Details:

Alternative Title:
MMWR Morb Mortal Wkly Rep
Personal Author:
Matanock, Almea ; Arwady, M. Allison ; Ayscue, Patrick ; Forrester, Joseph D. ; Gaddis, Bethany ; ... More +
Matanock, Almea ; Arwady, M. Allison ; Ayscue, Patrick ; Forrester, Joseph D. ; Gaddis, Bethany ; Hunter, Jennifer C. ; Monroe, Benjamin ; Pillai, Satish K. ; Reed, Christie ; Schafer, Ilana J. ; Massaquoi, Moses ; Dahn, Bernice ; De Cock, Kevin M. Less -
Corporate Authors:
Centers for Disease Control and Prevention (U.S.). Epidemic Intelligence Service. ; National Center for Emerging and Zoonotic Infectious Disease (U.S.). Division of Preparedness and Emerging Infections. Division of High-Consequence Pathogens and Pathology. ; Center for Surveillance, Epidemiology, and Laboratory Services (U.S.). Division of Epidemiology, Analysis, and Library Services. ; CDC Kenya.
Centers for Disease Control and Prevention (U.S.). Epidemic Intelligence Service. ; National Center for Emerging and Zoonotic Infectious Disease (U.S.). Division of Preparedness and Emerging Infections. Division of High-Consequence Pathogens and Pathology. ; Center for Surveillance, Epidemiology, and Laboratory Services (U.S.). Division of Epidemiology, Analysis, and Library Services. ; CDC Kenya. Less -
Description:
West Africa is experiencing the largest Ebola virus disease (Ebola) epidemic in recorded history. Health care workers (HCWs) are at increased risk for Ebola. In Liberia, as of August 14, 2014, a total of 810 cases of Ebola had been reported, including 10 clusters of Ebola cases among HCWs working in facilities that were not Ebola treatment units (non-ETUs). The Liberian Ministry of Health and Social Welfare and CDC investigated these clusters by reviewing surveillance data, interviewing county health officials, HCWs, and contact tracers, and visiting health care facilities. Ninety-seven cases of Ebola (12% of the estimated total) were identified among HCWs; 62 HCW cases (64%) were part of 10 distinct clusters in non-ETU health care facilities, primarily hospitals. Early recognition and diagnosis of Ebola in patients who were the likely source of introduction to the HCWs (i.e., source patients) was missed in four clusters. Inconsistent recognition and triage of cases of Ebola, overcrowding, limitations in layout of physical spaces, lack of training in the use of and adequate supply of personal protective equipment (PPE), and limited supervision to ensure consistent adherence to infection control practices all were observed. Improving infection control infrastructure in non-ETUs is essential for protecting HCWs. Since August, the Liberian Ministry of Health and Social Welfare with a consortium of partners have undertaken collaborative efforts to strengthen infection control infrastructure in non-ETU health facilities.
Subject:
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Articles
Cluster Analysis
Epidemics
Health Facilities
Health Personnel
Hemorrhagic Fever, Ebola
Humans
Occupational Diseases

Source:
MMWR Morb Mortal Wkly Rep. 2014; 63(46):1077-1081.
Pubmed ID:
25412067
Pubmed Central ID:
PMC5779505
Document Type:
Journal Article
Place as Subject:
Liberia
Collection(s):
Morbidity and Mortality Weekly Report (MMWR)
Main Document Checksum:
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urn:sha256:637921c747a344ce69a531c25f3dc45890ee00e6432a8daf7d3765a1c24d3586
File Type:

Supporting Files

• 	1077-1081.nxml	xml
  	1077-1081f1.gif	gif
  	1077-1081f1.jpg	jpeg

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