2020
DOI: 10.2807/1560-7917.es.2020.25.2.1900735
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The cost of insecurity: from flare-up to control of a major Ebola virus disease hotspot during the outbreak in the Democratic Republic of the Congo, 2019

Abstract: The ongoing Ebola outbreak in the eastern Democratic Republic of the Congo is facing unprecedented levels of insecurity and violence. We evaluate the likely impact in terms of added transmissibility and cases of major security incidents in the Butembo coordination hub. We also show that despite this additional burden, an adapted response strategy involving enlarged ring vaccination around clusters of cases and enhanced community engagement managed to bring this main hotspot under control.

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Cited by 21 publications
(32 citation statements)
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References 13 publications
(15 reference statements)
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“…Amongst these factors, the amount of infections remaining undetected in the affected populations is a crucial indicator for assessing the state of an epidemic, and yet this quantity is often hard to estimate in real time [36]. Indeed, estimation of the overall proportion of individuals infected (attack rates) typically requires time-consuming serological surveys [7–9] which may not be achievable in resource-limited, large-scale emergencies such as the 2014-2016 Ebola virus disease (EVD) outbreak in West Africa [10], or the more recent EVD outbreak in Eastern provinces of the Democratic Republic of the Congo (DRC) [11,12].…”
Section: Introductionmentioning
confidence: 99%
“…Amongst these factors, the amount of infections remaining undetected in the affected populations is a crucial indicator for assessing the state of an epidemic, and yet this quantity is often hard to estimate in real time [36]. Indeed, estimation of the overall proportion of individuals infected (attack rates) typically requires time-consuming serological surveys [7–9] which may not be achievable in resource-limited, large-scale emergencies such as the 2014-2016 Ebola virus disease (EVD) outbreak in West Africa [10], or the more recent EVD outbreak in Eastern provinces of the Democratic Republic of the Congo (DRC) [11,12].…”
Section: Introductionmentioning
confidence: 99%
“…Once past cases are reconstructed, we use a branching process model for forecasting new cases 10,11 . This model combines data on the reproduction number (R) and serial interval distribution to simulate new cases 'y t ' on day 't' from a Poisson distribution:…”
Section: Methodsmentioning
confidence: 99%
“…is the probability mass function of the serial interval distribution. More details on this simulation model can be found in Jombart et al 11 . Optionally, this model can also incorporate heterogeneity in transmissibility using a Negative Binomial distribution instead of Poisson.…”
Section: Methodsmentioning
confidence: 99%
“…is the probability mass function of the serial interval distribution. More details on this simulation model can be found in Jombart et al (10). Optionally, this model can also incorporate heterogeneity in transmissibility using a Negative Binomial distribution instead of Poisson.…”
Section: Using Deaths To Infer Casesmentioning
confidence: 99%