Department of Epidemiology, Second Military Medical University, Shanghai 200433, China
*: gcao@smmu.edu.cn
纸质出版:2014-12
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Ebola virus disease: From epidemiology to prophylaxis[J]. MMR, 2014,1(4):208-216.
Liu et al.: Ebola virus disease: From epidemiology to prophylaxis. Mil Med Res 2014
The outbreak of Ebola virus disease (EVD) continues to spread through West Africa. Since the first reported EVD in March 2014
the number of cases has increased rapidly
with the fatality rate of >50%. The most prevalent Ebola virus belongs to the species of Zaire ebolavirus
with a mortality rate as high as 90%. Although there were introduced cases in other continents
Africa is the endemic area where fruit bats and apes are suspected to be Ebola virus carriers. The virus might be transmitted from the host animals to humans if humans consume relative raw and contaminated meats; however
human-to-human transmission via close contact is the major route of current outbreaks. EVD happens at any seasons and affected people of any race in any age groups. Direct contact with body fluids of EVD patients and living in the contaminated environment greatly increase the risk of being infected. Transmission via aerosol is less possible but the transmission via droplet is possible in humans. Thus
health care providers are facing danger of getting Ebola virus infection. So far
there are limited vaccines
drugs and/or therapies to prevent Ebola virus infection or treat EVD. Medical workers should follow the current standard prophylactic procedures. Military forces can orchestrate efficient care to mass EVD casualties. Although it is necessary to speed up the pace of developing effective vaccine and therapeutics for the prevention and treatment of EVD
public health prophylaxis is the most important issue at present to control the spread of this disease cost-effectively.
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