How Strict Protocols Saved Lives: Lessons from the 2014-2016 Ebola Outbreak in Sierra Leone (2026)

In the face of the ongoing Ebola outbreak in the Democratic Republic of the Congo (DRC) and Uganda, it's easy to draw parallels to the 2014-2016 West African Ebola crisis, the largest in history. As a witness to that emergency, I, Al Martin, Aspen Medical's Chief Defence & National Security Officer, can attest to the critical lessons learned and the ongoing relevance of those lessons in today's outbreak management. The 2014-2016 crisis was a stark reminder of the importance of rapid mobilization and the deployment of the right people to the right place at the right time. It also highlighted the need to overcome critical barriers, such as securing an adequate flow of Personal Protective Equipment (PPE) and establishing robust clinical systems to support it. However, one of the most complex hurdles in managing an Ebola outbreak is building trust under grim circumstances. When a medical facility experiences high mortality rates, the surrounding community naturally begins to view it with terror rather than hope. To combat this fear, we introduced a psychosocial model that integrated professional mental health support for both staff and survivors. This model was vital in educating the community and staff about the disease, and in reducing the trauma experienced by families. The success of our efforts in Sierra Leone was remarkable. During the 12 months I lived there, not a single expatriate contracted the disease, nor did any of the 600 local nationals trained by our team. This achievement earned the project recognition at the 2016 World Project Management Awards and the deployed team was honored with the Humanitarian Overseas Service Medal. Today, Aspen Medical is one of only two organizations globally to be classified by the World Health Organization as an Emergency Medical Team for the management of infectious disease outbreaks. What makes this particularly fascinating is that the lessons learned in West Africa remain entirely relevant today. Managing the current outbreak effectively demands the same rapid mobilization and focus on overcoming critical barriers. However, it also requires a deeper understanding of the psychological and social dynamics at play. In my opinion, the success of any Ebola outbreak response hinges on the ability to build trust and provide psychosocial support to both staff and the community. This is a critical aspect that is often overlooked in the rush to deploy resources and personnel. From my perspective, the ongoing Ebola outbreak in the DRC and Uganda serves as a stark reminder of the importance of learning from past crises and adapting our strategies to address the unique challenges of each new outbreak. It also highlights the need for a more holistic approach to outbreak management, one that takes into account the psychological and social factors that can significantly impact the success of any response effort.

How Strict Protocols Saved Lives: Lessons from the 2014-2016 Ebola Outbreak in Sierra Leone (2026)
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