International Outbreak of Ebola Virus, Thesis of Financial Accounting

The outbreak of Ebola virus that occurred in West Africa in 2014. It provides information on the epidemiological determinants and risk factors of the virus, as well as its route of transmission. The document also includes details on the spread of the virus to other countries, including the United States and the United Kingdom. The outbreak resulted in a total of 28,616 cases and 11 deaths in the US.

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C228
Task 2 C228
College of Health Professions, Western Governors University
International Outbreak
A. Select a specific outbreak that has occurred within the last 50 years that included
human to human transmission that crossed at least one international border.
• Ebola virus
B. Description of a chosen international outbreak
In December 2013, an 18mo old male was believed to be infected by Ebola. On
January
24, 2014, district health officials issued an official medical alert. By March 2014 the Ebola
virus had spread to the capital city of Guinea and the Pasteur Institute in France had confirmed
that the unidentified illness was in fact EBV caused by Zaire ebolavirus. After 49 confirmed
cases and
29 deaths, the WHO officially declared an outbreak of EVD. In July 2014, due to substandard
surveillance and lack of public health structure, the virus had spread to Liberia and Sierra
Leone, infecting heavily populated urban areas. During the duration of the epidemic, EBV
spread to 7 additional countries, including the United States and the United Kingdom; and
secondary infections had presented in healthcare settings in Italy, Nigeria, Mali, and the
United States.
On September30, 2014 the initial case of Ebola in the US was diagnosed in Dallas,
Texas. The patient died from the infection, and 2 healthcare workers that had cared for him
were
infected but recovered. There were a total number of 11 cases in the US, with 9 recovering and
2 deaths. Sierra Leone had the greatest number of total cases, with 14, 124; however, Liberia
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Task 2 C College of Health Professions, Western Governors University International Outbreak A. Select a specific outbreak that has occurred within the last 50 years that included human to human transmission that crossed at least one international border.

  • Ebola virus B. Description of a chosen international outbreak In December 2013, an 18mo old male was believed to be infected by Ebola. On January 24, 2014, district health officials issued an official medical alert. By March 2014 the Ebola virus had spread to the capital city of Guinea and the Pasteur Institute in France had confirmed that the unidentified illness was in fact EBV caused by Zaire ebolavirus. After 49 confirmed cases and 29 deaths, the WHO officially declared an outbreak of EVD. In July 2014, due to substandard surveillance and lack of public health structure, the virus had spread to Liberia and Sierra Leone, infecting heavily populated urban areas. During the duration of the epidemic, EBV spread to 7 additional countries, including the United States and the United Kingdom; and secondary infections had presented in healthcare settings in Italy, Nigeria, Mali, and the United States. On September30, 2014 the initial case of Ebola in the US was diagnosed in Dallas, Texas. The patient died from the infection, and 2 healthcare workers that had cared for him were infected but recovered. There were a total number of 11 cases in the US, with 9 recovering and 2 deaths. Sierra Leone had the greatest number of total cases, with 14, 124; however, Liberia

had the greatest total number of deaths from the outbreak, with 4,810. The total number of cases from 2014-2016 was 28,616. B1. Epidemiological Determinants and Risk Factors Epidemiological determinants for Ebola include direct contact, contaminated staff, high fatality ratio and frequent contact between individuals. Risk factors, such as travel to Africa, conducting animal research, preparing bodies for death rituals, exposure to blood or bodily fluids of an infected person, and lack of personal protective equipment, can greatly contribute to the spread of EBV. The infectivity of Ebola is high, and the onset is sudden as the incubation period is 2-21 days and transmission of the virus can occur as long as the virus remains in the blood and secretions of the infected. Ebola is a highly virulent pathogen that can overwhelm the host immune system with a combination of cell damage and inflammatory factors. It’s mode of transmission is through direct contact with blood or other body fluids of an infected person with symptoms, objects contaminated with body fluids of an infected person, infected nonhuman primates or fruit bats, and semen from a man who has recovered from EBV. A person can only spread Ebola after they have developed signs or symptoms of the virus. Ebola can survive on dry surfaces for several hours and in body fluids for up to several days at room temperature. 60-80% of cases in West Africa in 2014 were linked to high-risk funeral and burial practices. B2. Route of Transmission Population movement across borders in West Africa is estimated to be seven times higher than that of any other area in the world. This greatly contributed to the spread of the Ebola outbreak because poverty has driven people to travel in search of work or food. Lack of

Disease reporting in my community has been improved significantly during the recent Covid-19 outbreaks. This has resulted in improved protocols state and nationwide. In response to the 2014-2016 Ebola outbreak, the Utah Dept of Health instituted response plans should the need arise. UDOH requires adherence to the CDC guidance and recommendations regarding to exposure and PPE used by healthcare workers, EMS, laboratory and waste management services. Hospitals are continually updating Ebola plans for screening, isolation and transport, testing and treatment of those in isolation. UDOH developed an Ebola Disease plan to assist health care providers with identification, treatment, controlling spread and notifying public health. As a community health nurse, I would report any confirmed cases to my local Public Health Director as well as calling the UDOH immediately. B5. Two Strategies to Prevent an Outbreak in My Community To prevent an outbreak in my community, education would be a very important tool. Hosting seminars and instituting mandatory training for local health care workers and EMS services, as well as any waste management services would be very beneficial. Yearly updates and refreshers would be essential to keeping the information fresh and up to date with the latest recommendations. Another strategy to preventing an outbreak would be community education on Ebola symptoms, transmission and prevention, especially at local truck stops, airports and other travel-based facilities. Education at public transportation stations, local visitor centers and any other area that is frequented by travelers could be essential to identifying infected persons and helping prevent spread in the case of an outbreak. References Utah Department of Health. (2017, August 28). Ebola Virus Disease Plan. Retrieved January 20, 2021, from http://health.utah.gov/epi/diseases/ebola/plan.pdf

Centers for Disease Control and Prevention. (n.d.). Ebola (Ebola Virus Disease). Retrieved January 21, 2021, from https://www.cdc.gov/vhf/ebola/transmission/index.html World Health Organization. (n.d.). Factors that contributed to undetected spread of the Ebola virus and impeded rapid containment. Retrieved January 20, 2021 from https://www.who.int/news-room/spotlight/one-year-into-the-ebola-epidemic/factors-that- contributed-to-undetected-spread-of-the-ebola-virus-and-impeded-rapid-containment