Here is some information about the outbreak response in Nigeria: http://promedmail.org/
Best regards,
Ursula Theuretzbacher
Ursula Theuretzbacher, Ph.D.
Center for Anti-Infective Agents, Vienna, Austria
Communicated by:
ProMED-mail
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[4] Nigeria: outbreak response
Date: Sat 18 Oct 2014
From: Tamsin Dew <[log in to unmask]> [edited]
A very impressive, transparent and enlightening talk was given at Imperial College London last night [17 Oct 2014] by Mrs. Sara Beysolow Nyanti, Team Lead for Management & Coordination in the National Ebola Emergency Operation Center, Nigeria; Chief of Office, UNICEF Lagos. I don't know how much of this information is in the public eye already, but Mrs. Nyanti described the Nigerian outbreak response in detail and I urge you to contact her for further information about it.
The response was co-ordinated by Ebola Emergency Operation Centres (EOC) established in Lagos and Port Harcourt and involved heads of 6 different teams (epi/surveillance, clinical management, organisation/management, etc) reporting to a single Incident Manager, Dr Faisal Shuaib from the Federal Ministry of Health/Nigerian CDC. Appointments were skills- and motivation-driven, from a variety of state and federal government bodies and technical partners (including MSF). Far-sighted governmental support, strong leadership, and solid communication and co-operation between different individuals and groups seem to have been critical.
Daily team meetings and strategy group round tables were implemented and all tasks were allocated, tracked and followed up daily. An isolation ward was purpose built under guidance from MSF [Medecins Sans Frontieres]. Danger pay and risk-based life insurance policies were implemented for all at-risk staff. A dedicated rumour line was established and all calls responded to. A social mobilisation and communication team that targeted neighbourhoods of contacts (using GIS to go house-to-house, radially) was instrumental in reducing stigma and spreading important information about the disease, as well as gathering additional leads.
Mrs. Nyanti reports the following figures:
- 899 contacts traced (only 1 lost to follow-up)
- 20 cases, 8 deaths, CFR [case fatality rate] of 40 percent
- 1289 staff in Lagos and Port Harcourt EOC, including more than 300 in epi/surveillance, more than 500 in social mobilisation/communication, more than 300 at ports of entry, more than 100 in clinical care/case management, more than 20 lab staff, and more than 20 in the management/coordination team
- no health workers involved with case management were infected.
reported by
Tamsin Dew
Imperial College, London (student)
UK
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-----Original Message-----
From: Evidence based health (EBH) [mailto:[log in to unmask]] On Behalf Of Amy Price
Sent: Saturday, October 18, 2014 9:53 PM
To: [log in to unmask]
Subject: Re: Ebola, no EBM screening at airports
Agree but what are the reasonable cost effective EBM alternatives? How did Nigeria stop the spread if indeed it actually has
Best
Amy
On 10/18/14, 3:35 PM, "Juan Gérvas" <[log in to unmask]> wrote:
>Ébola. El cribado de fiebre-síntomas en aeropuertos no sirve, es
>inútil, da falsa sensación de seguridad.
>Ebola. Airport screening does not work. It gives a false sense of
>reassurance.
>http://www.bmj.com/content/349/bmj.g6202
>-attached, just in case
>-un saludo
>-juan gérvas