Ebola hemorrhagic fever, Kikwit, Democratic Republic of the Congo, 1995

Risk factors for patients without a reported exposure

T. H. Roels, A. S. Bloom, J. Buffington, G. L. Muhungu, W. R. Mac Kenzie, A. S. Khan, R. Ndambi, D. L. Noah, H. R. Rolka, C. J. Peters, Thomas Ksiazek

Research output: Contribution to journalArticle

100 Citations (Scopus)

Abstract

In 1995, 316 people became ill with Ebola hemorrhagic fever (EHF) in Kikwit, Democratic Republic of the Congo. The exposure source was not reported for 55 patients (17%) at the start of this investigation, and it remained unknown for 12 patients after extensive epidemiologic evaluation. Both admission to a hospital and visiting a person with fever and bleeding were risk factors associated with infection. Nineteen patients appeared to have been exposed while visiting someone with suspected EHF, although they did not provide care. Fourteen of the 19 reported touching the patient with suspected EHF; 5 reported that they had no physical contact. Although close contact while caring for an infected person was probably the major route of transmission in this and previous EHF outbreaks, the virus may have been transmitted by touch, droplet, airborne particle, or fomite; thus, expansion of the use of barrier techniques to include casual contacts might prevent or mitigate future epidemics.

Original languageEnglish (US)
JournalJournal of Infectious Diseases
Volume179
Issue numberSUPPL. 1
StatePublished - 1999
Externally publishedYes

Fingerprint

Ebola Hemorrhagic Fever
Democratic Republic of the Congo
Fomites
Touch
Disease Outbreaks
Fever
Hemorrhage
Viruses
Infection

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Immunology

Cite this

Roels, T. H., Bloom, A. S., Buffington, J., Muhungu, G. L., Mac Kenzie, W. R., Khan, A. S., ... Ksiazek, T. (1999). Ebola hemorrhagic fever, Kikwit, Democratic Republic of the Congo, 1995: Risk factors for patients without a reported exposure. Journal of Infectious Diseases, 179(SUPPL. 1).

Ebola hemorrhagic fever, Kikwit, Democratic Republic of the Congo, 1995 : Risk factors for patients without a reported exposure. / Roels, T. H.; Bloom, A. S.; Buffington, J.; Muhungu, G. L.; Mac Kenzie, W. R.; Khan, A. S.; Ndambi, R.; Noah, D. L.; Rolka, H. R.; Peters, C. J.; Ksiazek, Thomas.

In: Journal of Infectious Diseases, Vol. 179, No. SUPPL. 1, 1999.

Research output: Contribution to journalArticle

Roels, TH, Bloom, AS, Buffington, J, Muhungu, GL, Mac Kenzie, WR, Khan, AS, Ndambi, R, Noah, DL, Rolka, HR, Peters, CJ & Ksiazek, T 1999, 'Ebola hemorrhagic fever, Kikwit, Democratic Republic of the Congo, 1995: Risk factors for patients without a reported exposure', Journal of Infectious Diseases, vol. 179, no. SUPPL. 1.
Roels, T. H. ; Bloom, A. S. ; Buffington, J. ; Muhungu, G. L. ; Mac Kenzie, W. R. ; Khan, A. S. ; Ndambi, R. ; Noah, D. L. ; Rolka, H. R. ; Peters, C. J. ; Ksiazek, Thomas. / Ebola hemorrhagic fever, Kikwit, Democratic Republic of the Congo, 1995 : Risk factors for patients without a reported exposure. In: Journal of Infectious Diseases. 1999 ; Vol. 179, No. SUPPL. 1.
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