Ayede Al, Osinusi K, Falade A G
Afr J Med Med Sci. 2016 Jun;45(2):119-134.
The first Ebola virus disease (EVD) epidemic in West Africa is unprecedented in its spread, complexity and severity. Comparing responses to spread of the virus in the three most affected countries - Guinea, Sierra Leone and Liberia- with that in Nigeria, Senegal and Mali where the epidemic was quickly brought under control may guide future mitigation efforts.
Literature from Pubmed. Google,Center for Disease Control and Prevention (CDC), Morbidity and Mortality Weekly Report (MMWR), World Health Organization's Updates and Ebola Response Reports: Results: The epidemic spread undiagnosed for three months from Meliandou in Guinea to its four rural prefectures and its. capital Conakry, two countires in Liberia and two districts in Sierra Leone. Control measures were hampered by traditional and faith healers offering -inappropriate treatments, as well as secret societies encouraging unsafe burial rituals. Whereas, in Nigeria, a case imported from Liberia on 20 July 2014 was diagnosed on the 3rd day; all primary, secondary and tertiary contacts were traced. Also, at a formal meeting, officials of Lagos state government discouraged treatment of EVD by faith healers. In Senegal, a single case imported from Guinea on 20 August 2014 was diagnosed on the 9th day, treated and further spread was prevented. In Mali, there were two waves of transmissions identified on 23 October and 12 November 2014 within 15 days of importation and the epidemic was controlled.There were no cases of EVD treated by any traditional healers or faith healers in Nigeria, Senegal and Mali.
Education of traditional and faith healers on EVD will complement control measures for EVD epidemic.
西非首次爆发的埃博拉病毒病疫情在传播范围、复杂性和严重程度方面都史无前例。将几内亚、塞拉利昂和利比里亚这三个受影响最严重的国家应对病毒传播的措施，与疫情迅速得到控制的尼日利亚、塞内加尔和马里进行比较，可能会为未来的缓解措施提供指导。
来自PubMed、谷歌、疾病控制与预防中心（CDC）、《发病率与死亡率周报》（MMWR）、世界卫生组织更新内容及埃博拉应对报告的文献。结果：疫情在未被诊断的情况下从几内亚的梅良杜蔓延了三个月，波及该国四个农村行政区及其首都科纳克里、利比里亚的两个县和塞拉利昂的两个区。传统治疗师和信仰治疗师提供不恰当的治疗，以及秘密社团鼓励不安全的埋葬仪式，阻碍了控制措施的实施。而在尼日利亚，2014年7月20日从利比里亚输入的一例病例在第三天就被诊断出来；所有一级、二级和三级接触者都被追踪到。此外，在一次正式会议上，拉各斯州政府官员劝阻信仰治疗师治疗埃博拉病毒病。在塞内加尔，2014年8月20日从几内亚输入的一例病例在第九天被诊断出来，接受了治疗并防止了进一步传播。在马里，2014年10月23日和11月12日在输入后的15天内发现了两波传播，疫情得到了控制。在尼日利亚、塞内加尔和马里，没有任何传统治疗师或信仰治疗师治疗埃博拉病毒病的病例。
对传统治疗师和信仰治疗师进行埃博拉病毒病教育将补充埃博拉病毒病疫情的控制措施。
