Evidence map›Paper›PMID 31923349›Full record

ArticleInfluenza and other respiratory viruses2020

Strengthening timely detection and reporting of unusual respiratory events from health facilities in Yaoundé, Cameroon.

Karen A Alroy, Luc Christian Gwom, Chanceline Bilounga Ndongo, Sebastien Kenmoe, Gwladys Monamele, Alexey Clara, Brett Whitaker, Henri Manga, Carolle Yanique Tayimetha, Dorine Tseuko and 6 more

Abstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Karen A AlroyDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Luc Christian GwomDivision for the Fight against Disease, Epidemics and Pandemics, Ministry of Health, Yaoundé, Cameroon.
Chanceline Bilounga NdongoDivision for the Fight against Disease, Epidemics and Pandemics, Ministry of Health, Yaoundé, Cameroon.
Sebastien KenmoeCentre Pasteur du Cameroun, Yaoundé, Cameroon.
Gwladys MonameleCentre Pasteur du Cameroun, Yaoundé, Cameroon.
Alexey ClaraDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.ORCID 0000-0003-3779-3449
Brett WhitakerDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Henri MangaNational Public Health Laboratory, Ministry of Health, Yaoundé, Cameroon.
Carolle Yanique TayimethaNational Public Health Laboratory, Ministry of Health, Yaoundé, Cameroon.
Dorine TseukoNational Public Health Laboratory, Ministry of Health, Yaoundé, Cameroon.
Bienvenu EtogoNational Public Health Laboratory, Ministry of Health, Yaoundé, Cameroon.
Omer PasiDivision of Global Health Protection, Center for Global Health, Atlanta, GA, USA.
Alain Georges EtoundiDivision for the Fight against Disease, Epidemics and Pandemics, Ministry of Health, Yaoundé, Cameroon.
Elise SeukapDivision for the Fight against Disease, Epidemics and Pandemics, Ministry of Health, Yaoundé, Cameroon.
Richard NjouomCentre Pasteur du Cameroun, Yaoundé, Cameroon.ORCID 0000-0003-3112-6370
Arunmozhi BalajeeDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.

Funding

CGH CDC HHS U2G GH001800
6 · The paper itself

Abstract

backgroundThe International Health Regulations state that early detection and immediate reporting of unusual health events is important for early warning and response systems.

objectiveTo describe a pilot surveillance program established in health facilities in Yaoundé, Cameroon in 2017 which aimed to enable detection and reporting of public health events.

methodsCameroon's Ministry of Health, in partnership with the US Centers for Disease Control and Prevention, Cameroon Pasteur Center, and National Public Health Laboratory, implemented event-based surveillance (EBS) in nine Yaoundé health facilities. Four signals were defined that could indicate possible public health events, and a reporting, triage, and verification system was established among partner organizations. A pre-defined laboratory algorithm was defined, and a series of workshops trained health facilities, laboratory, and public health staff for surveillance implementation.

resultsFrom May 2017 to January 2018, 30 signals were detected, corresponding to 15 unusual respiratory events. All health facilities reported a signal at least once, and more than three-quarters of health facilities reported ≥2 times. Among specimens tested, the pathogens detected included Klebsiella pneumoniae, Moraxella catarrhalis, Streptococcus pneumoniae, Haemophilus influenza, Staphylococcus aureus, Pneumocystis jiroveci, influenza A (H1N1) virus, rhinovirus, and adenovirus.

conclusionsThe events detected in this pilot were caused by routine respiratory bacteria and viruses, and no novel influenza viruses or other emerging respiratory threats were identified. The surveillance system, however, strengthened relationships and communication linkages between health facilities and public health authorities. Astute clinicians can play a critical role in early detection and EBS is one approach that may enable reporting of emerging outbreaks and public health events.

Indexed as

Public Health SurveillanceBacteriaCameroonHaemophilus influenzaeHealth FacilitiesHumansInfluenza A Virus, H1N1 SubtypeKlebsiella pneumoniaePublic HealthRespiratory Tract InfectionsStreptococcus pneumoniaeVirusescameroonearly warning and responseevent-based surveillanceglobal health securityhealth facilitysurveillance

Identifiers

PMID31923349
PMCPMC7040971

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.