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https://www.readbyqxmd.com/read/28424146/excess-all-cause-and-influenza-attributable-mortality-in-europe-december-2016-to-february-2017
#1
Lasse S Vestergaard, Jens Nielsen, Tyra G Krause, Laura Espenhain, Katrien Tersago, Natalia Bustos Sierra, Gleb Denissov, Kaire Innos, Mikko J Virtanen, Anne Fouillet, Theodore Lytras, Anna Paldy, Janos Bobvos, Lisa Domegan, Joan O'Donnell, Matteo Scortichini, Annamaria de Martino, Kathleen England, Neville Calleja, Liselotte van Asten, Anne C Teirlinck, Ragnhild Tønnessen, Richard A White, Susana P Silva, Ana P Rodrigues, Amparo Larrauri, Inmaculada Leon, Ahmed Farah, Christoph Junker, Mary Sinnathamby, Richard G Pebody, Arlene Reynolds, Jennifer Bishop, Diane Gross, Cornelia Adlhoch, Pasi Penttinen, Kåre Mølbak
Since December 2016, excess all-cause mortality was observed in many European countries, especially among people aged ≥ 65 years. We estimated all-cause and influenza-attributable mortality in 19 European countries/regions. Excess mortality was primarily explained by circulation of influenza virus A(H3N2). Cold weather snaps contributed in some countries. The pattern was similar to the last major influenza A(H3N2) season in 2014/15 in Europe, although starting earlier in line with the early influenza season start...
April 6, 2017: Euro Surveillance: Bulletin Européen sur les Maladies Transmissibles, European Communicable Disease Bulletin
https://www.readbyqxmd.com/read/28421931/back-to-former-ebola-zone
#2
(no author information available yet)
Pauline Cafferkey is planning to return to Sierra Leone for the first time since falling seriously ill with the Ebola virus in 2014.
April 19, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28421929/the-value-of-doing-your-best
#3
(no author information available yet)
Claire Matata is lead nurse for emergency and acute clinical research at Northumbria Specialist Emergency Care Hospital. She completed her degree in adult nursing at the University of Liverpool in 2010, and has worked in thoracic surgery, community and prison nursing and as a specialist research nurse and senior clinician in urgent care. In 2015, she spent three months in Sierra Leone during the Ebola crisis.
April 19, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28420487/personal-protective-equipment-solution-for-uk-military-medical-personnel-working-in-an-ebola-virus-disease-treatment-unit-in-sierra-leone
#4
P Reidy, T Fletcher, C Shieber, J Shallcross, H Towler, M Ping, L Kenworthy, N Silman, E Aarons
The combination of personal protective equipment (PPE) together with donning and doffing protocols was designed to protect British and Canadian military medical personnel in the Kerry Town Ebola Treatment Unit (ETU) in Sierra Leone. The PPE solution was selected to protect medical staff from infectious risks, notably Ebola virus, and chemical (hypochlorite) exposure. PPE maximized dexterity, enabled personnel to work in hot temperatures for periods of up to 2h, protected mucosal membranes when doffing outer layers, and minimized potential contamination of the doffing area with infectious material by reducing the requirement to spray PPE with hypochlorite...
March 18, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28406807/community-level-hiv-stigma-as-a-driver-for-hiv-transmission-risk-behaviors-and-sexually-transmitted-diseases-in-sierra-leone-a-population-based-study
#5
J Daniel Kelly, Michael J Reid, Maureen Lahiff, Alexander C Tsai, Sheri D Weiser
INTRODUCTION: While HIV stigma has been identified as an important risk factor for HIV transmission risk behaviors, little is known about the contribution of community-level HIV stigma to HIV transmission risk behaviors and self-reported sexually transmitted diseases (STDs), or how gender may modify associations. METHODS: We pooled data from the 2008 and 2013 Sierra Leone DHS. For HIV stigma, we examined HIV stigmatizing attitudes and HIV disclosure concerns at both individual and community levels...
April 12, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28404864/longitudinal-peripheral-blood-transcriptional-analysis-of-a-patient-with-severe-ebola-virus-disease
#6
John C Kash, Kathie-Anne Walters, Jason Kindrachuk, David Baxter, Kelsey Scherler, Krisztina B Janosko, Rick D Adams, Andrew S Herbert, Rebekah M James, Spencer W Stonier, Matthew J Memoli, John M Dye, Richard T Davey, Daniel S Chertow, Jeffery K Taubenberger
The 2013-2015 outbreak of Ebola virus disease in Guinea, Liberia, and Sierra Leone was unprecedented in the number of documented cases, but there have been few published reports on immune responses in clinical cases and their relationships with the course of illness and severity of Ebola virus disease. Symptoms of Ebola virus disease can include severe headache, myalgia, asthenia, fever, fatigue, diarrhea, vomiting, abdominal pain, and hemorrhage. Although experimental treatments are in development, there are no current U...
April 12, 2017: Science Translational Medicine
https://www.readbyqxmd.com/read/28397876/corrigendum-fecal-gluten-peptides-reveal-limitations-of-serological-tests-and-food-questionnaires-for-monitoring-gluten-free-diet-in-celiac-disease-patients
#7
Isabel Comino, Fernando Fernández-Bañares, María Esteve, Luís Ortigosa, Gemma Castillejo, Blanca Fambuena, Carmen Ribes-Koninckx, Carlos Sierra, Alfonso Rodríguez-Herrera, José Carlos Salazar, Ángel Caunedo, J M Marugán-Miguelsanz, José Antonio Garrote, Santiago Vivas, Oreste Lo Iacono, Alejandro Nuñez, Luis Vaquero, Ana María Vegas, Laura Crespo, Luis Fernández-Salazar, Eduardo Arranz, Victoria Alejandra Jiménez-García, Marco Antonio Montes-Cano, Beatriz Espín, Ana Galera, Justo Valverde, Francisco José Girón, Miguel Bolonio, Antonio Millán, Francesc Martínez Cerezo, César Guajardo, José Ramón Alberto, Mercé Rosinach, Verónica Segura, Francisco León, Jorge Marinich, Alba Muñoz-Suano, Manuel Romero-Gómez, Ángel Cebolla, Carolina Sousa
No abstract text is available yet for this article.
April 11, 2017: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/28396558/vaccine-testing-for-emerging-infections-the-case-for-individual-randomisation
#8
Nir Eyal, Marc Lipsitch
During the 2014-2015 Ebola outbreak in Guinea, Liberia and Sierra Leone, many opposed the use of individually randomised controlled trials to test candidate Ebola vaccines. For a raging fatal disease, they explained, it is unethical to relegate some study participants to control arms. In Zika and future emerging infections, similar opposition may hinder urgent vaccine research, so it is best to address these questions now. This article lays out the ethical case for individually randomised control in testing vaccines against many emerging infections, including lethal infections in low-income countries, even when at no point in the trial do the controls receive the countermeasures being tested...
April 10, 2017: Journal of Medical Ethics
https://www.readbyqxmd.com/read/28396479/heterogeneities-in-the-case-fatality-ratio-in-the-west-african-ebola-outbreak-2013-2016
#9
Tini Garske, Anne Cori, Archchun Ariyarajah, Isobel M Blake, Ilaria Dorigatti, Tim Eckmanns, Christophe Fraser, Wes Hinsley, Thibaut Jombart, Harriet L Mills, Gemma Nedjati-Gilani, Emily Newton, Pierre Nouvellet, Devin Perkins, Steven Riley, Dirk Schumacher, Anita Shah, Maria D Van Kerkhove, Christopher Dye, Neil M Ferguson, Christl A Donnelly
The 2013-2016 Ebola outbreak in West Africa is the largest on record with 28 616 confirmed, probable and suspected cases and 11 310 deaths officially recorded by 10 June 2016, the true burden probably considerably higher. The case fatality ratio (CFR: proportion of cases that are fatal) is a key indicator of disease severity useful for gauging the appropriate public health response and for evaluating treatment benefits, if estimated accurately. We analysed individual-level clinical outcome data from Guinea, Liberia and Sierra Leone officially reported to the World Health Organization...
May 26, 2017: Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences
https://www.readbyqxmd.com/read/28396477/command-and-control-of-sierra-leone-s-ebola-outbreak-response-evolution-of-the-response-architecture
#10
Emma Ross
Management, coordination and logistics were critical for responding effectively to the Ebola outbreak in Sierra Leone, and the duration of the epidemic provided a rare opportunity to study the management of an outbreak that endured long enough for the response to mature. This qualitative study examines the structures and systems used to manage the response, and how and why they changed and evolved. It also discusses the quality of relationships between key responders and their impact. Early coordination mechanisms failed and the President took operational control away from the Ministry of Health and Sanitation and established a National Ebola Response Centre, headed by the Minister of Defence, and District Ebola Response Centres...
May 26, 2017: Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences
https://www.readbyqxmd.com/read/28396475/assessments-of-ebola-knowledge-attitudes-and-practices-in-for%C3%A3-cariah-guinea-and-kambia-sierra-leone-july-august-2015
#11
Mohamed F Jalloh, Rebecca Bunnell, Susan Robinson, Mohammad B Jalloh, Alpha Mamoudou Barry, Jamaica Corker, Paul Sengeh, Amanda VanSteelandt, Wenshu Li, Foday Dafae, Alpha Ahmadou Diallo, Lise D Martel, Sara Hersey, Barbara Marston, Oliver Morgan, John T Redd
The border region of Forécariah (Guinea) and Kambia (Sierra Leone) was of immense interest to the West Africa Ebola response. Cross-sectional household surveys with multi-stage cluster sampling procedure were used to collect random samples from Kambia (n = 635) in July 2015 and Forécariah (n = 502) in August 2015 to assess public knowledge, attitudes and practices related to Ebola. Knowledge of the disease was high in both places, and handwashing with soap and water was the most widespread prevention practice...
May 26, 2017: Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences
https://www.readbyqxmd.com/read/28396471/contact-tracing-performance-during-the-ebola-virus-disease-outbreak-in-kenema-district-sierra-leone
#12
Mikiko Senga, Alpha Koi, Lina Moses, Nadia Wauquier, Philippe Barboza, Maria Dolores Fernandez-Garcia, Etsub Engedashet, Fredson Kuti-George, Aychiluhim Damtew Mitiku, Mohamed Vandi, David Kargbo, Pierre Formenty, Stephane Hugonnet, Eric Bertherat, Christopher Lane
Contact tracing in an Ebola virus disease (EVD) outbreak is the process of identifying individuals who may have been exposed to infected persons with the virus, followed by monitoring for 21 days (the maximum incubation period) from the date of the most recent exposure. The goal is to achieve early detection and isolation of any new cases in order to prevent further transmission. We performed a retrospective data analysis of 261 probable and confirmed EVD cases in the national EVD database and 2525 contacts in the Contact Line Lists in Kenema district, Sierra Leone between 27 April and 4 September 2014 to assess the performance of contact tracing during the initial stage of the outbreak...
May 26, 2017: Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences
https://www.readbyqxmd.com/read/28396470/case-study-design-and-implementation-of-training-for-scientists-deploying-to-ebola-diagnostic-field-laboratories-in-sierra-leone-october-2014-to-february-2016
#13
REVIEW
Christopher H Logue, Suzanna M Lewis, Amber Lansley, Sara Fraser, Clare Shieber, Sonal Shah, Amanda Semper, Daniel Bailey, Jason Busuttil, Liz Evans, Miles W Carroll, Nigel J Silman, Tim Brooks, Jane A Shallcross
As part of the UK response to the 2013-2016 Ebola virus disease (EVD) epidemic in West Africa, Public Health England (PHE) were tasked with establishing three field Ebola virus (EBOV) diagnostic laboratories in Sierra Leone by the UK Department for International Development (DFID). These provided diagnostic support to the Ebola Treatment Centre (ETC) facilities located in Kerry Town, Makeni and Port Loko. The Novel and Dangerous Pathogens (NADP) Training group at PHE, Porton Down, designed and implemented a pre-deployment Ebola diagnostic laboratory training programme for UK volunteer scientists being deployed to the PHE EVD laboratories...
May 26, 2017: Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences
https://www.readbyqxmd.com/read/28384129/surveillance-systems-to-track-progress-toward-polio-eradication-worldwide-2015-2016
#14
Edmond F Maes, Ousmane M Diop, Jaume Jorba, Smita Chavan, Rudolph H Tangermann, Steven G F Wassilak
Global measures to eradicate polio began in 1988; as of 2014, four of six World Health Organization (WHO) regions have been certified polio-free. Within the two endemic regions (African and Eastern Mediterranean), Nigeria, Afghanistan, and Pakistan have never interrupted transmission of wild poliovirus (WPV) (1). The primary means of detecting poliovirus transmission is surveillance for acute flaccid paralysis (AFP) among children aged <15 years, combined with collection and testing of stool specimens from persons with AFP for detection of WPV and vaccine-derived polioviruses (VDPVs) (viruses that differ genetically from vaccine viruses and can emerge in areas with low vaccination coverage and cause paralysis) in WHO-accredited laboratories within the Global Polio Laboratory Network (2,3)...
April 7, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/28379487/musculoskeletal-manifestations-of-ebola-virus
#15
Maame B Amissah-Arthur, Bozena Poller, Anne Tunbridge, Adewale Adebajo
The 2014 West African Ebola virus disease outbreak shocked the world as it swept through the region leaving Guinea, Liberia and Sierra Leone struggling to gain control. As the largest Ebola virus disease outbreak to date, there are more survivors in its wake than ever before, with a spectrum of health problems requiring management. Here we review various musculoskeletal manifestations of the virus that can occur both during and after the infection, and consider possible pathogenesis.
April 4, 2017: Rheumatology
https://www.readbyqxmd.com/read/28376997/ebola-2014-setting-up-a-port-health-screening-programme-at-an-international-train-station
#16
Vivien Cleary, Edward Wynne-Evans, James Freed, Katie Fleet, Simone Thorn, Deborah Turbitt
An outbreak of Ebola virus disease (EVD) began in Guinea in December 2013 and was declared a Public Health Emergency of International Concern by the World Health Organization in August 2014. In October, the UK government tasked Public Health England (PHE) to set up EVD screening at key ports. The key aim of port-of-entry screening was to identify passengers coming from areas with high risk of EVD, and give them advice to raise their awareness of symptoms and what actions to take. Direct flights from Sierra Leone, Guinea or Liberia had all been cancelled, so intelligence on passenger numbers and routes was used to identify the most commonly used routes from the affected countries into the UK...
December 1, 2017: Journal of Business Continuity & Emergency Planning
https://www.readbyqxmd.com/read/28369236/risk-in-the-red-zone-outcomes-for-children-admitted-to-ebola-holding-units-in-sierra-leone-without-ebola-virus-disease
#17
F Fitzgerald, K Wing, A Naveed, M Gbessay, J C G Ross, F Checchi, D Youkee, M B Jalloh, D Baion, A Mustapha, H Jah, S Lako, S Oza, S Boufkhed, R Feury, J Bielicki, E Williamson, D M Gibb, N Klein, F Sahr, S Yeung
We collected data on 1054 children admitted to Ebola Holding Units in Sierra Leone and describe outcomes of 697/1054 children testing negative for Ebola virus disease (EVD) and accompanying caregivers. Case-fatality was 9%; 3/630(0.5%) children discharged testing negative were readmitted EVD-positive. Nosocomial EVD transmission risk may be lower than feared.
March 20, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28366999/comparison-of-social-resistance-to-ebola-response-in-sierra-leone-and-guinea-suggests-explanations-lie-in-political-configurations-not-culture
#18
Annie Wilkinson, James Fairhead
Sierra Leone and Guinea share broadly similar cultural worlds, straddling the societies of the Upper Guinea Coast with Islamic West Africa. There was, however, a notable difference in their reactions to the Ebola epidemic. As the epidemic spread in Guinea, acts of violent or everyday resistance to outbreak control measures repeatedly followed, undermining public health attempts to contain the crisis. In Sierra Leone, defiant resistance was rarer. Instead of looking to 'culture' to explain patterns of social resistance (as was common in the media and in the discourse of responding public health authorities) a comparison between Sierra Leone and Guinea suggests that explanations lie in divergent political practice and lived experiences of the state...
January 1, 2017: Critical Public Health
https://www.readbyqxmd.com/read/28349322/cost-effectiveness-of-two-government-district-hospitals-in-sub-saharan-africa
#19
Caris E Grimes, Rebekah Law, Anna Dare, Nigel Day, Sophie Reshamwalla, Michael Murowa, Peter M George, Thaim B Kamara, Nyengo C Mkandawire, Andrew J M Leather, Christopher B D Lavy
BACKGROUND: District hospitals in sub-Saharan Africa are in need of investment if countries are going to progress towards universal health coverage, and meet the sustainable development goals and the Lancet Commission on Global Surgery time-bound targets for 2030. Previous studies have suggested that government hospitals are likely to be highly cost-effective and therefore worthy of investment. METHODS: A retrospective analysis of the inpatient logbooks for two government district hospitals in two sub-Saharan African hospitals was performed...
March 27, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28348606/a-simulation-study-on-hypothetical-ebola-virus-transmission-in-india-using-spatiotemporal-epidemiological-modeler-stem-a-way-towards-precision-public-health
#20
Arkaprabha Sau
Background. Precision public health is a state-of-the-art concept in public health research and its application in health care. Application of information technology in field of epidemiology paves the way to its transformation to digital epidemiology. A geospatial epidemiological model was simulated to estimate the spread of Ebola virus disease after a hypothetical outbreak in India. Methods. It was a simulation study based on SEIR (Susceptible-Exposed-Infectious-Recovered) compartmental model. Simulation was done in Spatiotemporal Epidemiological Modeler (STEM)...
2017: Journal of Environmental and Public Health
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