National burden of Ebola virus disease in Democratic Republic of the Congo: the urgency to act

被引:1
作者
Ahmad, Bilal [1 ]
Sagide, Martin [4 ]
Ntamwinja, Sylivia [5 ]
Byiringiro, Elysee [7 ,8 ]
Kihanduka, Elie [8 ]
Rugendabanga, Excellent [8 ]
Hangi, Samson [8 ,9 ]
Bhattacharjee, Priyadarshini [13 ]
Ali, Babar [2 ,3 ]
Nkundakozera, Marie [10 ]
Kanda, Michee Sanza [12 ]
Guruka, Lucie [10 ]
Onesime, Jones [8 ]
Tague, Christian [11 ]
Langat, Amos Kipkorir [6 ]
Akilimali, Aymar [8 ,14 ]
机构
[1] Shaikh Khalifa bin Zayed Al Nahyan Med & Dent Coll, Dept Community Med & Publ Hlth, Lahore, Pakistan
[2] Univ Lahore, Lahore, Pakistan
[3] Univ Inst Radiol Sci & Med Imaging Technol, Lahore, Pakistan
[4] Jomo Kenyatta Univ Agr & Technol, Juja, Kenya
[5] Kenya Methodist Univ, Fac Med, Nairobi, Kenya
[6] Pan African Univ Basic Sci Technol & Innovat, Nairobi, Kenya
[7] Kibagabaga Dist Hosp, Dept Internal Med, Kigali, Rwanda
[8] Med Res Circle MedReC, Dept Res, Bukavu, DEM REP CONGO
[9] La Sapientia Catholic Univ, Fac Med, Goma, DEM REP CONGO
[10] Univ Goma, Fac Med, Goma, DEM REP CONGO
[11] Univ Libre Pays Grands Lacs, Fac Med, Goma, DEM REP CONGO
[12] Minist Hlth, Kinshasa, DEM REP CONGO
[13] Cambridge Univ Hosp NHS Fdn Trust, Dept Clin Med, Cambridge, England
[14] Med Students Assoc DR Congo, SCORE, Goma, DEM REP CONGO
关键词
Democratic Republic of the Congo; disease; Ebola virus disease; epidemiology; risk factors; VACCINATION; CARE;
D O I
10.1097/MS9.0000000000002213
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Ebola virus disease (EVD) has long been a major public health concern for Democratic Republic of the Congo (DR Congo). First identified in DR Congo in 1976, the country has witnessed more than 25 outbreaks of this deadly disease, which has a case fatality rate of nearly 90% and manifesting with symptoms such as diarrhoea, vomiting, stomachache and haemorrhagic fever. African fruit bats have been speculated to be the reservoir of this virus. DR Congo is currently facing another EVD outbreak simultaneously with other communicable diseases, rendering it vulnerable to a shortage of medical and paramedical staff along with distrust among remote communities towards local authorities due to armed conflict and political instability. Moreover, lack of ring vaccinations and inefficient surveillance of suspected individuals are some other significant hurdles in disease control. Despite the availability of rVSV-ZEBOV/Erbevo vaccine and many antibody-based vaccines, challenges including politicization, low access to remote communities, and illiteracy have limited their effectiveness. Recently, the Congolese govt. has put in efforts such as building local capacities at the health zone level, outbreak control intervention, community engagement and social mobilization to counter the rising EVD cases. Four successive Strategic Response Plans have been implemented to increase resource mobilization by DR Congo and her partners. The Spread of zoonotics such as EVD can be confronted by implementing the One Health approach, which involves medical staff, veterinarians and public health officials.
引用
收藏
页码:4579 / 4585
页数:7
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