The Medecins sans Frontieres intervention in the Marburg hemorrhagic fever epidemic, Uige, Angola, 2005. I. lessons learned in the hospital


Jeffs, B; Roddy, P; Weatherill, D; de la Rosa, O; Dorion, C; Iscla, M; Grovas, I; Palma, PP; Villa, L; Bernal, O; Rodriguez-Martinez, J; Barcelo, B; Pou, D; Borchert, M; (2007) The Medecins sans Frontieres intervention in the Marburg hemorrhagic fever epidemic, Uige, Angola, 2005. I. lessons learned in the hospital. The Journal of infectious diseases, 196 (Suppl 2). S154-S161. ISSN 0022-1899 DOI: https://doi.org/10.1086/520548

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Abstract

When the epidemic of Marburg hemorrhagic fever occurred in Uige, Angola, during 2005, the international response included systems of case detection and isolation, community education, the burial of the dead, and disinfection. However, despite large investments of staff and money by the organizations involved, only a fraction of the reported number of cases were isolated, and many cases were detected only after death. This article describes the response of Medecins Sans Frontieres Spain within the provincial hospital in Uige, as well as the lessons they learned during the epidemic. Diagnosis, management of patients, and infection control activities in the hospital are discussed. To improve the acceptability of the response to the host community, psychological and cultural factors need to be considered at all stages of planning and implementation in the isolation ward. More interventional medical care may not only improve survival but also improve acceptability.

Item Type: Article
Keywords: Angola, epidemiology, Animals, Geography, Humans, Hygiene, Incidence, Inpatients, International Cooperation, Marburg Virus Disease, epidemiology, mortality, physiopathology, prevention & control, Physicians, World Health
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
PubMed ID: 17940944
Web of Science ID: 251090400007
URI: http://researchonline.lshtm.ac.uk/id/eprint/8000

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