AustralieFrV1, PubMed, Curation, bibRecord, 002156

Successful Control of Ebola Virus Disease: Analysis of Service Based Data from Rural Sierra Leone.

Identifieur interne : 002156 ( PubMed/Curation ); précédent : 002155; suivant : 002157

Successful Control of Ebola Virus Disease: Analysis of Service Based Data from Rural Sierra Leone.

Auteurs : Kamalini Lokuge [Royaume-Uni] ; Grazia Caleo [Royaume-Uni] ; Jane Greig [Royaume-Uni] ; Jennifer Duncombe [Sierra Leone] ; Nicholas Mcwilliam [Sierra Leone] ; James Squire [Sierra Leone] ; Manjo Lamin [Sierra Leone] ; Emily Veltus [Sierra Leone] ; Anja Wolz [Suisse] ; Gary Kobinger [Canada] ; Marc-Antoine De La Vega [Canada] ; Osman Gbabai [Sierra Leone] ; Sao Nabieu [Sierra Leone] ; Mohammed Lamin [Sierra Leone] ; Ronald Kremer [Pays-Bas] ; Kostas Danis [Sierra Leone] ; Emily Banks [Australie] ; Kathryn Glass [Australie]

Source :

PLoS neglected tropical diseases [ 1935-2735 ] ; 2016.

RBID : pubmed:26959413

Descripteurs français

KwdFr :
- Accessibilité des services de santé, Administration d'établissement de santé, Adolescent, Adulte, Adulte d'âge moyen, Contrôle des maladies contagieuses (), Enfant, Enfant d'âge préscolaire, Femelle, Fièvre hémorragique à virus Ebola (), Fièvre hémorragique à virus Ebola (épidémiologie), Humains, Jeune adulte, Mâle, Population rurale, Recherche sur les services de santé, Sierra Leone (épidémiologie), Sujet âgé, Sujet âgé de 80 ans ou plus, Établissements de santé (main d’œuvre).
MESH :
- main d’œuvre : Établissements de santé.
- épidémiologie : Fièvre hémorragique à virus Ebola, Sierra Leone.
- Accessibilité des services de santé, Administration d'établissement de santé, Adolescent, Adulte, Adulte d'âge moyen, Contrôle des maladies contagieuses, Enfant, Enfant d'âge préscolaire, Femelle, Fièvre hémorragique à virus Ebola, Humains, Jeune adulte, Mâle, Population rurale, Recherche sur les services de santé, Sujet âgé, Sujet âgé de 80 ans ou plus.
Wicri :
- geographic : Sierra Leone.

English descriptors

KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Communicable Disease Control (methods), Female, Health Facilities (manpower), Health Facility Administration, Health Services Accessibility, Health Services Research, Hemorrhagic Fever, Ebola (epidemiology), Hemorrhagic Fever, Ebola (prevention & control), Humans, Male, Middle Aged, Rural Population, Sierra Leone (epidemiology), Young Adult.
MESH :
- geographic , epidemiology : Sierra Leone.
- epidemiology : Hemorrhagic Fever, Ebola.
- manpower : Health Facilities.
- methods : Communicable Disease Control.
- prevention & control : Hemorrhagic Fever, Ebola.
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Female, Health Facility Administration, Health Services Accessibility, Health Services Research, Humans, Male, Middle Aged, Rural Population, Young Adult.

Abstract

The scale and geographical distribution of the current outbreak in West Africa raised doubts as to the effectiveness of established methods of control. Ebola Virus Disease (EVD) was first detected in Sierra Leone in May 2014 in Kailahun district. Despite high case numbers elsewhere in the country, transmission was eliminated in the district by December 2014. We describe interventions underpinning successful EVD control in Kailahun and implications for EVD control in other areas.

DOI: 10.1371/journal.pntd.0004498
PubMed: 26959413

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Le document en format XML

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<author><name sortKey="Kobinger, Gary" sort="Kobinger, Gary" uniqKey="Kobinger G" first="Gary" last="Kobinger">Gary Kobinger</name>
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<author><name sortKey="De La Vega, Marc Antoine" sort="De La Vega, Marc Antoine" uniqKey="De La Vega M" first="Marc-Antoine" last="De La Vega">Marc-Antoine De La Vega</name>
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<author><name sortKey="Gbabai, Osman" sort="Gbabai, Osman" uniqKey="Gbabai O" first="Osman" last="Gbabai">Osman Gbabai</name>
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<author><name sortKey="Nabieu, Sao" sort="Nabieu, Sao" uniqKey="Nabieu S" first="Sao" last="Nabieu">Sao Nabieu</name>
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</affiliation>
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<author><name sortKey="Kremer, Ronald" sort="Kremer, Ronald" uniqKey="Kremer R" first="Ronald" last="Kremer">Ronald Kremer</name>
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<term>Fièvre hémorragique à virus Ebola</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Population rurale</term>
<term>Recherche sur les services de santé</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Sierra Leone</term>
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<front><div type="abstract" xml:lang="en">The scale and geographical distribution of the current outbreak in West Africa raised doubts as to the effectiveness of established methods of control. Ebola Virus Disease (EVD) was first detected in Sierra Leone in May 2014 in Kailahun district. Despite high case numbers elsewhere in the country, transmission was eliminated in the district by December 2014. We describe interventions underpinning successful EVD control in Kailahun and implications for EVD control in other areas.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26959413</PMID>
<DateCreated><Year>2016</Year>
<Month>03</Month>
<Day>10</Day>
</DateCreated>
<DateCompleted><Year>2016</Year>
<Month>08</Month>
<Day>02</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>03</Month>
<Day>24</Day>
</DateRevised>
<Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">1935-2735</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>10</Volume>
<Issue>3</Issue>
<PubDate><Year>2016</Year>
<Month>Mar</Month>
</PubDate>
</JournalIssue>
<Title>PLoS neglected tropical diseases</Title>
<ISOAbbreviation>PLoS Negl Trop Dis</ISOAbbreviation>
</Journal>
<ArticleTitle>Successful Control of Ebola Virus Disease: Analysis of Service Based Data from Rural Sierra Leone.</ArticleTitle>
<Pagination><MedlinePgn>e0004498</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1371/journal.pntd.0004498</ELocationID>
<Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The scale and geographical distribution of the current outbreak in West Africa raised doubts as to the effectiveness of established methods of control. Ebola Virus Disease (EVD) was first detected in Sierra Leone in May 2014 in Kailahun district. Despite high case numbers elsewhere in the country, transmission was eliminated in the district by December 2014. We describe interventions underpinning successful EVD control in Kailahun and implications for EVD control in other areas.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Internal service data and published reports from response agencies were analysed to describe the structure and type of response activities, EVD case numbers and epidemic characteristics. This included daily national situation reports and District-level data and reports of the Sierra Leone Ministry of Health and Sanitation, and Médecins Sans Frontières (MSF) patient data and internal epidemiological reports. We used EVD case definitions provided by the World Health Organisation over the course of the outbreak. Characteristics assessed included level of response activities and epidemiological features such as reported exposure (funeral-related or not), time interval between onset of illness and admission to the EVD Management Centre (EMC), work-related exposures (health worker or not) and mortality. We compared these characteristics between two time periods--June to July (the early period of response), and August to December (when coverage and quality of response had improved). A stochastic model was used to predict case numbers per generation with different numbers of beds and a varying percentage of community cases detected.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">There were 652 probable/confirmed EVD cases from June-December 2014 in Kailahun. An EMC providing patient care opened in June. By August 2014 an integrated detection, treatment, and prevention strategy was in place across the district catchment zone. From June-July to August-December 2014 surveillance and contact tracing staff increased from 1.0 to 8.8 per confirmed EVD case, EMC capacity increased from 32 to 100 beds, the number of burial teams doubled, and health promotion activities increased in coverage. These improvements in response were associated with the following changes between the same periods: the proportion of confirmed/probable cases admitted to the EMC increased from 35% to 83% (χ(2) p-value<0·001), the proportion of confirmed patients admitted to the EMC <3 days of symptom onset increased from 19% to 37% (χ(2) p-value <0·001), and reported funeral contact in those admitted decreased from 33% to 16% (χ(2) p-value <0·001). Mathematical modelling confirmed the importance of both patient management capacity and surveillance and contact tracing for EVD control.</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Our findings demonstrate that control of EVD can be achieved using established interventions based on identification and appropriate management of those who are at risk of and develop EVD, including in the context of ongoing transmission in surrounding regions. Key attributes in achieving control were sufficient patient care capacity (including admission to specialist facilities of suspect and probable cases for assessment), integrated with adequate staffing and resourcing of community-based case detection and prevention activities. The response structure and coverage targets we present are of value in informing effective control in current and future EVD outbreaks.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lokuge</LastName>
<ForeName>Kamalini</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Manson Unit, Médecins Sans Frontières, London, United Kingdom.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Caleo</LastName>
<ForeName>Grazia</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Manson Unit, Médecins Sans Frontières, London, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Greig</LastName>
<ForeName>Jane</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Manson Unit, Médecins Sans Frontières, London, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Duncombe</LastName>
<ForeName>Jennifer</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Médecins Sans Frontières, Kailahun, Sierra Leone.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>McWilliam</LastName>
<ForeName>Nicholas</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Médecins Sans Frontières, Kailahun, Sierra Leone.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Squire</LastName>
<ForeName>James</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>District Health Management Team, Ministry of Health and Sanitation, Kailahun, Sierra Leone.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lamin</LastName>
<ForeName>Manjo</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>District Health Management Team, Ministry of Health and Sanitation, Kailahun, Sierra Leone.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Veltus</LastName>
<ForeName>Emily</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Médecins Sans Frontières, Kailahun, Sierra Leone.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wolz</LastName>
<ForeName>Anja</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Operational Centre Geneva, Médecins Sans Frontières, Geneva, Switzerland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kobinger</LastName>
<ForeName>Gary</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>National Microbiology Laboratory, Public Health Agency of Canada, University of Manitoba, Winnipeg, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>de la Vega</LastName>
<ForeName>Marc-Antoine</ForeName>
<Initials>MA</Initials>
<AffiliationInfo><Affiliation>National Microbiology Laboratory, Public Health Agency of Canada, University of Manitoba, Winnipeg, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gbabai</LastName>
<ForeName>Osman</ForeName>
<Initials>O</Initials>
<AffiliationInfo><Affiliation>District Health Management Team, Ministry of Health and Sanitation, Kailahun, Sierra Leone.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Nabieu</LastName>
<ForeName>Sao</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>District Health Management Team, Ministry of Health and Sanitation, Kailahun, Sierra Leone.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lamin</LastName>
<ForeName>Mohammed</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>District Health Management Team, Ministry of Health and Sanitation, Kailahun, Sierra Leone.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kremer</LastName>
<ForeName>Ronald</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Operational Centre Amsterdam, Médecins Sans Frontières, Amsterdam, The Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Danis</LastName>
<ForeName>Kostas</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Médecins Sans Frontières, Kailahun, Sierra Leone.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control, (ECDC), Stockholm, Sweden.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Institut de Veille Sanitaire, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Banks</LastName>
<ForeName>Emily</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Glass</LastName>
<ForeName>Kathryn</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, Australia.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2016</Year>
<Month>03</Month>
<Day>09</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>PLoS Negl Trop Dis</MedlineTA>
<NlmUniqueID>101291488</NlmUniqueID>
<ISSNLinking>1935-2727</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>MMWR Morb Mortal Wkly Rep. 2014 Dec 12;63(49):1172-4</RefSource>
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<PMID Version="1">25347321</PMID>
</CommentsCorrections>
</CommentsCorrectionsList>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003140" MajorTopicYN="N">Communicable Disease Control</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006268" MajorTopicYN="N">Health Facilities</DescriptorName>
<QualifierName UI="Q000364" MajorTopicYN="N">manpower</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D058016" MajorTopicYN="N">Health Facility Administration</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006297" MajorTopicYN="N">Health Services Accessibility</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006302" MajorTopicYN="Y">Health Services Research</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019142" MajorTopicYN="N">Hemorrhagic Fever, Ebola</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012424" MajorTopicYN="N">Rural Population</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012807" MajorTopicYN="N" Type="Geographic">Sierra Leone</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
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<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year>
<Month>10</Month>
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Successful Control of Ebola Virus Disease: Analysis of Service Based Data from Rural Sierra Leone.

Successful Control of Ebola Virus Disease: Analysis of Service Based Data from Rural Sierra Leone.

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