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WASH activities at two Ebola treatment units in Sierra Leone
PURPOSE: The 2014 outbreak of Ebola virus disease (EVD) in West Africa was the largest in history. Starting in September 2014, International Medical Corps (IMC) operated five Ebola treatment units (ETUs) in Sierra Leone and Liberia. This paper explores how future infectious disease outbreak faciliti...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5967824/ https://www.ncbi.nlm.nih.gov/pubmed/29795676 http://dx.doi.org/10.1371/journal.pone.0198235 |
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author | Mallow, Michaela Gary, Lee Jeng, Timmy Bongomin, Bob Aschkenasy, Miriam Tamar Wallis, Peter Cranmer, Hilarie H. Debasu, Estifanos Levine, Adam C. |
author_facet | Mallow, Michaela Gary, Lee Jeng, Timmy Bongomin, Bob Aschkenasy, Miriam Tamar Wallis, Peter Cranmer, Hilarie H. Debasu, Estifanos Levine, Adam C. |
author_sort | Mallow, Michaela |
collection | PubMed |
description | PURPOSE: The 2014 outbreak of Ebola virus disease (EVD) in West Africa was the largest in history. Starting in September 2014, International Medical Corps (IMC) operated five Ebola treatment units (ETUs) in Sierra Leone and Liberia. This paper explores how future infectious disease outbreak facilities in resource-limited settings can be planned, organized, and managed by analyzing data collected on water, sanitation, and hygiene (WASH) and infection prevention control (IPC) protocols. DESIGN/METHODOLOGY/APPROACH: We conducted a retrospective cohort study by analyzing WASH/IPC activity data routinely recorded on paper forms or white boards at ETUs during the outbreak and later merged into a database from two IMC-run ETUs in Sierra Leone between December 2014 and December 2015. FINDINGS: The IMC WASH/IPC database contains data from over 369 days. Our results highlight parameters key to designing and maintaining an ETU. High concentration chlorine solution usage was highly correlated with both daily patient occupancy and high-risk zone staff entries; low concentration chlorine usage was less well explained by these measures. There is high demand for laundering and disinfecting of personal protective equipment (PPE) on a daily basis and approximately 1 (0–4) piece of PPE is damaged each day. RESEARCH LIMITATIONS/IMPLICATIONS: Lack of standardization in the type and format of data collected at ETUs made constructing the WASH/IPC database difficult. However, the data presented here may help inform humanitarian response operations in future epidemics. |
format | Online Article Text |
id | pubmed-5967824 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-59678242018-06-08 WASH activities at two Ebola treatment units in Sierra Leone Mallow, Michaela Gary, Lee Jeng, Timmy Bongomin, Bob Aschkenasy, Miriam Tamar Wallis, Peter Cranmer, Hilarie H. Debasu, Estifanos Levine, Adam C. PLoS One Research Article PURPOSE: The 2014 outbreak of Ebola virus disease (EVD) in West Africa was the largest in history. Starting in September 2014, International Medical Corps (IMC) operated five Ebola treatment units (ETUs) in Sierra Leone and Liberia. This paper explores how future infectious disease outbreak facilities in resource-limited settings can be planned, organized, and managed by analyzing data collected on water, sanitation, and hygiene (WASH) and infection prevention control (IPC) protocols. DESIGN/METHODOLOGY/APPROACH: We conducted a retrospective cohort study by analyzing WASH/IPC activity data routinely recorded on paper forms or white boards at ETUs during the outbreak and later merged into a database from two IMC-run ETUs in Sierra Leone between December 2014 and December 2015. FINDINGS: The IMC WASH/IPC database contains data from over 369 days. Our results highlight parameters key to designing and maintaining an ETU. High concentration chlorine solution usage was highly correlated with both daily patient occupancy and high-risk zone staff entries; low concentration chlorine usage was less well explained by these measures. There is high demand for laundering and disinfecting of personal protective equipment (PPE) on a daily basis and approximately 1 (0–4) piece of PPE is damaged each day. RESEARCH LIMITATIONS/IMPLICATIONS: Lack of standardization in the type and format of data collected at ETUs made constructing the WASH/IPC database difficult. However, the data presented here may help inform humanitarian response operations in future epidemics. Public Library of Science 2018-05-24 /pmc/articles/PMC5967824/ /pubmed/29795676 http://dx.doi.org/10.1371/journal.pone.0198235 Text en © 2018 Mallow et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Mallow, Michaela Gary, Lee Jeng, Timmy Bongomin, Bob Aschkenasy, Miriam Tamar Wallis, Peter Cranmer, Hilarie H. Debasu, Estifanos Levine, Adam C. WASH activities at two Ebola treatment units in Sierra Leone |
title | WASH activities at two Ebola treatment units in Sierra Leone |
title_full | WASH activities at two Ebola treatment units in Sierra Leone |
title_fullStr | WASH activities at two Ebola treatment units in Sierra Leone |
title_full_unstemmed | WASH activities at two Ebola treatment units in Sierra Leone |
title_short | WASH activities at two Ebola treatment units in Sierra Leone |
title_sort | wash activities at two ebola treatment units in sierra leone |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5967824/ https://www.ncbi.nlm.nih.gov/pubmed/29795676 http://dx.doi.org/10.1371/journal.pone.0198235 |
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