all goes well. But till then, I’d just like you to read this article and mull it over.
The gist of it is that the ill woman’s family was in denial of her Ebola status, and so was the village. So, why believe that Duncan was the only one of them who knew the truth? The people in the town are now angry at the dead woman’s family for supposedly lying to them and allowing their exposure to Ebola, which they apparently only realized days later was the disease Marthalene Williams must have died from, after several of her relatives had grown sick and died. By that time, Duncan was already in the US, and starting to become ill himself.
It’s a very plausible story, knowing human nature and the propensity for denial. You could say Duncan and the others should have known, but that’s different from saying he did know and lied about it. I’m not at all certain that Williams’ parents and family were lying, either; they could easily have rationalized that her symptoms were complications of pregnancy and/or malaria, especially if they were people who lacked medical sophistication.
[ADDENDUM 10/9: Several people have asked me questions about the fact that the LA Times article linked in this post mentions that the family took the pregnant woman, Marthalene Williams, to an ebola clinic that evening, along other medical facilities. I responded to that in a comment, but I thought it important enough to add as an addendum here as well.
I have read perhaps 25 or more articles describing what happened in Liberia with Duncan and the woman who died, and the articles differ somewhat on the facts, and there’s very little sourcing. However, although some of the articles cite the family (and Duncan) as having taken her to an ebola clinic, the vast majority of the articles cite “hospitals” and do not mention ebola clinics.
I referred to that LA Times article not because every word in it is gospel or completely clear (for example, it’s not clear why or how she went to an ebola clinic, since she’d actually been told at another clinic that same evening that she had malaria). I referred to it for the story of how the village reacted and what it knew, which seems consistent with the timeline and the behavior of Duncan as well.
For example (from the same article) [emphasis mine]:
A chain of confusion and denial links the Dallas apartment complex to which he moved to a dark green house about 30 yards from Duncan’s door in Liberia, where the desperate family of a dying pregnant woman treated her illness as malaria…
Duncan had ridden in a taxi with Marthalene, who was seven months pregnant and desperately ill, as they crisscrossed the Liberian capital, Monrovia, going from a clinic to two hospitals, trying to get her admitted. With them were her father, Emmanuel, and brother Sonny Boy.
From the clinic, where she was given an intravenous drip but deteriorated sharply, they were sent to an Ebola treatment unit and then another, at a time when there were no Ebola beds available in the city…
It’s unclear whether the Williamses knowingly misled people, as angry neighbors charge, or whether they were simply convinced that Marthalene didn’t have the virus, like so many other desperate families in Liberia.
And if it was unclear what the Williams family knew or didn’t know about what she actually had, it’s even MORE unclear what Duncan knew or didn’t know, since he (a) wasn’t a family member, and (b) was riding in a cab to help carry her, not in charge of any decisions and probably not even privy to the medical decisions or even the discussions between the family and the medical staff. It sounds to me as though the family went from medical facility to medical facility trying to get her a bed somewhere, because they knew she was critically ill, and so they went everywhere, and there was no room in any hospital of any type.
There there’s this:
What happened in Paynesville is common in parts of West Africa where Ebola has been spreading. When a loved one becomes ill, family members assume, or hope, that it’s something else. They buy malaria, typhoid and headache medicine from a drugstore, or from a nurse, as Marthalene did. They wash and care for the sick person, moving them and touching them and their clothing, and the infection circle widens a little further.
So, what did the family know? We don’t know. But it’s safe to assume that, whatever they family knew (and I doubt they knew all that much, although they might have suspected something), Duncan knew considerably less. The community also knew less:
According to neighbors, people in the community didn’t realize until Wednesday that Marthalene Williams had died of Ebola. That was the day that two other people died ”” her brother Sonny Boy and her close neighbor Sarah Smith ”” and news emerged of Duncan’s illness in Texas.
The neighbors—who knew she had taken ill and died, and participated in funeral rites for the her without knowing how she died—did not know she died of Ebola till others had taken sick, and Duncan was already sick by that point.
So people who read an article here and there about it, and who are confidently saying “he lied; he knew” are just not basing that on a preponderance of evidence. I see the bulk of the evidence as going against the notion that he knew—and that evidence includes (as I have said several times) the fact that if he knew, it makes no sense that he failed to inform the Dallas hospital of his exposure.
I think this man pretty much sums up the mindset that Duncan probably had. This man more or less played the same role, and had the same relationship to the Williams family, and has no apparent reason to lie:
Like Duncan, Robert Garway rents a room from the Williams family, his house one pace away from theirs. When he and his wife, Sarah Smith, heard that the landlord’s daughter was sick, he thought they should pitch in, as Duncan did. They helped move Marthalene and touched her. It was difficult to say no to the landlord.
“We thought it was a fever or some other thing. There were plenty of people who touched her, and I was among them,” Garway said, speaking on his cellphone from an Ebola unit where he is undergoing treatment.
Also this:
As a crowd gathered and the shouting grew louder, accusations flew. Some claimed that she had vomited on Duncan. Some said that she had bled from the mouth. Others said the family lied and said she’d been injured in a car accident. Few of the accusations were consistent, other than the general outrage that the family told neighbors she had died of “low blood,” or low blood pressure, and pregnancy complications.
But the Blessing Home Clinic, which examined Marthalene on Sept. 15, had diagnosed malaria, according to staffers. When she started convulsing, they told the family to take her to a hospital.
That’s all from the same article. And yet some people think that, because at one point she apparently was at an ebola clinic, the family and friends knew (including Duncan) that she had ebola? I think, on the contrary, the confusion and lack of knowledge are apparent.
In Africa, by the way, death from pregnancy-related complications or from malaria are common—probably a good deal more common than Ebola. For example, in Liberia, “According to the 2009 Health Facility Survey (prior to the ebola epidemic there), malaria accounts for 34.6% of outpatient visits and 33% of in-patient deaths.” That’s a lot of very serious cases of malaria. And the maternal mortality rate in Liberia is 770 per 100,000 live births. Compare that to the US, 18.5 per 100,000 live births. So you can see why it was very plausible that she had died of either malaria or pregnancy (and convulsions, her main symptom, are the main symptom of a pregnancy-related illness called eclampsia, which is sometimes fatal).
Putting it all together, it is far more likely he didn’t know she had ebola than that he knew. It only became clear to people after he and the others had become ill themselves.]