WASH activities at two Ebola treatment units in Sierra Leone

被引:3
|
作者
Mallow, Michaela [1 ]
Gary, Lee [1 ,2 ]
Jeng, Timmy [3 ]
Bongomin, Bob, Jr. [1 ]
Aschkenasy, Miriam Tamar [1 ,4 ]
Wallis, Peter [1 ]
Cranmer, Hilarie H. [1 ,4 ]
Debasu, Estifanos [1 ]
Levine, Adam C. [1 ,3 ]
机构
[1] Int Med Corps, Los Angeles, CA 90025 USA
[2] Tulane Univ, Payson Ctr Int Dev, New Orleans, LA 70118 USA
[3] Brown Univ, Warren Alpert Med Sch, Providence, RI 02912 USA
[4] Massachusetts Gen Hosp, Global Hlth, Global Disaster Response, Boston, MA 02114 USA
来源
PLOS ONE | 2018年 / 13卷 / 05期
关键词
WEST-AFRICA; OUTBREAK;
D O I
10.1371/journal.pone.0198235
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Purpose The 2014 outbreak of Ebola virus disease (EVD) in West Africa was the largest in history. Starting in September 2014, International Medical Corps (IMC) operated five Ebola treatment units (ETUs) in Sierra Leone and Liberia. This paper explores how future infectious disease outbreak facilities in resource-limited settings can be planned, organized, and managed by analyzing data collected on water, sanitation, and hygiene (WASH) and infection prevention control (IPC) protocols. Design/Methodology/Approach We conducted a retrospective cohort study by analyzing WASH/IPC activity data routinely recorded on paper forms or white boards at ETUs during the outbreak and later merged into a database from two IMC-run ETUs in Sierra Leone between December 2014 and December 2015. Findings The IMC WASH/IPC database contains data from over 369 days. Our results highlight parameters key to designing and maintaining an ETU. High concentration chlorine solution usage was highly correlated with both daily patient occupancy and high-risk zone staff entries; low concentration chlorine usage was less well explained by these measures. There is high demand for laundering and disinfecting of personal protective equipment (PPE) on a daily basis and approximately 1 (0-4) piece of PPE is damaged each day. Research limitations/Implications Lack of standardization in the type and format of data collected at ETUs made constructing the WASH/IPC database difficult. However, the data presented here may help inform humanitarian response operations in future epidemics.
引用
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页数:11
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