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Public health system in post-pandemic Sierra Leone: a scoping review.
BMC Infect Dis
December 2024
Department of Public Health, Njala University, Bo, Sierra Leone.
Background: Since the outbreak of the novel SARS-CoV-2 that caused COVID-19 in 2019, the government of Sierra Leone implemented immediate preventive measures to stop the disease from entering the country. On March 24, 2020, the country declared a state of emergency in response to the emerging global COVID-19 pandemic, even though no confirmed cases had been reported at that time. However, Sierra Leone recorded its first COVID-19 case later in March 2020.
View Article and Find Full Text PDFCorneal and conjunctival abnormalities in a cohort of survivors from the Western African Ebola virus disease outbreak.
AJO Int
December 2024
Truhlsen Eye Institute, Department of Ophthalmology, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Purpose: To characterize corneal and conjunctival abnormalities (CCAs) and their impact on visual acuity in a cohort of survivors from the Western African Ebola virus disease (EVD) outbreak.
Design: A post hoc analysis of 121 patients, who had previously undergone screening for the Ebola Virus Persistence in Ocular Tissues and Fluids study, was performed.
Methods: Patients underwent a comprehensive ophthalmic exam at the Lowell and Ruth Gess Eye Hospital in Freetown, Sierra Leone.
Ebola disease: bridging scientific discoveries and clinical application.
Lancet Infect Dis
December 2024
Pandemic Sciences Institute, Oxford, UK.
The west Africa Ebola disease epidemic (2014-16) marked a historic change of course for patient care during emerging infectious disease outbreaks. The epidemic response was a failure in many ways-a slow, cumbersome, and disjointed effort by a global architecture that was not fit for purpose for a rapidly spreading outbreak. In the most affected countries, health-care workers and other responders felt helpless-dealing with an overwhelming number of patients but with few, if any, tools at their disposal to provide high-quality care.
View Article and Find Full Text PDFEmbedding treatment in stronger care systems.
Lancet Infect Dis
December 2024
Pandemic Sciences Institute, Oxford, UK.
A key lesson from the west Africa (2014-16) Ebola disease epidemic was that outbreak responses fail when they respond to patients through a narrow clinical lens without considering the broader community and social context of care. Here, in the second of two Series papers on the modern landscape of Ebola disease, we review progress made in the last decade to improve patient-centred care. Although the biosafety imperatives of treating Ebola disease remain, recent advances show how to mitigate these so that patients are cared for in a safe and dignified manner that encourages early treatment-seeking behaviour and provides support after the return of patients to their communities.
View Article and Find Full Text PDFArticle Synopsis
- - The study investigates the knowledge, attitudes, and practices (KAP) of intensive care personnel in Rwanda regarding high-consequence infectious diseases (HCIDs) like Ebola, revealing that many staff have limited experience and training in infection prevention and control (IPC).
- - A survey conducted with 107 participants highlighted that while 58% felt knowledgeable and 72.9% adhered to hand hygiene, a significant number failed to consistently follow IPC measures, particularly in high-risk situations like aerosol-generating procedures.
- - The findings suggest that although staff perceive a high risk of infection, their moderate knowledge and inconsistent IPC compliance indicate a need for ongoing education and training to ensure better protection against preventable infections.
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