Pillai Satish K, Nyenswah Tolbert, Rouse Edward, Arwady M Allison, Forrester Joseph D, Hunter Jennifer C, Matanock Almea, Ayscue Patrick, Monroe Benjamin, Schafer Ilana J, Poblano Luis, Neatherlin John, Montgomery Joel M, De Cock Kevin M
MMWR Morb Mortal Wkly Rep. 2014 Oct 17;63(41):930-3.
The ongoing Ebola virus disease (Ebola) outbreak in West Africa is the largest and most sustained Ebola epidemic recorded, with 6,574 cases. Among the five affected countries of West Africa (Liberia, Sierra Leone, Guinea, Nigeria, and Senegal), Liberia has had the highest number cases (3,458). This epidemic has severely strained the public health and health care infrastructure of Liberia, has resulted in restrictions in civil liberties, and has disrupted international travel. As part of the initial response, the Liberian Ministry of Health and Social Welfare (MOHSW) developed a national task force and technical expert committee to oversee the management of the Ebola-related activities. During the third week of July 2014, CDC deployed a team of epidemiologists, data management specialists, emergency management specialists, and health communicators to assist MOHSW in its response to the growing Ebola epidemic. One aspect of CDC's response was to work with MOHSW in instituting incident management system (IMS) principles to enhance the organization of the response. This report describes MOHSW's Ebola response structure as of mid-July, the plans made during the initial assessment of the response structure, the implementation of interventions aimed at improving the system, and plans for further development of the response structure for the Ebola epidemic in Liberia.
西非正在爆发的埃博拉病毒病疫情是有记录以来规模最大、持续时间最长的埃博拉疫情,共有6574例病例。在西非五个受影响国家(利比里亚、塞拉利昂、几内亚、尼日利亚和塞内加尔)中,利比里亚的病例数最多(3458例)。这场疫情给利比里亚的公共卫生和医疗基础设施造成了巨大压力,导致公民自由受到限制,并扰乱了国际旅行。作为初期应对措施的一部分,利比里亚卫生和社会福利部组建了一个国家特别工作组和技术专家委员会,以监督与埃博拉相关活动的管理工作。2014年7月的第三周,美国疾病控制与预防中心(CDC)派遣了一组流行病学家、数据管理专家、应急管理专家和健康传播人员,协助利比里亚卫生和社会福利部应对不断蔓延的埃博拉疫情。美国疾病控制与预防中心应对措施的一个方面是与利比里亚卫生和社会福利部合作,采用事件管理系统(IMS)原则来加强应对工作的组织协调。本报告介绍了截至7月中旬利比里亚卫生和社会福利部的埃博拉应对架构、在对应对架构进行初步评估期间制定的计划、为改进该系统而实施的干预措施,以及利比里亚埃博拉疫情应对架构的进一步发展计划。