Enhancing Ebola Virus Disease Surveillance and Prevention in Counties Without Confirmed Cases in Rural Liberia: Experiences from Sinoe County During the Flare-up in Monrovia, April to June, 2016

Introduction The Ebola virus disease (EVD) outbreak started in Guinea in 20131,2, and as of June 10, 2016, 28,616 cases had been registered, with 11,310 deaths32. After the end of the original outbreak, in the three most affected countries in 20152, specifically, in Liberia in May, Sierra Leone in November, and Guinea in December, different flare-ups were reported. The biggest flare-up was in Guinea, which occurred from February 274 to June 1, 2016, with 10 reported cases and seven deaths3, while the smallest one was in Sierra Leone, from January 14 to March 17, 2016, with two reported cases and one death5. Flare-ups may occur due to importation, reintroduction of the virus from an animal reservoir, a missed chain of transmission, or reemergence of the virus from a survivor4,6,7,8,9,10, and can be easily detected when EVD surveillance, including community-based surveillance and laboratory capacity, is established11. EVD flare-ups can also be controlled on time when a multi-sectorial EVD control strategy is implemented effectively. This strategy involves different committees, including clinical case management, surveillance, laboratory, logistic, behavioral and social interventions, psychosocial support, coordination, and others11. Liberia reported three flare-ups after the initial declaration of “disease-free” status on May 9, 20152,12,13, the first one being from June 29 to September 3, 2015 in Margibi County14, which occurred after the re-emergence of the viru...
Source: PLOS Currents Outbreaks - Category: Epidemiology Authors: Source Type: research

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Source: Journal of Obstetrics and Gynaecology - Category: OBGYN Tags: J Obstet Gynaecol Source Type: research
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Source: Journal of Obstetrics and Gynaecology - Category: OBGYN Tags: J Obstet Gynaecol Source Type: research
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