scholarly journals Post-Ebola Epidemic and Sustenance of Healthy Behaviour, Looking Back and Moving Forward

2019 ◽  
Vol 10 (1) ◽  
pp. 11
Author(s):  
Veronica Akwenabuaye Undelikwo ◽  
Rosemary Ine Eneji ◽  
Eucharia Nwabugo Nwagbara

In 2014 the Ebola virus disease became a significant health challenge in much of West Africa, notably Guinea, Liberia, Sierra Leone, even Nigeria. The Ebola epidemic knows no geographical boundary as both developed and developing countries are susceptible to its menace. Key facts about the disease and what could be done to mitigate its spread were awash in both the print and electronic media at the height of its outbreak. There was increased awareness of personal hygiene practices of constant washing of hands and using hand-sanitizers. Body temperature was checked in public places such as airports, schools, etc. There were hardly anywhere, home or organization that you will not find sanitizers and clean water dispensers for hand-washing strategically stationed. 798 respondents from the University of Calabar (staff and students) were surveyed as well as five key informants for in-depth information on what has become of the healthy hygienic practices, and to determine whether Nigerians are still conscious of Ebola and how to achieve sustained healthy practices even after the epidemic. These preventive practices need to be intensified and sustained to consolidate the gains attained in the fight against the dreaded virus. We found a total decline in safety practices by individuals and organizations and this itself raises a major concern about their repercussions, given the paucity and unpreparedness of healthcare facilities. Worse still, relevant agencies such as the print and electronic media are no longer carrying out the awareness campaign.

2015 ◽  
Vol 6 ◽  
pp. 1-10
Author(s):  
I NS Dozie ◽  
B EB Nwoke ◽  
A N Amadi ◽  
U M Chukwuocha ◽  
W U Dozie ◽  
...  

Ebola virus disease is one of the new emerged infectious diseases of the late 20 century. It is a severe, often fatal illness in humans marked by severe bleeding (haemorrhage), organ failure and with fatality rates of between 50% and 90%. Ebola virus is native to Africa and is previously characterized by outbreaks in isolated and remote communities in the rainforest. The 2014 Ebola outbreak is reported in four West African countries namely, Guinea, Liberia, Sierra Leone, and Nigeria. Ebola virus disease (EVD) is caused by members of the genus Ebolavirus with five (5) recognized species namely Zaire Ebolavirus, Sudan Ebolavirus, Ivory Coast Ebolavirus, Reston Ebolavirus, and Bundibugyo Ebolavirus, all of which belongs to the family, Filoviridae. The transmission of Ebola virus involve two major steps; firstly from suspected natural hosts or reservoir believed to be fruit bats to animals in the wild and secondly, from animals in the wild to humans. Human-to-human transmission occurs through direct contact (through broken skin or mucous membranes) with the blood, secretions, organs or other bodily fluids (vomit, faeces, urine, breast milk, semen, and sweat) of infected persons. Although the clinical course of infection with an incubation period of between 2 to 21 days is well known, the specific mechanisms underlying the pathogenicity of Ebola virus have not been clearly understood. Several lines of evidence suggest that the viral glycoprotein (GP) plays a key role in the manifestation of Ebola virus infection. EVD can be diagnosed in the laboratory by reverse transcriptase polymerase chain reaction (RT-PCR) assay, antibody-capture enzyme-linked immunosorbent assay (ELISA), antigen detection tests, serum neutralization tests and virus isolation by cell culture. Currently, there are no approved drugs or vaccines to treat or prevent Ebola. Treatment consists of supportive therapy to maintain electrolyte balance. However experimental vaccines and antiviral drugs are undergoing development and clinical trials. The potential treatment of Ebola Haemorrhagic fever patients with passive immune therapy (i.e. blood transfusion) from convalescent patients is being explored. Prevention of EVD consists of avoiding close contact with gravely ill patients, improvement of personal hygiene especially hand hygiene, strict barrier nursing techniques including the use of personal protective equipment and safe burial of the dead.


2019 ◽  
Vol 9 (4) ◽  
pp. 635-643
Author(s):  
Faith I. Edoror ◽  
Elizabeth O. Oloruntoba ◽  
Shade J. Akinsete

Abstract This study assessed the knowledge and perception of the role of water supply, sanitation and hygiene (WASH) in the containment of Ebola virus disease (EVD) among secondary school students in Ibadan, Nigeria. A cross-sectional study of 420 students from eight schools (public and private) in Ibadan was conducted. A semi-structured questionnaire and an observational checklist were used to collect data. Data were analysed using descriptive statistics, Chi-square test and logistic regression at 5% level of significance. Overall, 60% reported EVD was airborne. A majority (71%) of the respondents had good knowledge of EVD, while a majority (92%) had a good perception of the role of WASH in EVD containment. Class of respondents was significantly (p = 0.045) associated with knowledge of WASH. Although schools had satisfactory sanitary facilities, only a few (21%) sustained good hygiene practices at the end of the Ebola outbreak in Nigeria. Our findings revealed suboptimal knowledge on transmission of EVD, and unsustainable hygiene practices among secondary students post-Nigeria's EVD outbreak. High priority should be given to hygiene education among educators and students. Implementation of monitoring and evaluation of hygiene behaviour among secondary school students should also be a priority.


Health ◽  
2016 ◽  
Vol 08 (14) ◽  
pp. 1465-1484
Author(s):  
Obed Ernest A. Nettey ◽  
Yeetey A. Enuameh ◽  
Charles Zandoh ◽  
Edward Apraku Anane ◽  
Mahama Abukari ◽  
...  

2015 ◽  
Vol 53 (11) ◽  
pp. 3396-3400 ◽  
Author(s):  
Michael Hogardt ◽  
Timo Wolf ◽  
Gerrit Kann ◽  
Hans-Reinhard Brodt ◽  
Christian Brandt ◽  
...  

In light of the recent Ebola virus outbreak, it has to be realized that besides medical treatment, precise algorithms for the management of complicating microbial infections are mandatory for Ebola virus disease (EVD) patients. While the necessity of such diagnostics is apparent, practical details are much less clear. Our approach, established during the treatment of an EVD patient at the University Hospital in Frankfurt am Main, Germany, provides a roadmap for reliable and safe on-site microbiological testing.


Author(s):  
CLARA AKUAMOAH-BOATENG

This study examined the impact of Study Centre Sanitary and hygiene conditions and its impact on health and academic outcomes of Distance Learners at the University of Cape Coast (UCC). The major objective of the study was to find out how sanitary conditions at the host institutions used by the College of Distance Education (CoDE), as study centers for distance education (DE) delivery, impact on the health and academic status of distance education learners. Data was gathered using mainly self-developed and administered questionnaire. The simple random technique was used to select 300 DE learners from 10 study centers in the Ashanti Region of Ghana. Data was analyzed using descriptive and inferential statistics. Approval by the Institutional Research and Ethics Committee of the University of Cape Coast and informed consent from study participants were sought. The results of the study indicated that the state of sanitary conditions and general hygiene practices at CoDE study centres was poor, unmaintained, and inadequate in almost all study centres. This demonstrated that investment in school infrastructure was not given the due priority. The negative impact on the health status and academic outcomes of learners were due to inadequate sanitary facilities despite learners’ knowledge on good personal hygiene and sanitation practices. The study concluded that physical sanitary facilities at CoDE study centres within the study area were in a deplorable state and inadequate for the learner population in the host institutions. Gaps were identified in school management of resources and enforcement of school health, hygiene and sanitation practices. It was recommended that (CoDE-UCC) collaborates with host institutions to improve sanitation and hygiene practices at the study centres for the benefit of learners.


Author(s):  
Frantz Jean Louis ◽  
Jennifer Y. Huang ◽  
Yacouba K. Nebie ◽  
Lamine Koivogui ◽  
Gayatri Jayaraman ◽  
...  

Background: Laboratory-enhanced surveillance is critical for rapidly detecting the potential re-emergence of Ebola virus disease. Rapid diagnostic tests (RDT) for Ebola antigens could expand diagnostic capacity for Ebola virus disease.Objectives: The Guinean National Coordination for Ebola Response conducted a pilot implementation to determine the feasibility of broad screening of patients and corpses with the OraQuick® Ebola RDT.Methods: The implementation team developed protocols and trained healthcare workers to screen patients and corpses in Forécariah prefecture, Guinea, from 15 October to 30 November 2015. Data collected included number of consultations, number of fevers reported or measured, number of tests performed for patients or corpses and results of confirmatory RT-PCR testing. Data on malaria RDT results were collected for comparison. Feedback from Ebola RDT users was collected informally during supervision visits and forums.Results: There were 3738 consultations at the 15 selected healthcare facilities; 74.6% of consultations were for febrile illness. Among 2787 eligible febrile patients, 2633 were tested for malaria and 1628 OraQuick® Ebola RDTs were performed. A total of 322 OraQuick® Ebola RDTs were conducted on corpses. All Ebola tests on eligible patients were negative.Conclusions: Access to Ebola testing was expanded by the implementation of RDTs in an emergency situation. Feedback from Ebola RDT users and lessons learned will contribute to improving quality for RDT expansion.


Sign in / Sign up

Export Citation Format

Share Document