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ACENG JANERUTH, BOSA HENRYKYOBE, KAMARA NEEMA, ATWINE DIANA, MWEBESA HENRY, NYIKA HOWARD, MAUREEN KATUSIIME, OLARO CHARLES, KAGIRITA ATEK, LARMODE MOHAMMED, RIEK LULPOUT, TEMFACK ELVIS, SALYER STEPHANIE, ALIDDEKI DATIVA, MACHINGAIDZE SHINGAI, MAZUGUNI FESTO, KIRENGA BRUCE, MUTTAMBA WINTERS, WAYENGERA MISAKI, BBUYE MUDASHIR, KASAMBULA ARTHUR, EURIEN DANIEL, GRACE AKELLO, AMPAIRE INGRID, HERBERT ISABIRYE, TUT MATHEW, BANGURE DONEWELL, MANKOULA WESSAM, SONKO IBRAHIMA, KOKOU ALINONNOUWAME, MAGODI SIMON, MHIRAF ADDIS, BULWADDA DANIEL, KYABAYINZE DANIEL, KABAMI ZAINAH, MURUTA ALLAN, BAHATUNGIRE RONY, GEORGE UPENTHO, NABADDA SUSAN, BIRUNGI GLORIA, RICHARD KABANDA, ARAGAW MERAWI, OUMA AHMEDOGWELL. Continental concerted efforts to control the seventh outbreak of Ebola Virus disease in Uganda: The first 90 days of the response. J Public Health Afr 2023; 14:2735. [PMID: 37881727 PMCID: PMC10594597 DOI: 10.4081/jphia.2023.2735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2023] Open
Abstract
On 20th September 2022, Uganda declared the 7th outbreak of Ebola virus disease (EVD) caused by the Sudan Ebola strain following the confirmation of a case admitted at Mubende Regional Referral Hospital. Upon confirmation, the Government of Uganda immediately activated the national incident management system to initiate response activities. Additionally, a multi-country emergency stakeholder meeting was held in Kampala; convening Ministers of Health from neighbouring Member States to undertake cross-border preparedness and response actions. The outbreak spanned 69 days and recorded 164 cases (142 confirmed, 22 probable), 87 recoveries and 77 deaths (case fatality ratio of 47%). Nine out of 136 districts were affected with transmission taking place in 5 districts but spilling over in 4 districts without secondary transmission. As part of the response, the Government galvanised robust community mobilisation and initiated assessment of medical counter measures including therapeutics, new diagnostics and vaccines. This paper highlights the response actions that contributed to the containment of this outbreak in addition to the challenges faced with a special focus on key recommendations for better control of future outbreaks.
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Affiliation(s)
| | | | - NEEMA KAMARA
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
| | | | | | - HOWARD NYIKA
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
| | | | | | | | - MOHAMMED LARMODE
- Makerere University Institute of Infectious Diseases, Kampala, Uganda
| | - LUL POUT RIEK
- Africa Centres for Disease Control and Prevention, Nairobi, Kenya
| | - ELVIS TEMFACK
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
| | - STEPHANIE SALYER
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
| | - DATIVA ALIDDEKI
- Africa Centres for Disease Control and Prevention, Nairobi, Kenya
| | | | - FESTO MAZUGUNI
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
| | | | | | | | | | | | | | | | | | | | - MATHEW TUT
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
| | - DONEWELL BANGURE
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
| | - WESSAM MANKOULA
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
| | - IBRAHIMA SONKO
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
| | | | - SIMON MAGODI
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
| | - ADDIS MHIRAF
- Africa Centres for Disease Control and Prevention, Nairobi, Kenya
| | - DANIEL BULWADDA
- Makerere University Institute of Infectious Diseases, Kampala, Uganda
| | | | | | | | | | | | | | | | | | - MERAWI ARAGAW
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
| | - AHMED OGWELL OUMA
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
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Misconceptions and Rumors about Ebola Virus Disease in Sub-Saharan Africa: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19084714. [PMID: 35457585 PMCID: PMC9027331 DOI: 10.3390/ijerph19084714] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Revised: 04/10/2022] [Accepted: 04/11/2022] [Indexed: 02/01/2023]
Abstract
We sought to summarize knowledge, misconceptions, beliefs, and practices about Ebola that might impede the control of Ebola outbreaks in Africa. We searched Medline, EMBASE, CINAHL, and Google Scholar (through May 2019) for publications reporting on knowledge, attitudes, and practices (KAP) related to Ebola in Africa. In total, 14 of 433 articles were included. Knowledge was evaluated in all 14 articles, and they all highlighted that there are misconceptions and risk behaviors during an Ebola outbreak. Some communities believed that Ebola spreads through the air, mosquito bites, malice from foreign doctors, witchcraft, and houseflies. Because patients believe that Ebola was caused by witchcraft, they sought help from traditional healers. Some people believed that Ebola could be prevented by bathing with salt or hot water. Burial practices where people touch Ebola-infected corpses were common, especially among Muslims. Discriminatory attitudes towards Ebola survivors or their families were also prevalent. Some Ebola survivors were not accepted back in their communities; the possibility of being ostracized from their neighborhoods was high and Ebola survivors had to lead a difficult social life. Most communities affected by Ebola need more comprehensive knowledge on Ebola. Efforts are needed to address misconceptions and risk behaviors surrounding Ebola for future outbreak preparedness in Africa.
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Kwarteng A, Sylverken A, Antwi-Berko D, Ahuno ST, Asiedu SO. Prospects of Immunology Education and Research in Developing Countries. Front Public Health 2021; 9:652439. [PMID: 34169055 PMCID: PMC8217613 DOI: 10.3389/fpubh.2021.652439] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Accepted: 05/10/2021] [Indexed: 11/25/2022] Open
Abstract
The burden of infectious disease in developing countries is substantially higher than in developed nations. Reasons include poor health care infrastructure and deficiencies in public understanding of infectious disease mechanisms and disease prevention. While immunology education and research have an enviable role in understanding host-pathogen interactions, training programs in immunology remain fully integrated into the curricula of higher institutions, and by extension, to high schools of developing nations. Therefore, we discussed the need to make major investments in immunology research and research training into all natural sciences teaching curricula, particularly in developing countries.
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Affiliation(s)
- Alexander Kwarteng
- Department of Biochemistry and Biotechnology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.,Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Augustina Sylverken
- Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.,Department of Theoretical and Applied Biology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Daniel Antwi-Berko
- Department of Basic and Applied Biology, University of Energy and Natural Resources (UENR), Sunyani, Ghana
| | - Samuel Terkper Ahuno
- Department of Biochemistry and Biotechnology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.,Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Samuel Opoku Asiedu
- Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
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Xu S, Jiao C, Jin H, Li W, Li E, Cao Z, Shi Z, Yan F, Zhang S, He H, Chi H, Feng N, Zhao Y, Gao Y, Yang S, Wang J, Wang H, Xia X. A Novel Bacterium-Like Particle-Based Vaccine Displaying the SUDV Glycoprotein Induces Potent Humoral and Cellular Immune Responses in Mice. Viruses 2019; 11:v11121149. [PMID: 31835785 PMCID: PMC6950126 DOI: 10.3390/v11121149] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2019] [Revised: 12/01/2019] [Accepted: 12/07/2019] [Indexed: 01/24/2023] Open
Abstract
Sudan virus (SUDV) causes severe lethal hemorrhagic fever in humans and nonhuman primates. The most effective and economical way to protect against Sudan ebolavirus disease is prophylactic vaccination. However, there are no licensed vaccines to prevent SUDV infections. In this study, a bacterium-like particle (BLP)-based vaccine displaying the extracellular domain of the SUDV glycoprotein (eGP) was developed based on a gram-positive enhancer matrix-protein anchor (GEM-PA) surface display system. Expression of the recombinant GEM-displayed eGP (eGP-PA-GEM) was verified by Western blotting and immunofluorescence assays. The SUDV BLPs (SBLPs), which were mixed with Montanide ISA 201VG plus Poly (I:C) combined adjuvant, could induce high SUDV GP-specific IgG titers of up to 1:40,960 and robust virus-neutralizing antibody titers reached 1:460. The SBLP also elicited T-helper 1 (Th1) and T-helper 2 (Th2) cell-mediated immunity. These data indicate that the SBLP subunit vaccine has the potential to be developed into a promising candidate vaccine against SUDV infections.
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Affiliation(s)
- Shengnan Xu
- College of Animal Science and Technology, Jilin Agricultural University, Changchun 130118, China; (S.X.); (Z.S.)
- Key Laboratory of Jilin Province for Zoonosis Prevention and Control, Military Veterinary Research Institute, Academy of Military Medical Sciences, Changchun 130122, China; (C.J.); (H.J.); (W.L.); (E.L.); (Z.C.); (F.Y.); (S.Z.); (H.C.); (N.F.); (Y.Z.); (Y.G.); (S.Y.); (H.W.)
| | - Cuicui Jiao
- Key Laboratory of Jilin Province for Zoonosis Prevention and Control, Military Veterinary Research Institute, Academy of Military Medical Sciences, Changchun 130122, China; (C.J.); (H.J.); (W.L.); (E.L.); (Z.C.); (F.Y.); (S.Z.); (H.C.); (N.F.); (Y.Z.); (Y.G.); (S.Y.); (H.W.)
| | - Hongli Jin
- Key Laboratory of Jilin Province for Zoonosis Prevention and Control, Military Veterinary Research Institute, Academy of Military Medical Sciences, Changchun 130122, China; (C.J.); (H.J.); (W.L.); (E.L.); (Z.C.); (F.Y.); (S.Z.); (H.C.); (N.F.); (Y.Z.); (Y.G.); (S.Y.); (H.W.)
- Key Laboratory of Zoonosis Research, Ministry of Education, College of Veterinary Medicine, Jilin University, Changchun 130062, China
| | - Wujian Li
- Key Laboratory of Jilin Province for Zoonosis Prevention and Control, Military Veterinary Research Institute, Academy of Military Medical Sciences, Changchun 130122, China; (C.J.); (H.J.); (W.L.); (E.L.); (Z.C.); (F.Y.); (S.Z.); (H.C.); (N.F.); (Y.Z.); (Y.G.); (S.Y.); (H.W.)
- Key Laboratory of Zoonosis Research, Ministry of Education, College of Veterinary Medicine, Jilin University, Changchun 130062, China
| | - Entao Li
- Key Laboratory of Jilin Province for Zoonosis Prevention and Control, Military Veterinary Research Institute, Academy of Military Medical Sciences, Changchun 130122, China; (C.J.); (H.J.); (W.L.); (E.L.); (Z.C.); (F.Y.); (S.Z.); (H.C.); (N.F.); (Y.Z.); (Y.G.); (S.Y.); (H.W.)
- College of Veterinary Medicine, South China Agricultural University, Guangzhou 510642, China
| | - Zengguo Cao
- Key Laboratory of Jilin Province for Zoonosis Prevention and Control, Military Veterinary Research Institute, Academy of Military Medical Sciences, Changchun 130122, China; (C.J.); (H.J.); (W.L.); (E.L.); (Z.C.); (F.Y.); (S.Z.); (H.C.); (N.F.); (Y.Z.); (Y.G.); (S.Y.); (H.W.)
- Key Laboratory of Zoonosis Research, Ministry of Education, College of Veterinary Medicine, Jilin University, Changchun 130062, China
| | - Zhikang Shi
- College of Animal Science and Technology, Jilin Agricultural University, Changchun 130118, China; (S.X.); (Z.S.)
- Key Laboratory of Jilin Province for Zoonosis Prevention and Control, Military Veterinary Research Institute, Academy of Military Medical Sciences, Changchun 130122, China; (C.J.); (H.J.); (W.L.); (E.L.); (Z.C.); (F.Y.); (S.Z.); (H.C.); (N.F.); (Y.Z.); (Y.G.); (S.Y.); (H.W.)
| | - Feihu Yan
- Key Laboratory of Jilin Province for Zoonosis Prevention and Control, Military Veterinary Research Institute, Academy of Military Medical Sciences, Changchun 130122, China; (C.J.); (H.J.); (W.L.); (E.L.); (Z.C.); (F.Y.); (S.Z.); (H.C.); (N.F.); (Y.Z.); (Y.G.); (S.Y.); (H.W.)
| | - Shengnan Zhang
- Key Laboratory of Jilin Province for Zoonosis Prevention and Control, Military Veterinary Research Institute, Academy of Military Medical Sciences, Changchun 130122, China; (C.J.); (H.J.); (W.L.); (E.L.); (Z.C.); (F.Y.); (S.Z.); (H.C.); (N.F.); (Y.Z.); (Y.G.); (S.Y.); (H.W.)
- College of Wildlife and Protected Area, Northeast Forestry University, Harbin 150040, China
| | - Hongbin He
- Key Laboratory of Animal Resistant Biology of Shandong, Ruminant Diseases Research Center, College of Life Sciences, Shandong Normal University, Jinan 250014, China;
| | - Hang Chi
- Key Laboratory of Jilin Province for Zoonosis Prevention and Control, Military Veterinary Research Institute, Academy of Military Medical Sciences, Changchun 130122, China; (C.J.); (H.J.); (W.L.); (E.L.); (Z.C.); (F.Y.); (S.Z.); (H.C.); (N.F.); (Y.Z.); (Y.G.); (S.Y.); (H.W.)
- Jiangsu Co-innovation Center for Prevention and Control of Important Animal Infectious Diseases and Zoonoses, Yangzhou 225000, China
| | - Na Feng
- Key Laboratory of Jilin Province for Zoonosis Prevention and Control, Military Veterinary Research Institute, Academy of Military Medical Sciences, Changchun 130122, China; (C.J.); (H.J.); (W.L.); (E.L.); (Z.C.); (F.Y.); (S.Z.); (H.C.); (N.F.); (Y.Z.); (Y.G.); (S.Y.); (H.W.)
- Jiangsu Co-innovation Center for Prevention and Control of Important Animal Infectious Diseases and Zoonoses, Yangzhou 225000, China
| | - Yongkun Zhao
- Key Laboratory of Jilin Province for Zoonosis Prevention and Control, Military Veterinary Research Institute, Academy of Military Medical Sciences, Changchun 130122, China; (C.J.); (H.J.); (W.L.); (E.L.); (Z.C.); (F.Y.); (S.Z.); (H.C.); (N.F.); (Y.Z.); (Y.G.); (S.Y.); (H.W.)
- Jiangsu Co-innovation Center for Prevention and Control of Important Animal Infectious Diseases and Zoonoses, Yangzhou 225000, China
| | - Yuwei Gao
- Key Laboratory of Jilin Province for Zoonosis Prevention and Control, Military Veterinary Research Institute, Academy of Military Medical Sciences, Changchun 130122, China; (C.J.); (H.J.); (W.L.); (E.L.); (Z.C.); (F.Y.); (S.Z.); (H.C.); (N.F.); (Y.Z.); (Y.G.); (S.Y.); (H.W.)
- Jiangsu Co-innovation Center for Prevention and Control of Important Animal Infectious Diseases and Zoonoses, Yangzhou 225000, China
| | - Songtao Yang
- Key Laboratory of Jilin Province for Zoonosis Prevention and Control, Military Veterinary Research Institute, Academy of Military Medical Sciences, Changchun 130122, China; (C.J.); (H.J.); (W.L.); (E.L.); (Z.C.); (F.Y.); (S.Z.); (H.C.); (N.F.); (Y.Z.); (Y.G.); (S.Y.); (H.W.)
- Jiangsu Co-innovation Center for Prevention and Control of Important Animal Infectious Diseases and Zoonoses, Yangzhou 225000, China
| | - Jianzhong Wang
- College of Animal Science and Technology, Jilin Agricultural University, Changchun 130118, China; (S.X.); (Z.S.)
- Correspondence: (J.W.); (X.X.)
| | - Hualei Wang
- Key Laboratory of Jilin Province for Zoonosis Prevention and Control, Military Veterinary Research Institute, Academy of Military Medical Sciences, Changchun 130122, China; (C.J.); (H.J.); (W.L.); (E.L.); (Z.C.); (F.Y.); (S.Z.); (H.C.); (N.F.); (Y.Z.); (Y.G.); (S.Y.); (H.W.)
- Key Laboratory of Zoonosis Research, Ministry of Education, College of Veterinary Medicine, Jilin University, Changchun 130062, China
- Jiangsu Co-innovation Center for Prevention and Control of Important Animal Infectious Diseases and Zoonoses, Yangzhou 225000, China
| | - Xianzhu Xia
- Key Laboratory of Jilin Province for Zoonosis Prevention and Control, Military Veterinary Research Institute, Academy of Military Medical Sciences, Changchun 130122, China; (C.J.); (H.J.); (W.L.); (E.L.); (Z.C.); (F.Y.); (S.Z.); (H.C.); (N.F.); (Y.Z.); (Y.G.); (S.Y.); (H.W.)
- Jiangsu Co-innovation Center for Prevention and Control of Important Animal Infectious Diseases and Zoonoses, Yangzhou 225000, China
- Correspondence: (J.W.); (X.X.)
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