People suffering from epilepsy in Sierra Leone face many challenging problems. The most tragic are burns often seen in women who usually cook in open fires and sustain severe burns if attacks occurs while cooking. In our sensitization activities we emphasize the importance of women with epilepsy avoid cooking in open fire of even cooking at all but the realities are such that this cannot be avoided in most cases. We then encourage them to place the fire at a height so if they fall they would not fall in the fire. Drowning accidents also occur as in many communities water is obtained from the river or stream and drowning even in shallow waters happen as the victim is denied help if in difficulties. We have also seen patients presenting with dislocated shoulder joints as a result of their attacks.