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

2. BEFORE your mission BE READY ! « PHYSICALLY and MENTALLY »

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

4. 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

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

6. 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

7. 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’

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

9. 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 »

10. 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

11. 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)

12. 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)

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