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Title: Perspectives on West Africa Ebola Virus Disease Outbreak, 2013-2016

The variety of factors that contributed to the initial undetected spread of Ebola virus disease in West Africa during 2013-2016 and the difficulty controlling the outbreak once the etiology was identified highlight priorities for disease prevention, detection, and response. These factors include occurrence in a region recovering from civil instability and lacking experience with Ebola response; inadequate surveillance, recognition of suspected cases, and Ebola diagnosis; mobile populations and extensive urban transmission; and the community's insufficient general understanding about the disease. The magnitude of the outbreak was not attributable to a substantial change of the virus. Finally, continued efforts during the outbreak and in preparation for future outbreak response should involve identifying the reservoir, improving in-country detection and response capacity, conducting survivor studies and supporting survivors, engaging in culturally appropriate public education and risk communication, building productive interagency relationships, and continuing support for basic research.
Authors:
 [1] ;  [1] ;  [1] ;  [1] ;  [1]
  1. Centers for Disease Control and Prevention (CDC), Atlanta, GA (United States)
Publication Date:
OSTI Identifier:
1280922
Type:
Accepted Manuscript
Journal Name:
Emerging Infectious Diseases
Additional Journal Information:
Journal Volume: 22; Journal Issue: 6; Journal ID: ISSN 1080-6040
Publisher:
Centers for Disease Control and Prevention
Research Org:
Oak Ridge Institute for Science and Education (ORISE), Oak Ridge, TN (United States)
Sponsoring Org:
USDOE; Oak Ridge Institute for Science and Education (ORISE), Oak Ridge, TN (United States); National Institutes of Health (NIH)
Country of Publication:
United States
Language:
English
Subject:
60 APPLIED LIFE SCIENCES; 59 BASIC BIOLOGICAL SCIENCES bats rousettus-aegyptiacus; marburg hemorrhagic-fever; fruit bats; transmission; prevalence; reservoirs; evolution; sequences; guinea; uganda