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Abstract

During the current outbreak of Ebola virus disease (EVD) in West Africa, preventing exportation of the disease posed many challenges for economically more developed countries. In Israel, although the risk of importing single cases was assumed to be low, the implications of local transmission were great. This article describes the EVD preparedness plan of the Israeli Ministry of Health. Key elements were a sensitive case definition, designation of a single treatment centre for suspected and confirmed cases, construction of a mobile unit using customised negative-pressure tents and a vigorous national training programme. There were no patients with EVD in Israel, but a few suspected cases were assessed. The Israeli plan may provide a template for emergency infectious disease response in other geographically small countries.

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/content/10.2807/1560-7917.ES.2015.20.44.30054
2015-11-05
2017-10-20
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2015.20.44.30054
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References

  1. World Health Organization (WHO). Ebola situation report, 21 October 2015. Geneva, WHO; 2015. p. 1-16. Available from: http://apps.who.int/ebola/current-situation/ebola-situation-report-21-october-2015
  2. European Centre for Disease Prevention and Control (ECDC). Medical evacuations. Stockholm: ECDC. [Accessed: 11 Oct 2015]. Available from: http://ecdc.europa.eu/en/healthtopics/ebola_marburg_fevers/Pages/medical-evacuations.aspx
  3. European Centre for Disease Prevention and Control (ECDC). Italy confirms case of Ebola Virus Disease (EVD) in healthcare worker. Stockholm: ECDC; 2015. Available from: http://ecdc.europa.eu/en/press/news/_layouts/forms/News_DispForm.aspx?ID=1219&List=8db7286c-fe2d-476c-9133-18ff4cb1b568&Source=http://ecdc.europa.eu/en/Pages/home.aspx
  4. Chevalier MS, Chung W, Smith J, Weil LM, Hughes SM, Joyner SN, et al. Ebola virus disease cluster in the United States--Dallas County, Texas, 2014. MMWR Morb Mortal Wkly Rep. 2014;63(46):1087-8. PMID: 25412069 
  5. Yacisin K, Balter S, Fine A, Weiss D, Ackelsberg J, Prezant D, et al. Ebola virus disease in a humanitarian aid worker - New York City, October 2014. MMWR Morb Mortal Wkly Rep. 2015;64(12):321-3. PMID: 25837242 
  6. Kraft CS, Hewlett AL, Koepsell S, Winkler AM, Kratochvil CJ, Larson L, et al. The Use of TKM-100802 and Convalescent Plasma in 2 Patients With Ebola Virus Disease in the United States. Clin Infect Dis. 2015;61(4):496-502.  https://doi.org/10.1093/cid/civ334  PMID: 25904375 
  7. Lyon GM, Mehta AK, Varkey JB, Brantly K, Plyler L, McElroy AK, et al. . Clinical care of two patients with Ebola virus disease in the United States. N Engl J Med. 2014;371(25):2402-9.  https://doi.org/10.1056/NEJMoa1409838  PMID: 25390460 
  8. McCarthy M. Surgeon from Sierra Leone treated for Ebola in Nebraska dies. BMJ. 2014;349(nov18 4):g6942.  https://doi.org/10.1136/bmj.g6942  PMID: 25406131 
  9. Lópaz MA, Amela C, Ordobas M, Dominguez-Berjon MF, Álvarez C, Martínez M, et al. . First secondary case of Ebola outside Africa: epidemiological characteristics and contact monitoring, Spain, September to November 2014. Euro Surveill. 2015;20(1):21003.  https://doi.org/10.2807/1560-7917.ES2015.20.1.21003  PMID: 25613651 
  10. Bogoch II, Creatore MI, Cetron MS, Brownstein JS, Pesik N, Miniota J, et al. Assessment of the potential for international dissemination of Ebola virus via commercial air travel during the 2014 west African outbreak. Lancet. 2015;385(9962):29-35.  https://doi.org/10.1016/S0140-6736(14)61828-6  PMID: 25458732 
  11. WHO Ebola Response Team. Ebola virus disease in West Africa--the first 9 months of the epidemic and forward projections. N Engl J Med. 2014;371(16):1481-95.  https://doi.org/10.1056/NEJMoa1411100  PMID: 25244186 
  12. Centers for Disease Control and Prevention (CDC). Case definition for Ebola virus disease (EVD). Atlanta: CDC. [Accessed: 12 Jun 2015]. Available from: http://www.cdc.gov/vhf/ebola/hcp/case-definition.html
  13. European Centre for Disease Prevention and Control (ECDC). Ebola virus disease case definition for reporting in EU. Stockholm: ECDC. [Accessed:12 Jun 2015]. Available from: http://ecdc.europa.eu/en/healthtopics/ebola_marburg_fevers/EVDcasedefinition/Pages/default.aspx
  14. Public Health Services. Ebola Virus Disease Outbreak, updated instructions, December 2014. Jerusalem: Israel Ministry of Health; 2014. Available from: http://www.health.gov.il/hozer/bz25_2014.pdf. Hebrew.
  15. World Health Organization (WHO). Interim infection prevention and control guidance for care of patients with suspected or confirmed filovirus haemorrhagic fever in health-care settings, with focus on Ebola. Geneva: WHO. 2014. Available from: http://www.who.int/csr/resources/publications/ebola/filovirus_infection_control/en/
  16. Centers for Disease Control and Prevention (CDC). Infection prevention and control recommendations for hospitalized patients under investigation (PUIs) for Ebola virus disease (EVD) in U.S. hospitals. Atlanta: CDC. [Accessed: 25May 2015]. Available from: http://www.cdc.gov/vhf/ebola/healthcare-us/hospitals/infection-control.html
  17. MacIntyre CR, Chughtai AA, Seale H, Richards GA, Davidson PM. Respiratory protection for healthcare workers treating Ebola virus disease (EVD): are facemasks sufficient to meet occupational health and safety obligations? Int J Nurs Stud. 2014;51(11):1421-6.  https://doi.org/10.1016/j.ijnurstu.2014.09.002  PMID: 25218265 
  18. Centers for Disease Control and Prevention (CDC). Guidance on personal p;rotective equipment to be used by healthcare workers during management of patients with Ebola virus disease in us hospitals, including procedures for putting on (donning) and removing (doffing). Atlanta: CDC. [Accessed: 12 Jun 2015]. Available from: http://www.cdc.gov/vhf/ebola/hcp/procedures-for-ppe.html
  19. Weingartl HM, Embury-Hyatt C, Nfon C, Leung A, Smith G, Kobinger G. Transmission of Ebola virus from pigs to non-human primates. Sci Rep. 2012;2:811.  https://doi.org/10.1038/srep00811  PMID: 23155478 
  20. Jaax N, Jahrling P, Geisbert T, Geisbert J, Steele K, McKee K, et al. Transmission of Ebola virus (Zaire strain) to uninfected control monkeys in a biocontainment laboratory. Lancet. 1995;346(8991-8992):1669-71.  https://doi.org/10.1016/S0140-6736(95)92841-3  PMID: 8551825 
  21. Piercy TJ, Smither SJ, Steward JA, Eastaugh L, Lever MS. The survival of filoviruses in liquids, on solid substrates and in a dynamic aerosol. J Appl Microbiol. 2010;109(5):1531-9. PMID: 20553340 
  22. Johnson E, Jaax N, White J, Jahrling P. Lethal experimental infections of rhesus monkeys by aerosolized Ebola virus. Int J Exp Pathol. 1995;76(4):227-36. PMID: 7547435 
  23. Borio L, Inglesby T, Peters CJ, Schmaljohn AL, Hughes JM, Jahrling PB, et al. Hemorrhagic fever viruses as biological weapons: medical and public health management. JAMA. 2002;287(18):2391-405.  https://doi.org/10.1001/jama.287.18.2391  PMID: 11988060 
  24. Gesser-Edelsburg A, Shir-Raz Y, Hayek S, Sassoni-Bar Lev O. What does the public know about Ebola? The public’s risk perceptions regarding the current Ebola outbreak in an as-yet unaffected country. Am J Infect Control. 2015;43(7):669-75.  https://doi.org/10.1016/j.ajic.2015.03.005  PMID: 25920703 
  25. Steinbuch Y, Fredericks B. Texas Ebola hospital worker is now in quarantine on cruise ship. New York Post. New York, NY; 2014
  26. Centers for Disease Control and Prevention (CDC). Interim U.S. Guidance for Monitoring and Movement of Persons with Potential Ebola Virus Exposure. Atlanta: CDC. [Accessed: 3 Nov 2015]. Available from: http://www.cdc.gov/vhf/ebola/pdf/monitoring-and-movement.pdf
  27. Centers for Disease Control and Prevention (CDC). Current Ebola treatment centers. Atlanta: CDC. [Accessed: 20 May 2015]. Available from: http://www.cdc.gov/vhf/ebola/healthcare-us/preparing/current-treatment-centers.html
  28. UK Secretary of State for Health. Ebola epidemic in West Africa. London: UK Government Department of Health; 2014. Available from: https://www.gov.uk/government/speeches/ebola-epidemic-in-west-africa
  29. de Jong MD, Reusken C, Horby P, Koopmans M, Bonten M, Chiche J, et al. Preparedness for admission of patients with suspected Ebola virus disease in European hospitals: a survey, August-September 2014. Euro Surveill. 2014;19(48):20980.  https://doi.org/10.2807/1560-7917.ES2014.19.48.20980  PMID: 25496571 
  30. Bannister B, Puro V, Fusco FM, Heptonstall J, Ippolito GEUNID Working Group. Framework for the design and operation of high-level isolation units: consensus of the European Network of Infectious Diseases. Lancet Infect Dis. 2009;9(1):45-56.  https://doi.org/10.1016/S1473-3099(08)70304-9  PMID: 19095195 
  31. Ippolito G, Brouqui P, Lauria FN, Fusco FM. Letter to the editor: Management of patients with Ebola virus disease in Europe: High level isolation units have a key role. Euro Surveill. 2014;19(50):18-9.
  32. Brouqui P, Puro V, Fusco FM, Bannister B, Schilling S, Follin P, et al. Infection control in the management of highly pathogenic infectious diseases: consensus of the European Network of Infectious Disease. Lancet Infect Dis. 2009;9(5):301-11.  https://doi.org/10.1016/S1473-3099(09)70070-2  PMID: 19393960 
  33. Schilling S, Fusco FM, De Iaco G, Bannister B, Maltezou HC, Carson G, et al. Isolation facilities for highly infectious diseases in Europe--a cross-sectional analysis in 16 countries. PLoS ONE. 2014;9(10):e100401.  https://doi.org/10.1371/journal.pone.0100401  PMID: 25350843 
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