STAFF HEALTH and EBOLA BEFORE – DURING – AFTER your mission: YOUR HEALTH IS AND MUST REMAIN YOUR PRIORITY

BEFORE your mission BE READY ! « PHYSICALLY and MENTALLY »

BEFORE your mission BE R EADY! PHYSICALLY MEDICAL ADVISE ALL VACCINATIONS UPDATED

BEFORE your mission BE R EADY! MENTALLY « Be rested, be well informed, foresee your return » Stigmatization Schoking symptoms Population not welcoming you corpses Fear of being contaminated Feeling to be a ‘drop in the ocean’ Family thinking No treatment

READ ALL THE BRIEFINGS DOCUMENTS !!!!! And… talk with your family and friends BEFORE you go

DURING YOUR MISSION STAY HEALTHY: Avoid all diseases (Ebola and not Ebola) No contact no handshakes - no kiss – no hug – no sex – no shared objects (glasses, plates…) – no…no … no one …. Clean water - food Follow Specific precautions PPE … Care givers/Patients flow…. Malaria prophylaxis mandatory

SICK ON MISSION? ROLE OF HEALTH REFERENT HEALTH REFERENT IN EVERY PROJECT (Liaise with Coordination and BXL) 24/7 « you‘ll all have some ebola symptoms » Report him/her all health problems you have Report all ‘fluids’ incidents: yours and others’

DURING YOUR MISSION STAY HEALTHY !!MEDEVAC of Ebola positive NOT GUARANTEED!!  Evacuate before symptoms (< 48h) Inform immediately your health referent in case of incident

DURING YOUR MISSION STAY HEALTHY AVOID INCIDENTS YOUR BEST PROTECTION = YOUR CONCENTRATION LISTEN TO YOURSELF: REST - ASK FOR REST – SHORTEN/DO NOT EXTEND if you do not feel it « You are not in a hurry to die » « Better fired than dead »

AFTER YOUR MISSION face to face debriefings 2 steps: 21 days follow up: evaluation of the risk NO QUARANTINE NEEDED Systematic return talk with psychologist

AFTER YOUR MISSION STAY HEALTHY 21 days follow up « If you have followed the specific protection measures » PROBABILITY TO DEVELOP EBOLA IS +/- 0 PROBABILITY TO PANIC in case of fever IS HIGH  Avoid falling sick (Rest, malaria prophylaxis, >< sick persons and crowds…. )  Stay close to reference hospital identified – (see organisation or MOH recommendation)

LASSA FEVER Endemic zone GUEKEDOU – FOYA – BO - KAILAHUN Up to now, ‘no’ identified cases in Guinea and Liberia Transmission: Direct/indirect through fluids of sick patient Rats Excreta (urine – stools)  Dust – Stocks - Existing treament (Ribavirin) Same protection than for Ebola + Hygiene (food / stocks)

« Up to now, more than 200 expat staff went on ebola mission, No incident »