The individualised versus the public health approach to treating Ebola

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dc.contributor.authorBoyles, Tom Hen_ZA
dc.date.accessioned2015-12-28T06:47:48Z
dc.date.available2015-12-28T06:47:48Z
dc.date.issued2015en_ZA
dc.description.abstractThe mortality rate for patients with Ebola virus disease (EVD) in West Africa is approximately 65% [1]. There are no published figures for high-resource settings, but media sources and individual case reports suggest it is much lower and approaches 0% for those who receive this level of care from the beginning of their illness. In their article "Ebola Viral Disease: Experience and Decision Making for the First Cases outside of Africa," David Stephens and colleagues give insight into the care that can be provided when available resources are not the limiting factor [2]. They describe the decision to open the Serious Communicable Diseases Unit (SCDU) of Emory University Hospital (EUH) when two United States patients contracted EVD while working in West Africa. Using a large specialist team, they provided high-quality care in a safe working environment and disseminated their knowledge and experience widely. In particular, they were able to respond to the huge increase in requests from health care facilities in the US for help in excluding the diagnosis of EVD. Caring for patients using an individualised approach under ideal circumstances contrasts with, but can also inform, the public health approach to care under resource-limited conditions in West Africa. The models of care employed in each environment show some similarities and also have a number of key differences.en_ZA
dc.identifier.apacitationBoyles, T. H. (2015). The individualised versus the public health approach to treating Ebola. <i>PLOS Medicince</i>, http://hdl.handle.net/11427/16053en_ZA
dc.identifier.chicagocitationBoyles, Tom H "The individualised versus the public health approach to treating Ebola." <i>PLOS Medicince</i> (2015) http://hdl.handle.net/11427/16053en_ZA
dc.identifier.citationBoyles, T. H. (2015). The individualised versus the public health approach to treating Ebola. PLoS Med, 12(7), e1001858. doi:10.1371/journal.pmed.1001858en_ZA
dc.identifier.ris TY - Journal Article AU - Boyles, Tom H AB - The mortality rate for patients with Ebola virus disease (EVD) in West Africa is approximately 65% [1]. There are no published figures for high-resource settings, but media sources and individual case reports suggest it is much lower and approaches 0% for those who receive this level of care from the beginning of their illness. In their article "Ebola Viral Disease: Experience and Decision Making for the First Cases outside of Africa," David Stephens and colleagues give insight into the care that can be provided when available resources are not the limiting factor [2]. They describe the decision to open the Serious Communicable Diseases Unit (SCDU) of Emory University Hospital (EUH) when two United States patients contracted EVD while working in West Africa. Using a large specialist team, they provided high-quality care in a safe working environment and disseminated their knowledge and experience widely. In particular, they were able to respond to the huge increase in requests from health care facilities in the US for help in excluding the diagnosis of EVD. Caring for patients using an individualised approach under ideal circumstances contrasts with, but can also inform, the public health approach to care under resource-limited conditions in West Africa. The models of care employed in each environment show some similarities and also have a number of key differences. DA - 2015 DB - OpenUCT DO - 10.1371/journal.pmed.1001858 DP - University of Cape Town J1 - PLOS Medicince LK - https://open.uct.ac.za PB - University of Cape Town PY - 2015 T1 - The individualised versus the public health approach to treating Ebola TI - The individualised versus the public health approach to treating Ebola UR - http://hdl.handle.net/11427/16053 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/16053
dc.identifier.urihttp://dx.doi.org/10.1371/journal.pmed.1001858
dc.identifier.vancouvercitationBoyles TH. The individualised versus the public health approach to treating Ebola. PLOS Medicince. 2015; http://hdl.handle.net/11427/16053.en_ZA
dc.language.isoengen_ZA
dc.publisherPublic Library of Scienceen_ZA
dc.publisher.departmentInstitute of Infectious Disease and Molecular Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en_ZA
dc.rights.holder© 2015 Tom Hen_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/4.0en_ZA
dc.sourcePLOS Medicinceen_ZA
dc.source.urihttp://journals.plos.org/plosmedicineen_ZA
dc.subject.otherEbola hemorrhagic feveren_ZA
dc.subject.otherElectrolytesen_ZA
dc.subject.otherHealth care facilitiesen_ZA
dc.subject.otherAfricaen_ZA
dc.subject.otherDeath ratesen_ZA
dc.subject.otherPublic and occupational healthen_ZA
dc.subject.otherEbola virusen_ZA
dc.subject.otherNosocomial infectionsen_ZA
dc.titleThe individualised versus the public health approach to treating Ebolaen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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