Outbreak Thursday- DRC Ebola Response Questions
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DRC EBOLA RESPONSE QUESTIONS
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Outbreak Observatory
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Was the newly identified case identified through prospective contact tracing and monitoring (ie, was he/she known to be at risk prior to developing symptoms)? If so, how closely was the individual monitored after being identified as a contact? If not, this indicates gaps in existing surveillance activities.
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For newly identified cases, how much time transpired between symptom onset and subsequent isolation? Have all of the individual’s contacts been identified, and are they currently under monitoring?
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For a newly identified case, was the individual offered the Ebola vaccine as post-exposure prophylaxis?
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If a newly identified case was not under monitoring at the time of diagnosis, did retrospective contact tracing link the individual to a known case (ie, a known chain of transmission)? If not, this could indicate the existence of previously unknown chains of transmission and additional at-risk individuals or populations. This could also potentially indicate improved surveillance capacity that enables the identification of more new cases.
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Was the newly identified case dead on arrival (ie, a “community death”)? This makes contact tracing difficult without the assistance of family or close friends who know the daily movements of the deceased individual, whether to identify the source of infection or potential contacts for monitoring and vaccination.
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What is the estimated percentage of known contacts of Ebola cases that have been offered vaccine? What percentage of those offered vaccine received the vaccination? Are these individuals being adequately tracked to support clinical trials?
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