When working to try to figure out how Ebola was spreading in the Congo, investigators found that patients recently visited a health clinic for treatment for some other disease such as a respiratory infection or malaria, according to an article on the NPR website.
Even government-run facilities such as large hospitals hadn't set up triage tents to separate possible Ebola patients from everyone else.
Even more problematic, are the hundreds of unofficial private health facilities in this area.
These facilities are also often short on supplies and people may be using gloves or the same equipment several times.
A Shift in Healthcare Facilities Management
Trauma-Informed Design Transforms Boston Homeless Shelter
Inside One of Healthcare's Most Ambitious Hospital Projects 
Disinfectant Contact Time: The Case for Biofilm Disruption
Texas HHSC Reaches Construction Milestone for Panhandle State Hospital in Amarillo