Evening Ebola Update, 2/26: Klain writes on management lessons from EBOV epidemic/Women affected more than men by EBOV/EBOV health effects will last for years   Leave a comment

2/26/15

Dear Colleagues:

l.  CDC’s MMWR today carries several reports of various interventions in Liberia, Sierra Leone, and Guinea which have been successful in improving case finding, contact tracing, and maintaining quarantines.  Several of these reports have been previously cited in blog postings.  See the MMWR at: https://col128.mail.live.com/?tid=cm0dN-ueO95BGhdAAjfeP1Rg2&fid=flinbox

2.  ACAPS has issued a detailed report on the effects of EBOV in Liberia, Sierra Leone, and Guinea.  The greatest ‘hits’ have occurred in diagnosis and treatment of non-EBOV diseases or conditions.  For instance, the number of preventive health visits to clinics in Sierra Leone dropped by 42% in 2014; in Liberia 60% of HIV Clinics were closed during 2014.  The health fallout of this EBOV epidemic will be felt for years in West Africa.  See: http://acaps.org/img/documents/b-20150226_ebola_health_system.pdf

3.  Ebola Deeply reports on an article in Fortune Magazine by Ron Klain, EBOV czar in the U.S., on 5 management lessons learned from the experience of EBOV here in the U.S.  The 5 lessons include: the need for current and accurate data; ‘turn the telescope around’ (meaning that any one time the maximum number of persons in the U.S. from West Africa within 21 days was 1200 persons, so U.S. response should be directed at those 1200 persons, rather than making every hospital in the U.S. an EBOV treatment center); face to face regular meetings of all high officials in U.S. EBOV response; recognize and address the effects of fear in the U.S, population (Dr. Fauci did this very well); don’t oversolve the problem (keep solutions simple not complex).  See the entire Fortune article at: http://fortune.com/2015/02/25/ex-ebola-czar-ron-klain-5-management-lessons-from-the-ebola-outbreak/

4.  The Lancet Global Health, March, 2015, has an article by Menendez, et. al. from the University of Barcelona re: the increased health risk to women from EBOV, although there is no biological reason for women to be infected more than men.  The increased health risk to women is due to: women are primary caregivers to family members with EBOV; lack of maternal services for pregnant women during the EBOV epidemic (1.3 million pregnancies in West Africa in 2014); women perform the burial preparation of the decreased EBOV patient in West Africa.  See the article at: http://www.thelancet.com/journals/langlo/article/PIIS2214-109X(15)70009-4/fulltext

RGL, MD

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Posted February 27, 2015 by levittrg in Ebola

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