Increasing Ebola transmission behaviors 6 months post-vaccination: Comparing vaccinated and unvaccinated populations near 2018 Mbandaka Ebola outbreak in the Democratic Republic of Congo
| Autor: | Hoff, Nicole A, Bratcher, Anna, Mukadi, Patrick, Ahuka, Steve, Kabamba, Michel, Musene, Kamy, Halbrook, Megan, Dzogong, Camille, Mwamba, Guillaume Ngoie, Mbala, Placide, Kelly, J Daniel, Kompany, Jean Paul, Tambu, Merly, Kaba, Didine, Kebela-Ilunga, Benoit, Muyemebe-Tamfum, Jean Jacque, Rimoin, Anne W |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Agricultural and Veterinary Sciences
Prevention Vaccination Post-vaccination behaviors Biological Sciences Ebolavirus Medical and Health Sciences Disease Outbreaks Vaccine Related Emerging Infectious Diseases Infectious Diseases rVSV-EBOV 3.4 Vaccines Biodefense Virology Ebola Democratic Republic of the Congo Humans Hemorrhagic Fever Immunization Infection Post-outbreak behaviors Vaccination behaviors |
| Zdroj: | Vaccine, vol 39, iss 51 |
| Popis: | BackgroundIn 2018, the Democratic Republic of the Congo (DRC) declared its 9th and 10th Zaire ebolavirus (EBOV) outbreaks, in the Equateur province (end: July 2018), and in the eastern provinces including North Kivu (end: June 2020). The DRC Ministry of Health deployed the rVSV-vectored glycoprotein (VSV-EBOV) vaccine in response during both outbreaks.MethodsA cohort of vaccinated and unvaccinated individuals from the Equateur province were enrolled and followed prospectively for 6months. Among participants included in this analysis, 505 were vaccinated and 1,418 were unvaccinated. Differences in transmission behaviors pre- and post- outbreak were identified, along with associations between behaviors and vaccination.ResultsThere was an overall increase in the proportion of both unvaccinated and vaccinated individuals in Mbandaka who participated in risky activities post-outbreak. Travel outside of the province pre-outbreak was associated with vaccination. Post-outbreak, vaccinated individuals were less likely to participate in funeral traditions than unvaccinated individuals.ConclusionA net increase in activities considered high risk was observed in both groups despite significant efforts to inform the population of risky behaviors. The absence of a reduction in transmission behavior post-outbreak should be considered for improving future behavior change campaigns in order to prevent recurrent outbreaks. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|