The Lesson of the Day, Epidemic Management – 09/21/2014

The Ebola crisis worsening in West Africa is a reminder to brush up on the talents and skills of the epidemic management vital process……

One issue comes up when you dig some information on the Ebola epidemic and its spread.

It is how wide in Africa the disease already is endemic and, potentially, will spread.

Despite the extensive WHO plan, the behavioral psychosocial response to the crisis, not just the medical aspects, will be critical in the success of the remedial efforts, as indicated already by the attacks on the Ebola crisis field crews.

It is remarkable to see the evolution in sophistication of the WHO Planning from 1999……..

WHO Guidelines for Epidemic Preparedness and Response to Outbreaks. Geneva, Switzerland, May 1999

Part One: The Organism and the Disease
1.1 The Nature and Magnitude of the Problem
1.2 The Organism
1.3 The Disease (Pathogenesis and Clinical Problems)
1.4 Transmission and Immunity
Part Two: Prevention and Control
2.1 Phases of Control
2.2 Control phase
2.3 Outbreak Prevention Phase
2.4 Elimination Phase
Part Three: Epidemic Control
3.1 Management
3.2 Detection
3.3 Confirmation
3.4 Response

3.4.1 Planning a response

3.4.2 Definition and agreement on response

3.4.3 Management of response

3.4.4 Public information

3.4.5 Predicting further outbreaks

3.4.6 Post-outbreak activities

Annex 1: Case Definitions for the Disease
Annex 2: Case Management, Complications
Annex 3: Vaccine Suppliers (including experimental vaccines)
Annex 4: Strategies for the Prevention of Outbreaks
Annex 5: Elimination Strategies
Annex 6: Surveillance and Outbreak Thresholds
Annex 7A: Suspected Case Investigation Form
Annex 7B: Line Listing Form (suspected cases)
Annex 8: Laboratory Diagnostic Methods
Annex 9: Data Analysis and Epidemiological Calculations
Annex 10: Epidemic Response Teams – roles and responsibilities
Annex 11: Prediction of Severe Disease during Outbreaks
Annex 12: Causes of Outbreaks
Annex 13: Supplementary Immunization Activities
Annex 14: Emergency Situations
Annex 15: Safety of Injections
Annex 16: Reference Addresses and Contacts
Annex 17: References and Further Reading


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