An Ebola orphan’s question: ‘Do you want me?’

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Sweetie Sweetie, an Ebola orphan, sits in her bedroom at a group home in Port Loko, Sierra Leone.

Sweetie Sweetie, an Ebola orphan, sits in her bedroom at a group home in Port Loko, Sierra Leone. Photo: New York Times

Port Loko: Sweetie Sweetie had no choice.

Her father had just died of Ebola. So had her sister. Her mother was vomiting blood and fading fast.

When the ambulance arrived and her mother climbed in, Sweetie Sweetie climbed in too. Even though the young girl looked fine, with no symptoms, nobody in her village, even relatives, wanted to take her. With nowhere else to go, she followed her mother all the way into the red zone of an Ebola clinic and spent more than two weeks in a biohazard area where the only other healthy people were wearing moon suits.

Sweetie Sweetie on the steps of the group home.

Sweetie Sweetie on the steps of the group home. Photo: New York Times

As her mother grew sicker, Sweetie Sweetie urged her to take her pills. She tried to feed her. She washed her mother’s soiled clothes, not especially well, but nurses said they were moved by the effort. After all, they think Sweetie Sweetie is just four. Health care workers did not even know her real name, which is why they called her Sweetie Sweetie.

After her mother died, the young girl stood outside the clinic’s gates looking around with enormous brown eyes. She was put on the back of a motorbike and taken to a group home, whose bare, dim hallways she now wanders alone. Social workers are trying to find someone to adopt her, and Sweetie Sweetie seems to know she is up for grabs.

On a recent day she asked a visitor: “Do you want me?”

Sweetie Sweetie covers her lunch before hiding in it in her room to eat later.

Sweetie Sweetie covers her lunch before hiding in it in her room to eat later. Photo: New York Times

Ebola has been wretched for children. More than 3500 have been infected and at least 1200 have died, UN officials estimate. Sierra Leone, Liberia and Guinea have shut down schools in an attempt to check the virus, and legions of young people are now being drafted into hard labour by their impoverished parents. Little boys who should be sitting in a classroom are breaking rocks by the side of the road; little girls struggle under enormous loads of bananas on their heads. This was always true to some degree, but social workers say there are more children, especially teenagers, on the streets than ever before, which could lead to an increase in crime and adolescent pregnancies.   

But the worst off, by far, are the Ebola orphans. The UN Children’s Fund, or UNICEF, says that across the region there may be 10,000 of them, many stigmatised and shunned by their own communities.

“If there’s an earthquake or a war, and you lose a mother or a father, an aunt will take care of you,” said Roeland Monasch, head of UNICEF’s office in Sierra Leone. “But this is different. These children aren’t being taken in by extended family. This isn’t like the AIDS orphans.”

Ebola's children: Sweetie Sweetie (centre) with other children orphaned by Ebola at the group home.

Ebola’s children: Sweetie Sweetie (centre) with other children orphaned by Ebola at the group home. Photo: New York Times

People in hard-hit Ebola areas see children as mini time bombs. They do not wash their hands very often, they constantly touch people, they break all the Ebola rules.   

“Younger children are believed to be more contagious,” Mr Monasch said.

Sierra Leone, which now has more cases of Ebola than anywhere else, was already a profoundly difficult place for a child. Nine out of 10 girls undergo genital cutting, one of the highest rates in the world, and during the civil war in the 1990s, thousands of boys fought as child soldiers. Today, armies of young men with arms or legs cut off, gruesome reminders of the war, beg for the equivalent of pennies in the market.

It is a miracle that Sweetie Sweetie even survived. She slept in a bed next to her sick mother in a crowded isolation unit with people dying all around her from a deadly, contagious pathogen. She was never given a protective suit – health workers said that was not the protocol and there were none even close to her size. The area she comes from, a village near Port Loko, an old river town east of the capital, Freetown, has been ravaged by Ebola. But so far, Sweetie Sweetie has not shown any symptoms.

But from what was gleaned from her and snatches of conversation with her fading mother, the social workers believe she is about four years old, her father was a medicine man and her real name might be Mbalu Kamara, although the lead social worker handling her case was quick to add that all that remains “unconfirmed”.

No relatives seem to be looking for her. The only family member social workers have been able to find was a man they described as an uncle. They said he was an alcoholic and not fit to raise her. For now, she continues to live in a group home with nine other children who have either lost their parents or have simply been lost in the maze of isolation centres and Ebola clinics – sometimes the little plastic bracelets with a child’s name on it fall off, sometimes records disappear.

None of the other children in the group home looked especially healthy. One infant was sucking on an empty box of milk, clearly hungry. Another little boy kept shielding his eyes, even though he was sitting in the shade.

The person most interested in adopting Sweetie Sweetie is a young health care worker who treated her mother and said the mother’s dying wish was for him to look after the little girl. His name is Usman Koroma, and when he was tracked down at a rundown teachers’ college in Port Loko and asked if he knew a girl known as Sweetie Sweetie, the first thing he said was: “She’s mine”.

He explained, in what seemed an eager but heartfelt way, how he had fed her extra portions of rice, oranges, soup and cassava porridge in the clinic, to boost her immunity. “I loved the child,” he said.

Musa Conteh, a government social services officer who has been helping with Sweetie Sweetie’s case, was suspicious at first.

“When this girl was discharged,” Mr Conteh said, “there were a lot of guys standing around, saying they wanted to take her, because look at her, she’s nice.”

When asked what he meant by that, Mr Conteh dropped his voice close to a whisper. “This is a fluid time,” he said. “You never know.” He said that the authorities had to be on guard for any signs of strangers adopting children for the purposes of trafficking.

But the more he listened to the health care worker, the more Mr Conteh was reassured. “We will keep investigating,” Mr Conteh said. “But this man is educated. He can give her a new life.”

When asked when he might make a decision about Sweetie Sweetie, Mr Conteh said he did not know. There were dozens of cases like this in his district, he said. Each day, the numbers grew.

New York Times