Abstract

In response to the Ebola virus disease (EVD) outbreak in West Africa, the World Health Organization has advised all nations to prepare for the detection, investigation and management of confirmed and suspected EVD cases in order to prevent further spread through international travel. To gain insights into the state of preparedness of European hospitals, an electronic survey was circulated in August–September 2014 to 984 medical professionals representing 736 hospitals in 40 countries. The survey addressed the willingness and capacity to admit patients with suspected EVD as well as specific preparedness activities in response to the current Ebola crisis. Evaluable responses were received from representatives of 254 (32%) hospitals in 38 countries, mostly tertiary care centres, of which 46% indicated that they would admit patients with suspected EVD. Patient transfer agreements were in place for the majority of hospitals that would not admit patients. Compared with non-admitting hospitals, admitting hospitals were more frequently engaged in various preparedness activities and more often contained basic infrastructural characteristics such as admission rooms and laboratories considered important for infection control, but some gaps and concerns were also identified. The results of this survey help to provide direction towards further preparedness activities and prioritisation thereof.

Highlights

  • The unprecedented and devastating epidemic of Ebola virus disease (EVD) in West Africa, with over 15,000 reported cases and nearly 5,500 deaths as of 21 November 2014 [1], has ignited increasing global concerns about the potential introduction and further spread of the disease by international travel and repatriation [2,3,4]

  • To gain insights into the preparedness of European hospitals and identify potential gaps in preparedness at hospital level, we conducted a survey of hospitals in 40 European and western Asian countries, focusing on the willingness and capacity to admit patients with suspected EVD and on specific preparedness activities of hospitals in response to the current Ebola crisis

  • A questionnaire was developed in English, addressing: characteristics of the hospital such as the geographic location, type and size of the hospital; the availability and content of national and hospital guidelines or protocols for the management of patients with suspected or confirmed haemorrhagic fever; the performance of preparedness activities in response to the Ebola crisis; and arrangements for Ebola virus (EBOV) diagnostics

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Summary

Introduction

The unprecedented and devastating epidemic of Ebola virus disease (EVD) in West Africa, with over 15,000 reported cases and nearly 5,500 deaths as of 21 November 2014 [1], has ignited increasing global concerns about the potential introduction and further spread of the disease by international travel and repatriation [2,3,4]. For this reason, the World Health Organization (WHO) has advised all nations, including those not directly neighbouring currentlyaffected countries, to prepare for the detection, investigation and management of confirmed and suspected EVD cases [4].

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