#Ebola2014: On the Topic of Lab-Confirmation

As the current outbreak of Ebola in West Africa continues, 56 cases have been lab-confirmed out of 169 total (suspected + confirmed) thus far [CDC – 2014]. That’s around 33%.

A lot of folks have been wondering why that percentage is “so low”… But compared to other Ebola outbreaks? It’s really not.

For this particular disease, which requires a Biosafety Level 4 (BSL-4) facility to diagnose and has historically been constrained to some of the most economically disadvantaged parts of the world, 33% confirmation is pretty great. [Especially given that the outbreak is ongoing and not all samples have been tested yet!]

From 1976 til now, about 2500 cases of Ebola have been recorded throughout the African continent. Less than 25% of them were ever lab-confirmed.

Here’s to progress! – and to the men and women who risk their lives every day to make it happen.

—Maia Majumder, MPH

Keep your eyes peeled! This article is just a teaser. A cartographic visualization – including information on lab-confirmation of Ebola from 1976 to present – will be posted soon.

 

 

Historical Case Data Extracted From:
[1] World Health Organization. Ebola haemorrhagic fever in Zaire, 1976. Report of an International Convention. Bulletin of the World Health Organization. 1978;56(2):271-293.
[2] World Health Organization. Ebola haemorrhagic fever in Sudan, 1976. Report of a WHO/International Study Team. Bulletin of the World Health Organization. 1978;56(2):247-270.
[3] Heymann DL, Weisfeld JS, Webb PA, et al. Ebola hemorrhagic fever: Tandala, Zaire, 1977-1978. Journal of Infectious Diseases. 1980;142(3):372-376.
[4] Baron RC, McCormick JB, and Zubeir OA. Ebola virus disease in southern Sudan: hospital dissemination and intrafamilial spread. Bulletin of the World Health Organization. 1983;61(6):997-1003.
[5] Georges AJ, Leroy EM, Renaud AA, et al. Ebola hemorrhagic fever outbreaks in Gabon, 1994-1997: epidemiologic and health control issues. Journal of Infectious Diseases. 1999;179:S65-75.
[6] Le Guenno B, Formenty P, Wyers M, et al. Isolation and partial characterisation of a new strain of Ebola virus. Lancet. 1995;345:1271-1274.
[7] Khan AS, Tshioko FK, Heymann DL, et al. The Reemergence of Ebola Hemorrhagic Fever, Democratic Republic of the Congo, 1995. Journal of Infectious Diseases. 1999;179:S76-S86.
[8] World Health Organization. Ebola haemorrhagic fever – South Africa. Weekly Epidemiological Record. 1996;71(47):359.
[9] Okware SI, Omaswa FG, Zaramba S, et al. An outbreak of Ebola in Uganda. Tropical Medicine and International Health. 2002;7(12):1068-1075.
[10] World Health Organization. Outbreak(s) of Ebola haemorrhagic fever, Congo and Gabon, October 2001- July 2002. Weekly Epidemiological Report. 2003;78(26):223-225.
[11] Formenty P, Libama F, Epelboin A, et al. Outbreak of Ebola hemorrhagic fever in the Republic of the Congo, 2003: a new strategy? Medecine Tropicale (Marseille). 2003;63(3):291-295.
[12] World Health Organization. Ebola haemorrhagic fever in the Republic of the Congo – Update 6. Weekly Epidemiological Record. 6 January 2004.
[13] World Health Organization. Outbreak of Ebola haemorrhagic fever in Yambio, south Sudan, April-June 2004. Weekly Epidemiological Record. 2005;80(43):370-375.
[14] MacNeil A, Farnon EC, Morgan OW, et al. Filovirus Outbreak Detection and Surveillance: Lessons from Bundibugyo. Journal of Infectious Diseases. 2011;204:S761-S767.
[15] World Health Organization. End of the Ebola Outbreak in the Democratic Republic of the Congo. Global Alert and Response. 17 Febuary 2009.
[16] Shoemaker T, MacNeil A, Balinandi S, et al. Reemerging Sudan Ebola Virus Disease in Uganda, 2011. Emerging Infectious Diseases. 2012;18(9):1480-1483.
[17] Albarino CG, Shoemaker T, Khristova ML, et al. Genomic analysis of filoviruses associated with four viral hemorrhagic fever outbreaks in Uganda and the Democratic Republic of the Congo in 2012. Virology. 2013;442(2):97-100.

Advertisements

2 thoughts on “#Ebola2014: On the Topic of Lab-Confirmation

  1. Pingback: Ebola: Updated Charts | Mens et Manus

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s