Evidence map›Paper›PMID 34860831›Full record

ArticlePLoS neglected tropical diseases2021

Rapid establishment of a frontline field laboratory in response to an imported outbreak of Ebola virus disease in western Uganda, June 2019.

Amy J Schuh, Jackson Kyondo, James Graziano, Stephen Balinandi, Markus H Kainulainen, Alex Tumusiime, Luke Nyakarahuka, Sophia Mulei, Jimmy Baluku, William Lonergan and 20 more

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.7field-weighted citation impact, top 28% of its field
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

8 citing papers in PubMed, 11 citations in OpenAlex.

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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

30 authors at 5 institutions in 2 countries.

Amy J SchuhViral Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, United States Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.ORCID 0000-0001-8069-349X
Jackson KyondoDepartment of Arbovirology, Emerging and Reemerging Infectious Diseases, Uganda Virus Research Institute, Entebbe, Uganda.
James GrazianoViral Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, United States Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Stephen BalinandiDepartment of Arbovirology, Emerging and Reemerging Infectious Diseases, Uganda Virus Research Institute, Entebbe, Uganda.ORCID 0000-0002-3057-0755
Markus H KainulainenViral Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, United States Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.ORCID 0000-0003-2492-1210
Alex TumusiimeDepartment of Arbovirology, Emerging and Reemerging Infectious Diseases, Uganda Virus Research Institute, Entebbe, Uganda.ORCID 0000-0002-2651-9703
Luke NyakarahukaDepartment of Arbovirology, Emerging and Reemerging Infectious Diseases, Uganda Virus Research Institute, Entebbe, Uganda.ORCID 0000-0002-2944-9157
Sophia MuleiDepartment of Arbovirology, Emerging and Reemerging Infectious Diseases, Uganda Virus Research Institute, Entebbe, Uganda.
Jimmy BalukuDepartment of Arbovirology, Emerging and Reemerging Infectious Diseases, Uganda Virus Research Institute, Entebbe, Uganda.
William LonerganViral Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, United States Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Oren MayerViral Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, United States Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.ORCID 0000-0002-1630-1129
Rastus MaserekaBwera General Hospital, Bwera, Uganda.
Fredrick MaserekaBwera General Hospital, Bwera, Uganda.
Esther BusingeBwera General Hospital, Bwera, Uganda.
Alphonse GatareBwera General Hospital, Bwera, Uganda.
Loice KabyangaBwera General Hospital, Bwera, Uganda.
Samuel MuhindoKasese District Health Office, Kasese, Uganda.
Raymond MugabeUganda Central Public Health Laboratories, Kampala, Uganda.
Issa MakumbiUganda Public Health Emergency Operations Center, Kampala, Uganda.
Joshua KayiwaUganda Public Health Emergency Operations Center, Kampala, Uganda.ORCID 0000-0002-3720-8900
Milton Makoba WetakaUganda Public Health Emergency Operations Center, Kampala, Uganda.
Vance BrownUnited States Centers for Disease Control and Prevention, Kampala, Uganda.
Joseph OjwangUnited States Centers for Disease Control and Prevention, Kampala, Uganda.
Lisa NelsonUnited States Centers for Disease Control and Prevention, Kampala, Uganda.ORCID 0000-0002-0305-2952
Monica MillardWalter Reed Army Institute of Research, Kampala, Uganda.
Stuart T NicholViral Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, United States Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Joel M MontgomeryViral Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, United States Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Celine H TaboyViral Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, United States Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.ORCID 0000-0003-1336-3882
Julius J LutwamaDepartment of Arbovirology, Emerging and Reemerging Infectious Diseases, Uganda Virus Research Institute, Entebbe, Uganda.ORCID 0000-0002-3210-722X
John D KlenaViral Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, United States Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.ORCID 0000-0001-9933-6193
Centers for Disease Control and Prevention · USUganda Virus Research Institute · UGCenters for Disease Control and Prevention · UGWorld Health Organization - Uganda · UGMakerere University Walter Reed Project · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Democratic Republic of the Congo (DRC) declared an Ebola virus disease (EVD) outbreak in North Kivu in August 2018. By June 2019, the outbreak had spread to 26 health zones in northeastern DRC, causing >2,000 reported cases and >1,000 deaths. On June 10, 2019, three members of a Congolese family with EVD-like symptoms traveled to western Uganda's Kasese District to seek medical care. Shortly thereafter, the Viral Hemorrhagic Fever Surveillance and Laboratory Program (VHF program) at the Uganda Virus Research Institute (UVRI) confirmed that all three patients had EVD. The Ugandan Ministry of Health declared an outbreak of EVD in Uganda's Kasese District, notified the World Health Organization, and initiated a rapid response to contain the outbreak. As part of this response, UVRI and the United States Centers for Disease Control and Prevention, with the support of Uganda's Public Health Emergency Operations Center, the Kasese District Health Team, the Superintendent of Bwera General Hospital, the United States Department of Defense's Makerere University Walter Reed Project, and the United States Mission to Kampala's Global Health Security Technical Working Group, jointly established an Ebola Field Laboratory in Kasese District at Bwera General Hospital, proximal to an Ebola Treatment Unit (ETU). The laboratory consisted of a rapid containment kit for viral inactivation of patient specimens and a GeneXpert Instrument for performing Xpert Ebola assays. Laboratory staff tested 76 specimens from alert and suspect cases of EVD; the majority were admitted to the ETU (89.3%) and reported recent travel to the DRC (58.9%). Although no EVD cases were detected by the field laboratory, it played an important role in patient management and epidemiological surveillance by providing diagnostic results in <3 hours. The integration of the field laboratory into Uganda's National VHF Program also enabled patient specimens to be referred to Entebbe for confirmatory EBOV testing and testing for other hemorrhagic fever viruses that circulate in Uganda.

Indexed as

Academies and InstitutesBiological AssayChildChild, PreschoolCommunicable Diseases, ImportedDisease OutbreaksFemaleHemorrhagic Fever, EbolaHumansLaboratoriesMaleMiddle AgedTravelUgandaUnited StatesUniversities

Identifiers

PMID34860831
PMCPMC8673597
OpenAlexW3216667165

What OpenQuestion holds

Textmetadata
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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.