J P K Makelele1, S Ade2,3, K C Takarinda3, M Manzi4, J Gil Cuesta4, A Acma1, M M Yépez1, M Mashako1. 1. Médecins Sans Frontières-Operational Centre Brussels, Mission DRC, Kinshasa, DR Congo. 2. Faculté de Médecine, Université de Parakou, Parakou, Bénin. 3. Center for Operational Research, International Union Against Tuberculosis and Lung Diseases, Paris, France. 4. Médecins Sans Frontières-Operational Centre Brussels, Medical Department, Operational Research Unit (LuOR), MSF Luxembourg.
Abstract
SETTING: In 1995, a rapid response project for humanitarian and medical emergencies, including outbreak responses, named 'Pool d'Urgence Congo' (PUC), was implemented in the Democratic Republic of Congo by Médecins Sans Frontières. OBJECTIVE: To assess the outcomes of cholera and measles outbreak alerts that were received in the PUC surveillance system between 2016 and 2018. DESIGN: This was a retrospective cross-sectional study. RESULTS: Overall, 459 outbreak alerts were detected, respectively 69% and 31% for cholera and measles. Of these, 32% were actively detected and 68% passively detected. Most alerts (90%) required no intervention and 10% of alerts had an intervention. There were 25% investigations that were not carried out despite thresholds being met; 17% interventions were not performed, the main reported reason being PUC operational capacity was exceeded. Confirmed cholera and measles outbreaks that met an investigation threshold comprised respectively 90% and 76% of alerts; 59% of measles investigations were followed by a delayed outbreak response of ⩾14 days (n = 10 outbreaks). CONCLUSION: Some alerts for cholera and measles outbreaks that were detected in the PUC system did not lead to a response even when required; the main reported reason was limited operational capacity to respond to all of them.
SETTING: In 1995, a rapid response project for humanitarian and medical emergencies, including outbreak responses, named 'Pool d'Urgence Congo' (PUC), was implemented in the Democratic Republic of Congo by Médecins Sans Frontières. OBJECTIVE: To assess the outcomes of cholera and measles outbreak alerts that were received in the PUC surveillance system between 2016 and 2018. DESIGN: This was a retrospective cross-sectional study. RESULTS: Overall, 459 outbreak alerts were detected, respectively 69% and 31% for cholera and measles. Of these, 32% were actively detected and 68% passively detected. Most alerts (90%) required no intervention and 10% of alerts had an intervention. There were 25% investigations that were not carried out despite thresholds being met; 17% interventions were not performed, the main reported reason being PUC operational capacity was exceeded. Confirmed cholera and measles outbreaks that met an investigation threshold comprised respectively 90% and 76% of alerts; 59% of measles investigations were followed by a delayed outbreak response of ⩾14 days (n = 10 outbreaks). CONCLUSION: Some alerts for cholera and measles outbreaks that were detected in the PUC system did not lead to a response even when required; the main reported reason was limited operational capacity to respond to all of them.
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Authors: Ziad El-Khatib; Maya Shah; Samuel N Zallappa; Pierre Nabeth; José Guerra; Casimir T Manengu; Michel Yao; Aline Philibert; Lazare Massina; Claes-Philip Staiger; Raphael Mbailao; Jean-Pierre Kouli; Hippolyte Mboma; Geraldine Duc; Dago Inagbe; Alpha Boubaca Barry; Thierry Dumont; Philippe Cavailler; Michel Quere; Brian Willett; Souheil Reaiche; Hervé de Ribaucourt; Bruce Reeder Journal: Confl Health Date: 2018-10-24 Impact factor: 2.723