Ebola: a holistic approach is required to achieve effective management and control

J Allergy Clin Immunol. 2015 Apr;135(4):856-867. doi: 10.1016/j.jaci.2015.02.015.

Abstract

The current Ebola outbreak in West Africa has already caused substantial mortality and dire human and economic consequences. It continues to represent an alarming public health threat in the region and beyond and jeopardizes the provision of health care and other services in the affected countries. The scale of the epidemic has accelerated research efforts for diagnostics, treatment, and prevention galvanized through increased availability of funding. Our knowledge relating to the virus, disease pathogenesis, risk factors, dynamics of transmission, and epidemic control is increasing, and sociocultural factors have emerged as critical determinants for the success and failure of control efforts. However, there is a long way to go. In this review we summarize the current knowledge, examine the sociocultural context in West Africa, and outline priority areas for future research.

Keywords: Ebola virus disease; West Africa; containment; holistic; viral hemorrhagic fever.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Africa / epidemiology
  • Anthropology, Cultural
  • Delivery of Health Care
  • Disease Management
  • Disease Outbreaks
  • Ethics, Clinical
  • Hemorrhagic Fever, Ebola / diagnosis
  • Hemorrhagic Fever, Ebola / epidemiology
  • Hemorrhagic Fever, Ebola / prevention & control*
  • Hemorrhagic Fever, Ebola / therapy*
  • Humans
  • Risk Factors