The Medecins Sans Frontieres intervention in the Marburg hemorrhagic fever epidemic, Uige, Angola, 2005. I. Lessons learned in the hospital.
When the epidemic of Marburg hemorrhagic fever occurred in Uige, Angola, during 2005, the international response included systems of case detection and isolation, community education, the burial of the dead, and disinfection. However, despite large investments of staff and money by the organizations involved, only a fraction of the reported number of cases were isolated, and many cases were detected only after death. This article describes the response of Medecins Sans Frontieres Spain within the provincial hospital in Uige, as well as the lessons they learned during the epidemic. Diagnosis, management of patients, and infection control activities in the hospital are discussed. To improve the acceptability of the response to the host community, psychological and cultural factors need to be considered at all stages of planning and implementation in the isolation ward. More interventional medical care may not only improve survival but also improve acceptability.
Jeffs
Benjamin
B
Medecins Sans Frontieres, Barcelona, CP 08001, Spain. bjeffs@doctors.org.uk
Roddy
Paul
P
Weatherill
David
D
de la Rosa
Olimpia
O
Dorion
Claire
C
Iscla
Marta
M
Grovas
Isabel
I
Palma
Pedro Pablo
PP
Villa
Luis
L
Bernal
Oscar
O
Rodriguez-Martinez
Josefa
J
Barcelo
Barbara
B
Pou
Diana
D
Borchert
Matthias
M
D000810:Angola / Q000453:epidemiology; D000818:Animals; D005843:Geography; D014943:Global Health; D006801:Humans; D006920:Hygiene; D015994:Incidence; D007297:Inpatients; D007391:International Cooperation; D008379:Marburg Virus Disease / Q000453:epidemiology* / Q000401:mortality / Q000503:physiopathology / Q000517:prevention & control; D010820:Physicians