Victory Kerton R, Coronado Fátima, Ifono Sâa O, Soropogui Therese, Dahl Benjamin A
MMWR Morb Mortal Wkly Rep. 2015 Apr 17;64(14):386-8.
On December 18, 2014, the Guinea Ministry of Health was notified by local public health authorities in Kissidougou, a prefecture in southeastern Guinea (pop. 284,000), that the number of cases of Ebola virus disease (Ebola) had increased from one case reported during December 8-14, 2014, to 62 cases reported during December 15-21. Kissidougou is one of the four Guinea prefectures (the others are Macenta, Gueckedou, and Conakry) where Ebola was first reported in West Africa in March 2014, and the mid-December increase was the largest documented by any prefecture in Guinea in a single week since the beginning of the epidemic. The Guinea Ministry of Health requested assistance from CDC and the World Health Organization to investigate the local outbreak, identify and isolate persons with suspected Ebola, assess transmission chains, and implement control measures. The investigation found that 85 confirmed Ebola cases were linked to one traditional funeral ceremony, including 62 (73%) cases reported during December 15-21. No additional cases related to this funeral ceremony were reported after January 10, 2015. After the outbreak was identified, rapid implementation of interventions limited additional Ebola virus transmission. Improved training for prompt reporting of cases, investigation, and contact tracing, and community acceptance of safe burial methods can reduce the risk for Ebola transmission in rural communities.
2014年12月18日，几内亚卫生部接到几内亚东南部基西杜古地区（人口28.4万）当地公共卫生当局通报，埃博拉病毒病（埃博拉）病例数从2014年12月8 - 14日报告的1例增至12月15 - 21日报告的62例。基西杜古是2014年3月在西非首次报告埃博拉疫情的几内亚四个地区之一（其他三个地区是马森塔、盖凯杜和科纳克里），12月中旬病例数的增加是自疫情开始以来几内亚任何一个地区单周内记录到的最大增幅。几内亚卫生部请求美国疾病控制与预防中心（CDC）和世界卫生组织提供援助，以调查当地疫情、识别和隔离疑似埃博拉患者、评估传播链并实施控制措施。调查发现，85例确诊埃博拉病例与一场传统葬礼有关，其中包括12月15 - 21日报告的62例（73%）。2015年1月10日之后未再报告与这场葬礼相关的新增病例。疫情被发现后，迅速实施干预措施限制了埃博拉病毒的进一步传播。加强关于病例及时报告、调查和接触者追踪的培训，以及社区对安全埋葬方法的接受，可降低农村社区埃博拉传播风险。
