Presentation for North Durham Rotary on 2014 Ebola virus disease epidemic, including information on the aid organizations involved, scope of the epidemic, and some natural history. Please share with other Rotary presenters!
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Rotary - Ebola Virus Disease 2014 Update
1. Ebola virus
disease
2014 update:
Opportunities
and challenges
Joseph M Reardon, MD
North Durham Rotary
With thanks to John Leander, MD, PhD; University of Arizona
And S. Rizwan, MD; Madurai Medical College
2. AGENDA
• History
• Pathophysiology of Ebola virus disease
• Transmission
• Epidemiology
• Local Preparedness
• Current Organizations in the International Response
• Future threats: Vaccine-resistant polio
8. Geographic distribution
• First outbreak occurred in
Zaire (Congo) in 1976
• Followed by several
outbreaks, all in Africa
(except one in Philippines,
Italy, USA)
• Latest on-going outbreak in
west Africa started in
March 2014 in Guinea
Rizwan SA, VMCHRI
9. Natural History
• Natural host - Fruit bats of
Pteropodidae family
• Reservoir – fruit bats
• Sources – bush meat, Infected
humans, fomites
• Incubation period – 2 to 21 days
• Communicability – high, virus
isolated after 90 days of recovery
• Case fatality – 50 to 90%
• Immunity – long term not
proven, deceased patients failed
to produce immune response
• No. of outbreaks – >30
Rizwan SA, VMCHRI
11. 2014 Epidemic
• 2-year-old boy in
Guéckédou, Guinea
was first case
• Rapid spread to city
• MarchLiberia
• JulyNigeria
12.
13. “The Ebola epidemic ravaging parts
of West Africa is the most severe
acute public health emergency seen
in modern times.”
WHO, Sept 26, 2014
14. Ebola in the United States
16000
14000
12000
10000
8000
6000
4000
2000
0
Cumulative Ebola Cases as of 2 Nov 2014
Africa United States
Cumulative Ebola Cases as of 2 Nov 2014
26. • Primarily distributing equipment
• Post-exposure mental health counseling
• Some isolation centers
27. • American Red Cross has deployed 169
delegates
• 7700 local volunteers
• Primarily aimed at Ebola education
28. • Staff are being trained
• 2 partner organizations identified
• Mobilizing community members
29. • Involved with education
• Planning to open a treatment center
30. ROTARY’S RESPONSE TO EBOLA
• “Although Rotary has limited opportunities to respond at a
corporate level, our strength as an organization is firmly
rooted in the grassroots response of Rotary clubs and
Rotarians.”
31. ROTARY CLUB OF MONROVIA,
LIBERIA
• Working directly with the Ministry of Health and
Social Welfare
• Solicited funds to buy locally available items
(ie fuel, per diem, medicine, mattresses,
buckets, etc.) and most importantly: community
awareness.
• Washing buckets and chlorine solution to
communities.
• Reading and activity packets for primary school
children at home (schools are closed).
• Also developing grants to support orphans,
create ongoing local health sector scholarships,
and restocking of hospital needs (also in
cooperation with Medical Supplies Network).
36. Vaccine-Resistant Poliomyelitis
“Robustness against serum neutralization of
a poliovirus type 1 from a lethal epidemic
of poliomyelitis in the Republic of Congo in
2010”
• 45% mortality
• Those who died were already vaccinated
Editor's Notes
Presenter’s Notes
The notes below and on each slide are intended for you, the presenter, to use as you deliver your presentation. These notes provide background information for the text on the slides as well as optional activities you can incorporate to make the presentation more interactive. Your audience may be your club, members of various clubs, or a single club that is not your own. Please adjust the language (our vs. your) to fit your audience.
Activity
Ask participants the following questions:
What is your club like? Is it lively and fun? Is it diverse and open to new ideas? Are members actively involved?
How can your club become more vibrant?
Add image
Yambuku village in Zaire, Belgian missionary, A Belgian nun taken ill, a Belgian doctor sent her blood sample to a Antwerp Belgium in a commercial flight in a passenger baggage. In the lab it was received by Dr. Peter Piot a clinical microbiologist,
who under electron microscope saw this spagetti shaped virions, he did not know what they were, they looked like marburg virus, so he sent the foto to other experts in the world. They confirmed that it was not marburg virus. That was the moment of discovery for Piot. The nun died and several villagers were affected by similar illness and were dying.
Piot travelled to Yambuku and
Investigated the epidemic through detailed history taking and maps to make connections. In three months time they carried out extensive isolation of cases and contacts. They thought of naming the virus after the Yambuku village but thought that it would stigmatise the village, so they name the virus after the nearest river, the Ebola River.
2 to 21 days after exposure
8-10 days is most common.
Lack of significant immune response to the virus at the time of death
Cases in Italy and USA were due to lab monkeys exported from Philippines
Transmission between natural reservoirs and humans is rare, and outbreaks are often traceable to a single case where an individual has handled the carcass of a gorilla, chimpanzee, or duiker.[5] The virus then spreads person-to-person, especially within families, hospitals, and during some mortuary rituals where contact among individuals becomes more likely. Consumption of bat soup. Transmission through air has not yet been confirmed. There is evidence of a carrier state but this has not yet been established. (3)
Those at highest risk include Healthcare workers Family and friends of patients with Ebola
Transmission between natural reservoirs and humans is rare, and outbreaks are often traceable to a single case where an individual has handled the carcass of a gorilla, chimpanzee, or duiker.[5] The virus then spreads person-to-person, especially within families, hospitals, and during some mortuary rituals where contact among individuals becomes more likely
Each club should have a strategic plan with a vision statement that describes where it wants to be in three to five years, as well as long-range goals to support that vision. All club members should have an opportunity to provide input on the plan to maximize innovative and diverse ideas.
Planning for the future keeps your club relevant to the community. It helps the club accomplish more significant projects over a longer period of time, with sustainable results.
Activities
Ask participants the following questions:
What vision do you have for your club?
What is special about your club?
What does your club do well?
Ask participants to think about what their vision for the club would be.
Give participants copies of the Strategic Planning Guide to help members understand the idea of strategic planning and begin thinking about their clubs’ strategic plans.
A strategic plan provides a “big picture” view of the club’s future. But for a club to achieve its long-range goals, it needs to break them down into smaller annual goals that can be achieved in each of the years covered by the plan.
Rotary Club Central is a tool designed to help your club develop its annual goals.
Setting goals ensures that your club is always striving to improve rather than simply accepting current practices.
Activity
Ask participants the following questions:
What are your club’s annual goals?
How were these goals set?
Who is responsible for entering the goals in Rotary Club Central?
Communicate club activities, news, and events on social media sites and club websites. Clubs can choose which methods to use, but they should keep the lines of communication open and establish a plan for sharing information.
Club members’ needs should be known and expressed to club leaders and, at times, to district leaders. Likewise, district initiatives should be communicated to club leaders and members.
Social media is growing in popularity and offers a great way to share information.
Activities
Ask participants the following questions:
Why do you visit your club and district websites?
What would you like to see on your club and district websites?
Pair members who are familiar with social media (for example, Facebook and LinkedIn) with a member who is not. Have them discuss the benefits of social media and the types of information shared through online social networks, as well as how to create an account.
Work together to compare your club’s current practices with each of the best practices listed in the guide.
For areas that need improvement, think of new ideas and decide how to implement them. Implementation takes time, but it is worth the effort.
Activity
Ask participants the following questions:
What other best practices should our club consider?
What questions or comments do you have?