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Dama E, Nikiema A, Nichols K, Bicaba BW, Porgho S, Greco Koné R, Tarnagda Z, Cissé A, Ngendakumana I, Adjami A, Medah I, Ake F, Mirza SA. Designing and Piloting a Specimen Transport System in Burkina Faso. Health Secur 2020; 18:S98-S104. [PMID: 32004130 DOI: 10.1089/hs.2019.0068] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
Abstract
Efficient specimen transport systems are critical for early disease detection and reporting by laboratory networks. In Burkina Faso, centralized reference laboratories receive specimens from multiple surveillance sites for testing, but transport methods vary, resulting in potential delays and risk to specimen quality. The ministry of health and partners, under the Global Health Security Agenda implementation, piloted a specimen transport system for severe acute respiratory illness (SARI) surveillance in 4 Burkina Faso districts. A baseline assessment was conducted of the current specimen transport network structure and key stakeholders. Assessment results and guidelines for processing SARI specimens informed the pilot specimen transport system design and implementation. Monitoring and evaluation performance indicators included: proportion of packages delivered, timeliness, and quality of courier services (missed or damaged packages). Our baseline assessment found that laboratorians routinely carried specimens from the health center to reference laboratories, resulting in time away from laboratory duties and potential specimen delays or loss of quality. The pilot specimen transport system design engaged Sonapost, the national postal service, to transport specimens from SARI sites to the influenza national reference laboratory. From May 2017 to December 2018, the specimen transport system transported 557 packages containing 1,158 SARI specimens; 95% (529/557) were delivered within 24 hours of pick-up and 77% (892/1,158) within 48 hours of collection. No packages were lost. This article highlights lessons learned that may be useful for other countries considering establishment of a specimen transport system to strengthen laboratory system infrastructure in global health security implementation.
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Affiliation(s)
- Emilie Dama
- Emilie Dama, PhD, is Senior Laboratory Advisor; Rebecca Greco Koné, MPH, is Country Director, Burkina Faso; and Irene Ngendakumana, MD, is Technical Advisor, Eagle Global Services, a CDC contractor; all with the Division of Global Health Protection, Country Office Burkina Faso, Center for Global Health, US Centers for Disease Control and Prevention, Ouagadougou, Burkina Faso. Abdoulaye Nikièma, PharmD, MSc, is Senior Laboratory Specialist and Global Health Security Program Manager for Burkina, African Society for Laboratory Medicine, Ouagadougou, Burkina Faso. Kameko Nichols is a Transport and Logistics Consultant, The Nichols Group LLC, Washington, DC. Brice Wilfried Bicaba, MD, MSc, is an Epidemiologist and Director; Souleymane Porgho, MSc, is an Epidemiologist and Data Manager; and Isaïe Medah, MD, is Director; all at Direction de la Protection de la Santé de la Population, Ministère de la Santé, Ouagadougou, Burkina Faso. Zékiba Tarnagda, DVM, PhD, is Head of Influenza, and Assana Cissé, MSc, is a Bacteriologist and Virologist, Influenza; both at the National Reference Laboratory, Institut de Recherche en Sciences de la Santé, Bobo-Dioulasso, Burkina Faso. Aimé Adjami, PhD, is a Biologist and Executive Director, and Flavien Ake, PhD, is Director; both at DAVYCAS International, Ouagadougou, Burkina Faso. Sara A. Mirza, PhD, is an Epidemiologist, US Centers for Disease Control and Prevention, Division of Bacterial Diseases, National Center for Immunizations and Respiratory Diseases, Atlanta, GA. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
| | - Abdoulaye Nikiema
- Emilie Dama, PhD, is Senior Laboratory Advisor; Rebecca Greco Koné, MPH, is Country Director, Burkina Faso; and Irene Ngendakumana, MD, is Technical Advisor, Eagle Global Services, a CDC contractor; all with the Division of Global Health Protection, Country Office Burkina Faso, Center for Global Health, US Centers for Disease Control and Prevention, Ouagadougou, Burkina Faso. Abdoulaye Nikièma, PharmD, MSc, is Senior Laboratory Specialist and Global Health Security Program Manager for Burkina, African Society for Laboratory Medicine, Ouagadougou, Burkina Faso. Kameko Nichols is a Transport and Logistics Consultant, The Nichols Group LLC, Washington, DC. Brice Wilfried Bicaba, MD, MSc, is an Epidemiologist and Director; Souleymane Porgho, MSc, is an Epidemiologist and Data Manager; and Isaïe Medah, MD, is Director; all at Direction de la Protection de la Santé de la Population, Ministère de la Santé, Ouagadougou, Burkina Faso. Zékiba Tarnagda, DVM, PhD, is Head of Influenza, and Assana Cissé, MSc, is a Bacteriologist and Virologist, Influenza; both at the National Reference Laboratory, Institut de Recherche en Sciences de la Santé, Bobo-Dioulasso, Burkina Faso. Aimé Adjami, PhD, is a Biologist and Executive Director, and Flavien Ake, PhD, is Director; both at DAVYCAS International, Ouagadougou, Burkina Faso. Sara A. Mirza, PhD, is an Epidemiologist, US Centers for Disease Control and Prevention, Division of Bacterial Diseases, National Center for Immunizations and Respiratory Diseases, Atlanta, GA. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
| | - Kameko Nichols
- Emilie Dama, PhD, is Senior Laboratory Advisor; Rebecca Greco Koné, MPH, is Country Director, Burkina Faso; and Irene Ngendakumana, MD, is Technical Advisor, Eagle Global Services, a CDC contractor; all with the Division of Global Health Protection, Country Office Burkina Faso, Center for Global Health, US Centers for Disease Control and Prevention, Ouagadougou, Burkina Faso. Abdoulaye Nikièma, PharmD, MSc, is Senior Laboratory Specialist and Global Health Security Program Manager for Burkina, African Society for Laboratory Medicine, Ouagadougou, Burkina Faso. Kameko Nichols is a Transport and Logistics Consultant, The Nichols Group LLC, Washington, DC. Brice Wilfried Bicaba, MD, MSc, is an Epidemiologist and Director; Souleymane Porgho, MSc, is an Epidemiologist and Data Manager; and Isaïe Medah, MD, is Director; all at Direction de la Protection de la Santé de la Population, Ministère de la Santé, Ouagadougou, Burkina Faso. Zékiba Tarnagda, DVM, PhD, is Head of Influenza, and Assana Cissé, MSc, is a Bacteriologist and Virologist, Influenza; both at the National Reference Laboratory, Institut de Recherche en Sciences de la Santé, Bobo-Dioulasso, Burkina Faso. Aimé Adjami, PhD, is a Biologist and Executive Director, and Flavien Ake, PhD, is Director; both at DAVYCAS International, Ouagadougou, Burkina Faso. Sara A. Mirza, PhD, is an Epidemiologist, US Centers for Disease Control and Prevention, Division of Bacterial Diseases, National Center for Immunizations and Respiratory Diseases, Atlanta, GA. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
| | - Brice Wilfried Bicaba
- Emilie Dama, PhD, is Senior Laboratory Advisor; Rebecca Greco Koné, MPH, is Country Director, Burkina Faso; and Irene Ngendakumana, MD, is Technical Advisor, Eagle Global Services, a CDC contractor; all with the Division of Global Health Protection, Country Office Burkina Faso, Center for Global Health, US Centers for Disease Control and Prevention, Ouagadougou, Burkina Faso. Abdoulaye Nikièma, PharmD, MSc, is Senior Laboratory Specialist and Global Health Security Program Manager for Burkina, African Society for Laboratory Medicine, Ouagadougou, Burkina Faso. Kameko Nichols is a Transport and Logistics Consultant, The Nichols Group LLC, Washington, DC. Brice Wilfried Bicaba, MD, MSc, is an Epidemiologist and Director; Souleymane Porgho, MSc, is an Epidemiologist and Data Manager; and Isaïe Medah, MD, is Director; all at Direction de la Protection de la Santé de la Population, Ministère de la Santé, Ouagadougou, Burkina Faso. Zékiba Tarnagda, DVM, PhD, is Head of Influenza, and Assana Cissé, MSc, is a Bacteriologist and Virologist, Influenza; both at the National Reference Laboratory, Institut de Recherche en Sciences de la Santé, Bobo-Dioulasso, Burkina Faso. Aimé Adjami, PhD, is a Biologist and Executive Director, and Flavien Ake, PhD, is Director; both at DAVYCAS International, Ouagadougou, Burkina Faso. Sara A. Mirza, PhD, is an Epidemiologist, US Centers for Disease Control and Prevention, Division of Bacterial Diseases, National Center for Immunizations and Respiratory Diseases, Atlanta, GA. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
| | - Souleymane Porgho
- Emilie Dama, PhD, is Senior Laboratory Advisor; Rebecca Greco Koné, MPH, is Country Director, Burkina Faso; and Irene Ngendakumana, MD, is Technical Advisor, Eagle Global Services, a CDC contractor; all with the Division of Global Health Protection, Country Office Burkina Faso, Center for Global Health, US Centers for Disease Control and Prevention, Ouagadougou, Burkina Faso. Abdoulaye Nikièma, PharmD, MSc, is Senior Laboratory Specialist and Global Health Security Program Manager for Burkina, African Society for Laboratory Medicine, Ouagadougou, Burkina Faso. Kameko Nichols is a Transport and Logistics Consultant, The Nichols Group LLC, Washington, DC. Brice Wilfried Bicaba, MD, MSc, is an Epidemiologist and Director; Souleymane Porgho, MSc, is an Epidemiologist and Data Manager; and Isaïe Medah, MD, is Director; all at Direction de la Protection de la Santé de la Population, Ministère de la Santé, Ouagadougou, Burkina Faso. Zékiba Tarnagda, DVM, PhD, is Head of Influenza, and Assana Cissé, MSc, is a Bacteriologist and Virologist, Influenza; both at the National Reference Laboratory, Institut de Recherche en Sciences de la Santé, Bobo-Dioulasso, Burkina Faso. Aimé Adjami, PhD, is a Biologist and Executive Director, and Flavien Ake, PhD, is Director; both at DAVYCAS International, Ouagadougou, Burkina Faso. Sara A. Mirza, PhD, is an Epidemiologist, US Centers for Disease Control and Prevention, Division of Bacterial Diseases, National Center for Immunizations and Respiratory Diseases, Atlanta, GA. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
| | - Rebecca Greco Koné
- Emilie Dama, PhD, is Senior Laboratory Advisor; Rebecca Greco Koné, MPH, is Country Director, Burkina Faso; and Irene Ngendakumana, MD, is Technical Advisor, Eagle Global Services, a CDC contractor; all with the Division of Global Health Protection, Country Office Burkina Faso, Center for Global Health, US Centers for Disease Control and Prevention, Ouagadougou, Burkina Faso. Abdoulaye Nikièma, PharmD, MSc, is Senior Laboratory Specialist and Global Health Security Program Manager for Burkina, African Society for Laboratory Medicine, Ouagadougou, Burkina Faso. Kameko Nichols is a Transport and Logistics Consultant, The Nichols Group LLC, Washington, DC. Brice Wilfried Bicaba, MD, MSc, is an Epidemiologist and Director; Souleymane Porgho, MSc, is an Epidemiologist and Data Manager; and Isaïe Medah, MD, is Director; all at Direction de la Protection de la Santé de la Population, Ministère de la Santé, Ouagadougou, Burkina Faso. Zékiba Tarnagda, DVM, PhD, is Head of Influenza, and Assana Cissé, MSc, is a Bacteriologist and Virologist, Influenza; both at the National Reference Laboratory, Institut de Recherche en Sciences de la Santé, Bobo-Dioulasso, Burkina Faso. Aimé Adjami, PhD, is a Biologist and Executive Director, and Flavien Ake, PhD, is Director; both at DAVYCAS International, Ouagadougou, Burkina Faso. Sara A. Mirza, PhD, is an Epidemiologist, US Centers for Disease Control and Prevention, Division of Bacterial Diseases, National Center for Immunizations and Respiratory Diseases, Atlanta, GA. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
| | - Zekiba Tarnagda
- Emilie Dama, PhD, is Senior Laboratory Advisor; Rebecca Greco Koné, MPH, is Country Director, Burkina Faso; and Irene Ngendakumana, MD, is Technical Advisor, Eagle Global Services, a CDC contractor; all with the Division of Global Health Protection, Country Office Burkina Faso, Center for Global Health, US Centers for Disease Control and Prevention, Ouagadougou, Burkina Faso. Abdoulaye Nikièma, PharmD, MSc, is Senior Laboratory Specialist and Global Health Security Program Manager for Burkina, African Society for Laboratory Medicine, Ouagadougou, Burkina Faso. Kameko Nichols is a Transport and Logistics Consultant, The Nichols Group LLC, Washington, DC. Brice Wilfried Bicaba, MD, MSc, is an Epidemiologist and Director; Souleymane Porgho, MSc, is an Epidemiologist and Data Manager; and Isaïe Medah, MD, is Director; all at Direction de la Protection de la Santé de la Population, Ministère de la Santé, Ouagadougou, Burkina Faso. Zékiba Tarnagda, DVM, PhD, is Head of Influenza, and Assana Cissé, MSc, is a Bacteriologist and Virologist, Influenza; both at the National Reference Laboratory, Institut de Recherche en Sciences de la Santé, Bobo-Dioulasso, Burkina Faso. Aimé Adjami, PhD, is a Biologist and Executive Director, and Flavien Ake, PhD, is Director; both at DAVYCAS International, Ouagadougou, Burkina Faso. Sara A. Mirza, PhD, is an Epidemiologist, US Centers for Disease Control and Prevention, Division of Bacterial Diseases, National Center for Immunizations and Respiratory Diseases, Atlanta, GA. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
| | - Assana Cissé
- Emilie Dama, PhD, is Senior Laboratory Advisor; Rebecca Greco Koné, MPH, is Country Director, Burkina Faso; and Irene Ngendakumana, MD, is Technical Advisor, Eagle Global Services, a CDC contractor; all with the Division of Global Health Protection, Country Office Burkina Faso, Center for Global Health, US Centers for Disease Control and Prevention, Ouagadougou, Burkina Faso. Abdoulaye Nikièma, PharmD, MSc, is Senior Laboratory Specialist and Global Health Security Program Manager for Burkina, African Society for Laboratory Medicine, Ouagadougou, Burkina Faso. Kameko Nichols is a Transport and Logistics Consultant, The Nichols Group LLC, Washington, DC. Brice Wilfried Bicaba, MD, MSc, is an Epidemiologist and Director; Souleymane Porgho, MSc, is an Epidemiologist and Data Manager; and Isaïe Medah, MD, is Director; all at Direction de la Protection de la Santé de la Population, Ministère de la Santé, Ouagadougou, Burkina Faso. Zékiba Tarnagda, DVM, PhD, is Head of Influenza, and Assana Cissé, MSc, is a Bacteriologist and Virologist, Influenza; both at the National Reference Laboratory, Institut de Recherche en Sciences de la Santé, Bobo-Dioulasso, Burkina Faso. Aimé Adjami, PhD, is a Biologist and Executive Director, and Flavien Ake, PhD, is Director; both at DAVYCAS International, Ouagadougou, Burkina Faso. Sara A. Mirza, PhD, is an Epidemiologist, US Centers for Disease Control and Prevention, Division of Bacterial Diseases, National Center for Immunizations and Respiratory Diseases, Atlanta, GA. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
| | - Irene Ngendakumana
- Emilie Dama, PhD, is Senior Laboratory Advisor; Rebecca Greco Koné, MPH, is Country Director, Burkina Faso; and Irene Ngendakumana, MD, is Technical Advisor, Eagle Global Services, a CDC contractor; all with the Division of Global Health Protection, Country Office Burkina Faso, Center for Global Health, US Centers for Disease Control and Prevention, Ouagadougou, Burkina Faso. Abdoulaye Nikièma, PharmD, MSc, is Senior Laboratory Specialist and Global Health Security Program Manager for Burkina, African Society for Laboratory Medicine, Ouagadougou, Burkina Faso. Kameko Nichols is a Transport and Logistics Consultant, The Nichols Group LLC, Washington, DC. Brice Wilfried Bicaba, MD, MSc, is an Epidemiologist and Director; Souleymane Porgho, MSc, is an Epidemiologist and Data Manager; and Isaïe Medah, MD, is Director; all at Direction de la Protection de la Santé de la Population, Ministère de la Santé, Ouagadougou, Burkina Faso. Zékiba Tarnagda, DVM, PhD, is Head of Influenza, and Assana Cissé, MSc, is a Bacteriologist and Virologist, Influenza; both at the National Reference Laboratory, Institut de Recherche en Sciences de la Santé, Bobo-Dioulasso, Burkina Faso. Aimé Adjami, PhD, is a Biologist and Executive Director, and Flavien Ake, PhD, is Director; both at DAVYCAS International, Ouagadougou, Burkina Faso. Sara A. Mirza, PhD, is an Epidemiologist, US Centers for Disease Control and Prevention, Division of Bacterial Diseases, National Center for Immunizations and Respiratory Diseases, Atlanta, GA. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
| | - Aimé Adjami
- Emilie Dama, PhD, is Senior Laboratory Advisor; Rebecca Greco Koné, MPH, is Country Director, Burkina Faso; and Irene Ngendakumana, MD, is Technical Advisor, Eagle Global Services, a CDC contractor; all with the Division of Global Health Protection, Country Office Burkina Faso, Center for Global Health, US Centers for Disease Control and Prevention, Ouagadougou, Burkina Faso. Abdoulaye Nikièma, PharmD, MSc, is Senior Laboratory Specialist and Global Health Security Program Manager for Burkina, African Society for Laboratory Medicine, Ouagadougou, Burkina Faso. Kameko Nichols is a Transport and Logistics Consultant, The Nichols Group LLC, Washington, DC. Brice Wilfried Bicaba, MD, MSc, is an Epidemiologist and Director; Souleymane Porgho, MSc, is an Epidemiologist and Data Manager; and Isaïe Medah, MD, is Director; all at Direction de la Protection de la Santé de la Population, Ministère de la Santé, Ouagadougou, Burkina Faso. Zékiba Tarnagda, DVM, PhD, is Head of Influenza, and Assana Cissé, MSc, is a Bacteriologist and Virologist, Influenza; both at the National Reference Laboratory, Institut de Recherche en Sciences de la Santé, Bobo-Dioulasso, Burkina Faso. Aimé Adjami, PhD, is a Biologist and Executive Director, and Flavien Ake, PhD, is Director; both at DAVYCAS International, Ouagadougou, Burkina Faso. Sara A. Mirza, PhD, is an Epidemiologist, US Centers for Disease Control and Prevention, Division of Bacterial Diseases, National Center for Immunizations and Respiratory Diseases, Atlanta, GA. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
| | - Isaïe Medah
- Emilie Dama, PhD, is Senior Laboratory Advisor; Rebecca Greco Koné, MPH, is Country Director, Burkina Faso; and Irene Ngendakumana, MD, is Technical Advisor, Eagle Global Services, a CDC contractor; all with the Division of Global Health Protection, Country Office Burkina Faso, Center for Global Health, US Centers for Disease Control and Prevention, Ouagadougou, Burkina Faso. Abdoulaye Nikièma, PharmD, MSc, is Senior Laboratory Specialist and Global Health Security Program Manager for Burkina, African Society for Laboratory Medicine, Ouagadougou, Burkina Faso. Kameko Nichols is a Transport and Logistics Consultant, The Nichols Group LLC, Washington, DC. Brice Wilfried Bicaba, MD, MSc, is an Epidemiologist and Director; Souleymane Porgho, MSc, is an Epidemiologist and Data Manager; and Isaïe Medah, MD, is Director; all at Direction de la Protection de la Santé de la Population, Ministère de la Santé, Ouagadougou, Burkina Faso. Zékiba Tarnagda, DVM, PhD, is Head of Influenza, and Assana Cissé, MSc, is a Bacteriologist and Virologist, Influenza; both at the National Reference Laboratory, Institut de Recherche en Sciences de la Santé, Bobo-Dioulasso, Burkina Faso. Aimé Adjami, PhD, is a Biologist and Executive Director, and Flavien Ake, PhD, is Director; both at DAVYCAS International, Ouagadougou, Burkina Faso. Sara A. Mirza, PhD, is an Epidemiologist, US Centers for Disease Control and Prevention, Division of Bacterial Diseases, National Center for Immunizations and Respiratory Diseases, Atlanta, GA. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
| | - Flavien Ake
- Emilie Dama, PhD, is Senior Laboratory Advisor; Rebecca Greco Koné, MPH, is Country Director, Burkina Faso; and Irene Ngendakumana, MD, is Technical Advisor, Eagle Global Services, a CDC contractor; all with the Division of Global Health Protection, Country Office Burkina Faso, Center for Global Health, US Centers for Disease Control and Prevention, Ouagadougou, Burkina Faso. Abdoulaye Nikièma, PharmD, MSc, is Senior Laboratory Specialist and Global Health Security Program Manager for Burkina, African Society for Laboratory Medicine, Ouagadougou, Burkina Faso. Kameko Nichols is a Transport and Logistics Consultant, The Nichols Group LLC, Washington, DC. Brice Wilfried Bicaba, MD, MSc, is an Epidemiologist and Director; Souleymane Porgho, MSc, is an Epidemiologist and Data Manager; and Isaïe Medah, MD, is Director; all at Direction de la Protection de la Santé de la Population, Ministère de la Santé, Ouagadougou, Burkina Faso. Zékiba Tarnagda, DVM, PhD, is Head of Influenza, and Assana Cissé, MSc, is a Bacteriologist and Virologist, Influenza; both at the National Reference Laboratory, Institut de Recherche en Sciences de la Santé, Bobo-Dioulasso, Burkina Faso. Aimé Adjami, PhD, is a Biologist and Executive Director, and Flavien Ake, PhD, is Director; both at DAVYCAS International, Ouagadougou, Burkina Faso. Sara A. Mirza, PhD, is an Epidemiologist, US Centers for Disease Control and Prevention, Division of Bacterial Diseases, National Center for Immunizations and Respiratory Diseases, Atlanta, GA. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
| | - Sara A Mirza
- Emilie Dama, PhD, is Senior Laboratory Advisor; Rebecca Greco Koné, MPH, is Country Director, Burkina Faso; and Irene Ngendakumana, MD, is Technical Advisor, Eagle Global Services, a CDC contractor; all with the Division of Global Health Protection, Country Office Burkina Faso, Center for Global Health, US Centers for Disease Control and Prevention, Ouagadougou, Burkina Faso. Abdoulaye Nikièma, PharmD, MSc, is Senior Laboratory Specialist and Global Health Security Program Manager for Burkina, African Society for Laboratory Medicine, Ouagadougou, Burkina Faso. Kameko Nichols is a Transport and Logistics Consultant, The Nichols Group LLC, Washington, DC. Brice Wilfried Bicaba, MD, MSc, is an Epidemiologist and Director; Souleymane Porgho, MSc, is an Epidemiologist and Data Manager; and Isaïe Medah, MD, is Director; all at Direction de la Protection de la Santé de la Population, Ministère de la Santé, Ouagadougou, Burkina Faso. Zékiba Tarnagda, DVM, PhD, is Head of Influenza, and Assana Cissé, MSc, is a Bacteriologist and Virologist, Influenza; both at the National Reference Laboratory, Institut de Recherche en Sciences de la Santé, Bobo-Dioulasso, Burkina Faso. Aimé Adjami, PhD, is a Biologist and Executive Director, and Flavien Ake, PhD, is Director; both at DAVYCAS International, Ouagadougou, Burkina Faso. Sara A. Mirza, PhD, is an Epidemiologist, US Centers for Disease Control and Prevention, Division of Bacterial Diseases, National Center for Immunizations and Respiratory Diseases, Atlanta, GA. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
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Sanou AS, Dirlikov E, Sondo KA, Kagoné TS, Yameogo I, Sow HE, Adjami AG, Traore SM, Dicko A, Tinto B, Diendere EA, Ouedraogo-Konate SMWK, Kiemtore T, Kangoye DT, Sangare L, Dama ETH, Fuller JA, Major CG, Tosado-Acevedo R, Sharp TM, Koné RG, Bicaba BW. Building Laboratory-Based Arbovirus Sentinel Surveillance Capacity During an Ongoing Dengue Outbreak, Burkina Faso, 2017. Health Secur 2019; 16:S103-S110. [PMID: 30480496 DOI: 10.1089/hs.2018.0048] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
In West Africa, identification of nonmalarial acute febrile illness (AFI) etiologic pathogens is challenging, given limited epidemiologic surveillance and laboratory testing, including for AFI caused by arboviruses. Consequently, public health action to prevent, detect, and respond to outbreaks is constrained, as experienced during dengue outbreaks in several African countries. We describe the successful implementation of laboratory-based arbovirus sentinel surveillance during a dengue outbreak in Burkina Faso during fall 2017. We describe implementation, surveillance methods, and associated costs of enhanced surveillance during an outbreak response as an effort to build capacity to better understand the burden of disease caused by arboviruses in Burkina Faso. The system improved on existing routine surveillance through an improved case report form, systematic testing of specimens, and linking patient information with laboratory results through a data management system. Lessons learned will improve arbovirus surveillance in Burkina Faso and will contribute to enhancing global health security in the region. Elements critical to the success of this intervention include responding to a specific and urgent request by the government of Burkina Faso and building on existing systems and infrastructure already supported by CDC's global health security program.
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Affiliation(s)
- Anselme Simeon Sanou
- Anselme Simeon Sanou, MD, is Senior Surveillance Advisor, the Division for Global Health Protection/Burkina Faso Country Office, US Centers for Disease Control and Prevention , Ouagadougou, Burkina Faso
| | - Emilio Dirlikov
- Emilio Dirlikov, PhD, is Emergency Public Health Epidemiologist, Division for Global Health Protection/Emergency Recovery and Response Branch/Global Rapid Response Team, the US Centers for Disease Control and Prevention , Atlanta, Georgia
| | - Kongnimissom Apoline Sondo
- Kongnimissom Apoline Sondo, MD, is Head of the Service, Service of Infectious Diseases, the Centre Hospitalier Universitaire Yalgado Ouedraogo , Ouagadougou, Burkina Faso
| | - Thérèse Samdapawindé Kagoné
- Thérèse Samdapawindé Kagoné, PhD, is Head of the Viral Hemorrhagic Fever laboratory, the Laboratoire National de Référence des Fièvres Hémorragiques Virales , Centre Muraz, Bobo-Dioulasso, Burkina Faso
| | - Issaka Yameogo
- Issaka Yameogo, MD, is a Medical Epidemiologist, the Direction de la Protection de la Santé de la Population, Ministère de la Sante, Ouagadougou, Burkina Faso
| | - Hyacinthe Euvrard Sow
- Hyacinthe Euvrard Sow, MD, is a Medical Epidemiologist, the Direction de la Protection de la Santé de la Population, Ministère de la Sante, Ouagadougou, Burkina Faso
| | - Aimé Gilles Adjami
- Aimé Gilles Adjami, PhD, is a Biologist and Executive Director, DAVYCAS International , Ouagadougou, Burkina Faso
| | - Siriky Martin Traore
- Siriky Martin Traore, PharmD, is a Medical Biologist, the Direction de la Protection de la Santé de la Population, Ministère de la Sante, Ouagadougou, Burkina Faso
| | - Amadou Dicko
- Amadou Dicko, DVM, is a Researcher, the Laboratoire National de Référence des Fièvres Hémorragiques Virales , Centre Muraz, Bobo-Dioulasso, Burkina Faso
| | - Bachirou Tinto
- Bachirou Tinto, PharmD, is a Researcher, the Laboratoire National de Référence des Fièvres Hémorragiques Virales , Centre Muraz, Bobo-Dioulasso, Burkina Faso
| | - Eric Arnaud Diendere
- Eric Arnaud Diendere, MD, is Infectiologist, Service of Infectious Diseases, the Centre Hospitalier Universitaire Yalgado Ouedraogo , Ouagadougou, Burkina Faso
| | - Sonia Marie W K Ouedraogo-Konate
- Sonia Marie W. K. Ouedraogo-Konate, MD, is a Medical Epidemiologist, the Direction de la Protection de la Santé de la Population, Ministère de la Sante, Ouagadougou, Burkina Faso
| | - Tanga Kiemtore
- Tanga Kiemtore, is Data Manager, the Direction de la Protection de la Santé de la Population, Ministère de la Sante, Ouagadougou, Burkina Faso
| | - David Tiga Kangoye
- David Tiga Kangoye, MD, is an Immuno Epidemiologist, Head of the Department of Public Health, the Centre Hospitalier Universitaire Yalgado Ouedraogo , Ouagadougou, Burkina Faso
| | - Lassana Sangare
- Lassana Sangare, PhD, is Virologist, Head of the Department of laboratories, the Centre Hospitalier Universitaire Yalgado Ouedraogo , Ouagadougou, Burkina Faso
| | - Emilie T H Dama
- Emilie T. H. Dama, PhD, is Senior Laboratory Advisor, the Division for Global Health Protection/Burkina Faso Country Office, US Centers for Disease Control and Prevention , Ouagadougou, Burkina Faso
| | - James A Fuller
- James A. Fuller, PhD, is an Epidemiologist, Division for Global Health Protection/Global Disease Detection Operations Center, the US Centers for Disease Control and Prevention , Atlanta, Georgia
| | - Chelsea G Major
- Chelsea G. Major, MPH, is a Public Health Advisor, the National Center for Emerging and Zoonotic Infectious Diseases/Division of Vector-Borne Diseases/Dengue Branch, US Centers for Disease Control and Prevention , San Juan, Puerto Rico
| | - Rafael Tosado-Acevedo
- Rafael Tosado-Acevedo, PhD, is a Microbiologist, the National Center for Emerging and Zoonotic Infectious Diseases/Division of Vector-Borne Diseases/Dengue Branch, US Centers for Disease Control and Prevention , San Juan, Puerto Rico
| | - Tyler M Sharp
- Tyler M. Sharp, PhD, is an Epidemiologist, the National Center for Emerging and Zoonotic Infectious Diseases/Division of Vector-Borne Diseases/Dengue Branch, US Centers for Disease Control and Prevention , San Juan, Puerto Rico
| | - Rebecca Greco Koné
- Rebecca Greco Koné, MPH, is Country Director, the Division for Global Health Protection/Burkina Faso Country Office, US Centers for Disease Control and Prevention , Ouagadougou, Burkina Faso
| | - Brice Wilfried Bicaba
- Brice Wilfried Bicaba, MD, is Director, the Direction de la Protection de la Santé de la Population, Ministère de la Sante, Ouagadougou, Burkina Faso
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