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Abstract

We describe the inquiries regarding Ebola virus disease (EVD) received by the Department of Public Health Alerts of the Community of Madrid between April and December 2014. A total of 242 inquiries were received. Consultations were initiated most frequently by hospital clinicians (59 inquiries, 24%), private citizens (57 inquiries, 24%) and primary care physicians (53 inquiries, 22%). The most frequent topic of inquiry was possible EVD in a patient (215 inquiries, 89%). Among these, 31 persons (14%) presented both EVD-compatible symptoms and epidemiological risk factors, and 11 persons (5%) fulfilled the criteria for a person under investigation. Recent travel abroad was reported in 96 persons (45%), but only 32 (15%) had travelled to an EVD-affected area. Two high-risk and one low-risk contact were identified through these inquiries. Low specificity of the EVD symptoms led to many difficulties in protocol application. Ineffective communication with healthcare professionals and unfamiliarity with the EVD protocols caused many case classification errors. A rapid consultation service by telephone is essential for providing qualified advice during emergencies. Our experience may help other countries dimension their activities and resources for managing similar exceptional outbreaks in the future.

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/content/10.2807/1560-7917.ES.2015.20.44.30058
2015-11-05
2017-10-20
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2015.20.44.30058
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References

  1. World Health Organization (WHO). Ebola response roadmap - Situation report. Geneva: WHO. [Accessed 8 Jun 2015]. Available from: http://www.who.int/csr/disease/ebola/situation-reports/en/
  2. World Health Organization (WHO). Ebola virus disease, West Africa – update. Geneva: WHO. [Accessed 8 Jun 2015]. Available from: http://www.who.int/csr/don/2014_07_27_ebola/en/
  3. World Health Organization (WHO). Ebola virus disease update - Senegal. Geneva: WHO. [Accessed 8 Jun 2015]. Available from: http://www.who.int/csr/don/2014_08_30_ebola/en/
  4. World Health Organization (WHO). Ebola virus disease – Spain. Geneva: WHO. [Accessed 8 Jun 2015]. Available from: http://www.who.int/csr/don/09-october-2014-ebola/en/
  5. World Health Organization (WHO). Ebola virus disease – United States of America. Geneva: WHO. [Accessed 8 Jun 2015]. Available from: http://www.who.int/csr/don/01-october-2014-ebola/en/
  6. World Health Organization (WHO). Ebola virus disease – Mali. Geneva: WHO. [Accessed 8 Jun 2015]. Available from: http://www.who.int/csr/don/31-october-2014-ebola/en/
  7. World Health Organization (WHO). Ebola virus disease – United Kingdom. Geneva: WHO. [Accessed 8 Jun 2015]. Available from: http://www.who.int/csr/don/30-december-2014-ebola/en/
  8. World Health Organization (WHO). Ebola virus disease - Italy. Geneva: WHO. [Accessed 8 Jun 2015]. Available from: http://www.who.int/csr/don/13-may-2015-ebola/en/
  9. World Health Organization (WHO). Ebola virus disease in Guinea. Geneva: WHO. [Accessed 8 Jun 2015]. Available from: http://www.afro.who.int/en/clusters-a-programmes/dpc/epidemic-a-pandemic-alert-and-response/outbreak-news/4063-ebola-hemorrhagic-fever-in-guinea.html
  10. Información sobre el brote de enfermedad por virus Ébola (EVE). Fecha de información inicial alerta 01.04.2014. [Information about the outbreak of Ebola virus disease. Date of initial alert 1 April 2014]. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad; 2014. [Accessed: 13 Dec 2014]. Spanish. Available from: https://www.msssi.gob.es/profesionales/saludPublica/ccayes/alertasActual/ebola/home.htm
  11. Parra JM, Salmerón OJ, Velasco M. The first case of Ebola virus disease acquired outside Africa. N Engl J Med. 2014;371(25):2439-40.  https://doi.org/10.1056/NEJMc1412662  PMID: 25409262 
  12. Lópaz MA, Amela C, Ordobas M, Domínguez-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 
  13. World Health Organization (WHO). WHO congratulates Spain on ending Ebola transmission. Geneva: WHO. [Accessed 8 Jun 2015]. Available from: http://www.who.int/mediacentre/news/statements/2014/spain-ends-ebola/en/
  14. Protocolo de actuación frente a casos sospechosos de enfermedad por virus Ébola (EVE). [Protocol for management of suspected cases of Ebola virus disease]. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad; 15 Sep 2014. Spanish. Available from: http://www.madrid.org/cs/Satellite?blobcol=urldata&blobheader=application%2Fpdf&blobheadername1=Content-disposition&blobheadername2=cadena&blobheadervalue1=filename%3DProtocolo+de+actuaci%C3%B3n+EVE_15+09+2014+_CM.pdf&blobheadervalue2=language%3Des%26site%3DPortalSalud&blobkey=id&blobtable=MungoBlobs&blobwhere=1352862624042&ssbinary=true
  15. Protocolo de actuación frente a casos sospechosos de enfermedad por virus Ébola (EVE). [Protocol for management of suspected cases of Ebola virus disease]. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad; 26 Nov 2014. Spanish. Available from: https://www.msssi.gob.es/profesionales/saludPublica/ccayes/alertasActual/ebola/docs/5.12.2014_Protocolo-Ebola.pdf
  16. Robinson SJ, Newstetter WC. Uncertain science and certain deadlines: CDC responses to the media during the anthrax attacks of 2001. J Health Commun. 2003;8(Suppl 1);17-34, discussion 148-51.  https://doi.org/10.1080/713851980  PMID: 14692570 
  17. Garrett L. Understanding media’s response to epidemics. Public Health Rep. 2001;116(Suppl 2):87-91.  https://doi.org/10.1016/S0033-3549(04)50149-8  PMID: 11880679 
  18. McCarty CL, Basler C, Karwowski M, Erme M, Nixon G, Kippes C, et al. Response to importation of a case of Ebola virus disease--Ohio, October 2014. MMWR Morb Mortal Wkly Rep. 2014;63(46):1089-91. PMID: 25412070 
  19. 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 
  20. Karwowski MP, Meites E, Fullerton KE, Ströher U, Lowe L, Rayfield M, et al. Clinical inquiries regarding Ebola virus disease received by CDC--United States, July 9-November 15, 2014. MMWR Morb Mortal Wkly Rep. 2014;63(49):1175-9. PMID: 25503923 
  21. Sprenger M, Coulombier D. Preparedness is crucial for safe care of Ebola patients and to prevent onward transmission in Europe - outbreak control measures are needed at its roots in West Africa. Euro Surveill. 2014;19(40):20925.  https://doi.org/10.2807/1560-7917.ES2014.19.40.20925  PMID: 25323074 
  22. Protocol to be followed in medical air evacuation of patients suffering from the Ebola virus. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad; 5 Sep 2014. Available from: https://www.msssi.gob.es/profesionales/saludPublica/ccayes/alertasActual/ebola/docs/Protocolo_aeroevacuacion_05092014_EN.pdf
  23. Boggild AK, Esposito DH, Kozarsky PE, Ansdell V, Beeching NJ, Campion D, et al. Differential diagnosis of illness in travelers arriving from Sierra Leone, Liberia, or Guinea: a cross-sectional study from the GeoSentinel Surveillance Network. Ann Intern Med. 2015;162(11):757-64.  https://doi.org/10.7326/M15-0074  PMID: 25961811 
  24. European Centre for Disease Prevention and Control (ECDC). Ebola case in Spain: ECDC to re-assess transmission risk for Europe. Stockholm: ECDC; 2014. [Accessed 8 Jun 2015]. Available from: http://ecdc.europa.eu/en/press/news/_layouts/forms/News_DispForm.aspx?List=8db7286c-fe2d-476c-9133-18ff4cb1b568&ID=1080
  25. European Centre for Disease Prevention and Control (ECDC). Public health management of persons having had contact with Ebola virus disease cases in the EU. Stockholm: ECDC; 9 Oct 2014. Available from: http://www.ecdc.europa.eu/en/publications/Publications/ebola-public-health-contact-management-update-10-November.pdf
  26. Centers for Disease Control and Prevention (CDC). Infection prevention and control recommendations for hospitalized patients with known or suspected Ebola virus disease in U.S. hospitals. Atlanta: CDC. [Accessed 2014 Dec 14]. Available from: http://www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recommendations.html
  27. Rubin GJ, Amlôt R, Carter H, Large S, Wessely S, Page L. Reassuring and managing patients with concerns about swine flu: qualitative interviews with callers to NHS Direct. BMC Public Health. 2010;10(1):451.  https://doi.org/10.1186/1471-2458-10-451  PMID: 20678192 
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