Strengthening timely detection and reporting of unusual respiratory events from health facilities in Yaoundé, Cameroon
| العنوان: | Strengthening timely detection and reporting of unusual respiratory events from health facilities in Yaoundé, Cameroon |
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| المؤلفون: | Bienvenu Etogo, Brett Whitaker, Elise Seukap, Luc Christian Gwom, Gwladys Chavely Monamele, Chanceline Bilounga Ndongo, Alain Georges M Etoundi, Arunmozhi Balajee, Henri Manga, Omer G. Pasi, Richard Njouom, Karen A. Alroy, Carolle Yanique Tayimetha, Sebastien Kenmoe, Dorine Tseuko, Alexey Clara |
| المصدر: | Influenza and Other Respiratory Viruses |
| بيانات النشر: | Wiley, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Pulmonary and Respiratory Medicine, medicine.medical_specialty, Epidemiology, 030231 tropical medicine, Early detection, International Health Regulations, 03 medical and health sciences, 0302 clinical medicine, Influenza A Virus, H1N1 Subtype, Health facility, early warning and response, Medicine, Humans, Public Health Surveillance, 030212 general & internal medicine, Cameroon, Respiratory Tract Infections, global health security, Warning system, Bacteria, business.industry, event‐based surveillance, Public health, Public Health, Environmental and Occupational Health, Outbreak, Original Articles, medicine.disease, Triage, Haemophilus influenzae, 3. Good health, health facility, Klebsiella pneumoniae, Streptococcus pneumoniae, Infectious Diseases, Viruses, surveillance, Christian ministry, Original Article, Medical emergency, Health Facilities, Public Health, business |
| الوصف: | Background The International Health Regulations state that early detection and immediate reporting of unusual health events is important for early warning and response systems. Objective To describe a pilot surveillance program established in health facilities in Yaounde, Cameroon in 2017 which aimed to enable detection and reporting of public health events. Methods Cameroon's Ministry of Health, in partnership with the US Centers for Disease Control and Prevention, Cameroon Pasteur Center, and National Public Health Laboratory, implemented event-based surveillance (EBS) in nine Yaounde health facilities. Four signals were defined that could indicate possible public health events, and a reporting, triage, and verification system was established among partner organizations. A pre-defined laboratory algorithm was defined, and a series of workshops trained health facilities, laboratory, and public health staff for surveillance implementation. Results From May 2017 to January 2018, 30 signals were detected, corresponding to 15 unusual respiratory events. All health facilities reported a signal at least once, and more than three-quarters of health facilities reported ≥2 times. Among specimens tested, the pathogens detected included Klebsiella pneumoniae, Moraxella catarrhalis, Streptococcus pneumoniae, Haemophilus influenza, Staphylococcus aureus, Pneumocystis jiroveci, influenza A (H1N1) virus, rhinovirus, and adenovirus. Conclusions The events detected in this pilot were caused by routine respiratory bacteria and viruses, and no novel influenza viruses or other emerging respiratory threats were identified. The surveillance system, however, strengthened relationships and communication linkages between health facilities and public health authorities. Astute clinicians can play a critical role in early detection and EBS is one approach that may enable reporting of emerging outbreaks and public health events. |
| تدمد: | 1750-2659 1750-2640 |
| DOI: | 10.1111/irv.12684 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8287c460202ca722d7815d1f37db1f66Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....8287c460202ca722d7815d1f37db1f66 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17502659 17502640 |
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| DOI: | 10.1111/irv.12684 |