quaint consultants
(EVD)
By
Dr Lekan Adelakun
Impact Healthserve Ltd
Quaint Consultants
(Advocacy For Health And Safety Programmes)
Tel: 08033444024, 08058095885
quaint consultants
Ebola Virus Disease (EVD)
EBOLA – THE DEADLIEST
VHF KNOCKING ON THE
DOOR
By
Dr Lekan Adelakun
Impact Healthserve Ltd
Quaint Coinsultants
(Advocacy For Health & Safety Programmes)
Tel: 08033444024, 08058095885
quaint consultants
Data: August 6
quaint consultants
Data: August 12
No of infected persons: 1838
No of deaths: 1013
……..WHO
quaint consultants
Data: August 20
No of infected persons: 2614
No of deaths: 1427
……..WHO
quaint consultants
Data: August 29
No of infected persons: 3069
No of deaths: 1572
……..WHO
quaint consultants
Ebola In Nigeria!
Lagos: Quick Response
Contact Tracing Team
Treatment Centre
13 cases, 5 deaths
Lagos: 159 of 331 under surveillance
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Ebola In Nigeria: The PH
twist!
PH: 3 cases, 1 death
200 under surveillance: 60 missing
15 cases in all
6 deaths, 7 discharges
cleared
Ebola Response Update for 16 July 2014
Ebolavirus ecology
10
16 July 2014
quaint consultants
Modes of transmission
Fruit bats
Animals: monkeys, apes, gorillas,forest
antelopes
Human
Human
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Human
Human
 Direct contact: secretions, organs or
body fluids-D/A
 Indirect contact: contaminated
environment, materials, utensils and
medical equipment like needles
Clinical Features
 Fever, sore throat,
cough, hiccups,
chest & abdominal
pain, muscle pains,
headache,
weakness, nausea,
vomiting, rash and
diarrhea
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Multi-organ dysfunction
syndrome (MODS)
 Impairment of functions of liver, kidney,
circulatory, CNS and other organs
• CNS manifestations: severe
headaches,confusion, agitation, seizures,
may go into coma
• Bleeding- internal and externalprognostical
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Differential Diagnosis
Differential Diagnosis: Malaria, typhoid fever,
cholera, meningitis, hepatitis, shigellosis,
plaque and other viral hemorrhagic fevers
Diagnosis: blood test for EBV antibodies,
RNA
Confirmation: Isolating the virus]
quaint consultants
Diagnosis
Blood test for EBV antibodies, RNA
Confirmation: Isolating the virus]
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Who Is At Risk?
 Everyone
 Family members of infected persons
 Medical personnel, Care givers,
Morticians: Victims, Amplifiers
 People working with animals
 People eating bush meat and
Outbreak risk assessment
 Serious public health event that threatens global
public health security
 Controllable --- Evidence-based Ebola interventions
 First large Ebola Virus Disease outbreak in West Africa
 First complex mix transmission pattern
documented
 Rural outbreak
 Urban outbreak
 Cross-border outbreaks
 Unusual number of health care workers among the
cases and deaths (health facilities serving as amplifier
19
of the EVD)
Issues And Challenges
 Denial, fear and panic among population &





health workers
Most confirmed cases and deaths linked to
traditional burial practices and funeral rites
Beliefs/myths, practices and handling of dead
bodies
Rapid spread in densely populated peri- &
urban areas
Weak health system, surveillance and infection
control measures
Inadequate funding
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Management
No known cure or vaccine: symptomatic
and intensive supportive management.
Promising drugs: Anti-viral, fertility & breast
cancer drugs,
Zmapp,
Antibodies
 Drug Zmapp
Prevention:
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a, infected animals
Human
 avoid contact with wild animals
 safe animal husbandry and slaughtering
 testing animals, killing and proper disposal
of infected ones
 knowledge of type of meat
 cooking meat thoroughly before eating
What Works
What Doesn’t!
quaint consultants
Prevention:
b, Human
Human
 It’s in your hands:WASH THOSE
HANDS- frequent washing of hands with
soap and water, alcohol or other hand
sanitizer
 use sodium hypochlorite or other
detergents for contaminated
 Environmental Hygiene
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Prevention:
b, Human
Human
 Avoid touching suspected ill or
suspicious dead person
 Role of Immunity
 Early identification & reporting:
Surveillance, quarantine, isolation of
infected persons
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Prevention:
b, Human
Human
Nos to call:
08023169485 08023213333
08033086660 08055329229
08055281442 08033065303
Help Line:
0800326524357 or 0800EBOLAHELP
quaint consultants
Prevention:
b, Human
Human
Universal precaution:
 wearing protective clothing when around
someone sick with the disease
 handle samples with an extreme degree of
caution
 adequate sterilization of medical
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Prevention:
b, Human
Human
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Prevention:
b, Human
Human
Universal precaution:
 proper disposal of medical waste,
contaminated utensils and materials
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Prevention:
b, Human
Human
Universal precaution:
 environment and materials
 proper disposal of dead victims
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Prevention:
Universal precaution:
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Safe Burial Rites/
Cremation
It’s In Your Hands:
Be Warned!
Be Protected!!!
Be Vigilant!!
Be Safe!!!!
Thank You
For
Your Attention