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Postmortem Surveillance for Ebola Virus Using OraQuick Ebola Rapid Diagnostic Tests, Eastern Democratic Republic of the Congo, 2019-2020

Daniel Mukadi-Bamuleka et al. Emerg Infect Dis. 2022 Feb.

Abstract

After a pilot study, we tested 443 cadavers using OraQuick Ebola rapid diagnostic tests during surveillance after the 10th Ebola outbreak in the Democratic Republic of the Congo. No false negative and 2% false-positive results were reported. Quickly returning results and engaging the community enabled timely public health actions.

Keywords: Democratic Republic of the Congo; Ebola virus; OraQuik Ebola RDT; postmortem surveillance; rapid diagnostic test; viruses; zoonoses.

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Figures

Figure 1
Figure 1
Beni Health zone with sites of Ebola virus disease sample collection for study on postmortem surveillance for Ebola virus using OraQuick (OraSure Technologies, Inc., https://www.orasure.com) Ebola rapid diagnostic tests, eastern Democratic Republic of the Congo, 2019–2020. The numbers and the geolocation rapid diagnostic testing are provided in heatmaps from blue (fewer cases) to red (most cases). Most of the cases were from the health care facilities in Beni township. Inset shows location of the Beni Health zone in the Democratic Republic of the Congo and in Africa.
Figure 2
Figure 2
Algorithm of Ebola virus disease RDT implementation in North Kivu in the Beni health zone during active transmission (active surveillance) and postepidemic enhanced surveillance (enhanced surveillance), Democratic Republic of the Congo, 2019–2020. This information was used to inform burial planning and SDBs when indicated. EVD, Ebola virus disease; RDT, rapid diagnostic test (OraQuick, OraSure Technologies, Inc., https://www.orasure.com); RT-PCR, reverse transcription PCR; SDBs, safe and dignified burials.

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