The Medecins Sans Frontieres Intervention in the Marburg Hemorrhagic Fever Epidemic, Uige, Angola, 2005. II. Lessons Learned in the Community

Journal article: MSF Intervention: Community • JID 2007:196 (Suppl 2) • S167

From 27 March 2005 onwards, the independent humanitarian medical aid agency Me´decins Sans Frontie`res,
together with the World Health Organization, the Angolan Ministry of Health, and others, responded to the
Marburg hemorrhagic fever (MHF) outbreak in Uige, Angola, to contain the epidemic and care for those
infected. This response included community epidemiological surveillance, clinical assessment and isolation of
patients with MHF, safe burials and disinfection, home-based risk reduction, peripheral health facility support,
psychosocial support, and information and education campaigns. Lessons were learned during the implementation
of each outbreak control component, and the subsequent modifications of protocols and strategies
are discussed. Similar to what was seen in previous filovirus hemorrhagic fever outbreaks, the containment
of the MHF epidemic depended on the collaboration of the affected community. Actively involving all stakeholders from the start of the outbreak response is crucial.

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