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Nosocomial transmission of Ebola virus disease on pediatric and maternity wards: Bombali and Tonkolili, Sierra Leone, 2014.
Angela C Dunn
1 ,
Tiffany A Walker
2 ,
John Redd
3 ,
David Sugerman
3 ,
Jevon McFadden
3 ,
Tushar Singh
2 ,
Joseph Jasperse
4 ,
Brima Osaio Kamara
5 ,
Tom Sesay
6 ,
James McAuley
3 ,
Peter H Kilmarx
3
Mar 01 2016
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Abstract
In the largest Ebola virus disease (EVD) outbreak in history, nosocomial transmission of EVD increased spread of the disease. We report on 2 instances in Sierra Leone where patients unknowingly infected with EVD were admitted to a general hospital ward (1 pediatric ward and 1 maternity ward), exposing health care workers, caregivers, and other patients to EVD. Both patients died on the general wards, and were later confirmed as being infected with EVD. We initiated contact tracing and assessed risk factors for secondary infections to guide containment recommendations.