An Outbreak of Ebola Virus Disease in the Lassa Fever Zone

被引:26
作者
Goba, Augustine [1 ]
Khan, S. Humarr [1 ]
Fonnie, Mbalu [1 ]
Fullah, Mohamed [1 ]
Moigboi, Alex [1 ]
Kovoma, Alice [1 ]
Sinnah, Vandi [1 ]
Yoko, Nancy [1 ]
Rogers, Hawa [1 ]
Safai, Siddiki [1 ]
Momoh, Mambu [1 ]
Koroma, Veronica [1 ]
Kamara, Fatima K. [1 ]
Konowu, Edwin [1 ]
Yillah, Mohamed [1 ]
French, Issa [1 ]
Mustapha, Ibraham [1 ]
Kanneh, Franklyn [1 ]
Foday, Momoh [1 ]
McCarthy, Helena [1 ]
Kallon, Tiangay [1 ]
Kallon, Mustupha [1 ]
Naiebu, Jenneh [1 ]
Sellu, Josephine [1 ]
Jalloh, Abdul A. [1 ]
Gbakie, Michael [1 ]
Kanneh, Lansana [1 ]
Massaly, James L. B. [2 ]
Kargbo, David [2 ]
Kargbo, Brima [2 ]
Vandi, Mohamed [2 ]
Gbetuwa, Momoh [2 ]
Gevao, Sahr M. [3 ]
Sandi, John D. [1 ]
Jalloh, Simbirie C. [1 ]
Grant, Donald S. [1 ,2 ]
Blyden, Sylvia O. [4 ]
Crozier, Ian [5 ,6 ]
Schieffelin, John S. [7 ,8 ]
McLellan, Susan L. [7 ,8 ,11 ]
Jacob, Shevin T. [17 ]
Boisen, Matt L. [18 ,20 ]
Hartnett, Jessica N. [9 ]
Cross, Robert W. [19 ]
Branco, Luis M. [20 ]
Andersen, Kristian G. [21 ]
Yozwiak, Nathan L. [25 ]
Gire, Stephen K. [24 ]
Tariyal, Ridhi [24 ]
Park, Daniel J. [25 ]
机构
[1] Kenema Govt Hosp, Viral Hemorrhag Fever Program, Freetown, Sierra Leone
[2] Minist Hlth & Sanitat, Freetown, Sierra Leone
[3] Univ Sierra Leone, Freetown, Sierra Leone
[4] Minist Social Welf Gender & Childrens Affairs, Freetown, Sierra Leone
[5] WHO, Sierra Leone Ebola Response Team, Freetown, Sierra Leone
[6] Mulago Hosp Complex, Infect Dis Inst, Kampala, Uganda
[7] Tulane Univ, Dept Pediat, Sect Infect Dis, New Orleans, LA 70118 USA
[8] Tulane Univ, Sch Med, Dept Internal Med, Sect Infect Dis, 1430 Tulane Ave, New Orleans, LA 70112 USA
[9] Tulane Univ, Dept Microbiol & Immunol, New Orleans, LA 70118 USA
[10] Tulane Univ, Dept Biochem, New Orleans, LA 70118 USA
[11] Tulane Sch Publ Hlth & Trop Med, Dept Trop Med, New Orleans, LA USA
[12] Tulane Sch Publ Hlth & Trop Med, Dept Biostat & Bioinformat, New Orleans, LA USA
[13] LSU Hlth, Dept Microbiol Immunol & Parasitol, New Orleans, LA USA
[14] South Coast Solar, New Orleans, LA USA
[15] Autoimmune Technol, New Orleans, LA USA
[16] Mockingbird Nat Res Grp, Pearl River, LA USA
[17] Univ Washington, Div Allergy & Infect Dis, Seattle, WA 98195 USA
[18] Corgenix, Broomfield, CO USA
[19] Univ Texas Med Branch, Dept Microbiol & Immunol, Galveston, TX 77555 USA
[20] Zalgen Labs, Germantown, MD USA
[21] Scripps Res Inst, Scripps Translat Sci Inst, La Jolla, CA 92037 USA
[22] Scripps Res Inst, Dept Immunol & Microbial Sci, La Jolla, CA 92037 USA
[23] Scripps Res Inst, Skaggs Inst Chem Biol, La Jolla, CA 92037 USA
[24] NextGen Jane, San Francisco, CA USA
[25] Broad Inst MIT & Harvard, Cambridge, MA USA
[26] Harvard Univ, Dept Organism & Evolutionary Biol, Ctr Syst Biol, Cambridge, MA 02138 USA
[27] Mt Sinai Sch Med, New York, NY USA
[28] Vybion, New York, NY USA
[29] Naval Engn Facil Command, Naples, Italy
[30] Redeemers Univ, Ede, Nigeria
[31] Irrua Specialist Teaching Hosp, Irrua, Nigeria
基金
美国国家卫生研究院;
关键词
West African Ebola outbreak 2013-16; Ebola virus; Lassa virus; research capacity building; viral hemorrhagic fever diagnostics; epidemiology; genomic sequencing; REVERSE TRANSCRIPTION-PCR; OUTCOME CASE-REPORT; SIERRA-LEONE; HEMORRHAGIC-FEVER; VIRAL LOAD; DIAGNOSTICS; EVOLUTION; PATIENT; TRANSMISSION; FILOVIRUSES;
D O I
10.1093/infdis/jiw239
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Background. Kenema Government Hospital (KGH) has developed an advanced clinical and laboratory research capacity to manage the threat of Lassa fever, a viral hemorrhagic fever (VHF). The 2013- 2016 Ebola virus (EBOV) disease (EVD) outbreak is the first to have occurred in an area close to a facility with established clinical and laboratory capacity for study of VHFs. Methods.aEuro integral Because of its proximity to the epicenter of the EVD outbreak, which began in Guinea in March 2014, the KGH Lassa fever Team mobilized to establish EBOV surveillance and diagnostic capabilities. Results.aEuro integral Augustine Goba, director of the KGH Lassa laboratory, diagnosed the first documented case of EVD in Sierra Leone, on 25 May 2014. Thereafter, KGH received and cared for numbers of patients with EVD that quickly overwhelmed the capacity for safe management. Numerous healthcare workers contracted and lost their lives to EVD. The vast majority of subsequent EVD cases in West Africa can be traced back to a single transmission chain that includes this first diagnosed case. Conclusions.aEuro integral Responding to the challenges of confronting 2 hemorrhagic fever viruses will require continued investments in the development of countermeasures (vaccines, therapeutic agents, and diagnostic assays), infrastructure, and human resources.
引用
收藏
页码:S110 / S121
页数:12
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