Public Health Management of Persons Under Investigation for Ebola Virus Disease in New York City, 2014-2016

被引：2

作者：

Winters, Ann ^{[1
]}

Iqbal, Maryam ^{[1
]}

Benowitz, Isaac ^{[1
,2
]}

Baumgartner, Jennifer ^{[1
]}

Vora, Neil M. ^{[1
,2
]}

Evans, Laura ^{[3
]}

Link, Nate ^{[3
]}

Munjal, Iona ^{[4
,5
]}

Ostrowsky, Belinda ^{[4
,5
]}

Ackelsberg, Joel ^{[1
]}

Baiter, Sharon ^{[1
]}

Dentinger, Catherine ^{[1
,2
]}

Fine, Anne D. ^{[1
]}

Harper, Scott ^{[1
,2
]}

Landman, Keren ^{[1
]}

Laraque, Fabienne ^{[1
]}

Layton, Marcelle ^{[1
]}

Slavinski, Sally ^{[1
]}

Weiss, Don ^{[1
]}

Rakeman, Jennifer L. ^{[1
]}

Hughes, Scott ^{[1
]}

Varma, Jay K. ^{[1
,2
]}

Lee, Ellen H. ^{[1
]}

机构：

[1] New York City Dept Hlth & Mental Hyg, Div Dis Control, Queens, NY USA

[2] Ctr Dis Control & Prevent, Atlanta, GA USA

[3] Bellevue Hosp Ctr, New York, NY 10016 USA

[4] Montefiore Med Ctr, 111 E 210th St, Bronx, NY 10467 USA

[5] Albert Einstein Coll Med, Bronx, NY 10467 USA

来源：

PUBLIC HEALTH REPORTS | 2019年 / 134卷 / 05期

关键词：

Ebola virus; health department; disease outbreaks; UNITED-STATES; SURVEILLANCE; INQUIRIES;

D O I：

10.1177/0033354919870200

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

During 2014-2016, the largest outbreak of Ebola virus disease (EVD) in history occurred in West Africa. The New York City Department of Health and Mental Hygiene (DOHMH) worked with health care providers to prepare for persons under investigation (PUIs) for EVD in New York City. From July 1, 2014, through December 29, 2015, we classified as a PUI a person with EVD-compatible signs or symptoms and an epidemiologic risk factor within 21 days before illness onset. Of 112 persons who met PUI criteria, 74 (66%) sought medical care and 49 (44%) were hospitalized. The remaining 38 (34%) were isolated at home with daily contact by DOHMH staff members. Thirty-two (29%) PUIs received a diagnosis of malaria. Of 10 PUIs tested, 1 received a diagnosis of EVD. Home isolation minimized unnecessary hospitalization. This case study highlights the importance of developing competency among clinical and public health staff managing persons suspected to be infected with a high-consequence pathogen.

引用

页码：477 / 483

页数：7

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