(EVD) By Dr Lekan Adelakun Impact Healthserve Ltd Quaint Consultants (Advocacy For Health And Safety Programmes) Tel: 08033444024, 08058095885 quaint consultants
Jan 14, 2016
(EVD)
By Dr Lekan Adelakun
Impact Healthserve LtdQuaint Consultants
(Advocacy For Health And Safety Programmes)
Tel: 08033444024, 08058095885
quaint consultants
Ebola Virus Disease (EVD)EBOLA – THE DEADLIEST VHF
KNOCKING ON THE DOOR
By
Dr Lekan AdelakunImpact Healthserve Ltd
Quaint Coinsultants(Advocacy For Health & Safety Programmes)
Tel: 08033444024, 08058095885
quaint consultants
Data: August 6
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Data: August 12
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No of infected persons: 1838
No of deaths: 1013
……..WHO
Data: August 20
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No of infected persons: 2614
No of deaths: 1427
……..WHO
Data: August 29
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No of infected persons: 3069
No of deaths: 1572
……..WHO
Ebola In Nigeria!
Lagos: Quick Response
Contact Tracing TeamTreatment Centre13 cases, 5 deaths
Lagos: 159 of 331 under surveillance
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Ebola In Nigeria: The PH twist!
PH: 3 cases, 1 death200 under surveillance: 60 missing
15 cases in all6 deaths, 7 discharges
cleared
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Ebola Response Update for 16 July 2014
1016 July 2014
Ebolavirus ecology
Modes of transmission
Fruit bats
Animals: monkeys, apes, gorillas,forest antelopes
Human Human
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Human Human
Direct contact: secretions, organs or body fluids-D/A
Indirect contact: contaminated environment, materials, utensils and medical equipment like needles
Semen
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Clinical Features
Fever, sore throat, cough, hiccups, chest & abdominal pain, muscle pains, headache, weakness, nausea, vomiting, rash and diarrhea
Multi-organ dysfunction syndrome (MODS)
Impairment of functions of liver, kidney, circulatory, CNS and other organs• CNS manifestations: severe
headaches,confusion, agitation, seizures, may go into coma
• Bleeding- internal and external- prognostical
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Differential Diagnosis
Differential Diagnosis: Malaria, typhoid fever, cholera, meningitis, hepatitis, shigellosis, plaque and other viral hemorrhagic fevers
Diagnosis: blood test for EBV antibodies, RNA
Confirmation: Isolating the virus]
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Diagnosis
Blood test for EBV antibodies, RNA
Confirmation: Isolating the virus]
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Who Is At Risk?
Everyone Family members of infected persons Medical personnel, Care givers,
Morticians: Victims, Amplifiers People working with animals People eating bush meat and
unidentified animals
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Outbreak risk assessmentOutbreak risk assessment
19
Serious public health event that threatens global public health securityControllable --- Evidence-based Ebola interventionsFirst large Ebola Virus Disease outbreak in West Africa
First complex mix transmission pattern documented
Rural outbreak
Urban outbreak
Cross-border outbreaks
Unusual number of health care workers among the
cases and deaths (health facilities serving as amplifier of
the EVD)
Issues And Challenges Denial, fear and panic among population &
health workers Most confirmed cases and deaths linked to
traditional burial practices and funeral rites Beliefs/myths, practices and handling of dead
bodies Rapid spread in densely populated peri- &
urban areas Weak health system, surveillance and infection
control measures Inadequate funding
Management
No known cure or vaccine: symptomatic and intensive supportive management.
Promising drugs: Anti-viral, fertility & breast cancer drugs,
Zmapp,
Antibodies
Vaccine: VSV- EBOV
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Drug Zmapp
Prevention:a, infected animals Human
avoid contact with wild animals safe animal husbandry and slaughtering testing animals, killing and proper disposal
of infected ones knowledge of type of meat cooking meat thoroughly before eating
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What Works
What Doesn’t!
Prevention:b, Human Human
It’s in your hands:WASH THOSE HANDS- frequent washing of hands with soap and water, alcohol or other hand sanitizer
use sodium hypochlorite or other
detergents for contaminated Environmental Hygiene
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Prevention:b, Human Human
Avoid touching suspected ill or suspicious dead person
Role of Immunity Early identification & reporting:
Surveillance, quarantine, isolation of infected persons
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Prevention:b, Human Human
Nos to call:08023169485 0802321333308033086660 0805532922908055281442 08033065303Help Line: 0800326524357 or 0800EBOLAHELP
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Prevention:b, Human Human
Universal precaution: wearing protective clothing when around someone sick with the diseasehandle samples with an extreme degree of cautionadequate sterilization of medical equipment
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Prevention:b, Human Human
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Prevention:b, Human Human
Universal precaution:proper disposal of medical waste, contaminated utensils and materials
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Prevention:b, Human Human
Universal precaution: environment and materialsproper disposal of dead victims
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Prevention:Universal precaution:
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Safe Burial Rites/ Cremation
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Be Warned! Be Vigilant!!
Be Protected!!! Be Safe!!!!
It’s In Your Hands:
Thank You For
Your Attention