OUR COMMUNITY: OUR WORLD: ONE HEALTH. Ebola : Geomedicine Conference
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1 OUR COMMUNITY: OUR WORLD: ONE HEALTH Ebola : Geomedicine Conference
2 Early Geomedicine
3 East Africa, El Nino 1997
4
5 RVF: A One Health Response Ecological prediction models Animal vaccination Human education
6 December 1, 2012
7 Ebola Virus Filovirus: Negative sense, enveloped RNA virus 5 subtypes: Zaire, Sudan, Tai Forest, Bundibugyo, Reston Incubation period: 2-21 days Transmission: NOT AIRBORNE - blood, urine, feces, saliva, semen (up to 90 days) - tears and sweat (possible) - only after symptoms and tracks with viral load - lives only hours on fomites - those at highest risk include o Healthcare workers o Family and friends of patients with Ebola Diagnosis: RT-PCR, Serology
8 Incubation Period
9 Symptoms
10 Transmissability DISEASE AVG. REPRODUCTIVE RATIO AVG. SERIAL INTERVAL AVG. FATALITY RATE Ebola % Smallpox % Measles % SARS % Diphtheria % Whooping cough % Flu % Rubella % Mumps % Chicken pox %
11 Ebola outbreaks Country Town Cases Deaths Species Year DRC Yambuku Zaire ebolavirus 1976 South Sudan Nzara Sudan ebolavirus 1976 DRC Tandala 1 1 Zaire ebolavirus 1977 South Sudan Nzara Sudan ebolavirus 1979 Gabon Mekouka Zaire ebolavirus 1994 Ivory Coast Tai Forest 1 0 Taï Forest ebolavirus 1994 DRC Kikwit Zaire ebolavirus 1995 Gabon Mayibout Zaire ebolavirus 1996 Gabon Booue Zaire ebolavirus 1996 South Africa Johannesburg 2 1 Zaire ebolavirus 1996 Uganda Gulu Zaire ebolavirus 2000 Gabon Libreville Zaire ebolavirus 2001 Republic of Congo Not specified Zaire ebolavirus 2001 Republic of Congo Mbomo Zaire ebolavirus 2002 Republic of Congo Mbomo Zaire ebolavirus 2003 South Sudan Yambio 17 7 Zaire ebolavirus 2004 DRC Luebo Zaire ebolavirus 2007 Uganda Bundibugyo Bundibugyo ebolavirus 2007 DRC Luebo Zaire ebolavirus 2008 Uganda Luwero District 1 1 Sudan ebolavirus 2011 Uganda Kibaale District 11* 4* Sudan ebolavirus 2012 DRC Isiro Health Zone 36* 13* Bundibugyo ebolavirus 2012 Uganda Luwero District 6* 3* Sudan ebolavirus 2012 *Numbers reflect laboratory confirmed cases only.
12 Ecological Drivers Initiators Habitat loss Extended drought Food insecurity Road infrastructure Amplifiers Urbanization Globalization Political instability Limited healthcare infrastructure
13 Ebola Outbreak Update-Oct 2, 2014 Countries with Widespread Transmission Country Total Cases Laboratory-Confirmed Cases Total Deaths Guinea Liberia Sierra Leone Total Countries with Travel-associated Cases Country Total Cases Laboratory-Confirmed Cases Total Deaths Senegal Spain United States Total Countries with Localized Transmission Country Total Cases Laboratory-Confirmed Cases Total Deaths Nigeria Total
14 Ebola Outbreak Update-Oct 2, 2014
15 Disease vs. Infrastructure
16 Genomic analysis supports single introduction Fig. 3 Molecular dating of the 2014 outbreak.(a) BEAST dating of the separation of the 2014 lineage from Middle African lineages (SL = Sierra Leone; GN = Guinea; DRC = Democratic Republic of Congo; tmrca: Sep 2004, 95% HPD: Oct May 2006). S K Gire et al. Science 2014;science Published by AAAS
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18
19 Treatment and Prevention options
20 Opportunities to Prevent, Detect, and Respond to the Emergence and Transmission of Zoonotic Diseases Sustaining Global Surveillance and Response to Emerging Zoonotic Diseases. IOM Forum on Microbial Threats Workshop Summary, 2009
21 Strategic Surveillance: Hot Spots and the Human Animal Interface 1 2 Strategic selection of locations for surveillance Strategic selection of species for surveillance USAID EMERGING PANDEMIC THREATS: PREDICT, RESPOND, IDENTIFY, PREVENT, PREPARE
22 VOA 2014
23 Reservoir: The Bat Connection
24 Geographical Information Systems: Potential Utility Tracking outbreak Targeting interventions Resource allocation Risk assessment
25 GIS support for MSF Ebola Response in Guinea S%20Support%20for%20the%20MSF%20Ebola%20Res ponse%20in%20guinea_case%20study.pdf
26 USAID Broad Agency Announcement for Fighting Ebola: A Grand Challenge for Development OppID=15479
UTSW/BioTel EMS TRAINING BULLETIN October EMS TB Ebola Virus Disease (EVD)
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Media centre Ebola virus disease
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Epidemic Ebola Virus Disease Understanding, demystifying and controlling a frightening disease Republic of Guinea, 2014
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22 September 2014 Ebola Virus Patient Advisory Introduction Ebola virus was first identified in Sudan and Zaire in 1976. It belongs to the family of Filoviridae. It causes Ebola Virus Disease (EVD), formerly
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The presenter has no potential or actual conflicts of interest and no relevant financial relationships to maters regarding or related to Ebola.
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