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2015 ; 64
(7
): 175-8
Nephropedia Template TP
gab.com Text
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English Wikipedia
Rapid intervention to reduce Ebola transmission in a remote village - Gbarpolu
County, Liberia, 2014
#MMPMID25719678
Blackley DJ
; Lindblade KA
; Kateh F
; Broyles LN
; Westercamp M
; Neatherlin JC
; Pillai SK
; Tucker A
; Mott JA
; Walke H
; Nyenswah T
MMWR Morb Mortal Wkly Rep
2015[Feb]; 64
(7
): 175-8
PMID25719678
show ga
As late as September 14, 2014, Liberia's Gbarpolu County had reported zero cases
of Ebola virus disease (Ebola). On October 25, the Bong County Health Team, a
local health department in the Liberian Ministry of Health and Social Welfare
(MOHSW), received confirmation of Ebola in a man who had recently left
Geleyansiesu, a remote village of approximately 800 residents, after his wife and
daughter had died of illnesses consistent with Ebola. MOHSW requested assistance
from CDC, the World Health Organization, and other international partners to
investigate and confirm the outbreak in Geleyansiesu and begin interventions to
interrupt transmission. A total of 22 cases were identified, of which 18 (82%)
were laboratory confirmed by real-time polymerase chain reaction. There were 16
deaths (case-fatality rate = 73%). Without road access to or direct
telecommunications with the village, interventions had to be tailored to the
local context. Public health interventions included 1) education of the community
about Ebola, transmission of the virus, signs and symptoms, the importance of
isolating ill patients from family members, and the potential benefits of early
diagnosis and treatment; 2) establishment of mechanisms to alert health
authorities of possibly infected persons leaving the village to facilitate safe
transport to the closest Ebola treatment unit (ETU); 3) case investigation,
contact tracing, and monitoring of contacts; 4) training in hygienic burial of
dead bodies; 5) active case finding and diagnosis; and 6) isolation and limited
no-touch treatment in the village of patients unwilling or unable to seek care at
an ETU. The findings of this investigation could inform interventions aimed at
controlling focal outbreaks in difficult-to-reach communities, which has been
identified as an important component of the effort to eliminate Ebola from
Liberia.
|Adult
[MESH]
|Child
[MESH]
|Contact Tracing
[MESH]
|Disease Outbreaks/*prevention & control
[MESH]
|Ebolavirus/isolation & purification
[MESH]
|Female
[MESH]
|Hemorrhagic Fever, Ebola/epidemiology/*prevention & control
[MESH]