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The Médecins Sans Frontières intervention in the Marburg epidemic Uige/Angola, 2005: Lessons learnt in the hospital and community Paul Roddy MSF-Spain. Objective. To share future outbreak recommendations…. Methods. Individual semi-structured face-to-face interviews

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The Médecins Sans Frontières interventionin the Marburg epidemic Uige/Angola, 2005: Lessons learnt in the hospital and communityPaul RoddyMSF-Spain


To share future outbreak recommendations…

  • Individual semi-structured face-to-face interviews
    • available MSF expatriate and local staff directly involved with disease control activities and arriving in Uige before June 3rd, 2005 (n=31)
    • local key informants (n=11)
  • Semi-structured group interviews (n=10)
    • families of MHF patients and local staff of outbreak control teams.
The hospital response included:
  • Case diagnosis
  • Nursing care
  • Psychological care
  • Design of the Marburg ward
  • Case detection in the hospital
  • Medical management
  • Infection control in the hospital
The community response included:
  • Peripheral health facility support
  • Burial and disinfection
  • Home-based risk reduction (HBRR)
  • Epidemiological surveillance
  • Psychosocial support
  • Information and education campaign (IEC)
burial and disinfection
MSF protocol

Technically sound


incorporating local traditions

addressing the psychological and spiritual needs of families

explaining procedures

WHO protocol

Time consuming - execution

Contained the culturally sensitive aspects missing from the MSF protocol

Burial and disinfection
information and education campaigns
Message 1

‘There is no cure for this disease’

Message 2

‘Come to hospital and receive treatment’

Information and education campaigns
future outbreak recommendations hospital
Future outbreak recommendations - hospital
  • Give IV fluids
  • Continue symptomatic care
  • Collect quality clinical data
  • Possibly accept the use of injections
  • Use a combination of fencing (mesh and solid) for isolation area
  • Others…
future outbreak recommendations community
Future outbreak recommendations - community
  • Dress/undress in presence of household
  • Enter household with family member dressed in PPE
  • Outside household – explain procedures
  • Family views corpse before burial
  • Family members know the location of the grave
  • Burial rites reflect traditional ones
  • After disinfection, replaced damaged household items
future outbreak recommendations community1
Future outbreak recommendations - community
  • Implement psychosocial intervention and IEC programmes from the beginning of intervention
  • Use local staff in psychosocial programme
  • Treatment – albeit limited in its effectiveness – and care by medical professionals is available at the FHF ward
  • Others…
authors affiliations
Authors & Affiliations

Paul Roddy1, David Weatherill1, Benjamin Jeffs1, Zohra Abaakouk1, Claire Dorion1, Josefa Rodriguez-Martinez1, Pedro Pablo Palma1, Olimpia de la Rosa1, Luis Villa1, Isabel Grovas1, Matthias Borchert1,2

1 Médecins Sans Frontières - Spain

2 Infectious Disease Epidemiology Unit, London School of Hygiene and Tropical Medicine

The Journal of Infectious Diseases

Supplement entitled: Filoviruses: Recent Advances and Future Challenges

Roddy et al. The Médecins Sans Frontières intervention in the Marburg epidemic Uige/Angola, 2005 – II: Lessons learned in the community