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Filovirus outbreak detection and surveillance: lessons from Bundibugyo
Adam MacNeil1, Eileen C Farnon, Oliver W Morgan
1Viral Special Pathogens Branch, The Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. aho3@cdc.gov
The Journal of Infectious Diseases
|October 12, 2011
Summary
The 2007 Bundibugyo ebolavirus outbreak in Uganda highlighted critical delays in diagnosis and response. Improved surveillance and diagnostics are essential for controlling Ebola hemorrhagic fever in Africa.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Background:
- The first recorded outbreak of Ebola hemorrhagic fever (EHF) caused by Bundibugyo ebolavirus occurred in Uganda in 2007.
- This outbreak involved a significant number of cases, necessitating a detailed response and assessment.
Purpose of the Study:
- To analyze the initial outbreak of Bundibugyo ebolavirus in Uganda.
- To identify challenges and areas for improvement in responding to filovirus outbreaks in Africa.
Main Methods:
- Case identification and classification (suspect, probable, confirmed) during the outbreak.
- Assessment of the temporal lag between initial cases and outbreak response initiation.
Main Results:
- A total of 131 EHF cases were identified, including 56 confirmed cases.
- A significant delay of approximately 3 months was observed between the first cases and the initiation of an official outbreak response.
- This delay facilitated prolonged person-to-person transmission of the Bundibugyo ebolavirus.
Conclusions:
- Effective filovirus outbreak control measures like isolation and contact tracing are known but require timely implementation.
- The Bundibugyo EHF outbreak underscores the urgent need for enhanced filovirus surveillance, reporting systems, and diagnostic capabilities in endemic African regions.
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