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Academic Institutions’ Critical Guidelines for Health Care Workers Who Deploy to West Africa for the Ebola Response and Future Crises*

Published online by Cambridge University Press:  14 August 2015

Hilarie Cranmer*
Affiliation:
Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts
Miriam Aschkenasy
Affiliation:
Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts
Ryan Wildes
Affiliation:
International Risk Management, Partners Healthcare Risk and Insurance Services, Boston, Massachusetts
Stephanie Kayden
Affiliation:
Division of International Emergency Medicine and Humanitarian Programs, Department of Emergency Medicine, Brigham and Women’s Hospital, Boston, Massachusetts
David Bangsberg
Affiliation:
Center for Global Health, Massachusetts General Hospital, Harvard Medical School, and Harvard School of Public Health, Boston, Massachusetts
Michelle Niescierenko
Affiliation:
Global Health Program, Boston Children’s Hospital, Boston, Massachusetts
Katie Kemen
Affiliation:
Emergency Preparedness, Partners HealthCare, Boston, Massachusetts
Kai-Hsun Hsiao
Affiliation:
Department of Global Health and Population, Harvard T.H. Chan School of Public Health
Michael VanRooyen
Affiliation:
Humanitarian Academy at Harvard, Harvard Humanitarian Initiative, Cambridge, Massachusetts
Frederick M. Burkle Jr
Affiliation:
Harvard Humanitarian Initiative, Harvard University, Cambridge, Massachusetts, and Woodrow Wilson International Center for Scholars, Washington, DC
Paul D. Biddinger
Affiliation:
Partners HealthCare and Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts.
*
Correspondence and reprint requests to Hilarie Cranmer, MD, MPH, Director of Global Disaster Response, Center for Global Health, Massachusetts General Hospital, Massachusetts General Hospital, 100 Cambridge St, 15th Floor, Boston, MA 02114 (e-mail: hcranmer@partners.org).

Abstract

The unprecedented Ebola Virus Disease (EVD) outbreak in West Africa, with its first cases documented in March 2014, has claimed the lives of thousands of people, and it has devastated the health care infrastructure and workforce in affected countries. Throughout this outbreak, there has been a critical lack of health care workers (HCW), including physicians, nurses, and other essential non-clinical staff, who have been needed, in most of the affected countries, to support the medical response to EVD, to attend to the health care needs of the population overall, and to be trained effectively in infection protection and control. This lack of sufficient and qualified HCW is due in large part to three factors: 1) limited HCW staff prior to the outbreak, 2) disproportionate illness and death among HCWs caused by EVD directly, and 3) valid concerns about personal safety among international HCWs who are considering responding to the affected areas. These guidelines are meant to inform institutions who deploy professional HCWs. (Disaster Med Public Health Preparedness. 2015;9:586–590)

Type
Responder Tools
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

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Footnotes

*

This article originally appeared in Harvard Health Policy Review: Cranmer HH et al. Academic Institutions' Critical Guidelines for Health Care Workers who Deploy to West Africa for the Ebola Response and Future Crises. Harvard Health Policy Review. 2015;14(2):22-24. The article is reprinted here with permission.

References

1 WHO. Health Workforce Programme. Achieving the health-related MDGs. http://www.who.int/hrh/workforce_mdgs/en/. Accessed February 16, 2015.Google Scholar
2 WHO. Density of Physicians and Nurses – total number per 1000, latest available year, Global Health Observatory Data. http://www.who.int/gho/health_workforce/. Accessed February 11, 2015.Google Scholar
3 Majumder, M. Estimating the fatality of the West African Ebola outbreak. Outbreak News Research & Policy. September 10, 2014.http://www.healthmap.org/site/diseasedaily/article/estimating-fatality-2014-west-african-ebola-outbreak-91014#sthash.BJCldDcq.dpuf. Accessed February 18, 2015.Google Scholar
5 Linshi, J. Ebola health care workers are dying faster than their patients. Online Time Magazine. Publication October 3, 2014. http://time.com/3453429/ebola-healthcare-workers-fatality-rate/. Accessed February 16, 2015.Google Scholar
6 Burkle, FM. Operationalizing public health skills to resource poor settings: is this the Achilles heel in the Ebola epidemic campaign? Disaster Med Public Health Prep. 2015;9(1):44-46. doi: 10.1017/dmp.2014.95. Epub 2014 Oct 7.Google Scholar
7 Johnson, K, Idzerda, L, Baras, R, et al. Competency-based standardized training for humanitarian providers: making humanitarian assistance a professional discipline. Disaster Med Public Health Prep. 2013;7(4):369-372.Google Scholar
8 Burkle, FM, Walls, AE, Heck, JP, et al. Academic affiliated training centers in humanitarian health, Part I: program characteristics and professionalization preferences of centers in North America. Prehosp Disaster Med. 2013;28(2):155-162.Google Scholar
9 Centers for Disease Control and Prevention (CDC). Interim U.S. Guidance for Monitoring and Movement of Persons with Potential Ebola Virus Exposure. Atlanta, GA: CDC; 2014. http://www.cdc.gov/vhf/ebola/exposure/monitoring-and-movement-of-persons-with-exposure.html. Accessed December 27, 2014.Google Scholar
10 Centers for Disease Control and Prevention (CDC). Advice for Humanitarian Aid Workers. Atlanta, GA: CDC; 2014. http://wwwnc.cdc.gov/travel/page/humanitarian-workers-ebola. Accessed December 27, 2014.Google Scholar
11 Wildes, R, Kayden, S, Goralnick, E, et al. Sign me up: rules of the road for humanitarian volunteers during the Ebola outbreak. Disaster Med Public Health Prep. 2015;9(1):88-89. doi: 10.1017/dmp.2014.110. Epub 2014 Oct 24.Google Scholar
12 Rosenbaum, L. License to serve – U.S. trainees and the Ebola epidemic. N Engl J Med. 2015;372(6):504-506. doi: 10.1056/NEJMp1415192. Epub 2014 Dec 17.Google Scholar