Kucharski Adam J, Camacho Anton, Checchi Francesco, Waldman Ron, Grais Rebecca F, Cabrol Jean-Clement, Briand Sylvie, Baguelin Marc, Flasche Stefan, Funk Sebastian, Edmunds W John
Emerg Infect Dis. 2015 Mar;21(3):393-9. doi: 10.3201/eid2103.141892.
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.
在西非的一些地区，埃博拉治疗中心（ETC）已不堪重负。除非迅速扩大收治能力，否则避免埃博拉疫情蔓延的机会将很快减少。世界卫生组织及其合作伙伴正在考虑增加埃博拉患者护理选项，包括社区护理中心（CCC），即人员配备较少的小型机构，可用于在家外隔离患者，并使他们能比其他方式更快地获得治疗。我们使用传播模型评估了在塞拉利昂西部地区引入社区护理中心的益处和风险，该地区的大多数埃博拉治疗中心都已满负荷运转。我们发现，即便社区护理中心的患者与社区之间发生病毒传播，使用社区护理中心仍可能导致病例数下降。然而，为防止社区护理中心引发疫情扩散，必须通过减少因使用社区护理中心而导致的社区传播，来抵消社区护理中心内埃博拉病毒阴性者接触病毒的风险。
