Viral Heamorrhagic Fever Outbreak response and some lessons learnt Marco Visser
Viral Heamorrhagic Fever Filoviridae virus: Marburg & Ebola Dengue, Lassa, Rift Valley, Crimean-Congo, Yellow Fever Marburg, Germany (lab) 1967 Ebola, DRC 1976 (Sudan (non-human) primates index case:  bush meat  (primary transmission) body fluids (secondary transmission) health workers, care givers burial ceremonies
Viral Heamorrhagic Fever Major outbreaks Cases CFR Sudan/DRC Ebola 602 72% 1995  DRC Ebola 315 81% 1998  DRC Marburg 154 83% 2000 Uganda Ebola 425 53% RoC/Gabon Ebola 124 78% RoC Ebola 143 89% RoC Ebola  35 83% 2004 Angola Marburg 374 88% Source: WHO/MSF
Viral Heamorrhagic Fever Response outline Coordination Isolation Contact tracing Epidemiology Prevention/IEC
Viral Heamorrhagic Fever Isolation Low Risk Zone High Risk Zone High Risk Zone Chlorine prep. Laundry Confirmed cases Suspected  cases Waste area
Viral Heamorrhagic Fever Isolation
Viral Heamorrhagic Fever Isolation W&S
Viral Heamorrhagic Fever Burial
Viral Heamorrhagic Fever Epidemiology Contact follow up © WHO
Viral Heamorrhagic Fever Prevention/IEC © WHO   © WHO   © CDC
Viral Heamorrhagic Fever Coordination and involvement MoH staff others (e.g. WFP) Response confirmation care-givers (esp. children) Community awareness isolation    home care cultural (e.g. burials; PSC) Lessons learnt

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Viral Heamorrhagic Fever EEHF 2007

  • 1. Viral Heamorrhagic Fever Outbreak response and some lessons learnt Marco Visser
  • 2. Viral Heamorrhagic Fever Filoviridae virus: Marburg & Ebola Dengue, Lassa, Rift Valley, Crimean-Congo, Yellow Fever Marburg, Germany (lab) 1967 Ebola, DRC 1976 (Sudan (non-human) primates index case: bush meat (primary transmission) body fluids (secondary transmission) health workers, care givers burial ceremonies
  • 3. Viral Heamorrhagic Fever Major outbreaks Cases CFR Sudan/DRC Ebola 602 72% 1995 DRC Ebola 315 81% 1998 DRC Marburg 154 83% 2000 Uganda Ebola 425 53% RoC/Gabon Ebola 124 78% RoC Ebola 143 89% RoC Ebola 35 83% 2004 Angola Marburg 374 88% Source: WHO/MSF
  • 4. Viral Heamorrhagic Fever Response outline Coordination Isolation Contact tracing Epidemiology Prevention/IEC
  • 5. Viral Heamorrhagic Fever Isolation Low Risk Zone High Risk Zone High Risk Zone Chlorine prep. Laundry Confirmed cases Suspected cases Waste area
  • 7. Viral Heamorrhagic Fever Isolation W&S
  • 9. Viral Heamorrhagic Fever Epidemiology Contact follow up © WHO
  • 10. Viral Heamorrhagic Fever Prevention/IEC © WHO © WHO © CDC
  • 11. Viral Heamorrhagic Fever Coordination and involvement MoH staff others (e.g. WFP) Response confirmation care-givers (esp. children) Community awareness isolation  home care cultural (e.g. burials; PSC) Lessons learnt