Health - West Africa MPHISE

WHO                                                                                                 April 10, 2015
"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.

Dr Cota Vallenas talks about her experiences in the early days of the Ebola outbreak as an expert in infection prevention and control. She reminds us that health-care workers are among the most vulnerable and a cultural change is needed around self-protection to ensure these frontline workers don’t become infected.

It was Spring Break in the United States and WHO infection prevention and control (IPC) expert Dr Constanza (Cota) Vallenas was visiting her sons in New York. In late March 2014, she began seeing emails from WHO epidemiologist, Dr Pierre Formenty, about an outbreak of Ebola virus disease (EVD) in Guinea. Although a French-speaking IPC specialist had been deployed, more were needed. On 4 April, she was deployed to Guinea to train health-care professionals in IPC practices that would prove critical to the health and safety of hundreds of frontline workers.

Excerpt:

REUTERS  by Stephanie Nebehay                   April 10, 2015

GENEVA  West Africa's Ebola epidemic still poses a threat to other countries, but the risk of it spreading internationally appears to be diminishing, the World Health Organization (WHO) said on Friday.

The U.N. agency declared in August 2014 that the world's worst Ebola outbreak -- which began in December 2013 -- represented a "public health emergency of international concern" that forced all health officials to shore up defenses.

The WHO's Emergency Committee, comprising independent experts who held talks on Thursday, was "absolutely firm" in maintaining that view, said Dr. Bruce Aylward, WHO Special Representative for the Ebola Response.

"They did note, however, that they believe the risk of international spread appeared to be reducing, this was a result of the work being done in the countries," Aylward told a news briefing at WHO headquarters. He cited control measures and exit screening of travelers from Guinea, Liberia and Sierra Leone.

CENTER FOR DISEASES CONTROL by Dickmann P, Kitua A, Kaczmarek P, Lutwama J, Masumu J, Karimuribo E, et al             April 8,2015 

Summary of conference on lessons learned from Ebola crisis

"...A major conclusion was that infectious disease management will work only when it is established with and within the community and not directed against it. This lesson requires community engagement in formulating infection control measures, as well as implementation, dissemination, and promotion of these measures. Infection control procedures are generally perceived as intrusive and, as such, often interfere with local social, cultural, and religious practices.... Building on this process of finding the right, appropriate containment measures, communication and health promotion work best when they involve community and religious leaders, traditional healers, and other advocates.

National and cross-border Ebola outbreaks are a new development, and engagement with various communities has presented a particular challenge throughout the current outbreak. A key aspect of this engagement is to devise and elaborate solutions for infection control that are consistent with local realities and practices. International health and aid organizations must strive to work in concert with communities to find adequate infection-control solutions....

ncbi.nlm.nih.gov

CLICK HERE - A Community-Engaged Infection Prevention and Control Approach to Ebola

CLICK HERE - FULL TEXT LINKS - A Community-Engaged Infection Prevention and Control Approach to Ebola

Abstract