Long‐Term Disease Surveillance in Bandundu Region, Democratic Republic of the Congo: A Model for Early Detection and Prevention of Ebola Hemorrhagic Fever
| Autor: | Kweteminga Tshioko, Wun Ju Shieh, Sherif R. Zaki, Jean Kabwau, Ethleen Lloyd, Pierre E. Rollin, Eric Verchueren, M. Kader Kondé, Mpia Ado Bwaka, C. J. Peters, Thomas G. Ksiazek, Helen N. Perry, Philippe Calain, Roger Ndambi, Lubaki Manguindula |
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| Rok vydání: | 1999 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors Early detection Disease Outbreaks Viral hemorrhagic fever Ebola Hemorrhagic Fever Software Design medicine Humans Immunology and Allergy Infection control Skin Infection Control Disease surveillance business.industry Outbreak Diagnostic test Hemorrhagic Fever Ebola Models Theoretical Ebolavirus medicine.disease Immunohistochemistry Virology Infectious Diseases Specimen collection Population Surveillance Emergency medicine Democratic Republic of the Congo business |
| Zdroj: | The Journal of Infectious Diseases. 179:S274-S280 |
| ISSN: | 1537-6613 0022-1899 |
| DOI: | 10.1086/514312 |
| Popis: | After the large-scale outbreak of Ebola hemorrhagic fever (EHF) in Bandundu region, Democratic Republic of the Congo, a program was developed to help detect and prevent future outbreaks of EHF in the region. The long-term surveillance and prevention strategy is based on early recognition by physicians, immediate initiation of enhanced barrier-nursing practices, and the use of an immunohistochemical diagnostic test performed on formalin-fixed skin specimens of patients who die of suspected viral hemorrhagic fever. The program was implemented in September 1995 during a 4-day workshop with 28 local physicians representing 17 of 22 health zones in the region. Specimen collection kits were distributed to clinics in participating health zones, and a follow-up evaluation was conducted after 6 months. The use of a formalin-fixed skin specimen for laboratory confirmation of EHF can provide an appropriate method for EHF surveillance when linked with physician training, use of viral hemorrhagic fever isolation precautions, and follow-up investigation. |
| Databáze: | OpenAIRE |
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