Controlling the Last Known Cluster of Ebola Virus Disease – Liberia, January-February 2015

Nyenswah, Tolbert G.; Fallah, Mosoka; Sieh, Sonpon B.; Kollie, Karsor K.; Badio, Moses; Gray, Alvin; Dilah, Priscilla; Shannon, Marnijina; Duwor, Stanley; Ikekweazu, Chikwe; Cordier-Lasalle, Thierry; Shinde, Shivam A.; Hamblion, Esther; Davies-Wayne, Gloria J.; Ratnesh, Murugan; Dye, Christopher; Yoder, Jonathan S.; McElroy, Peter; Hoots, Brooke; Christie, Athalia; Vertefeuille, John; Olsen, Sonja J.; Laney, A. Scott; Neal, Joyce J.; Navin, Thomas R.; Coulter, Stewart; Pordell, Paran; Lo, Terrence; Kinkade, Carl; Mahoney, Frank

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Controlling the Last Known Cluster of Ebola Virus Disease – Liberia, January-February 2015

Public Domain

2015/05/15
By Nyenswah, Tolbert G. ; Fallah, Mosoka ; Sieh, Sonpon B. ; ...
Series: Weekly Report: Morbidity and Mortality Weekly Report (MMWR)

File Language:

English

Details

Journal Article:

Morbidity and Mortality Weekly Report
Personal Author:

Nyenswah, Tolbert G. ; Fallah, Mosoka ; Sieh, Sonpon B. ; Kollie, Karsor K. ; Badio, Moses ; Gray, Alvin ; Dilah, Priscilla ; Shannon, Marnijina ; Duwor, Stanley ; Ikekweazu, Chikwe ; Cordier-Lasalle, Thierry ; Shinde, Shivam A. ; Hamblion, Esther ; Davies-Wayne, Gloria J. ; Ratnesh, Murugan ; Dye, Christopher ; Yoder, Jonathan S. ; McElroy, Peter ; Hoots, Brooke ; Christie, Athalia ; Vertefeuille, John ; Olsen, Sonja J. ; Laney, A. Scott ; Neal, Joyce J. ; Navin, Thomas R. ; Coulter, Stewart ; Pordell, Paran ; Lo, Terrence ; Kinkade, Carl ; Mahoney, Frank
Description:

As one of the three West African countries highly affected by the 2014-2015 Ebola virus disease (Ebola) epidemic, Liberia reported approximately 10,000 cases. The Ebola epidemic in Liberia was marked by intense urban transmission, multiple community outbreaks with source cases occurring in patients coming from the urban areas, and outbreaks in health care facilities (HCFs). This report, based on data from routine case investigations and contact tracing, describes efforts to stop the last known chain of Ebola transmission in Liberia. The index patient became ill on December 29, 2014, and the last of 21 associated cases was in a patient admitted into an Ebola treatment unit (ETU) on February 18, 2015. The chain of transmission was stopped because of early detection of new cases; identification, monitoring, and support of contacts in acceptable settings; effective triage within the health care system; and rapid isolation of symptomatic contacts. In addition, a "sector" approach, which divided Montserrado County into geographic units, facilitated the ability of response teams to rapidly respond to community needs. In the final stages of the outbreak, intensive coordination among partners and engagement of community leaders were needed to stop transmission in densely populated Montserrado County. A companion report describes the efforts to enhance infection prevention and control efforts in HCFs. After February 19, no additional clusters of Ebola cases have been detected in Liberia.* On May 9, the World Health Organization declared the end of the Ebola outbreak in Liberia. An Errata correcting an authors name was issued in MMWR 64(41):1180. [Description provided by NIOSH]
Subjects:

Communicable Disease Control Communicable Diseases Diagnosis Emergencies Emergency Responders Epidemiology Health Care Facilities Workforce And Services Health Personnel Occupational Health Personal Protective Equipment Public Health Safety Safety Management Viral Diseases
Keywords:

Disease-control; Infection-control; Infectious-diseases; Disease-transmission; Disease-prevention; Viral-diseases; Viral-infections; Public-health; Surveillance-programs; Control-systems; Protective-measures; Safety-measures; Health-protection; Health-services; Health-care; Health-care-facilities; Health-care-personnel; Emergency-response; Epidemiology; Medical-monitoring; Clinical-symptoms; Clinical-diagnosis; Sociological-factors; Emergency-responders; Emergency-care; Emergency-treatment
Source:

MMWR 2015 May; 64(18):500-504
Series:

Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
ISSN:

0149-2195
Document Type:

Text
Genre:

Journal Article
Place as Subject:

Georgia ; OSHA Region 3 ; OSHA Region 4 ; West Virginia
CIO:

National Institute for Occupational Safety and Health (NIOSH)
Division:

DRDS - Division of Respiratory Disease Studies
Topic:

Workplace Safety & Health
Location:

North America
Pages in Document:

5 pdf pages
Volume:

64
Issue:

18
NIOSHTIC Number:

nn:20046219
Citation:

MMWR 2015 May; 64(18):500-504
Email:

jyoder@cdc.gov
Federal Fiscal Year:

2015
Peer Reviewed:

False
Collection(s):

Morbidity and Mortality Weekly Report (MMWR) National Institute for Occupational Safety and Health
Main Document Checksum:

urn:sha-512:c528f54787a58900d7a9cb6f911f1abcba0c825b5036e6a2e4f6ae3e7f979b1e3005223991559d65d56cd48ace1a6a97aef19d5d23cac746e68acd46a7593520
Download URL:

https://stacks.cdc.gov/view/cdc/183051/cdc_183051_DS1.pdf
File Type:

[PDF - 463.85 KB ]

File Language:

English

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