Managing Ebola from rural to urban slum settings: experiences from Uganda

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dc.contributor.authorOkware, Sam I.
dc.contributor.authorOmaswa, Francis
dc.contributor.authorTalisuna, Ambrose
dc.contributor.authorAmandua, Jacinto
dc.contributor.authorAmone, Jackson
dc.contributor.authorOnek, Paul
dc.contributor.authorOpio, Alex
dc.contributor.authorWamala, Joseph
dc.contributor.authorLubwama, Julius
dc.contributor.authorLuswa, Lukwago
dc.contributor.authorKagwa, Paul
dc.contributor.authorTylleskar, Thorkild
dc.date.accessioned2021-12-15T11:14:10Z
dc.date.available2021-12-15T11:14:10Z
dc.date.issued2015
dc.description.abstractFive outbreaks of ebola occurred in Uganda between 2000-2012. The outbreaks were quickly contained in rural areas. However, the Gulu outbreak in 2000 was the largest and complex due to insurgency. It invaded Gulu municipality and the slum- like camps of the internally displaced persons (IDPs). The Bundigugyo district outbreak followed but was detected late as a new virus. The subsequent outbreaks in the districts of Luwero district (2011, 2012) and Kibaale (2012) were limited to rural areas. Methods: Detailed records of the outbreak presentation, cases, and outcomes were reviewed and analyzed. Each outbreak was described and the outcomes examined for the different scenarios. Results: Early detection and action provided the best outcomes and results. The ideal scenario occurred in the Luwero outbreak during which only a single case was observed. Rural outbreaks were easier to contain. The community imposed quarantine prevented the spread of ebola following introduction into Masindi district. The outbreak was confined to the extended family of the index case and only one case developed in the general population. However, the outbreak invasion of the town slum areas escalated the spread of infection in Gulu municipality. Community mobilization and leadership was vital in supporting early case detection and isolations well as contact tracing and public education. Conclusion: Palliative care improved survival. Focusing on treatment and not just quarantine should be emphasized as it also enhanced public trust and health seeking behavior.en_US
dc.identifier.citationOkware, S. I., Omaswa, F., Talisuna, A., Amandua, J., Amone, J., Onek, P., ... & Tylleskar, T. (2015). Managing Ebola from rural to urban slum settings: experiences from Uganda. African health sciences, 15(1), 312-321.DOI: http://dx.doi.org/10.4314/ahs.v15i1.45en_US
dc.identifier.urihttp://dx.doi.org/10.4314/ahs.v15i1.45
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/586
dc.language.isoenen_US
dc.publisherAfrican health sciencesen_US
dc.subjectEbolaen_US
dc.subjectUgandaen_US
dc.titleManaging Ebola from rural to urban slum settings: experiences from Ugandaen_US
dc.typeArticleen_US
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