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Strengthened Ebola surveillance in France during a major outbreak in West Africa: March 2014–January 2016

  • A. MAILLES (a1), H. NOEL (a1), D. PANNETIER (a2), C. RAPP (a3), Y. YAZDANPANAH (a4), S. VANDENTORREN (a1), P. CHAUD (a1), J. M. PHILIPPE (a5), B. WORMS (a5), M. BRUYAND (a1), M. TOURDJMAN (a1), M. NAHON (a6), E. BELCHIOR (a1), E. LUCAS (a1), J. DURAND (a1), M. ZURBARAN (a1), S. VAUX (a1), B. COIGNARD (a1), H. DE VALK (a1), S. BAIZE (a2), S. QUELET (a1) and F. BOURDILLON (a1)...

Summary

Introduction

An unprecedented outbreak of Ebola virus diseases (EVD) occurred in West Africa from March 2014 to January 2016. The French Institute for Public Health implemented strengthened surveillance to early identify any imported case and avoid secondary cases.

Methods

Febrile travellers returning from an affected country had to report to the national emergency healthcare hotline. Patients reporting at-risk exposures and fever during the 21st following day from the last at-risk exposure were defined as possible cases, hospitalised in isolation and tested by real-time polymerase chain reaction. Asymptomatic travellers reporting at-risk exposures were considered as contact and included in a follow-up protocol until the 21st day after the last at-risk exposure.

Results

From March 2014 to January 2016, 1087 patients were notified: 1053 were immediately excluded because they did not match the notification criteria or did not have at-risk exposures; 34 possible cases were tested and excluded following a reliable negative result. Two confirmed cases diagnosed in West Africa were evacuated to France under stringent isolation conditions. Patients returning from Guinea (n = 531; 49%) and Mali (n = 113; 10%) accounted for the highest number of notifications.

Conclusion

No imported case of EVD was detected in France. We are confident that our surveillance system was able to classify patients properly during the outbreak period.

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Copyright

Corresponding author

*Author for correspondence: A. Mailles, Santé Publique France, Infectious Diseases Department, 12 rue du Val d'Osne, 94415 Saint Maurice cedex, France. (Email: alexandra.mailles@santepubliquefrance.fr)

Footnotes

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The French EVD Team members are:

Florence Ader (University hospital, Lyon, France), Delphine Antoine (French national Public Health Agency, Saint-Maurice, France), Philippe Bourrier (Ministry of Health, Paris, France), Philippe Brouqui (University hospital, Marseille, France), François Caron (University Hospital, Rouen, France), Jean-Loup Chappert (French national Public Health Agency, Lyon, France), Didier Che (French national Public Health Agency, Saint-Maurice, France), Christian Chidiac (University hospital of Lyon, France), Hélène Coignard-Biehler (SAMU de Paris and University Hospital Necker, Paris, France), Manuel Etienne (University Hospital, Rouen, France), Karine Faure (University hospital of Lille), Tristan Ferry (University hospital of Lyon, France), France), Laurent Filleul (French national Public Health Agency, Saint-Denis, France), Clara Flateau (HIA Begin, Saint-Mandé, France), Franck Golliot (French national Public Health Agency, Montpellier, France), François Goehringer (University hospital, Nancy, France), Benoit Guery (University hospital of Lille, France), Bruno Grandbastien (University hospital of Lille, France), Yves Hansmann (University hospital of Strasbourg, France), Magid Herida (French national Public Health Agency, Saint-Maurice, France), Dominique Jeannel (French national Public Health Agency, Orléans, France), Lisa King (French national Public Health Agency, Rennes, France), Marie Lachâtre (University Hospital Bichat, Paris, France), Martine Ledrans (French national Public Health Agency, Fort-France, France), Philippe Malfait (French national Public Health Agency, Marseille, France), Denis Malvy (University hospital, Bordeaux, France), Jean-Claude Manuguerra (Institut Pasteur, Paris, France), Sophie Matheron (University Hospital Bichat, Paris, France), Thierry May (University Hospital, Nancy, France), Audrey Merens (HIA Begin, Saint-Mandé, France), Patrick Miailhes (University hospital of Lyon, France), Christian Michelet (University hospital, Rennes), Marie-Pierre Moiton (University hospital, Saint-Denis de la Réunion, France), Damien Mouly (French national Public Health Agency, Toulouse, France), Delphine NGuyen (Ministry of Health, Paris, France), Jerome Naud (French national Public Health Agency, Saint-Maurice, France), Ronan Ollivier (French national Public Health Agency, Nantes, France), Thomas Perpoint (University hospital of Lyon, France), Jerome Pozuelos (French national Public Health Agency), Christian Rabaud (University Hospital, Nancy, France), Mathieu Revest (University hospital, Rennes), Christophe Rioux (University Hospital Bichat, Paris, France), France Roblot (University hospital of Poitiers, France), Véronique Servas (French national Public Health Agency, Bordeaux, France), Guillaume Spaccaferri (French national Public Health Agency, Clermont-Ferrand, France), Jean-Paul Stahl (University hospital, Grenoble, France), Pierre Tattevin (University hospital, Rennes, France), Claude Tillier (French national Public Health Agency, Dijon, France), Renaud Verdon (University hospital of Caen, France), Jenifer Yai (French national Public Health Agency, Nancy, France).

Footnotes

References

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Keywords

Strengthened Ebola surveillance in France during a major outbreak in West Africa: March 2014–January 2016

  • A. MAILLES (a1), H. NOEL (a1), D. PANNETIER (a2), C. RAPP (a3), Y. YAZDANPANAH (a4), S. VANDENTORREN (a1), P. CHAUD (a1), J. M. PHILIPPE (a5), B. WORMS (a5), M. BRUYAND (a1), M. TOURDJMAN (a1), M. NAHON (a6), E. BELCHIOR (a1), E. LUCAS (a1), J. DURAND (a1), M. ZURBARAN (a1), S. VAUX (a1), B. COIGNARD (a1), H. DE VALK (a1), S. BAIZE (a2), S. QUELET (a1) and F. BOURDILLON (a1)...

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