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Ebola Outbreak in West Africa: Impact on Health Service Utilisation in Sierra Leone
The Ebola outbreak in West Africa is not over. WHO continues to work with governments and the international health community to get to zero cases and help countries stay there.
Human African trypanosomiasis is caused by Trypanosoma brucei gambiense in West and Central Africa and by T. brucei rhodesiense in East Africa; bot
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h species are endemic in Uganda. Trypanosoma brucei gambiense accounts for 98% of all cases of African trypanosomiasis, and T. brucei rhodesiense accounts for 2%. African trypanosomiasis has been targeted for eradication by the World Health Organization (WHO) and, as a result of control efforts, there has been a dramatic decrease (> 95%) in the number of reported cases worldwide.
Professional version as well as patient education
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The current outbreak of Ebola in west Africa constitutes the largest and most complex to date. Declared a public health emergency of international concern by WHO, the outbreak of a disease with no
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known treatment or vaccination is proving difficult to contain given the already fragile and under resourced health systems in the affected areas.
The Lancet wishes to assist health workers and researchers working under difficult and dangerous conditions to bring this outbreak to a close. This Ebola hub contains all related resources from The Lancet family of journals offered with free access to support their vital work. Find interesting articles on the website
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Ebola Virus Disease Outbreak Response Plan in West Africa July to December 2014. Annex 1
Ebola Virus Disease Outbreak Response Plan in West Africa. Annex 2
Ebola Virus Disease Outbreak Response Plan in West Africa Annex 3
Ebola Virus Disease Outbreak Response Plan in West Africa July to December 2014 Annex 4
Information for health Workers in West Africa
For General Healthcare Settings in West Africa
The ongoing Ebola epidemic in parts of West Africa largely overwhelmed health-care systems in 2014, making adequate care for malaria impossible and threatening the gains in malaria control achieved
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over the past decade. The study suggests that untreated malaria cases as a result of reduced health-care capacity probably contributed substantially to the morbidity caused by the Ebola crisis. Mass drug administration can be an effective means to mitigate this burden and reduce the number of non-Ebola fever cases within health systems
Open Access through Wellcome Trust
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Gambiense human African trypanosomiasis is a deadly infectious disease affecting West and Central Africa, South Sudan and Uganda, and transmitted between humans by tsetse flies. The disease has caus
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ed several major epidemics, the latest one in the 1990s. Thanks to recent innovations such as rapid diagnostic tests for population screening, a single-dose oral treatment and a highly efficient vector control strategy, interruption of transmission of the causative parasite is now within reach. If indeed gHAT has an exclusively human reservoir, this could even result in eradication of the disease. Even if there were an animal reservoir, on the basis of epidemiological data, it plays a limited role. Maintaining adequate postelimination surveillance in known historic foci, using the newly developed tools, should be sufficient to prevent any future resurgence.
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The Onchocerciasis Control Programme in West Africa (OCP) undertook regional and large scale frght against onchocerciasis in West
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Africa in 1974 using a vector control strategy. By 2002 OCP had succeeded in eliminating the disease as a public health, socio-economic and development problem in 10 out of I I countries. This campaign was highly technical and expensive. ln 1987, Merck & Co.,lnc. committed themselves to provide ivermectin free of charge for as long as needed to onchocerciasis endemic countries. This made it possible to envrsage the extension of onchocerciasis control activities to the remaining endemic countries in Africa.
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This video animation was created for use in West Africa to help dispel myths about how Ebola is spread, and to prevent infection and further spreading of the disease. The story is based around a tee
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nage boy on a hospital cot in Liberia, who speaks to his parents, brother and sister warning them about the disease and telling them how it can be prevented. The story highlights the need for isolation and shows the heartache of the family as they are unable to comfort, touch, or care for the boy who is very ill. His words are words of comfort to those who are separated from their loved ones as they are encouraged to take care of themselves and keep away from those who are ill.
The video was created by Chocolate Moose Media, an organisation specialising in the use of film and animation for behaviour change, and mobile-health-education innovator iHeed, in collaboration with United Methodist Communications, who provided partial funding.
The video, which uses only young voices, is being made available in eight versions: Nigerian English and Pidgin, South African English, French (for Ivory Coast and Guinea), Sierra Leone English, and Liberian English and Krio. It can be downloaded in high definition, low definition, and for use on mobile platforms.
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As slight hints of recovery begin to surface in West Africa, UNICEF is looking at the impact of Ebola on children and the response and work of the affected communities in the report, Ebola: Getting
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to zero – for communities, for children for the future. The document traces some of the outbreak’s history along with the stories of survivors, health care workers and those working to make things better on the ground. The report also helps map out the actions that urgently must continue to help build resiliency and resuscitate basic services and systems decimated by Ebola.
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Supporting the continuity of health and nutrition services in the context of COVID-19 in refugee settings
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The 2014–2015 Ebola outbreak was catastrophic in West Africa but the indirect impact of increasing the mortality rates of other conditions was also substantial. The increased number of deaths caus
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ed by malaria, HIV/AIDS, and tuberculosis attributable to health system failures exceeded deaths from Ebola.
With a relatively limited COVID-19 caseload, health systems may have the capacity to maintain routine service delivery in addition to managing COVID-19 cases. When caseloads are high, and/or health workers are directly affected, strategic adaptations are required to ensure that increasingly limited resources provide maximum benefit for the refugees and surrounding host population. The following are key considerations for UNHCR operations on prioritized health care services in the event of a COVID-19 outbreak. These are based on WHO Guidance for Maintaining Essential Health Services and UNHCR guidance for operations and where relevant operation or site level outbreak preparedness and response plans.
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The slow global response to the Ebola crisis in west Africa suggests that important gaps exist in donor financing for key global functions, such as support for health research and development for di
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seases of poverty and strengthening of outbreak preparedness. In this Health Policy, we use the International Development Statistics databases to quantify donor support for such functions. We classify donor funding for health into aid for global functions (provision of global public goods, management of cross-border externalities, and fostering of leadership and stewardship) versus country-specific aid. We use a new measure of donor funding that combines official development assistance (ODA) for health with additional donor spending on research and development (R&D) for diseases of poverty.
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Clinical features and management of human monkeypox: a retrospective observational study in the UK
recommended
Cases of human monkeypox are rarely seen outside of west and central Africa. There are few data regarding viral kinetics or the duration of viral shedding and no licensed treatments. Two oral drugs,
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brincidofovir and tecovirimat, have been approved for treatment of smallpox and have demonstrated efficacy against monkeypox in animals. Our aim was to describe the longitudinal clinical course of monkeypox in a high-income setting, coupled with viral dynamics, and any adverse events related to novel antiviral therapies.
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The West African Ebola outbreak has been the largest, most severe and most complex in human history. For more than a year, people from all over the world have answered the call to work with WHO to overcome this outbreak. Starting from the initial de
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tection of the outbreak, to the arrival of the first responders, to the overwhelming spread of cases in West Africa, to the moment when cases began to decline, ‘The Ebola Diaries’ is a series of first-person accounts describing what it has been like working on the front lines of a global health crisis of unprecedented proportions.
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Clinical Key
Elsevier
(2014)
Elsevier Provides Free Online Access to Medical Information for West African Countries Stricken with Ebola Outbreak
To support healthcare professionals in West
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Africa battling the Ebola outbreak, Elsevier [http://www.elsevier.com/] will provide free access to its primary online clinical infomation and reference tool, ClinicalKey. The African countries that are part of this free r-
ClinicalKey access program include the four in West Africa currently affected –Liberia, Nigeria, Sierra Leone and Guinea –plus other African countries where the outbreak has the potential to spread, including Cameroon, Central African Republic, Ghana, Angola, Togo, United Republic of Tanzania, Ethiopia, Mozambique, Burundi, Equatorial Guinea, Madagascar and Malawi. All IPs originating from these countries will be granted free access for the next two months
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