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2014 ; 63
(50
): 1202-4
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Challenges in responding to the ebola epidemic - four rural counties, Liberia,
August-November 2014
#MMPMID25522089
Summers A
; Nyenswah TG
; Montgomery JM
; Neatherlin J
; Tappero JW
; T N
; M F
; M M
MMWR Morb Mortal Wkly Rep
2014[Dec]; 63
(50
): 1202-4
PMID25522089
show ga
The first cases of Ebola virus disease (Ebola) in West Africa were identified in
Guinea on March 22, 2014. On March 30, the first Liberian case was identified in
Foya Town, Lofa County, near the Guinean border. Because the majority of early
cases occurred in Lofa and Montserrado counties, resources were concentrated in
these counties during the first several months of the response, and these
counties have seen signs of successful disease control. By October 2014, the
epidemic had reached all 15 counties of Liberia. During August 27-September 10,
2014, CDC in collaboration with the Liberian Ministry of Health and Social
Welfare assessed county Ebola response plans in four rural counties (Grand Cape
Mount, Grand Bassa, Rivercess, and Sinoe, to identify county-specific challenges
in executing their Ebola response plans, and to provide recommendations and
training to enhance control efforts. Assessments were conducted through
interviews with county health teams and health care providers and visits to
health care facilities. At the time of assessment, county health teams reported
lacking adequate training in core Ebola response strategies and reported facing
many challenges because of poor transportation and communication networks.
Development of communication and transportation network strategies for
communities with limited access to roads and limited means of communication in
addition to adequate training in Ebola response strategies is critical for
successful management of Ebola in remote areas.
|Clinical Competence/standards
[MESH]
|Communication
[MESH]
|Delivery of Health Care/*organization & administration
[MESH]
|Epidemics/*prevention & control
[MESH]
|Health Resources/supply & distribution
[MESH]
|Health Services Research
[MESH]
|Hemorrhagic Fever, Ebola/*epidemiology/*prevention & control
[MESH]
|Humans
[MESH]
|Liberia/epidemiology
[MESH]
|Rural Health Services/*organization & administration
[MESH]
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