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Nanziri C, Ario AR, Ntono V, Monje F, Aliddeki DM, Bainomugisha K, Kadobera D, Bulage L, Nsereko G, Kayiwa J, Nakiire L, Walwema R, Tusiime PK, Mabumba E, Makumbi I, Ocom F, Lamorde M, Kasule JN, Ward SE, Merrill RD. Ebola Virus Disease Preparedness Assessment and Risk Mapping in Uganda, August-September 2018. Health Secur 2020; 18:105-113. [PMID: 32324074 PMCID: PMC10838606 DOI: 10.1089/hs.2019.0118] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Uganda's proximity to the tenth Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo (DRC) presents a high risk of cross-border EVD transmission. Uganda conducted preparedness and risk-mapping activities to strengthen capacity to prevent EVD importation and spread from cross-border transmission. We adapted the World Health Organization (WHO) EVD Consolidated Preparedness Checklist to assess preparedness in 11 International Health Regulations domains at the district level, health facilities, and points of entry; the US Centers for Disease Control and Prevention (CDC) Border Health Capacity Discussion Guide to describe public health capacity; and the CDC Population Connectivity Across Borders tool kit to characterize movement and connectivity patterns. We identified 40 ground crossings (13 official, 27 unofficial), 80 health facilities, and more than 500 locations in 12 high-risk districts along the DRC border with increased connectivity to the EVD epicenter. The team also identified routes and congregation hubs, including origins and destinations for cross-border travelers to specified locations. Ten of the 12 districts scored less than 50% on the preparedness assessment. Using these results, Uganda developed a national EVD preparedness and response plan, including tailored interventions to enhance EVD surveillance, laboratory capacity, healthcare professional capacity, provision of supplies to priority locations, building treatment units in strategic locations, and enhancing EVD risk communication. We identified priority interventions to address risk of EVD importation and spread into Uganda. Lessons learned from this process will inform strategies to strengthen public health emergency systems in their response to public health events in similar settings.
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Affiliation(s)
- Carol Nanziri
- Carol Nanziri, MPH; Vivian Ntono, MPH; Fred Monje, MVPM; Dativa Maria Aliddeki, MPH; Kenneth Bainomugisha, MPH; and Godfrey Nsereko, MPH, are Epidemiologists; Daniel Kadobera, MSc, is Field Supervisor; and Lilian Bulage, MSc, is a Scientific Writer; all in the Field Epidemiology Track, Uganda Public Health Fellowship Program, Kampala, Uganda. Alex Riolexus Ario, PhD, is Director, Uganda National Institute of Public Health, Kampala. Joshua Kayiwa, MSc, is an Information Analyst, and Issa Makumbi, MSc, is Director; both in the Public Health Emergency Operations Centre, Ministry of Health, Kampala. Lydia Nakiire, MPH, is an Epidemiologist; Richard Walwema, MBA, is Project Manager; and Mohammed Lamorde, PhD, is Head of Department; all in Global Health Security, Infectious Diseases Institute, Makerere University, Kampala. Patrick K. Tusiime, MPH, is Commissioner, and Eldard Mabumba, MPH, is Principal Medical Officer; both in National Disease Prevention and Control, Ministry of Health, Kampala. Felix Ocom, MPH, is an Epidemiologist, Health Emergencies Program, World Health Organization Country Office, Kampala. Juliet Namugga Kasule, MSc, is a Public Health Specialist, Centers for Disease Control and Prevention, Division of Global Health Protection, Kampala. Sarah E. Ward, MPH, is a Health Scientist, and Rebecca D. Merrill, PhD, is an Epidemiologist; both in the Division of Global Migration and Quarantine, US Centers for Disease Control and Prevention, Atlanta, GA
| | - Alex Riolexus Ario
- Carol Nanziri, MPH; Vivian Ntono, MPH; Fred Monje, MVPM; Dativa Maria Aliddeki, MPH; Kenneth Bainomugisha, MPH; and Godfrey Nsereko, MPH, are Epidemiologists; Daniel Kadobera, MSc, is Field Supervisor; and Lilian Bulage, MSc, is a Scientific Writer; all in the Field Epidemiology Track, Uganda Public Health Fellowship Program, Kampala, Uganda. Alex Riolexus Ario, PhD, is Director, Uganda National Institute of Public Health, Kampala. Joshua Kayiwa, MSc, is an Information Analyst, and Issa Makumbi, MSc, is Director; both in the Public Health Emergency Operations Centre, Ministry of Health, Kampala. Lydia Nakiire, MPH, is an Epidemiologist; Richard Walwema, MBA, is Project Manager; and Mohammed Lamorde, PhD, is Head of Department; all in Global Health Security, Infectious Diseases Institute, Makerere University, Kampala. Patrick K. Tusiime, MPH, is Commissioner, and Eldard Mabumba, MPH, is Principal Medical Officer; both in National Disease Prevention and Control, Ministry of Health, Kampala. Felix Ocom, MPH, is an Epidemiologist, Health Emergencies Program, World Health Organization Country Office, Kampala. Juliet Namugga Kasule, MSc, is a Public Health Specialist, Centers for Disease Control and Prevention, Division of Global Health Protection, Kampala. Sarah E. Ward, MPH, is a Health Scientist, and Rebecca D. Merrill, PhD, is an Epidemiologist; both in the Division of Global Migration and Quarantine, US Centers for Disease Control and Prevention, Atlanta, GA
| | - Vivian Ntono
- Carol Nanziri, MPH; Vivian Ntono, MPH; Fred Monje, MVPM; Dativa Maria Aliddeki, MPH; Kenneth Bainomugisha, MPH; and Godfrey Nsereko, MPH, are Epidemiologists; Daniel Kadobera, MSc, is Field Supervisor; and Lilian Bulage, MSc, is a Scientific Writer; all in the Field Epidemiology Track, Uganda Public Health Fellowship Program, Kampala, Uganda. Alex Riolexus Ario, PhD, is Director, Uganda National Institute of Public Health, Kampala. Joshua Kayiwa, MSc, is an Information Analyst, and Issa Makumbi, MSc, is Director; both in the Public Health Emergency Operations Centre, Ministry of Health, Kampala. Lydia Nakiire, MPH, is an Epidemiologist; Richard Walwema, MBA, is Project Manager; and Mohammed Lamorde, PhD, is Head of Department; all in Global Health Security, Infectious Diseases Institute, Makerere University, Kampala. Patrick K. Tusiime, MPH, is Commissioner, and Eldard Mabumba, MPH, is Principal Medical Officer; both in National Disease Prevention and Control, Ministry of Health, Kampala. Felix Ocom, MPH, is an Epidemiologist, Health Emergencies Program, World Health Organization Country Office, Kampala. Juliet Namugga Kasule, MSc, is a Public Health Specialist, Centers for Disease Control and Prevention, Division of Global Health Protection, Kampala. Sarah E. Ward, MPH, is a Health Scientist, and Rebecca D. Merrill, PhD, is an Epidemiologist; both in the Division of Global Migration and Quarantine, US Centers for Disease Control and Prevention, Atlanta, GA
| | - Fred Monje
- Carol Nanziri, MPH; Vivian Ntono, MPH; Fred Monje, MVPM; Dativa Maria Aliddeki, MPH; Kenneth Bainomugisha, MPH; and Godfrey Nsereko, MPH, are Epidemiologists; Daniel Kadobera, MSc, is Field Supervisor; and Lilian Bulage, MSc, is a Scientific Writer; all in the Field Epidemiology Track, Uganda Public Health Fellowship Program, Kampala, Uganda. Alex Riolexus Ario, PhD, is Director, Uganda National Institute of Public Health, Kampala. Joshua Kayiwa, MSc, is an Information Analyst, and Issa Makumbi, MSc, is Director; both in the Public Health Emergency Operations Centre, Ministry of Health, Kampala. Lydia Nakiire, MPH, is an Epidemiologist; Richard Walwema, MBA, is Project Manager; and Mohammed Lamorde, PhD, is Head of Department; all in Global Health Security, Infectious Diseases Institute, Makerere University, Kampala. Patrick K. Tusiime, MPH, is Commissioner, and Eldard Mabumba, MPH, is Principal Medical Officer; both in National Disease Prevention and Control, Ministry of Health, Kampala. Felix Ocom, MPH, is an Epidemiologist, Health Emergencies Program, World Health Organization Country Office, Kampala. Juliet Namugga Kasule, MSc, is a Public Health Specialist, Centers for Disease Control and Prevention, Division of Global Health Protection, Kampala. Sarah E. Ward, MPH, is a Health Scientist, and Rebecca D. Merrill, PhD, is an Epidemiologist; both in the Division of Global Migration and Quarantine, US Centers for Disease Control and Prevention, Atlanta, GA
| | - Dativa Maria Aliddeki
- Carol Nanziri, MPH; Vivian Ntono, MPH; Fred Monje, MVPM; Dativa Maria Aliddeki, MPH; Kenneth Bainomugisha, MPH; and Godfrey Nsereko, MPH, are Epidemiologists; Daniel Kadobera, MSc, is Field Supervisor; and Lilian Bulage, MSc, is a Scientific Writer; all in the Field Epidemiology Track, Uganda Public Health Fellowship Program, Kampala, Uganda. Alex Riolexus Ario, PhD, is Director, Uganda National Institute of Public Health, Kampala. Joshua Kayiwa, MSc, is an Information Analyst, and Issa Makumbi, MSc, is Director; both in the Public Health Emergency Operations Centre, Ministry of Health, Kampala. Lydia Nakiire, MPH, is an Epidemiologist; Richard Walwema, MBA, is Project Manager; and Mohammed Lamorde, PhD, is Head of Department; all in Global Health Security, Infectious Diseases Institute, Makerere University, Kampala. Patrick K. Tusiime, MPH, is Commissioner, and Eldard Mabumba, MPH, is Principal Medical Officer; both in National Disease Prevention and Control, Ministry of Health, Kampala. Felix Ocom, MPH, is an Epidemiologist, Health Emergencies Program, World Health Organization Country Office, Kampala. Juliet Namugga Kasule, MSc, is a Public Health Specialist, Centers for Disease Control and Prevention, Division of Global Health Protection, Kampala. Sarah E. Ward, MPH, is a Health Scientist, and Rebecca D. Merrill, PhD, is an Epidemiologist; both in the Division of Global Migration and Quarantine, US Centers for Disease Control and Prevention, Atlanta, GA
| | - Kenneth Bainomugisha
- Carol Nanziri, MPH; Vivian Ntono, MPH; Fred Monje, MVPM; Dativa Maria Aliddeki, MPH; Kenneth Bainomugisha, MPH; and Godfrey Nsereko, MPH, are Epidemiologists; Daniel Kadobera, MSc, is Field Supervisor; and Lilian Bulage, MSc, is a Scientific Writer; all in the Field Epidemiology Track, Uganda Public Health Fellowship Program, Kampala, Uganda. Alex Riolexus Ario, PhD, is Director, Uganda National Institute of Public Health, Kampala. Joshua Kayiwa, MSc, is an Information Analyst, and Issa Makumbi, MSc, is Director; both in the Public Health Emergency Operations Centre, Ministry of Health, Kampala. Lydia Nakiire, MPH, is an Epidemiologist; Richard Walwema, MBA, is Project Manager; and Mohammed Lamorde, PhD, is Head of Department; all in Global Health Security, Infectious Diseases Institute, Makerere University, Kampala. Patrick K. Tusiime, MPH, is Commissioner, and Eldard Mabumba, MPH, is Principal Medical Officer; both in National Disease Prevention and Control, Ministry of Health, Kampala. Felix Ocom, MPH, is an Epidemiologist, Health Emergencies Program, World Health Organization Country Office, Kampala. Juliet Namugga Kasule, MSc, is a Public Health Specialist, Centers for Disease Control and Prevention, Division of Global Health Protection, Kampala. Sarah E. Ward, MPH, is a Health Scientist, and Rebecca D. Merrill, PhD, is an Epidemiologist; both in the Division of Global Migration and Quarantine, US Centers for Disease Control and Prevention, Atlanta, GA
| | - Daniel Kadobera
- Carol Nanziri, MPH; Vivian Ntono, MPH; Fred Monje, MVPM; Dativa Maria Aliddeki, MPH; Kenneth Bainomugisha, MPH; and Godfrey Nsereko, MPH, are Epidemiologists; Daniel Kadobera, MSc, is Field Supervisor; and Lilian Bulage, MSc, is a Scientific Writer; all in the Field Epidemiology Track, Uganda Public Health Fellowship Program, Kampala, Uganda. Alex Riolexus Ario, PhD, is Director, Uganda National Institute of Public Health, Kampala. Joshua Kayiwa, MSc, is an Information Analyst, and Issa Makumbi, MSc, is Director; both in the Public Health Emergency Operations Centre, Ministry of Health, Kampala. Lydia Nakiire, MPH, is an Epidemiologist; Richard Walwema, MBA, is Project Manager; and Mohammed Lamorde, PhD, is Head of Department; all in Global Health Security, Infectious Diseases Institute, Makerere University, Kampala. Patrick K. Tusiime, MPH, is Commissioner, and Eldard Mabumba, MPH, is Principal Medical Officer; both in National Disease Prevention and Control, Ministry of Health, Kampala. Felix Ocom, MPH, is an Epidemiologist, Health Emergencies Program, World Health Organization Country Office, Kampala. Juliet Namugga Kasule, MSc, is a Public Health Specialist, Centers for Disease Control and Prevention, Division of Global Health Protection, Kampala. Sarah E. Ward, MPH, is a Health Scientist, and Rebecca D. Merrill, PhD, is an Epidemiologist; both in the Division of Global Migration and Quarantine, US Centers for Disease Control and Prevention, Atlanta, GA
| | - Lilian Bulage
- Carol Nanziri, MPH; Vivian Ntono, MPH; Fred Monje, MVPM; Dativa Maria Aliddeki, MPH; Kenneth Bainomugisha, MPH; and Godfrey Nsereko, MPH, are Epidemiologists; Daniel Kadobera, MSc, is Field Supervisor; and Lilian Bulage, MSc, is a Scientific Writer; all in the Field Epidemiology Track, Uganda Public Health Fellowship Program, Kampala, Uganda. Alex Riolexus Ario, PhD, is Director, Uganda National Institute of Public Health, Kampala. Joshua Kayiwa, MSc, is an Information Analyst, and Issa Makumbi, MSc, is Director; both in the Public Health Emergency Operations Centre, Ministry of Health, Kampala. Lydia Nakiire, MPH, is an Epidemiologist; Richard Walwema, MBA, is Project Manager; and Mohammed Lamorde, PhD, is Head of Department; all in Global Health Security, Infectious Diseases Institute, Makerere University, Kampala. Patrick K. Tusiime, MPH, is Commissioner, and Eldard Mabumba, MPH, is Principal Medical Officer; both in National Disease Prevention and Control, Ministry of Health, Kampala. Felix Ocom, MPH, is an Epidemiologist, Health Emergencies Program, World Health Organization Country Office, Kampala. Juliet Namugga Kasule, MSc, is a Public Health Specialist, Centers for Disease Control and Prevention, Division of Global Health Protection, Kampala. Sarah E. Ward, MPH, is a Health Scientist, and Rebecca D. Merrill, PhD, is an Epidemiologist; both in the Division of Global Migration and Quarantine, US Centers for Disease Control and Prevention, Atlanta, GA
| | - Godfrey Nsereko
- Carol Nanziri, MPH; Vivian Ntono, MPH; Fred Monje, MVPM; Dativa Maria Aliddeki, MPH; Kenneth Bainomugisha, MPH; and Godfrey Nsereko, MPH, are Epidemiologists; Daniel Kadobera, MSc, is Field Supervisor; and Lilian Bulage, MSc, is a Scientific Writer; all in the Field Epidemiology Track, Uganda Public Health Fellowship Program, Kampala, Uganda. Alex Riolexus Ario, PhD, is Director, Uganda National Institute of Public Health, Kampala. Joshua Kayiwa, MSc, is an Information Analyst, and Issa Makumbi, MSc, is Director; both in the Public Health Emergency Operations Centre, Ministry of Health, Kampala. Lydia Nakiire, MPH, is an Epidemiologist; Richard Walwema, MBA, is Project Manager; and Mohammed Lamorde, PhD, is Head of Department; all in Global Health Security, Infectious Diseases Institute, Makerere University, Kampala. Patrick K. Tusiime, MPH, is Commissioner, and Eldard Mabumba, MPH, is Principal Medical Officer; both in National Disease Prevention and Control, Ministry of Health, Kampala. Felix Ocom, MPH, is an Epidemiologist, Health Emergencies Program, World Health Organization Country Office, Kampala. Juliet Namugga Kasule, MSc, is a Public Health Specialist, Centers for Disease Control and Prevention, Division of Global Health Protection, Kampala. Sarah E. Ward, MPH, is a Health Scientist, and Rebecca D. Merrill, PhD, is an Epidemiologist; both in the Division of Global Migration and Quarantine, US Centers for Disease Control and Prevention, Atlanta, GA
| | - Joshua Kayiwa
- Carol Nanziri, MPH; Vivian Ntono, MPH; Fred Monje, MVPM; Dativa Maria Aliddeki, MPH; Kenneth Bainomugisha, MPH; and Godfrey Nsereko, MPH, are Epidemiologists; Daniel Kadobera, MSc, is Field Supervisor; and Lilian Bulage, MSc, is a Scientific Writer; all in the Field Epidemiology Track, Uganda Public Health Fellowship Program, Kampala, Uganda. Alex Riolexus Ario, PhD, is Director, Uganda National Institute of Public Health, Kampala. Joshua Kayiwa, MSc, is an Information Analyst, and Issa Makumbi, MSc, is Director; both in the Public Health Emergency Operations Centre, Ministry of Health, Kampala. Lydia Nakiire, MPH, is an Epidemiologist; Richard Walwema, MBA, is Project Manager; and Mohammed Lamorde, PhD, is Head of Department; all in Global Health Security, Infectious Diseases Institute, Makerere University, Kampala. Patrick K. Tusiime, MPH, is Commissioner, and Eldard Mabumba, MPH, is Principal Medical Officer; both in National Disease Prevention and Control, Ministry of Health, Kampala. Felix Ocom, MPH, is an Epidemiologist, Health Emergencies Program, World Health Organization Country Office, Kampala. Juliet Namugga Kasule, MSc, is a Public Health Specialist, Centers for Disease Control and Prevention, Division of Global Health Protection, Kampala. Sarah E. Ward, MPH, is a Health Scientist, and Rebecca D. Merrill, PhD, is an Epidemiologist; both in the Division of Global Migration and Quarantine, US Centers for Disease Control and Prevention, Atlanta, GA
| | - Lydia Nakiire
- Carol Nanziri, MPH; Vivian Ntono, MPH; Fred Monje, MVPM; Dativa Maria Aliddeki, MPH; Kenneth Bainomugisha, MPH; and Godfrey Nsereko, MPH, are Epidemiologists; Daniel Kadobera, MSc, is Field Supervisor; and Lilian Bulage, MSc, is a Scientific Writer; all in the Field Epidemiology Track, Uganda Public Health Fellowship Program, Kampala, Uganda. Alex Riolexus Ario, PhD, is Director, Uganda National Institute of Public Health, Kampala. Joshua Kayiwa, MSc, is an Information Analyst, and Issa Makumbi, MSc, is Director; both in the Public Health Emergency Operations Centre, Ministry of Health, Kampala. Lydia Nakiire, MPH, is an Epidemiologist; Richard Walwema, MBA, is Project Manager; and Mohammed Lamorde, PhD, is Head of Department; all in Global Health Security, Infectious Diseases Institute, Makerere University, Kampala. Patrick K. Tusiime, MPH, is Commissioner, and Eldard Mabumba, MPH, is Principal Medical Officer; both in National Disease Prevention and Control, Ministry of Health, Kampala. Felix Ocom, MPH, is an Epidemiologist, Health Emergencies Program, World Health Organization Country Office, Kampala. Juliet Namugga Kasule, MSc, is a Public Health Specialist, Centers for Disease Control and Prevention, Division of Global Health Protection, Kampala. Sarah E. Ward, MPH, is a Health Scientist, and Rebecca D. Merrill, PhD, is an Epidemiologist; both in the Division of Global Migration and Quarantine, US Centers for Disease Control and Prevention, Atlanta, GA
| | - Richard Walwema
- Carol Nanziri, MPH; Vivian Ntono, MPH; Fred Monje, MVPM; Dativa Maria Aliddeki, MPH; Kenneth Bainomugisha, MPH; and Godfrey Nsereko, MPH, are Epidemiologists; Daniel Kadobera, MSc, is Field Supervisor; and Lilian Bulage, MSc, is a Scientific Writer; all in the Field Epidemiology Track, Uganda Public Health Fellowship Program, Kampala, Uganda. Alex Riolexus Ario, PhD, is Director, Uganda National Institute of Public Health, Kampala. Joshua Kayiwa, MSc, is an Information Analyst, and Issa Makumbi, MSc, is Director; both in the Public Health Emergency Operations Centre, Ministry of Health, Kampala. Lydia Nakiire, MPH, is an Epidemiologist; Richard Walwema, MBA, is Project Manager; and Mohammed Lamorde, PhD, is Head of Department; all in Global Health Security, Infectious Diseases Institute, Makerere University, Kampala. Patrick K. Tusiime, MPH, is Commissioner, and Eldard Mabumba, MPH, is Principal Medical Officer; both in National Disease Prevention and Control, Ministry of Health, Kampala. Felix Ocom, MPH, is an Epidemiologist, Health Emergencies Program, World Health Organization Country Office, Kampala. Juliet Namugga Kasule, MSc, is a Public Health Specialist, Centers for Disease Control and Prevention, Division of Global Health Protection, Kampala. Sarah E. Ward, MPH, is a Health Scientist, and Rebecca D. Merrill, PhD, is an Epidemiologist; both in the Division of Global Migration and Quarantine, US Centers for Disease Control and Prevention, Atlanta, GA
| | - Patrick K Tusiime
- Carol Nanziri, MPH; Vivian Ntono, MPH; Fred Monje, MVPM; Dativa Maria Aliddeki, MPH; Kenneth Bainomugisha, MPH; and Godfrey Nsereko, MPH, are Epidemiologists; Daniel Kadobera, MSc, is Field Supervisor; and Lilian Bulage, MSc, is a Scientific Writer; all in the Field Epidemiology Track, Uganda Public Health Fellowship Program, Kampala, Uganda. Alex Riolexus Ario, PhD, is Director, Uganda National Institute of Public Health, Kampala. Joshua Kayiwa, MSc, is an Information Analyst, and Issa Makumbi, MSc, is Director; both in the Public Health Emergency Operations Centre, Ministry of Health, Kampala. Lydia Nakiire, MPH, is an Epidemiologist; Richard Walwema, MBA, is Project Manager; and Mohammed Lamorde, PhD, is Head of Department; all in Global Health Security, Infectious Diseases Institute, Makerere University, Kampala. Patrick K. Tusiime, MPH, is Commissioner, and Eldard Mabumba, MPH, is Principal Medical Officer; both in National Disease Prevention and Control, Ministry of Health, Kampala. Felix Ocom, MPH, is an Epidemiologist, Health Emergencies Program, World Health Organization Country Office, Kampala. Juliet Namugga Kasule, MSc, is a Public Health Specialist, Centers for Disease Control and Prevention, Division of Global Health Protection, Kampala. Sarah E. Ward, MPH, is a Health Scientist, and Rebecca D. Merrill, PhD, is an Epidemiologist; both in the Division of Global Migration and Quarantine, US Centers for Disease Control and Prevention, Atlanta, GA
| | - Eldard Mabumba
- Carol Nanziri, MPH; Vivian Ntono, MPH; Fred Monje, MVPM; Dativa Maria Aliddeki, MPH; Kenneth Bainomugisha, MPH; and Godfrey Nsereko, MPH, are Epidemiologists; Daniel Kadobera, MSc, is Field Supervisor; and Lilian Bulage, MSc, is a Scientific Writer; all in the Field Epidemiology Track, Uganda Public Health Fellowship Program, Kampala, Uganda. Alex Riolexus Ario, PhD, is Director, Uganda National Institute of Public Health, Kampala. Joshua Kayiwa, MSc, is an Information Analyst, and Issa Makumbi, MSc, is Director; both in the Public Health Emergency Operations Centre, Ministry of Health, Kampala. Lydia Nakiire, MPH, is an Epidemiologist; Richard Walwema, MBA, is Project Manager; and Mohammed Lamorde, PhD, is Head of Department; all in Global Health Security, Infectious Diseases Institute, Makerere University, Kampala. Patrick K. Tusiime, MPH, is Commissioner, and Eldard Mabumba, MPH, is Principal Medical Officer; both in National Disease Prevention and Control, Ministry of Health, Kampala. Felix Ocom, MPH, is an Epidemiologist, Health Emergencies Program, World Health Organization Country Office, Kampala. Juliet Namugga Kasule, MSc, is a Public Health Specialist, Centers for Disease Control and Prevention, Division of Global Health Protection, Kampala. Sarah E. Ward, MPH, is a Health Scientist, and Rebecca D. Merrill, PhD, is an Epidemiologist; both in the Division of Global Migration and Quarantine, US Centers for Disease Control and Prevention, Atlanta, GA
| | - Issa Makumbi
- Carol Nanziri, MPH; Vivian Ntono, MPH; Fred Monje, MVPM; Dativa Maria Aliddeki, MPH; Kenneth Bainomugisha, MPH; and Godfrey Nsereko, MPH, are Epidemiologists; Daniel Kadobera, MSc, is Field Supervisor; and Lilian Bulage, MSc, is a Scientific Writer; all in the Field Epidemiology Track, Uganda Public Health Fellowship Program, Kampala, Uganda. Alex Riolexus Ario, PhD, is Director, Uganda National Institute of Public Health, Kampala. Joshua Kayiwa, MSc, is an Information Analyst, and Issa Makumbi, MSc, is Director; both in the Public Health Emergency Operations Centre, Ministry of Health, Kampala. Lydia Nakiire, MPH, is an Epidemiologist; Richard Walwema, MBA, is Project Manager; and Mohammed Lamorde, PhD, is Head of Department; all in Global Health Security, Infectious Diseases Institute, Makerere University, Kampala. Patrick K. Tusiime, MPH, is Commissioner, and Eldard Mabumba, MPH, is Principal Medical Officer; both in National Disease Prevention and Control, Ministry of Health, Kampala. Felix Ocom, MPH, is an Epidemiologist, Health Emergencies Program, World Health Organization Country Office, Kampala. Juliet Namugga Kasule, MSc, is a Public Health Specialist, Centers for Disease Control and Prevention, Division of Global Health Protection, Kampala. Sarah E. Ward, MPH, is a Health Scientist, and Rebecca D. Merrill, PhD, is an Epidemiologist; both in the Division of Global Migration and Quarantine, US Centers for Disease Control and Prevention, Atlanta, GA
| | - Felix Ocom
- Carol Nanziri, MPH; Vivian Ntono, MPH; Fred Monje, MVPM; Dativa Maria Aliddeki, MPH; Kenneth Bainomugisha, MPH; and Godfrey Nsereko, MPH, are Epidemiologists; Daniel Kadobera, MSc, is Field Supervisor; and Lilian Bulage, MSc, is a Scientific Writer; all in the Field Epidemiology Track, Uganda Public Health Fellowship Program, Kampala, Uganda. Alex Riolexus Ario, PhD, is Director, Uganda National Institute of Public Health, Kampala. Joshua Kayiwa, MSc, is an Information Analyst, and Issa Makumbi, MSc, is Director; both in the Public Health Emergency Operations Centre, Ministry of Health, Kampala. Lydia Nakiire, MPH, is an Epidemiologist; Richard Walwema, MBA, is Project Manager; and Mohammed Lamorde, PhD, is Head of Department; all in Global Health Security, Infectious Diseases Institute, Makerere University, Kampala. Patrick K. Tusiime, MPH, is Commissioner, and Eldard Mabumba, MPH, is Principal Medical Officer; both in National Disease Prevention and Control, Ministry of Health, Kampala. Felix Ocom, MPH, is an Epidemiologist, Health Emergencies Program, World Health Organization Country Office, Kampala. Juliet Namugga Kasule, MSc, is a Public Health Specialist, Centers for Disease Control and Prevention, Division of Global Health Protection, Kampala. Sarah E. Ward, MPH, is a Health Scientist, and Rebecca D. Merrill, PhD, is an Epidemiologist; both in the Division of Global Migration and Quarantine, US Centers for Disease Control and Prevention, Atlanta, GA
| | - Mohammed Lamorde
- Carol Nanziri, MPH; Vivian Ntono, MPH; Fred Monje, MVPM; Dativa Maria Aliddeki, MPH; Kenneth Bainomugisha, MPH; and Godfrey Nsereko, MPH, are Epidemiologists; Daniel Kadobera, MSc, is Field Supervisor; and Lilian Bulage, MSc, is a Scientific Writer; all in the Field Epidemiology Track, Uganda Public Health Fellowship Program, Kampala, Uganda. Alex Riolexus Ario, PhD, is Director, Uganda National Institute of Public Health, Kampala. Joshua Kayiwa, MSc, is an Information Analyst, and Issa Makumbi, MSc, is Director; both in the Public Health Emergency Operations Centre, Ministry of Health, Kampala. Lydia Nakiire, MPH, is an Epidemiologist; Richard Walwema, MBA, is Project Manager; and Mohammed Lamorde, PhD, is Head of Department; all in Global Health Security, Infectious Diseases Institute, Makerere University, Kampala. Patrick K. Tusiime, MPH, is Commissioner, and Eldard Mabumba, MPH, is Principal Medical Officer; both in National Disease Prevention and Control, Ministry of Health, Kampala. Felix Ocom, MPH, is an Epidemiologist, Health Emergencies Program, World Health Organization Country Office, Kampala. Juliet Namugga Kasule, MSc, is a Public Health Specialist, Centers for Disease Control and Prevention, Division of Global Health Protection, Kampala. Sarah E. Ward, MPH, is a Health Scientist, and Rebecca D. Merrill, PhD, is an Epidemiologist; both in the Division of Global Migration and Quarantine, US Centers for Disease Control and Prevention, Atlanta, GA
| | - Juliet Namugga Kasule
- Carol Nanziri, MPH; Vivian Ntono, MPH; Fred Monje, MVPM; Dativa Maria Aliddeki, MPH; Kenneth Bainomugisha, MPH; and Godfrey Nsereko, MPH, are Epidemiologists; Daniel Kadobera, MSc, is Field Supervisor; and Lilian Bulage, MSc, is a Scientific Writer; all in the Field Epidemiology Track, Uganda Public Health Fellowship Program, Kampala, Uganda. Alex Riolexus Ario, PhD, is Director, Uganda National Institute of Public Health, Kampala. Joshua Kayiwa, MSc, is an Information Analyst, and Issa Makumbi, MSc, is Director; both in the Public Health Emergency Operations Centre, Ministry of Health, Kampala. Lydia Nakiire, MPH, is an Epidemiologist; Richard Walwema, MBA, is Project Manager; and Mohammed Lamorde, PhD, is Head of Department; all in Global Health Security, Infectious Diseases Institute, Makerere University, Kampala. Patrick K. Tusiime, MPH, is Commissioner, and Eldard Mabumba, MPH, is Principal Medical Officer; both in National Disease Prevention and Control, Ministry of Health, Kampala. Felix Ocom, MPH, is an Epidemiologist, Health Emergencies Program, World Health Organization Country Office, Kampala. Juliet Namugga Kasule, MSc, is a Public Health Specialist, Centers for Disease Control and Prevention, Division of Global Health Protection, Kampala. Sarah E. Ward, MPH, is a Health Scientist, and Rebecca D. Merrill, PhD, is an Epidemiologist; both in the Division of Global Migration and Quarantine, US Centers for Disease Control and Prevention, Atlanta, GA
| | - Sarah E Ward
- Carol Nanziri, MPH; Vivian Ntono, MPH; Fred Monje, MVPM; Dativa Maria Aliddeki, MPH; Kenneth Bainomugisha, MPH; and Godfrey Nsereko, MPH, are Epidemiologists; Daniel Kadobera, MSc, is Field Supervisor; and Lilian Bulage, MSc, is a Scientific Writer; all in the Field Epidemiology Track, Uganda Public Health Fellowship Program, Kampala, Uganda. Alex Riolexus Ario, PhD, is Director, Uganda National Institute of Public Health, Kampala. Joshua Kayiwa, MSc, is an Information Analyst, and Issa Makumbi, MSc, is Director; both in the Public Health Emergency Operations Centre, Ministry of Health, Kampala. Lydia Nakiire, MPH, is an Epidemiologist; Richard Walwema, MBA, is Project Manager; and Mohammed Lamorde, PhD, is Head of Department; all in Global Health Security, Infectious Diseases Institute, Makerere University, Kampala. Patrick K. Tusiime, MPH, is Commissioner, and Eldard Mabumba, MPH, is Principal Medical Officer; both in National Disease Prevention and Control, Ministry of Health, Kampala. Felix Ocom, MPH, is an Epidemiologist, Health Emergencies Program, World Health Organization Country Office, Kampala. Juliet Namugga Kasule, MSc, is a Public Health Specialist, Centers for Disease Control and Prevention, Division of Global Health Protection, Kampala. Sarah E. Ward, MPH, is a Health Scientist, and Rebecca D. Merrill, PhD, is an Epidemiologist; both in the Division of Global Migration and Quarantine, US Centers for Disease Control and Prevention, Atlanta, GA
| | - Rebecca D Merrill
- Carol Nanziri, MPH; Vivian Ntono, MPH; Fred Monje, MVPM; Dativa Maria Aliddeki, MPH; Kenneth Bainomugisha, MPH; and Godfrey Nsereko, MPH, are Epidemiologists; Daniel Kadobera, MSc, is Field Supervisor; and Lilian Bulage, MSc, is a Scientific Writer; all in the Field Epidemiology Track, Uganda Public Health Fellowship Program, Kampala, Uganda. Alex Riolexus Ario, PhD, is Director, Uganda National Institute of Public Health, Kampala. Joshua Kayiwa, MSc, is an Information Analyst, and Issa Makumbi, MSc, is Director; both in the Public Health Emergency Operations Centre, Ministry of Health, Kampala. Lydia Nakiire, MPH, is an Epidemiologist; Richard Walwema, MBA, is Project Manager; and Mohammed Lamorde, PhD, is Head of Department; all in Global Health Security, Infectious Diseases Institute, Makerere University, Kampala. Patrick K. Tusiime, MPH, is Commissioner, and Eldard Mabumba, MPH, is Principal Medical Officer; both in National Disease Prevention and Control, Ministry of Health, Kampala. Felix Ocom, MPH, is an Epidemiologist, Health Emergencies Program, World Health Organization Country Office, Kampala. Juliet Namugga Kasule, MSc, is a Public Health Specialist, Centers for Disease Control and Prevention, Division of Global Health Protection, Kampala. Sarah E. Ward, MPH, is a Health Scientist, and Rebecca D. Merrill, PhD, is an Epidemiologist; both in the Division of Global Migration and Quarantine, US Centers for Disease Control and Prevention, Atlanta, GA
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Aceng JR, Ario AR, Muruta AN, Makumbi I, Nanyunja M, Komakech I, Bakainaga AN, Talisuna AO, Mwesigye C, Mpairwe AM, Tusiime JB, Lali WZ, Katushabe E, Ocom F, Kaggwa M, Bongomin B, Kasule H, Mwoga JN, Sensasi B, Mwebembezi E, Katureebe C, Sentumbwe O, Nalwadda R, Mbaka P, Fatunmbi BS, Nakiire L, Lamorde M, Walwema R, Kambugu A, Nanyondo J, Okware S, Ahabwe PB, Nabukenya I, Kayiwa J, Wetaka MM, Kyazze S, Kwesiga B, Kadobera D, Bulage L, Nanziri C, Monje F, Aliddeki DM, Ntono V, Gonahasa D, Nabatanzi S, Nsereko G, Nakinsige A, Mabumba E, Lubwama B, Sekamatte M, Kibuule M, Muwanguzi D, Amone J, Upenytho GD, Driwale A, Seru M, Sebisubi F, Akello H, Kabanda R, Mutengeki DK, Bakyaita T, Serwanjja VN, Okwi R, Okiria J, Ainebyoona E, Opar BT, Mimbe D, Kyabaggu D, Ayebazibwe C, Sentumbwe J, Mwanja M, Ndumu DB, Bwogi J, Balinandi S, Nyakarahuka L, Tumusiime A, Kyondo J, Mulei S, Lutwama J, Kaleebu P, Kagirita A, Nabadda S, Oumo P, Lukwago R, Kasozi J, Masylukov O, Kyobe HB, Berdaga V, Lwanga M, Opio JC, Matseketse D, Eyul J, Oteba MO, Bukirwa H, Bulya N, Masiira B, Kihembo C, Ohuabunwo C, Antara SN, Owembabazi W, Okot PB, Okwera J, Amoros I, Kajja V, Mukunda BS, Sorela I, Adams G, Shoemaker T, Klena JD, Taboy CH, Ward SE, Merrill RD, Carter RJ, Harris JR, Banage F, Nsibambi T, Ojwang J, Kasule JN, Stowell DF, Brown VR, Zhu BP, Homsy J, Nelson LJ, Tusiime PK, Olaro C, Mwebesa HG, Woldemariam YT. Uganda's experience in Ebola virus disease outbreak preparedness, 2018-2019. Global Health 2020; 16:24. [PMID: 32192540 PMCID: PMC7081536 DOI: 10.1186/s12992-020-00548-5] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2019] [Accepted: 02/12/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Since the declaration of the 10th Ebola Virus Disease (EVD) outbreak in DRC on 1st Aug 2018, several neighboring countries have been developing and implementing preparedness efforts to prevent EVD cross-border transmission to enable timely detection, investigation, and response in the event of a confirmed EVD outbreak in the country. We describe Uganda's experience in EVD preparedness. RESULTS On 4 August 2018, the Uganda Ministry of Health (MoH) activated the Public Health Emergency Operations Centre (PHEOC) and the National Task Force (NTF) for public health emergencies to plan, guide, and coordinate EVD preparedness in the country. The NTF selected an Incident Management Team (IMT), constituting a National Rapid Response Team (NRRT) that supported activation of the District Task Forces (DTFs) and District Rapid Response Teams (DRRTs) that jointly assessed levels of preparedness in 30 designated high-risk districts representing category 1 (20 districts) and category 2 (10 districts). The MoH, with technical guidance from the World Health Organisation (WHO), led EVD preparedness activities and worked together with other ministries and partner organisations to enhance community-based surveillance systems, develop and disseminate risk communication messages, engage communities, reinforce EVD screening and infection prevention measures at Points of Entry (PoEs) and in high-risk health facilities, construct and equip EVD isolation and treatment units, and establish coordination and procurement mechanisms. CONCLUSION As of 31 May 2019, there was no confirmed case of EVD as Uganda has continued to make significant and verifiable progress in EVD preparedness. There is a need to sustain these efforts, not only in EVD preparedness but also across the entire spectrum of a multi-hazard framework. These efforts strengthen country capacity and compel the country to avail resources for preparedness and management of incidents at the source while effectively cutting costs of using a "fire-fighting" approach during public health emergencies.
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Affiliation(s)
| | - Alex R Ario
- Ministry of Health, Kampala, Uganda.
- Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda.
| | | | - Issa Makumbi
- Ministry of Health, Kampala, Uganda
- Public Health Emergency Operations Centre, Ministry of Health, Kampala, Uganda
| | | | | | | | | | | | | | | | - William Z Lali
- World Health Organisation, Country Office, Kampala, Uganda
| | | | - Felix Ocom
- World Health Organisation, Country Office, Kampala, Uganda
| | - Mugagga Kaggwa
- World Health Organisation, Country Office, Kampala, Uganda
| | - Bodo Bongomin
- World Health Organisation, Country Office, Kampala, Uganda
| | - Hafisa Kasule
- World Health Organisation, Country Office, Kampala, Uganda
| | - Joseph N Mwoga
- World Health Organisation, Country Office, Kampala, Uganda
| | | | | | | | | | - Rita Nalwadda
- World Health Organisation, Country Office, Kampala, Uganda
| | - Paul Mbaka
- World Health Organisation, Country Office, Kampala, Uganda
| | | | | | | | | | | | | | - Solome Okware
- Ministry of Health, Kampala, Uganda
- Infectious Disease Institute, Kampala, Uganda
| | | | - Immaculate Nabukenya
- Ministry of Health, Kampala, Uganda
- Infectious Disease Institute, Kampala, Uganda
| | - Joshua Kayiwa
- Public Health Emergency Operations Centre, Ministry of Health, Kampala, Uganda
| | - Milton M Wetaka
- Public Health Emergency Operations Centre, Ministry of Health, Kampala, Uganda
| | - Simon Kyazze
- Public Health Emergency Operations Centre, Ministry of Health, Kampala, Uganda
| | - Benon Kwesiga
- Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda
| | - Daniel Kadobera
- Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda
| | - Lilian Bulage
- Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda
- African Field Epidemiology Network, Kampala, Uganda
| | - Carol Nanziri
- Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda
| | - Fred Monje
- Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda
| | - Dativa M Aliddeki
- Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda
| | - Vivian Ntono
- Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda
| | - Doreen Gonahasa
- Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda
| | - Sandra Nabatanzi
- Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda
| | - Godfrey Nsereko
- Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda
| | | | | | | | | | | | | | | | | | | | | | | | - Harriet Akello
- Ministry of Health, Kampala, Uganda
- Management Sciences for Health, Kampala, Uganda
| | | | | | | | | | | | | | | | | | - Derrick Mimbe
- Makerere University Walter Reed Project, Kampala, Uganda
| | - Denis Kyabaggu
- East African Public Health Laboratory Network, Kampala, Uganda
| | | | - Juliet Sentumbwe
- Ministry of Agriculture, Animal Industry and Fisheries, Entebbe, Uganda
| | - Moses Mwanja
- Ministry of Agriculture, Animal Industry and Fisheries, Entebbe, Uganda
| | - Deo B Ndumu
- Ministry of Agriculture, Animal Industry and Fisheries, Entebbe, Uganda
| | | | | | | | | | | | - Sophia Mulei
- Uganda Virus Research Institute, Entebbe, Uganda
| | | | | | - Atek Kagirita
- Uganda National Health Laboratory Services, Ministry of Health, Kampala, Uganda
| | - Susan Nabadda
- Uganda National Health Laboratory Services, Ministry of Health, Kampala, Uganda
| | - Peter Oumo
- Ministry of Internal Affairs, Uganda Police Force, Kampala, Uganda
| | - Robinah Lukwago
- Department for International Development, UKAID, Kampala, Uganda
| | - Julius Kasozi
- United Nations High Commissioner for Refugees, Kampala, Uganda
| | | | | | | | | | - Joe C Opio
- United Nations Children's Fund, Kampala, Uganda
| | | | - James Eyul
- Civil Aviation Authority, Entebbe, Uganda
| | | | | | - Nulu Bulya
- African Field Epidemiology Network, Kampala, Uganda
| | - Ben Masiira
- African Field Epidemiology Network, Kampala, Uganda
| | | | | | | | | | | | | | | | - Victoria Kajja
- Intenational Organisation for Migration, Kampala, Uganda
| | | | - Isabel Sorela
- Intenational Organisation for Migration, Kampala, Uganda
| | - Gregory Adams
- United States Agency for International Development, Kampala, Uganda
| | - Trevor Shoemaker
- National Center for Emerging and Zoonotic Infectious Diseases, US Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - John D Klena
- National Center for Emerging and Zoonotic Infectious Diseases, US Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Celine H Taboy
- National Center for Emerging and Zoonotic Infectious Diseases, US Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Sarah E Ward
- Division of Global Migration and Quarantine, Global Border Health, US Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Rebecca D Merrill
- Division of Global Migration and Quarantine, Global Border Health, US Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Rosalind J Carter
- Global Immunization Division, US Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Julie R Harris
- US Centers for Disease Control and Prevention, Kampala, Uganda
| | - Flora Banage
- US Centers for Disease Control and Prevention, Kampala, Uganda
| | - Thomas Nsibambi
- US Centers for Disease Control and Prevention, Kampala, Uganda
| | - Joseph Ojwang
- US Centers for Disease Control and Prevention, Kampala, Uganda
| | - Juliet N Kasule
- US Centers for Disease Control and Prevention, Kampala, Uganda
| | - Dan F Stowell
- US Centers for Disease Control and Prevention, Kampala, Uganda
| | - Vance R Brown
- US Centers for Disease Control and Prevention, Kampala, Uganda
| | - Bao-Ping Zhu
- US Centers for Disease Control and Prevention, Kampala, Uganda
| | - Jaco Homsy
- US Centers for Disease Control and Prevention, Kampala, Uganda
| | - Lisa J Nelson
- US Centers for Disease Control and Prevention, Kampala, Uganda
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