Abstract
The International Consortium for Prevention and Infection Control (ICPIC) organises a biannual conference (ICPIC) on various subjects related to infection prevention, treatment and control. During ICPIC 2015, held in Geneva in June 2015, a full one-day session focused on the 2014–2015 Ebola virus disease (EVD) outbreak in West Africa. This article is a non-exhaustive compilation of these discussions. It concentrates on lessons learned and imagining a way forward for the communities most affected by the epidemic. The reader can access video recordings of all lectures delivered during this one-day session, as referenced. Topics include the timeline of the international response, linkages between the dynamics of the epidemic and infection prevention and control, the importance of community engagement, and updates on virology, diagnosis, treatment and vaccination issues. The paper also includes discussions from public health, infectious diseases, critical care and infection control experts who cared for patients with EVD in Africa, in Europe, and in the United Sates and were involved in Ebola preparedness in both high- and low-resource settings and countries. This review concludes that too little is known about the pathogenesis and treatment of EVD, therefore basic and applied research in this area are urgently required. Furthermore, it is clear that epidemic preparedness needs to improve globally, in particular through the strengthening of health systems at local and national levels. There is a strong need for culturally sensitive approaches to public health which could be designed and delivered by social scientists and medical professionals working together. As of December 2015, this epidemic killed more than 11,000 people and infected more than 28,000; it has also generated more than 17,000 survivors and orphans, many of whom face somatic and psychological complications. The continued treatment and rehabilitation of these people is a public health priority, which also requires an integration of specific medical and social science approaches, not always available in West Africa.
Highlights
The International Consortium for Prevention and Infection Control (ICPIC) organises a biannual conference (ICPIC) on various subjects related to infection prevention, treatment and control
The Ebola virus The emergence of Ebola viruses should be considered under the dual perspective of a large field of emerging viruses and considerable complexity and diversity among Ebola viruses themselves
The prevalence of Ebola virus disease (EVD) infections in non-human primates is not known and more research is clearly needed in this area
Summary
Pauline Vetter1,2, Julie-Anne Dayer2, Manuel Schibler2, Benedetta Allegranzi3, Donal Brown4, Alexandra Calmy5, Derek Christie6,7, Sergey Eremin3, Olivier Hagon8, David Henderson9, Anne Iten1, Edward Kelley3, Frederick Marais10, Babacar Ndoye11, Jérôme Pugin12, Hugues Robert-Nicoud13, Esther Sterk13, Michael Tapper14, Claire-Anne Siegrist15, Laurent Kaiser2 and Didier Pittet1*
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