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Febrile illness in healthcare workers caring for Ebola virus disease patients in a high-resource setting

Ebola virus disease (EVD) patients treated in high-resource facilities are cared for by large numbers of healthcare staff. Monitoring these healthcare workers (HCWs) for any illness that may represent transmission of Ebola virus is important both for the individuals and to minimise the community ris...

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Autores principales: Fink, Douglas, Cropley, Ian, Jacobs, Michael, Mepham, Stephen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: European Centre for Disease Prevention and Control (ECDC) 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5388091/
https://www.ncbi.nlm.nih.gov/pubmed/28182538
http://dx.doi.org/10.2807/1560-7917.ES.2017.22.4.30449
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author Fink, Douglas
Cropley, Ian
Jacobs, Michael
Mepham, Stephen
author_facet Fink, Douglas
Cropley, Ian
Jacobs, Michael
Mepham, Stephen
author_sort Fink, Douglas
collection PubMed
description Ebola virus disease (EVD) patients treated in high-resource facilities are cared for by large numbers of healthcare staff. Monitoring these healthcare workers (HCWs) for any illness that may represent transmission of Ebola virus is important both for the individuals and to minimise the community risk. International policies for monitoring HCWs vary considerably and their effectiveness is unknown. Here we describe the United Kingdom (UK) experience of illness in HCWs who cared for three patients who acquired EVD in West Africa. Five of these 93 high-level isolation unit (HLIU) HCWs presented with fever within 21 days of working on the unit; one of these five presented outside of the UK. This article discusses different approaches to monitoring of HCW symptom reporting. The potential impact of these approaches on HLIU staff recruitment, including travel restrictions, is also considered. An international surveillance system enhancing collaboration between national public health authorities may assist HLIU HCW monitoring in case they travel.
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spelling pubmed-53880912017-04-24 Febrile illness in healthcare workers caring for Ebola virus disease patients in a high-resource setting Fink, Douglas Cropley, Ian Jacobs, Michael Mepham, Stephen Euro Surveill Perspective Ebola virus disease (EVD) patients treated in high-resource facilities are cared for by large numbers of healthcare staff. Monitoring these healthcare workers (HCWs) for any illness that may represent transmission of Ebola virus is important both for the individuals and to minimise the community risk. International policies for monitoring HCWs vary considerably and their effectiveness is unknown. Here we describe the United Kingdom (UK) experience of illness in HCWs who cared for three patients who acquired EVD in West Africa. Five of these 93 high-level isolation unit (HLIU) HCWs presented with fever within 21 days of working on the unit; one of these five presented outside of the UK. This article discusses different approaches to monitoring of HCW symptom reporting. The potential impact of these approaches on HLIU staff recruitment, including travel restrictions, is also considered. An international surveillance system enhancing collaboration between national public health authorities may assist HLIU HCW monitoring in case they travel. European Centre for Disease Prevention and Control (ECDC) 2017-01-26 /pmc/articles/PMC5388091/ /pubmed/28182538 http://dx.doi.org/10.2807/1560-7917.ES.2017.22.4.30449 Text en This article is copyright of The Authors, 2017. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.
spellingShingle Perspective
Fink, Douglas
Cropley, Ian
Jacobs, Michael
Mepham, Stephen
Febrile illness in healthcare workers caring for Ebola virus disease patients in a high-resource setting
title Febrile illness in healthcare workers caring for Ebola virus disease patients in a high-resource setting
title_full Febrile illness in healthcare workers caring for Ebola virus disease patients in a high-resource setting
title_fullStr Febrile illness in healthcare workers caring for Ebola virus disease patients in a high-resource setting
title_full_unstemmed Febrile illness in healthcare workers caring for Ebola virus disease patients in a high-resource setting
title_short Febrile illness in healthcare workers caring for Ebola virus disease patients in a high-resource setting
title_sort febrile illness in healthcare workers caring for ebola virus disease patients in a high-resource setting
topic Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5388091/
https://www.ncbi.nlm.nih.gov/pubmed/28182538
http://dx.doi.org/10.2807/1560-7917.ES.2017.22.4.30449
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