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Febrile illness in healthcare workers caring for Ebola virus disease patients in a high-resource setting.

Abstract Ebola virus disease (EVD) patients treated in high-resource facilities are cared for by large numbers of healthcare staff. Monitoring these healthcare workers (HCWs) for any illness that may represent transmission of Ebola virus is important both for the individuals and to minimise the community risk. International policies for monitoring HCWs vary considerably and their effectiveness is unknown. Here we describe the United Kingdom (UK) experience of illness in HCWs who cared for three patients who acquired EVD in West Africa. Five of these 93 high-level isolation unit (HLIU) HCWs presented with fever within 21 days of working on the unit; one of these five presented outside of the UK. This article discusses different approaches to monitoring of HCW symptom reporting. The potential impact of these approaches on HLIU staff recruitment, including travel restrictions, is also considered. An international surveillance system enhancing collaboration between national public health authorities may assist HLIU HCW monitoring in case they travel.
PMID
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Authors

Mayor MeshTerms

Infectious Disease Transmission, Patient-to-Professional

Keywords

Ebola

febrile illness

healthcare worker

monitoring

Journal Title euro surveillance : bulletin europeen sur les maladies transmissibles = european communicable disease bulletin
Publication Year Start




PMID- 28182538
OWN - NLM
STAT- MEDLINE
DA  - 20170209
DCOM- 20170428
LR  - 20170428
IS  - 1560-7917 (Electronic)
IS  - 1025-496X (Linking)
VI  - 22
IP  - 4
DP  - 2017 Jan 26
TI  - Febrile illness in healthcare workers caring for Ebola virus disease patients in 
      a high-resource setting.
LID - 10.2807/1560-7917.ES.2017.22.4.30449 [doi]
LID - 30449 [pii]
AB  - Ebola virus disease (EVD) patients treated in high-resource facilities are cared 
      for by large numbers of healthcare staff. Monitoring these healthcare workers
      (HCWs) for any illness that may represent transmission of Ebola virus is
      important both for the individuals and to minimise the community risk.
      International policies for monitoring HCWs vary considerably and their
      effectiveness is unknown. Here we describe the United Kingdom (UK) experience of 
      illness in HCWs who cared for three patients who acquired EVD in West Africa.
      Five of these 93 high-level isolation unit (HLIU) HCWs presented with fever
      within 21 days of working on the unit; one of these five presented outside of the
      UK. This article discusses different approaches to monitoring of HCW symptom
      reporting. The potential impact of these approaches on HLIU staff recruitment,
      including travel restrictions, is also considered. An international surveillance 
      system enhancing collaboration between national public health authorities may
      assist HLIU HCW monitoring in case they travel.
CI  - This article is copyright of The Authors, 2017.
FAU - Fink, Douglas
AU  - Fink D
AD  - Department of Infection, Royal Free London NHS Foundation Trust, London, United
      Kingdom.
FAU - Cropley, Ian
AU  - Cropley I
AD  - Department of Infection, Royal Free London NHS Foundation Trust, London, United
      Kingdom.
FAU - Jacobs, Michael
AU  - Jacobs M
AD  - Department of Infection, Royal Free London NHS Foundation Trust, London, United
      Kingdom.
FAU - Mepham, Stephen
AU  - Mepham S
AD  - Department of Infection, Royal Free London NHS Foundation Trust, London, United
      Kingdom.
LA  - eng
PT  - Journal Article
PL  - Sweden
TA  - Euro Surveill
JT  - Euro surveillance : bulletin Europeen sur les maladies transmissibles = European 
      communicable disease bulletin
JID - 100887452
SB  - IM
MH  - Africa, Western/epidemiology
MH  - Disease Outbreaks
MH  - Ebolavirus/*isolation & purification
MH  - Female
MH  - Fever/*etiology
MH  - Health Personnel/*statistics & numerical data
MH  - Hemorrhagic Fever, Ebola/*diagnosis/*transmission/virology
MH  - Humans
MH  - Incidence
MH  - *Infectious Disease Transmission, Patient-to-Professional
MH  - International Cooperation
MH  - Male
MH  - Occupational Diseases/*diagnosis
MH  - United Kingdom
PMC - PMC5388091
OTO - NOTNLM
OT  - Ebola
OT  - febrile illness
OT  - healthcare worker
OT  - monitoring
EDAT- 2017/02/10 06:00
MHDA- 2017/04/30 06:00
CRDT- 2017/02/10 06:00
PHST- 2016/02/08 [received]
PHST- 2016/07/21 [accepted]
AID - 10.2807/1560-7917.ES.2017.22.4.30449 [doi]
AID - 30449 [pii]
PST - ppublish
SO  - Euro Surveill. 2017 Jan 26;22(4). pii: 30449. doi:
      10.2807/1560-7917.ES.2017.22.4.30449.

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