Mbonye Anthony K, Wamala Joseph F, Nanyunja Miriam, Opio Alex, Makumbi Issa, Aceng Jane Ruth
Associate Professor, School of Public Health- Makerere University &, Commissioner Health Services, Ministry of Health, Box 7272, Kampala, Uganda.
Senior Epidemiologist, Epidemiology and Surveillance Division, Ministry of Health, Box 7272, Kampala, Uganda.
Afr Health Sci. 2014 Sep;14(3):495-501. doi: 10.4314/ahs.v14i3.1.
There has been a rapid spread of Ebola Viral Hemorrhagic disease in Guinea, Liberia and Sierra Leone since March 2014. Since this is the first time of a major Ebola outbreak in West Africa; it is possible there is lack of understanding of the epidemic in the communities, lack of experience among the health workers to manage the cases and limited capacities for rapid response. The main objective of this article is to share Uganda's experience in controlling similar Ebola outbreaks and to suggest some lessons that could inform the control of the Ebola outbreak in West Africa.
The article is based on published papers, reports of previous Ebola outbreaks, response plans and experiences of individuals who have participated in the control of Ebola epidemics in Uganda. Lessons learnt: The success in the control of Ebola epidemics in Uganda has been due to high political support, effective coordination through national and district task forces. In addition there has been active surveillance, strong community mobilization using village health teams and other community resources persons, an efficient laboratory system that has capacity to provide timely results. These have coupled with effective case management and infection control and the involvement of development partners who commit resources with shared responsibility.
Several factors have contributed to the successful quick containment of Ebola outbreaks in Uganda. West African countries experiencing Ebola outbreaks could draw some lessons from the Uganda experience and adapt them to contain the Ebola epidemic.
自2014年3月以来，埃博拉病毒出血热在几内亚、利比里亚和塞拉利昂迅速蔓延。由于这是西非首次发生重大埃博拉疫情，社区可能对该流行病缺乏了解，卫生工作者缺乏管理病例的经验，快速反应能力也有限。本文的主要目的是分享乌干达在控制类似埃博拉疫情方面的经验，并提出一些可指导西非埃博拉疫情控制工作的经验教训。
本文基于已发表的论文、以往埃博拉疫情的报告、应对计划以及参与乌干达埃博拉疫情控制工作的个人经验。经验教训：乌干达在控制埃博拉疫情方面取得成功的原因包括高层的政治支持、通过国家和地区特别工作组进行的有效协调。此外，还有积极的监测、利用乡村卫生团队和其他社区资源人员进行的有力社区动员、一个有能力及时提供检测结果的高效实验室系统。这些因素再加上有效的病例管理和感染控制，以及发展伙伴的参与，他们投入资源并分担责任。
有几个因素促成了乌干达成功迅速控制埃博拉疫情。经历埃博拉疫情的西非国家可以从乌干达的经验中吸取一些教训，并加以调整以控制埃博拉疫情。
