| Literature DB >> 31424330 |
Ann Winters1, Maryam Iqbal1, Isaac Benowitz1,2, Jennifer Baumgartner1, Neil M Vora1,2, Laura Evans3, Nate Link3, Iona Munjal4, Belinda Ostrowsky4, Joel Ackelsberg1, Sharon Balter1, Catherine Dentinger1,2, Anne D Fine1, Scott Harper1,2, Keren Landman1, Fabienne Laraque1, Marcelle Layton1, Sally Slavinski1, Don Weiss1, Jennifer L Rakeman1, Scott Hughes1, Jay K Varma1,2, Ellen H Lee1.
Abstract
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.Entities:
Keywords: Ebola virus; disease outbreaks; health department
Mesh：
Year: 2019 PMID： 31424330 PMCID： PMC6852072 DOI： 10.1177/0033354919870200
Source DB: PubMed Journal: Public Health Rep ISSN： 0033-3549 Impact factor: 2.792