Viral Heamorrhagic Fever <ul><li>Outbreak response and some lessons learnt </li></ul><ul><li>Marco Visser </li></ul>
Viral Heamorrhagic Fever <ul><li>Filoviridae virus: Marburg & Ebola </li></ul><ul><li>Dengue, Lassa, Rift Valley, Crimean-...
Viral Heamorrhagic Fever <ul><li>Major outbreaks Cases CFR </li></ul><ul><li>Sudan/DRC Ebola 602 72% </li></ul><ul><li>199...
Viral Heamorrhagic Fever <ul><li>Response outline </li></ul>Coordination Isolation Contact tracing Epidemiology Prevention...
Viral Heamorrhagic Fever <ul><li>Isolation </li></ul>Low Risk Zone High Risk Zone High Risk Zone <ul><li>Chlorine prep. </...
Viral Heamorrhagic Fever <ul><li>Isolation </li></ul>
Viral Heamorrhagic Fever <ul><li>Isolation </li></ul><ul><li>W&S </li></ul>
Viral Heamorrhagic Fever <ul><li>Burial </li></ul>
Viral Heamorrhagic Fever <ul><li>Epidemiology </li></ul><ul><li>Contact follow up </li></ul>© WHO
Viral Heamorrhagic Fever <ul><li>Prevention/IEC </li></ul>© WHO   © WHO   © CDC
Viral Heamorrhagic Fever <ul><li>Coordination and involvement </li></ul><ul><ul><li>MoH </li></ul></ul><ul><ul><li>staff <...
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Viral Heamorrhagic Fever EEHF 2007

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Viral Heamorrhagic Fever EEHF 2007

  1. 1. Viral Heamorrhagic Fever <ul><li>Outbreak response and some lessons learnt </li></ul><ul><li>Marco Visser </li></ul>
  2. 2. Viral Heamorrhagic Fever <ul><li>Filoviridae virus: Marburg & Ebola </li></ul><ul><li>Dengue, Lassa, Rift Valley, Crimean-Congo, Yellow Fever </li></ul><ul><li>Marburg, Germany (lab) 1967 </li></ul><ul><li>Ebola, DRC 1976 (Sudan </li></ul><ul><li>(non-human) primates </li></ul><ul><li>index case: bush meat (primary transmission) </li></ul><ul><li>body fluids (secondary transmission) </li></ul><ul><ul><li>health workers, care givers </li></ul></ul><ul><ul><li>burial ceremonies </li></ul></ul>
  3. 3. Viral Heamorrhagic Fever <ul><li>Major outbreaks Cases CFR </li></ul><ul><li>Sudan/DRC Ebola 602 72% </li></ul><ul><li>1995 DRC Ebola 315 81% </li></ul><ul><li>1998 DRC Marburg 154 83% </li></ul><ul><li>2000 Uganda Ebola 425 53% </li></ul><ul><li>RoC/Gabon Ebola 124 78% </li></ul><ul><li>RoC Ebola 143 89% </li></ul><ul><li>RoC Ebola 35 83% </li></ul><ul><li>2004 Angola Marburg 374 88% </li></ul><ul><li>Source: WHO/MSF </li></ul>
  4. 4. Viral Heamorrhagic Fever <ul><li>Response outline </li></ul>Coordination Isolation Contact tracing Epidemiology Prevention/IEC
  5. 5. Viral Heamorrhagic Fever <ul><li>Isolation </li></ul>Low Risk Zone High Risk Zone High Risk Zone <ul><li>Chlorine prep. </li></ul><ul><li>Laundry </li></ul>Confirmed cases Suspected cases Waste area
  6. 6. Viral Heamorrhagic Fever <ul><li>Isolation </li></ul>
  7. 7. Viral Heamorrhagic Fever <ul><li>Isolation </li></ul><ul><li>W&S </li></ul>
  8. 8. Viral Heamorrhagic Fever <ul><li>Burial </li></ul>
  9. 9. Viral Heamorrhagic Fever <ul><li>Epidemiology </li></ul><ul><li>Contact follow up </li></ul>© WHO
  10. 10. Viral Heamorrhagic Fever <ul><li>Prevention/IEC </li></ul>© WHO © WHO © CDC
  11. 11. Viral Heamorrhagic Fever <ul><li>Coordination and involvement </li></ul><ul><ul><li>MoH </li></ul></ul><ul><ul><li>staff </li></ul></ul><ul><ul><li>others (e.g. WFP) </li></ul></ul><ul><li>Response </li></ul><ul><ul><li>confirmation </li></ul></ul><ul><ul><li>care-givers (esp. children) </li></ul></ul><ul><li>Community awareness </li></ul><ul><ul><li>isolation  home care </li></ul></ul><ul><ul><li>cultural (e.g. burials; PSC) </li></ul></ul>Lessons learnt

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