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Uganda's experience in Ebola virus disease outbreak preparedness, 2018-2019.
Globalization and Health ( IF 10.8 ) Pub Date : 2020-03-19 , DOI: 10.1186/s12992-020-00548-5
Jane Ruth Aceng 1 , Alex R Ario 1, 2 , Allan N Muruta 1 , Issa Makumbi 1, 3 , Miriam Nanyunja 4 , Innocent Komakech 4 , Andrew N Bakainaga 4 , Ambrose O Talisuna 5 , Collins Mwesigye 4 , Allan M Mpairwe 4 , Jayne B Tusiime 4 , William Z Lali 4 , Edson Katushabe 4 , Felix Ocom 4 , Mugagga Kaggwa 4 , Bodo Bongomin 4 , Hafisa Kasule 4 , Joseph N Mwoga 4 , Benjamin Sensasi 4 , Edmund Mwebembezi 4 , Charles Katureebe 4 , Olive Sentumbwe 4 , Rita Nalwadda 4 , Paul Mbaka 4 , Bayo S Fatunmbi 6 , Lydia Nakiire 7 , Mohammed Lamorde 7 , Richard Walwema 7 , Andrew Kambugu 7 , Judith Nanyondo 7 , Solome Okware 1, 7 , Peter B Ahabwe 7 , Immaculate Nabukenya 1, 7 , Joshua Kayiwa 3 , Milton M Wetaka 3 , Simon Kyazze 3 , Benon Kwesiga 2 , Daniel Kadobera 2 , Lilian Bulage 2, 8 , Carol Nanziri 2 , Fred Monje 2 , Dativa M Aliddeki 2 , Vivian Ntono 2 , Doreen Gonahasa 2 , Sandra Nabatanzi 2 , Godfrey Nsereko 2 , Anne Nakinsige 1 , Eldard Mabumba 1 , Bernard Lubwama 1 , Musa Sekamatte 1 , Michael Kibuule 1 , David Muwanguzi 1 , Jackson Amone 1 , George D Upenytho 1 , Alfred Driwale 1 , Morries Seru 1 , Fred Sebisubi 1 , Harriet Akello 1, 9 , Richard Kabanda 1 , David K Mutengeki 1 , Tabley Bakyaita 1 , Vivian N Serwanjja 1 , Richard Okwi 1 , Jude Okiria 1 , Emmanuel Ainebyoona 1 , Bernard T Opar 1 , Derrick Mimbe 10 , Denis Kyabaggu 11 , Chrisostom Ayebazibwe 12 , Juliet Sentumbwe 12 , Moses Mwanja 12 , Deo B Ndumu 12 , Josephine Bwogi 13 , Stephen Balinandi 13 , Luke Nyakarahuka 13 , Alex Tumusiime 13 , Jackson Kyondo 13 , Sophia Mulei 13 , Julius Lutwama 13 , Pontiano Kaleebu 13 , Atek Kagirita 14 , Susan Nabadda 14 , Peter Oumo 15 , Robinah Lukwago 16 , Julius Kasozi 17 , Oleh Masylukov 18 , Henry Bosa Kyobe 19 , Viorica Berdaga 20 , Miriam Lwanga 20 , Joe C Opio 20 , David Matseketse 20 , James Eyul 21 , Martin O Oteba 9 , Hasifa Bukirwa 8 , Nulu Bulya 8 , Ben Masiira 8 , Christine Kihembo 8 , Chima Ohuabunwo 8 , Simon N Antara 8 , Wilberforce Owembabazi 22 , Paul B Okot 23 , Josephine Okwera 23 , Isabelle Amoros 24 , Victoria Kajja 25 , Basnet S Mukunda 25 , Isabel Sorela 25 , Gregory Adams 22 , Trevor Shoemaker 26 , John D Klena 26 , Celine H Taboy 26 , Sarah E Ward 27 , Rebecca D Merrill 27 , Rosalind J Carter 28 , Julie R Harris 29 , Flora Banage 29 , Thomas Nsibambi 29 , Joseph Ojwang 29 , Juliet N Kasule 29 , Dan F Stowell 29 , Vance R Brown 29 , Bao-Ping Zhu 29 , Jaco Homsy 29 , Lisa J Nelson 29 , Patrick K Tusiime 1 , Charles Olaro 1 , Henry G Mwebesa 1 , Yonas Tegegn Woldemariam 4
Affiliation  

BACKGROUND Since the declaration of the 10th Ebola Virus Disease (EVD) outbreak in DRC on 1st Aug 2018, several neighboring countries have been developing and implementing preparedness efforts to prevent EVD cross-border transmission to enable timely detection, investigation, and response in the event of a confirmed EVD outbreak in the country. We describe Uganda's experience in EVD preparedness. RESULTS On 4 August 2018, the Uganda Ministry of Health (MoH) activated the Public Health Emergency Operations Centre (PHEOC) and the National Task Force (NTF) for public health emergencies to plan, guide, and coordinate EVD preparedness in the country. The NTF selected an Incident Management Team (IMT), constituting a National Rapid Response Team (NRRT) that supported activation of the District Task Forces (DTFs) and District Rapid Response Teams (DRRTs) that jointly assessed levels of preparedness in 30 designated high-risk districts representing category 1 (20 districts) and category 2 (10 districts). The MoH, with technical guidance from the World Health Organisation (WHO), led EVD preparedness activities and worked together with other ministries and partner organisations to enhance community-based surveillance systems, develop and disseminate risk communication messages, engage communities, reinforce EVD screening and infection prevention measures at Points of Entry (PoEs) and in high-risk health facilities, construct and equip EVD isolation and treatment units, and establish coordination and procurement mechanisms. CONCLUSION As of 31 May 2019, there was no confirmed case of EVD as Uganda has continued to make significant and verifiable progress in EVD preparedness. There is a need to sustain these efforts, not only in EVD preparedness but also across the entire spectrum of a multi-hazard framework. These efforts strengthen country capacity and compel the country to avail resources for preparedness and management of incidents at the source while effectively cutting costs of using a "fire-fighting" approach during public health emergencies.

中文翻译:

乌干达 2018-2019 年埃博拉病毒病疫情防备经验。

背景 自 2018 年 8 月 1 日刚果民主共和国宣布第十次埃博拉病毒病(EVD)爆发以来,几个邻国一直在制定和实施预防埃博拉病毒病跨境传播的准备工作,以便在事件发生时能够及时发现、调查和应对该国已确诊埃博拉病毒病疫情。我们介绍了乌干达在埃博拉病毒病防范方面的经验。结果 2018 年 8 月 4 日,乌干达卫生部 (MoH) 启动了公共卫生紧急行动中心 (PHEOC) 和国家突发公共卫生事件工作组 (NTF),以规划、指导和协调该国的埃博拉病毒病防范工作。NTF 选择了一个事件管理小组 (IMT),该小组组成了国家快速响应小组 (NRRT),支持启动地区工作队 (DTF) 和地区快速响应小组 (DRRT),共同评估 30 个指定的高级别地区的准备水平。风险地区分为第一类(20 个地区)和第二类(10 个地区)。卫生部在世界卫生组织(WHO)的技术指导下,领导了埃博拉病毒病防范活动,并与其他部委和伙伴组织合作,加强基于社区的监测系统、制定和传播风险沟通信息、吸引社区参与、加强埃博拉病毒病筛查和加强入境口岸和高风险卫生设施的感染预防措施,建设和装备埃博拉病毒病隔离和治疗单位,并建立协调和采购机制。结论 截至 2019 年 5 月 31 日,乌干达在埃博拉病毒病防范方面继续取得重大且可验证的进展,因此没有确诊埃博拉病毒病病例。需要持续这些努力,不仅是在埃博拉病毒病防范方面,而且是在整个多灾种框架范围内。这些努力增强了国家能力,迫使国家利用资源从源头做好事件准备和管理,同时有效削减在突发公共卫生事件期间使用“救火”方法的成本。
更新日期:2020-04-22
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