ArticlePLoS currents2017
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.
Article in PLoS currents, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 13 citations in OpenAlex.
- Community-based surveillance in internally displaced people's camps and urban settings during a complex emergency in Yemen in 2020.Conflict and health · 2021Article
- The first 2 months of the SARS-CoV-2 epidemic in Yemen: Analysis of the surveillance data.PloS one · 2020Article
- Ebola virus disease surveillance in the absence of a confirmed case; the case of the Rwenzori region of Uganda.The Pan African medical journal · 2020Article
- Rigorous surveillance is necessary for high confidence in end-of-outbreak declarations for Ebola and other infectious diseases.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2019Article
- Strengthening immunization service delivery post Ebola virus disease (EVD) outbreak in Liberia 2015-2017.The Pan African medical journal · 2019Article
- Strengthening healthcare workforce capacity during and post Ebola outbreaks in Liberia: an innovative and effective approach to epidemic preparedness and response.The Pan African medical journal · 2019Article
- The implementation of integrated disease surveillance and response in Liberia after Ebola virus disease outbreak 2015-2017.The Pan African medical journal · 2019Article
- Rapid response to meningococcal disease cluster in Foya district, Lofa County, Liberia January to February 2018.The Pan African medical journal · 2019Article
- Lessons learned from detecting and responding to recurrent measles outbreak in Liberia post Ebola-Epidemic 2016-2017.The Pan African medical journal · 2019Article
- Risk communication during disease outbreak response in post-Ebola Liberia: experiences in Sinoe and Grand Kru counties.The Pan African medical journal · 2019Article
- Strengthening acute flaccid paralysis surveillance post Ebola virus disease outbreak 2015 - 2017: the Liberia experience.The Pan African medical journal · 2019Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
Abstract
introductionDuring the flare-ups of Ebola virus disease (EVD) in Liberia, Sinoe County reactivated the multi-sectorial EVD control strategy in order to be ready to respond to the eventual reintroduction of cases. This paper describes the impacts of the interventions implemented in Sinoe County during the last flare-up in Monrovia, from April 1 to June 9, 2016, using the resources provided during the original outbreak that ended a year ago.
methodsWe conducted a descriptive study to describe the key interventions implemented in Sinoe County, the capacity available, the implications for the reactivation of the multi-sectoral EVD control strategy, and the results of the same. We also conducted a cross-sectional study to analyze the impact of the interventions on the surveillance and on infection prevention and control (IPC).
resultsThe attrition of the staff trained during the original outbreak was low, and most of the supplies, equipment, and infrastructure from the original outbreak remained available. With an additional USD 1755, improvements were observed in the IPC indicators of triage, which increased from a mean of 60% at the first assessment to 77% (P=0.002). Additionally, personnel/staff training improved from 78% to 89% (P=0.04). The percentage of EVD death alerts per expected deaths investigated increased from 26% to 63% (P<0.0001). DISCUSSION: The low attrition of the trained staff and the availability of most supplies, equipment, and infrastructure made the reactivation of the multi-sectoral EVD control strategy fast and affordable. The improvement of the EVD surveillance was possibly affected by the community engagement activities, awareness and mentoring of the health workers, and improved availability of clinicians in the facilities during the flare-up. The community engagement may contribute to the report of community-based events, specifically community deaths. The mentoring of the staff during the supportive supervisions also contributed to improve the IPC indicators.
Indexed as
Identifiers
29188127PMC5693337W2950367965What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.