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The measures include rapidly identifying and isolating patients; tracing all of their human contacts; quarantining many of them; having hospital workers use strict infection control measures like wearing masks, gowns and gloves; and international travel alerts.
Q: Do you think it's still possible to contain the outbreak with the standard procedures isolating patients, tracing contacts, burying the dead safely?
The measures that will contain the virus strictly isolating patients, tracing and monitoring their contacts, and burying the dead quickly and safely are often difficult for the local population to accept.
Isolating patients, tracing their contacts and ensuring adequate treatment are expensive.
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Even where hospitals do remain open, patients may be too frightened of catching Ebola to attend.What is most needed are people and kit to isolate and care for patients, trace their contacts and bury the dead.
The health care infrastructure of the nations most heavily affected by Ebola today – Guinea, Liberia and Sierra Leone – had been weakened by regional conflicts in the 1990s and 2000s, which degraded basic health services and limited their capacity to accommodate Ebola patients, trace their potential contacts, and communicate effectively with stricken areas.
Main outcomes were the proportion of patients traced, the proportion found to be alive and the proportion that had died.
Community-based retention strategies comprising early defaulter tracing might have very low efficiency if more than half the patients traced had already died.
The number of patients traced and their vital status are summarized in Table 2. Nine studies traced all patients LTFU during the study period and six included a subset of patients representing 15% to 53% of all patients LTFU.
We also extracted the definition of LTFU used in the different studies; the total number of patients LTFU and the number of patients traced; the methods used to trace patients (letter, telephone call, and/or home visits); and whether the study involved both patients on ART and not on ART.
In their interviews patients traced their experiences from the onset of symptoms and their attempts to self manage, through to their final decision to attend a general practitioner.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com