2. Military Teaching Hospital-Cotonou
SUSTAINING PREVENTIVE MEASURES TO CONTROL EMERGENT VIRAL INFECTION IN HEALTH CARE FACILITIES. ARE WE SO ALERT TO PREEMPT FURTHER OUTBREAKS? LESSONS LEARNT FROM LASSA/EBOLA OUTBREAKS IN BENIN
T.Bognon1, C.Kassa5, E.Azagba3, H.Dokponou1, S.Sesso7, R.Boton1, M.Bodéoussè4, A.Barre6, R.Mankou8, E.Zitti2, F.Nassouhouede2, E.Linssoussi2, D.Medebaho2, T.Cheho1, A.Azondekon1
Military Teaching Hospital-Cotonou

3. PRESENTATION OUTLINE
INTRODUCTION
OBJECTIVE
METHODS
RESULTS
CONCLUSION

4. INTRODUCTION 1 Benin Neighboring of Nigeria were LF is endemic
Migration : human
Movement : animals 4

5. West Africa’s LF outbreaks overview Before 2014
INTRODUCTION 2
Risk of LF outbreaks ?
Nov2014
2015 Dec 2016
Jan 2017
West Africa’s LF outbreaks overview Before 2014
LF has become cyclical in the past two years 5

6. INTRODUCTION 3 Community as well as health workers
2014: death of 4 Health Workers
Jan 2016: unexplained fever within HW after care to Hemorrhagic fever case
Strength of health system for riposte?
Easy spreading !!!
During last two outbreaks: many actions!!!
WHO, UNICEF, UNFPA, Benin Government 6

7. OBJECTIVE “I want to see your face” Evaluating state of alert in HCC
In post epidemics for LF/Ebola as pre-emptive actions and challenges
To know get the perspectives of caregivers 7

8. METHODS 8

9. METHODS 1 From April to Jun 2016 Investigated HC Centers
Located in the 12 departments
National, regional and districts
Public, private and confessional
Urban and rural area
North
Central
South 9

10. 1- Specific logistic provided to control LF 2- Basics hospital hygiene
METHODS 2
Were assessed comparing to actions taken during and after the last outbreak (LSV/Ebola)
1- Specific logistic provided to control LF
2- Basics hospital hygiene
3- knowledge on EID
Semi-structured interviews with caregivers
Direct observation of HCC environment 10

11. METHODS 3 SPSS version 17.0: quantitative analysis
A comparison between outbreaks and post- epidemics periods by using Chi2(Fisher)
Contents analysis: qualitative variables 11

12. RESULTS 12

13. RESULTS 1 60 HCC were concerned Levels Types National(16%)
Regional (34%)
District(50%)
Types
Private and confessional(25%)
Publics (75%) 13

14. RESULTS 2 60 caregivers investigated Professions
Doctors 40%,Nurses 60%
Median Seniority: 10years(3-34)
None trained on LF 14

15. Specific logistic provided to control LF
RESULTS 3
Specific logistic provided to control LF 15

16. Specific logistic provided to control LF
RESULTS 4
Specific logistic provided to control LF
X-ray %
P=0.000 16

17. Specific logistic provided to control LF
RESULTS 5
Specific logistic provided to control LF %
P=0.000 17

18. Specific logistic provided to control LF
RESULTS 6
Specific logistic provided to control LF
P=0.005 % 18

19. Basics hospital hygiene
RESULTS 7
Basics hospital hygiene 19

20. RESULTS 8
Basics hospital hygiene
P=0.002 20

21. RESULTS 9
Basics hospital hygiene %
P=0.005 21

22. Knowledge on Emerging Infectious Disease
RESULTS 10
Knowledge on Emerging Infectious Disease 22

23. knowledge on Emerging Infectious disease
RESULTS 11
knowledge on Emerging Infectious disease %
P=0.000 23

24. knowledge on Emerging Infectious disease
RESULTS 12
knowledge on Emerging Infectious disease %
P=0.000 24

25. knew How to prevent Zika suspected zika based on symptoms
RESULTS 13
Zika virus
Unknown up to OG 2016 Rio 0%
knew How to prevent Zika
Asked once zika test
suspected zika based on symptoms 25

26. RESULTS 14
Functional hand washing devices for patients at the main entrance of HCC:
During outbreaks Period
After outbreaks Period
% Yes
% No
South
60%
40%
Central
50%
North
80%
20%
No statistical difference in findings 26

27. RESULTS 15 Hand washing before/after contact with patients 69.2% 30.8%
During outbreaks Period
After outbreaks Period
% Yes
% No
Medical Doctor
69.2%
30.8%
Nurse
70.4%
29.6%
No statistical difference in findings 27

28. RESULTS 16 Propositions from caregivers to preempt LF spreading in HCC
Providing logistics for basic hygiene
Training and supervision at levels of health system
Introducing EID in basics training content of health workers and schools
Motivating and evaluating impact HCC actions 28

29. CONCLUSION
Pre-emptive actions of LF spreading in HCC are quiet low and inadequate
Despite good knowledge of the disease
Maintain appropriate and sustain good actions
To pre-empt spreading of emerging infectious diseases such LVF/Ebola within HW
Health authorities have to mobilize resources to reinforce the health system
International as well as domestic 29

30. AKNWOLEDGEMENTS Health workers Collaborators
Military Teaching Hospital
Benin Ministry of health and partners
Organizers of this symposium 30

31. Thanks for your attention Merci pour votre attention “The more we are together the merrier we shall be” 31