Case Definitions Used During the First 6 Months of the 10th Ebola Virus Disease Outbreak in the Democratic Republic of the Congo — Four Neighboring Countries, August 2018–February 2019
| Autor: | Issa Makumbi, Aimee L. Geissler, Rebecca D. Merrill, Sarah Ward, Amanda K. MacGurn, Hélène Balisanga, Trevor Shoemaker, Vance Brown, Pratima L Raghunathan, Joseph Ojwang, Sudhir Bunga, Jaco Homsy, Raimi Ewetola, Leopold Lubula, Richard Lako, Kimberly Singler, Alexandra M. Medley, Shahrokh Roohi, Felicien Nizeyemana, Oscar Mavila, Yona Kenyi Manoah, Angela Umutoni, Gene MacDonald, Adeline Kabeja, Allan Muruta |
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| Rok vydání: | 2020 |
| Předmět: |
Time Factors
Health (social science) Epidemiology Health Toxicology and Mutagenesis Concordance Population Context (language use) Harmonization medicine.disease_cause 01 natural sciences Disease Outbreaks 03 medical and health sciences 0302 clinical medicine Health Information Management Public health surveillance Humans Medicine Public Health Surveillance Uganda Full Report 030212 general & internal medicine 0101 mathematics Socioeconomics education South Sudan education.field_of_study Ebola virus business.industry 010102 general mathematics Rwanda Outbreak General Medicine Hemorrhagic Fever Ebola Preparedness Democratic Republic of the Congo business |
| Zdroj: | Morbidity and Mortality Weekly Report |
| ISSN: | 1545-861X 0149-2195 |
| Popis: | On August 1, 2018, the Democratic Republic of the Congo (DRC) declared its 10th Ebola virus disease (Ebola) outbreak in an area with a high volume of cross-border population movement to and from neighboring countries. The World Health Organization (WHO) designated Rwanda, South Sudan, and Uganda as the highest priority countries for Ebola preparedness because of the high risk for cross-border spread from DRC (1). Countries might base their disease case definitions on global standards; however, historical context and perceived risk often affect why countries modify and adapt definitions over time, moving toward or away from regional harmonization. Discordance in case definitions among countries might reduce the effectiveness of cross-border initiatives during outbreaks with high risk for regional spread. CDC worked with the ministries of health (MOHs) in DRC, Rwanda, South Sudan, and Uganda to collect MOH-approved Ebola case definitions used during the first 6 months of the outbreak to assess concordance (i.e., commonality in category case definitions) among countries. Changes in MOH-approved Ebola case definitions were analyzed, referencing the WHO standard case definition, and concordance among the four countries for Ebola case categories (i.e., community alert, suspected, probable, confirmed, and case contact) was assessed at three dates (2). The number of country-level revisions ranged from two to four, with all countries revising Ebola definitions by February 2019 after a December 2018 peak in incidence in DRC. Case definition complexity increased over time; all countries included more criteria per category than the WHO standard definition did, except for the "case contact" and "confirmed" categories. Low case definition concordance and lack of awareness of regional differences by national-level health officials could reduce effectiveness of cross-border communication and collaboration. Working toward regional harmonization or considering systematic approaches to addressing country-level differences might increase efficiency in cross-border information sharing. |
| Databáze: | OpenAIRE |
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