scholarly journals Moderate Thermal Strain in Healthcare Workers Wearing Personal Protective Equipment During Treatment and Care Activities in the Context of the 2014 Ebola Virus Disease Outbreak

2015 ◽  
Vol 213 (9) ◽  
pp. 1462-1465 ◽  
Author(s):  
Laurent Grélot ◽  
Fassou Koulibaly ◽  
Nancy Maugey ◽  
Frédéric Janvier ◽  
Vincent Foissaud ◽  
...  
2016 ◽  
Vol 6 (2) ◽  
pp. 93-103
Author(s):  
Ali Ghanchi

The current Ebola crisis has been described as the “worst outbreak in history” and even though there is an unlikely chance that the epidemic will spread to France, emergency planners have taken this eventuality into consideration. In our maternity unit in Paris, midwife managers were allocated the task of implementing emergency planning into reality and as a result were faced with several challenges that came from various sources. This article discusses problems faced in adapting procedures, training personnel, and testing whether our procedures were effective in preventing Ebola virus disease in our maternity unit. From practical experience, it can be concluded that procedures functioned well and that staff were prepared and well equipped to face this challenging scenario.


2015 ◽  
Vol 43 (12) ◽  
pp. 1281-1287 ◽  
Author(s):  
Enrique Casalino ◽  
Eugenio Astocondor ◽  
Juan Carlos Sanchez ◽  
David Enrique Díaz-Santana ◽  
Carlos del Aguila ◽  
...  

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 45 ◽  
Author(s):  
Saskia Den Boon ◽  
Constanza Vallenas ◽  
Mauricio Ferri ◽  
Susan L. Norris

Background: Ebola virus disease (EVD) health facility transmission can result in infection and death of health workers. The World Health Organization (WHO) supports countries in preparing for and responding to public health emergencies, which often require developing new guidance in short timelines with scarce evidence. The objective of this study was to understand frontline physicians’ and nurses’ perspectives about personal protective equipment (PPE) use during the 2014-2016 EVD outbreak in West Africa and to incorporate these findings into the development process of a WHO rapid advice guideline. Methods: We surveyed frontline physicians and nurses deployed to West Africa between March and September of 2014. Results: We developed the protocol, obtained ethics approval, delivered the survey, analysed the data and presented the findings as part of the evidence-to-decision tables at the expert panel meeting where the recommendations were formulated within eight weeks. Forty-four physicians and nurses responded to the survey. They generally felt at low or extremely low risk of virus transmission with all types of PPE used. Eye protection reduced the ability to provide care, mainly due to impaired visibility because of fogging. Heat and dehydration were a major issue for 76% of the participants using goggles and for 64% using a hood. Both gowns and coveralls were associated with significant heat stress and dehydration. Most participants (59%) were very confident that they were using PPE correctly. Conclusion: Our study demonstrated that it was possible to incorporate primary data on end-users’ preferences into a rapid advice guideline for a public health emergency in difficult field conditions. Health workers perceived a balance between transmission protection and ability to care for patients effectively while wearing PPE. These findings were used by the guideline development expert panel to formulate WHO recommendations on PPE for frontline providers caring for EVD patients in outbreak conditions.


2016 ◽  
Vol 44 (3) ◽  
pp. 340-342 ◽  
Author(s):  
Elizabeth L. Beam ◽  
Shelly Schwedhelm ◽  
Kathleen Boulter ◽  
Christopher Kratochvil ◽  
John Lowe ◽  
...  

IDCases ◽  
2015 ◽  
Vol 2 (1) ◽  
pp. 27-30 ◽  
Author(s):  
Todd Bell ◽  
John Smoot ◽  
Justin Patterson ◽  
Roger Smalligan ◽  
Richard Jordan

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 45 ◽  
Author(s):  
Saskia Den Boon ◽  
Constanza Vallenas ◽  
Mauricio Ferri ◽  
Susan L. Norris

Background: Ebola virus disease (EVD) health facility transmission can result in infection and death of health workers. The World Health Organization (WHO) supports countries in preparing for and responding to public health emergencies, which often require developing new guidance in short timelines with scarce evidence. The objective of this study was to understand frontline physicians’ and nurses’ perspectives about personal protective equipment (PPE) use during the 2014-2016 EVD outbreak in West Africa and to incorporate these findings into the development process of a WHO rapid advice guideline. Methods: We surveyed frontline physicians and nurses deployed to West Africa between March and September of 2014. Results: We developed the protocol, obtained ethics approval, delivered the survey, analysed the data and presented the findings as part of the evidence-to-decision tables at the expert panel meeting where the recommendations were formulated within eight weeks. Forty-four physicians and nurses responded to the survey. They generally felt at low or extremely low risk of virus transmission with all types of PPE used. Eye protection reduced the ability to provide care, mainly due to impaired visibility because of fogging. Heat and dehydration were a major issue for 76% of the participants using goggles and for 64% using a hood. Both gowns and coveralls were associated with significant heat stress and dehydration. Most participants (59%) were very confident that they were using PPE correctly. Conclusion: Our study demonstrated that it was possible to incorporate primary data on end-users’ preferences into a rapid advice guideline for a public health emergency in difficult field conditions. Health workers perceived a balance between transmission protection and ability to care for patients effectively while wearing PPE. These findings were used by the guideline development expert panel to formulate WHO recommendations on PPE for frontline providers caring for EVD patients in outbreak conditions.


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