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Contextual, Social and Epidemiological Characteristics of the Ebola Virus Disease Outbreak in Likati Health Zone, Democratic Republic of the Congo, 2017

机译:刚果民主共和国刚果民主共和国埃博拉病毒疾病爆发的背景,社会和流行病学特征,2017年

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While the clinical, laboratory and epidemiological investigation results of the Ebola outbreak in Likati Health Zone, Democratic Republic of the Congo (DRC) in May 2017 have been previously reported, we provide novel commentary on the contextual, social and epidemiological characteristics of the epidemic. As first responders with the outbreak Surveillance Team, we explain the procedures that led to a successful epidemiological investigation and ultimately a rapid end to the epidemic. We discuss the role that several factors played in the trajectory of the epidemic, including traditional healers, insufficient knowledge of epidemiological case definitions, a lack of community-based surveillance systems and tools, and remote geography. We also demonstrate how a collaborative Rapid Response Team and implementation of community-based surveillance methods helped counter contextual challenges during the Likati epidemic and aid in identifying and reporting suspected cases and contacts in remote and rural settings. Understanding these factors can hinder or help in the rapid detection, notification, and response to future epidemics in the DRC.
机译:虽然以前报道,刚果民主共和国的艾博拉州埃博拉疫情(DRC)的艾博拉疫情的临床,实验室和流行病学调查结果已在2017年5月,我们向疫情的语境,社会和流行病学特征提供了新的评论。作为爆发监督团队的第一次响应者,我们解释了导致成功流行病学调查的程序,最终是流行病的快速结束。我们讨论了几个因素在流行病的轨迹中发挥的作用,包括传统治疗师,流行病学案例定义的知识不足,缺乏基于社区的监视系统和工具和远程地理。我们还展示了如何协作的快速反应团队和基于社区监测方法的实施有助于在Likati流行病中抵消情境挑战,并援助识别和报告涉嫌遗传和农村环境的联系。了解这些因素可以阻碍或帮助在DRC中快速检测,通知和对未来流行病的反应。

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