Outcomes of cholera and measles outbreak alerts in the Democratic Republic of Congo.

Autor:	Makelele JPK; Médecins Sans Frontières-Operational Centre Brussels, Mission DRC, Kinshasa, DR Congo., Ade S; Faculté de Médecine, Université de Parakou, Parakou, Bénin.; Center for Operational Research, International Union Against Tuberculosis and Lung Diseases, Paris, France., Takarinda KC; Center for Operational Research, International Union Against Tuberculosis and Lung Diseases, Paris, France., Manzi M; Médecins Sans Frontières-Operational Centre Brussels, Medical Department, Operational Research Unit (LuOR), MSF Luxembourg., Cuesta JG; Médecins Sans Frontières-Operational Centre Brussels, Medical Department, Operational Research Unit (LuOR), MSF Luxembourg., Acma A; Médecins Sans Frontières-Operational Centre Brussels, Mission DRC, Kinshasa, DR Congo., Yépez MM; Médecins Sans Frontières-Operational Centre Brussels, Mission DRC, Kinshasa, DR Congo., Mashako M; Médecins Sans Frontières-Operational Centre Brussels, Mission DRC, Kinshasa, DR Congo.
Jazyk:	angličtina
Zdroj:	Public health action [Public Health Action] 2020 Sep 21; Vol. 10 (3), pp. 124-130.
DOI:	10.5588/pha.19.0074
Abstrakt:	Setting: In 1995, a rapid response project for humanitarian and medical emergencies, including outbreak responses, named ' Pool d'Urgence Congo ' (PUC), was implemented in the Democratic Republic of Congo by Médecins Sans Frontières. Objective: To assess the outcomes of cholera and measles outbreak alerts that were received in the PUC surveillance system between 2016 and 2018. Design: This was a retrospective cross-sectional study. Results: Overall, 459 outbreak alerts were detected, respectively 69% and 31% for cholera and measles. Of these, 32% were actively detected and 68% passively detected. Most alerts (90%) required no intervention and 10% of alerts had an intervention. There were 25% investigations that were not carried out despite thresholds being met; 17% interventions were not performed, the main reported reason being PUC operational capacity was exceeded. Confirmed cholera and measles outbreaks that met an investigation threshold comprised respectively 90% and 76% of alerts; 59% of measles investigations were followed by a delayed outbreak response of ⩾14 days ( n = 10 outbreaks). Conclusion: Some alerts for cholera and measles outbreaks that were detected in the PUC system did not lead to a response even when required; the main reported reason was limited operational capacity to respond to all of them. Competing Interests: Conflicts of interest: none declared. (© 2020 The Union.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu