1. The cost of insecurity: from flare-up to control of a major Ebola virus disease hotspot during the outbreak in the Democratic Republic of the Congo, 2019
- Author
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Boubacar Diallo, W. John Edmunds, Richy Ngombo, Christopher I Jarvis, Steve Ahuka-Mundeke, Ibrahima Socé Fall, Michel Yao, Aaron Aruna Abedi, Abdou Salam Gueye, Luigino Minikulu Mpia, Nabil Tabal, Mathias Mossoko, Justus Nsio, Abdoulaye Yam, Ekokobe Elias Forbin, Xavier de Radiguès, Thibaut Jombart, Sonia Chene, Yannick Tutu, Madeleine Crowe, Samuel Mesfin, Flavio Finger, and Marie Roseline Darnycka Belizaire
- Subjects
Vaccination Coverage ,Epidemiology ,media_common.quotation_subject ,Disease ,030204 cardiovascular system & hematology ,medicine.disease_cause ,Disease Outbreaks ,03 medical and health sciences ,0302 clinical medicine ,Response strategy ,Virology ,medicine ,Flare up ,Humans ,030212 general & internal medicine ,Socioeconomics ,media_common ,Ebola virus ,Community engagement ,Public Health, Environmental and Occupational Health ,Outbreak ,Hemorrhagic Fever, Ebola ,Ebolavirus ,Democracy ,3. Good health ,Geography ,Democratic Republic of the Congo ,Public Health Practice ,Ring vaccination ,outbreak control transmissibility model response viral hemorrhagic fever ,Rapid Communication - Abstract
The ongoing Ebola outbreak in the eastern Democratic Republic of the Congo is facing unprecedented levels of insecurity and violence. We evaluate the likely impact in terms of added transmissibility and cases of major security incidents in the Butembo coordination hub. We also show that despite this additional burden, an adapted response strategy involving enlarged ring vaccination around clusters of cases and enhanced community engagement managed to bring this main hotspot under control.
- Published
- 2020