West Point is an impoverished neighborhood in the Liberian capital of Monrovia where more than 75,000 people are packed into a small strip of peninsula that juts out into the Atlantic Ocean. A lack of clean water and sanitation facilities — the United Nations Environment Program estimates that there are just four public toilets for the entire population — has made public defecation common and long caused the spread of diseases. But where cholera and tuberculosis were once the most deadly afflictions, many fear the situation in West Point could get much worse due to the spread of Ebola.