(EVD)

By Dr Lekan Adelakun

Impact Healthserve LtdQuaint Consultants

(Advocacy For Health And Safety Programmes)

Tel: 08033444024, 08058095885

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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