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Preparing the Health System to Respond to Ebola Virus Disease in New York City, 2014

  • Jay K. Varma (a1) (a2), David J. Prezant (a3), Ross Wilson (a4), Celia Quinn (a1) (a2), Glenn Asaeda (a3), Nicholas V. Cagliuso (a4), Jennifer L. Rakeman (a1) and Marisa Raphael (a1)...

Abstract

The world’s largest outbreak of Ebola virus disease began in West Africa in 2014. Although few cases were identified in the United States, the possibility of imported cases led US public health systems and health care facilities to focus on preparing the health care system to quickly and safely identify and respond to emerging infectious diseases. In New York City, early, coordinated planning among city and state agencies and the health care delivery system led to a successful response to a single case diagnosed in a returned health care worker. In this article we describe public health and health care system preparedness efforts in New York City to respond to Ebola and conclude that coordinated public health emergency response relies on joint planning and sustained resources for public health emergency response, epidemiology and laboratory capacity, and health care emergency management. (Disaster Med Public Health Preparedness. 2017;11:370–374).

Copyright

Corresponding author

Correspondence and reprint requests to Celia Quinn, MD, Office of Emergency Preparedness and Response, New York City Department of Health and Mental Hygiene, 42-09 28th Street, Queens, NY 11101 (e-mail: cquinnmd@health.nyc.gov).

References

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1. New York City Department of Health and Mental Hygiene. 2014; Alert #22: Evaluating Patients for Ebola Virus Disease in New York City. https://a816-health29ssl.nyc.gov/sites/NYCHAN/Lists/AlertUpdateAdvisoryDocuments/NYC%20DOHMH%20Ebola%20Health%20Alert__8_11_14%20Final.pdf. Published August 11, 2014. Accessed September 17, 2016.
2. New York City Department of Health and Mental Hygiene. 2014; Alert #27: Update: Ebola Virus Disease Outbreak in West Africa. https://a816-health29ssl.nyc.gov/sites/NYCHAN/Lists/AlertUpdateAdvisoryDocuments/NYC%20DOHMH%20Ebola%20Health%20Alert__9_3_14%20w%20Algorithm.pdf. Published September 3, 2014. Accessed September 17, 2016.
3. New York City Department of Health and Mental Hygiene. 2014; DOHMH Advisory #35: Ebola Virus Disease Update. https://a816-health29ssl.nyc.gov/sites/NYCHAN/Lists/AlertUpdateAdvisoryDocuments/2014-10-09%20HAN%20Ebola%20with%20algorithm.pdf. Published October 9, 2014. Accessed September 17, 2016.
4. New York City Department of Health and Mental Hygiene. 2014; DOHMH Alert #36: Ebola Virus Disease Update. https://a816-health29ssl.nyc.gov/sites/NYCHAN/Lists/AlertUpdateAdvisoryDocuments/Ebola_HAN-10%2020%202014%20rev.pdf. Published October 20, 2014. Accessed September 17, 2016.
5. New York City Department of Health and Mental Hygiene. 2014; Alert #37: Patient Tests Presumptively Positive for Ebola Virus Disease in New York City. https://a816-health29ssl.nyc.gov/sites/NYCHAN/Lists/AlertUpdateAdvisoryDocuments/NYC%20Ebola%20Health%20Alert_23oct14%20FINAL_9%2035pm.pdf. Published October 23, 2014. Accessed September 17, 2016.
6. New York City Department of Health and Mental Hygiene. 2014; Alert #38: Ebola Update: New Cases Identified in Mali. https://a816-health29ssl.nyc.gov/sites/NYCHAN/Lists/AlertUpdateAdvisoryDocuments/NYC%20Ebola%20Health%20Alert_2014-11-20.pdf. Published November 20, 2014. Accessed September 17, 2016.
8. Ebola map. NYC.gov website. http://www1.nyc.gov/nyc-resources/ebola-map.page. Updated November 9, 2015. Accessed September 17, 2016.
9. State of New York : Department of Health in the Matter of the Prevention and Control of Ebola Virus Disease. Order for Summary Action. https://www.health.ny.gov/diseases/communicable/ebola/docs/commissioner_order.pdf. Published October 16, 2014. Accessed September 17, 2016.
10. Benowitz, I, Ackelsberg, J, Balter, SE, et al. Surveillance and preparedness for Ebola virus disease — New York City, 2014. MMWR Morb Mortal Wkly Rep. 2014;63(41):934-936.
11. Chevalier, MS, Chung, W, Smith, J, et al. Ebola virus disease cluster in the United States—Dallas County, Texas, 2014. MMWR Morb Mortal Wkly Rep. 2014;63(46):1087-1088.
12. Yacisin, K, Balter, S, Fine, A, et al. Ebola virus disease in a humanitarian aid worker — New York City, October 2014. MMWR Morb Mortal Wkly Rep. 2015;64(12):321-323.

Keywords

Preparing the Health System to Respond to Ebola Virus Disease in New York City, 2014

  • Jay K. Varma (a1) (a2), David J. Prezant (a3), Ross Wilson (a4), Celia Quinn (a1) (a2), Glenn Asaeda (a3), Nicholas V. Cagliuso (a4), Jennifer L. Rakeman (a1) and Marisa Raphael (a1)...

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