Preparing the Health System to Respond to Ebola Virus Disease in New York City, 2014

2016 ◽  
Vol 11 (3) ◽  
pp. 370-374 ◽  
Author(s):  
Jay K. Varma ◽  
David J. Prezant ◽  
Ross Wilson ◽  
Celia Quinn ◽  
Glenn Asaeda ◽  
...  

AbstractThe world’s largest outbreak of Ebola virus disease began in West Africa in 2014. Although few cases were identified in the United States, the possibility of imported cases led US public health systems and health care facilities to focus on preparing the health care system to quickly and safely identify and respond to emerging infectious diseases. In New York City, early, coordinated planning among city and state agencies and the health care delivery system led to a successful response to a single case diagnosed in a returned health care worker. In this article we describe public health and health care system preparedness efforts in New York City to respond to Ebola and conclude that coordinated public health emergency response relies on joint planning and sustained resources for public health emergency response, epidemiology and laboratory capacity, and health care emergency management. (Disaster Med Public Health Preparedness. 2017;11:370–374).

2019 ◽  
Vol 134 (5) ◽  
pp. 477-483
Author(s):  
Ann Winters ◽  
Maryam Iqbal ◽  
Isaac Benowitz ◽  
Jennifer Baumgartner ◽  
Neil M. Vora ◽  
...  

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.


BMJ ◽  
2019 ◽  
pp. l1724 ◽  
Author(s):  
Janice Hopkins Tanne

2017 ◽  
Vol 15 (5) ◽  
pp. 509-518 ◽  
Author(s):  
Anna Tate ◽  
Ifeoma Ezeoke ◽  
David E. Lucero ◽  
Chaorui C. Huang ◽  
Alhaji Saffa ◽  
...  

2018 ◽  
Vol 16 (1) ◽  
pp. 8-13 ◽  
Author(s):  
Alhaji Saffa ◽  
Anna Tate ◽  
Ifeoma Ezeoke ◽  
Jasmine Jacobs-Wingo ◽  
Maryam Iqbal ◽  
...  

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Bives Mutume Vivalya ◽  
Okesina Akeem Ayodeji ◽  
Yves Tibamwenda Bafwa ◽  
Louis Kasereka Muyisa ◽  
Astride Lina Piripiri ◽  
...  

AbstractThe declaration of any public health emergency in the Democratic Republic of Congo (DRC) is usually followed by the provision of technical and organizational support from international organizations, which build a parallel and short-time healthcare emergency response centered on preventing the extension of health emergencies across the countries and over the world. Previous Ebola virus disease (EVD) outbreaks have highlighted the need to reinforce the healthcare sector in different countries.Based on the difficulty to implement the International Health Regulations (2005) to the local level of affected countries including the DRC, this paper proposes a multidisciplinary model based on the health zones through the strengthening of preparedness and response structures to public health emergencies vis-à-vis the existing weak health systems existing in DRC. A commitment to integrating the emergency response in the existing health system should work to reduce the tension that exists between local recruitment and its impact on the quality of daily healthcare in the region affected by EVD outbreak on one hand, and the involvement of international recruitment and its impact on the trust of the population on the emergency response on the other. This paper highlights the provision of a local healthcare workforce skilled to treat infectious diseases, the compulsory implementation of training programs focused on the emergency response in countries commonly affected by EVD outbreaks including the DRC. These innovations should reduce the burden of health problems prior to and in the aftermath of any public health emergency in DRC hence increasing the wellbeing of the community, especially the vulnerable people as well as the availability of trained healthcare providers able to early recognize and treat EVD.


Sign in / Sign up

Export Citation Format

Share Document