Evaluation of the Benefits and Risks of Introducing Ebola Community Care Centers, Sierra Leone

In some parts of western Africa, Ebola treatment centers (ETCs) have reached capacity. Unless capacity is rapidly scaled up, the chance to avoid a generalized Ebola epidemic will soon diminish. The World Health Organization and partners are considering additional Ebola patient care options, includin...

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Main Authors: Adam J. Kucharski, Anton Camacho, Francesco Checchi, Ron Waldman, Rebecca F. Grais, Jean-Clement Cabrol, Sylvie Briand, Marc Baguelin, Stefan Flasche, Sebastian Funk, W. John Edmunds
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2015-03-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/21/3/14-1892_article
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author Adam J. Kucharski
Anton Camacho
Francesco Checchi
Ron Waldman
Rebecca F. Grais
Jean-Clement Cabrol
Sylvie Briand
Marc Baguelin
Stefan Flasche
Sebastian Funk
W. John Edmunds
author_facet Adam J. Kucharski
Anton Camacho
Francesco Checchi
Ron Waldman
Rebecca F. Grais
Jean-Clement Cabrol
Sylvie Briand
Marc Baguelin
Stefan Flasche
Sebastian Funk
W. John Edmunds
author_sort Adam J. Kucharski
collection DOAJ
description In some parts of western Africa, Ebola treatment centers (ETCs) have reached capacity. Unless capacity is rapidly scaled up, the chance to avoid a generalized Ebola epidemic will soon diminish. The World Health Organization and partners are considering additional Ebola patient care options, including community care centers (CCCs), small, lightly staffed units that could be used to isolate patients outside the home and get them into care sooner than otherwise possible. Using a transmission model, we evaluated the benefits and risks of introducing CCCs into Sierra Leone’s Western Area, where most ETCs are at capacity. We found that use of CCCs could lead to a decline in cases, even if virus transmission occurs between CCC patients and the community. However, to prevent CCC amplification of the epidemic, the risk of Ebola virus–negative persons being exposed to virus within CCCs would have to be offset by a reduction in community transmission resulting from CCC use.
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spelling doaj.art-f7d6c94ab9de42daa55b76b40c1dfa0e2022-12-22T03:39:45ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592015-03-0121339339910.3201/eid2103.141892Evaluation of the Benefits and Risks of Introducing Ebola Community Care Centers, Sierra LeoneAdam J. KucharskiAnton CamachoFrancesco ChecchiRon WaldmanRebecca F. GraisJean-Clement CabrolSylvie BriandMarc BaguelinStefan FlascheSebastian FunkW. John EdmundsIn some parts of western Africa, Ebola treatment centers (ETCs) have reached capacity. Unless capacity is rapidly scaled up, the chance to avoid a generalized Ebola epidemic will soon diminish. The World Health Organization and partners are considering additional Ebola patient care options, including community care centers (CCCs), small, lightly staffed units that could be used to isolate patients outside the home and get them into care sooner than otherwise possible. Using a transmission model, we evaluated the benefits and risks of introducing CCCs into Sierra Leone’s Western Area, where most ETCs are at capacity. We found that use of CCCs could lead to a decline in cases, even if virus transmission occurs between CCC patients and the community. However, to prevent CCC amplification of the epidemic, the risk of Ebola virus–negative persons being exposed to virus within CCCs would have to be offset by a reduction in community transmission resulting from CCC use.https://wwwnc.cdc.gov/eid/article/21/3/14-1892_articleEbola virusEbola outbreakWestern AreaSierra Leonewestern AfricaEbola community care centers
spellingShingle Adam J. Kucharski
Anton Camacho
Francesco Checchi
Ron Waldman
Rebecca F. Grais
Jean-Clement Cabrol
Sylvie Briand
Marc Baguelin
Stefan Flasche
Sebastian Funk
W. John Edmunds
Evaluation of the Benefits and Risks of Introducing Ebola Community Care Centers, Sierra Leone
Emerging Infectious Diseases
Ebola virus
Ebola outbreak
Western Area
Sierra Leone
western Africa
Ebola community care centers
title Evaluation of the Benefits and Risks of Introducing Ebola Community Care Centers, Sierra Leone
title_full Evaluation of the Benefits and Risks of Introducing Ebola Community Care Centers, Sierra Leone
title_fullStr Evaluation of the Benefits and Risks of Introducing Ebola Community Care Centers, Sierra Leone
title_full_unstemmed Evaluation of the Benefits and Risks of Introducing Ebola Community Care Centers, Sierra Leone
title_short Evaluation of the Benefits and Risks of Introducing Ebola Community Care Centers, Sierra Leone
title_sort evaluation of the benefits and risks of introducing ebola community care centers sierra leone
topic Ebola virus
Ebola outbreak
Western Area
Sierra Leone
western Africa
Ebola community care centers
url https://wwwnc.cdc.gov/eid/article/21/3/14-1892_article
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