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. 2014 Dec 12;63(49):1168-71.

Ebola virus disease in health care workers--Sierra Leone, 2014

Peter H Kilmarx, Kevin R Clarke, Patricia M Dietz, Mary J Hamel, Farah Husain, Jevon D McFadden, Benjamin J Park, David E Sugerman, Joseph S Bresee, Jonathan Mermin, James McAuley, Amara Jambai; Centers for Disease Control and Prevention (CDC)

Ebola virus disease in health care workers--Sierra Leone, 2014

Peter H Kilmarx et al. MMWR Morb Mortal Wkly Rep. .

Abstract

Health care workers (HCWs) are at increased risk for infection in outbreaks of Ebola virus disease (Ebola). To characterize Ebola in HCWs in Sierra Leone and guide prevention efforts, surveillance data from the national Viral Hemorrhagic Fever database were analyzed. In addition, site visits and interviews with HCWs and health facility administrators were conducted. As of October 31, 2014, a total of 199 (5.2%) of the total of 3,854 laboratory-confirmed Ebola cases reported from Sierra Leone were in HCWs, representing a much higher estimated cumulative incidence of confirmed Ebola in HCWs than in non-HCWs, based on national data on the number of HCW. The peak number of confirmed Ebola cases in HCWs was reported in August (65 cases), and the highest number and percentage of confirmed Ebola cases in HCWs was in Kenema District (65 cases, 12.9% of cases in Kenema), mostly from Kenema General Hospital. Confirmed Ebola cases in HCWs continued to be reported through October and were from 12 of 14 districts in Sierra Leone. A broad range of challenges were reported in implementing infection prevention and control measures. In response, the Ministry of Health and Sanitation and partners are developing standard operating procedures for multiple aspects of infection prevention, including patient isolation and safe burials; recruiting and training staff in infection prevention and control; procuring needed commodities and equipment, including personal protective equipment and vehicles for safe transport of Ebola patients and corpses; renovating and constructing Ebola care facilities designed to reduce risk for nosocomial transmission; monitoring and evaluating infection prevention and control practices; and investigating new cases of Ebola in HCWs as sentinel public health events to identify and address ongoing prevention failures.

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Figures

FIGURE 1
FIGURE 1
Number of laboratory-confirmed Ebola virus disease (Ebola) cases in health care workers (HCWs) and confirmed Ebola cases in HCWs as a percentage of all confirmed cases, by month — Sierra Leone, June–October 2014
FIGURE 2
FIGURE 2
Number of laboratory-confirmed Ebola virus disease (Ebola) cases in health care workers (HCWs) and confirmed Ebola cases in HCWs as a percentage of all confirmed cases, by district — Sierra Leone, May–October 2014
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References

    1. World Health Organization. Fact sheet no. 103: Ebola virus disease. Geneva, Switzerland: World Health Organization; 2014. Available at http://www.who.int/mediacentre/factsheets/fs103/en.
    1. Incident Management System Ebola Epidemiology Team, CDC; Ministries of Health of Guinea, Sierra Leone, Liberia, Nigeria, and Senegal; Viral Special Pathogens Branch, National Center for Emerging and Zoonotic Infectious Diseases, CDC. Ebola virus disease outbreak—West Africa, September 2014. MMWR Morb Mortal Wkly Rep. 2014;63:865–6. - PMC - PubMed
    1. Ministry of Health and Sanitation, Sierra Leone. National health strategic plan 2010–2015. Freetown, Sierra Leone: Ministry of Health and Sanitation; 2009.
    1. Meltzer MI, Atkins CY, Santibanez S, et al. Estimating the future number of cases in the Ebola epidemic—Liberia and Sierra Leone, 2014–2015. MMWR Surveill Summ. 2014 Sep 26;63:1–14. - PubMed
    1. World Health Organization. Infection prevention and control guidance for care of patients in health-care settings, with focus on Ebola. Geneva, Switzerland: World Health Organization; 2014. Available at http://www.who.int/csr/resources/publications/ebola/filovirus_infection_....