title: Serologic survey among hospital and health center workers during the Ebola hemorrhagic fever outbreak in Kikwit, Democratic Republic of the Congo, 1995.
abstract: From May to July 1995, a serologic and interview survey was conducted to describe Ebola hemorrhagic fever (EHF) among personnel working in 5 hospitals and 26 health care centers in and around Kikwit, Democratic Republic of the Congo. Job-specific attack rates estimated for Kikwit General Hospital, the epicenter of the EHF epidemic, were 31% for physicians, 11% for technicians/room attendants, 10% for nurses, and 4% for other workers. Among 402 workers who did not meet the EHF case definition, 12 had borderline positive antibody test results; subsequent specimens from 4 of these tested negative. Although an old infection with persistent Ebola antibody production or a recent atypical or asymptomatic infection cannot be ruled out, if they occur at all, they appear to be rare. This survey demonstrated that opportunities for transmission of Ebola virus to personnel in health facilities existed in Kikwit because blood and body fluid precautions were not being universally followed.
authors.affiliation: World Health Organization, Harare, Zimbabwe.
authors.forename: O
authors.initials: O
authors.lastname: Tomori
authors.forename: J
authors.initials: J
authors.lastname: Bertolli
authors.forename: P E
authors.initials: PE
authors.lastname: Rollin
authors.forename: Y
authors.initials: Y
authors.lastname: Fleerackers
authors.forename: Y
authors.initials: Y
authors.lastname: Guimard
authors.forename: A
authors.initials: A
authors.lastname: De Roo
authors.forename: H
authors.initials: H
authors.lastname: Feldmann
authors.forename: F
authors.initials: F
authors.lastname: Burt
authors.forename: R
authors.initials: R
authors.lastname: Swanepoel
authors.forename: S
authors.initials: S
authors.lastname: Killian
authors.forename: A S
authors.initials: AS
authors.lastname: Khan
authors.forename: K
authors.initials: K
authors.lastname: Tshioko
authors.forename: M
authors.initials: M
authors.lastname: Bwaka
authors.forename: R
authors.initials: R
authors.lastname: Ndambe
authors.forename: C J
authors.initials: CJ
authors.lastname: Peters
authors.forename: T G
authors.initials: TG
authors.lastname: Ksiazek
mesh_terms: D000328:Adult; D000914:Antibodies, Viral / Q000097:blood; D015023:Democratic Republic of the Congo / Q000453:epidemiology; D004196:Disease Outbreaks; D029043:Ebolavirus / Q000276:immunology; D005260:Female; D006282:Health Personnel; D019142:Hemorrhagic Fever, Ebola / Q000453:epidemiology* / Q000276:immunology* / Q000635:transmission; D006801:Humans; D008297:Male; D010356:Patient Isolation; D010564:Personnel, Hospital; D011795:Surveys and Questionnaires