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      Ebola Laboratory Response at the Eternal Love Winning Africa Campus, Monrovia, Liberia, 2014–2015

      research-article
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      The Journal of Infectious Diseases
      Oxford University Press
      Ebola virus, West Africa, epidemic, mobile laboratory, diagnostics

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          Abstract

          West Africa experienced the first epidemic of Ebola virus infection, with by far the greatest number of cases in Guinea, Sierra Leone, and Liberia. The unprecedented epidemic triggered an unparalleled response, including the deployment of multiple Ebola treatment units and mobile/field diagnostic laboratories. The National Institute of Allergy and Infectious Diseases and the Centers for Disease Control and Prevention deployed a joint laboratory to Monrovia, Liberia, in August 2014 to support the newly founded Ebola treatment unit at the Eternal Love Winning Africa (ELWA) campus. The laboratory operated initially out of a tent structure but quickly moved into a fixed-wall building owing to severe weather conditions, the need for increased security, and the high sample volume. Until May 2015, when the laboratory closed, the site handled close to 6000 clinical specimens for Ebola virus diagnosis and supported the medical staff in case patient management. Laboratory operation and safety, as well as Ebola virus diagnostic assays, are described and discussed; in addition, lessons learned for future deployments are reviewed.

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          Author and article information

          Journal
          J Infect Dis
          J. Infect. Dis
          jid
          jinfdis
          The Journal of Infectious Diseases
          Oxford University Press
          0022-1899
          1537-6613
          15 October 2016
          04 October 2016
          15 October 2017
          : 214
          : Suppl 3 , Ebola Outbreak in West Africa
          : S169-S176
          Affiliations
          [1 ] Laboratory of Virology
          [2 ] Rocky Mountain Veterinary Branch, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health , Hamilton, Montana
          [3 ] Centers for Disease Control and Prevention , Atlanta, Georgia
          [4 ] Cytokine Biology Section, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health , Bethesda, Maryland
          [5 ] Center for Global Health, Division of Global Health Protection, Centers for Disease Control and Prevention
          [6 ] Kenya Medical Research Institute, Center for Global Health Research , Nairobi
          [7 ] Special Pathogens Program, Public Health Agency of Canada , Winnipeg
          [8 ] Ministry of Health and Social Welfare , Monrovia
          [9 ] Liberian Institute for Biomedical Research , Charlesville, Liberia
          Author notes
          [a]

          Present affiliations: Vaccine and Infectious Disease Organization, International Vaccine Center, University of Saskatchewan, Saskatoon, Canada (D. F.), and Public Health Agency of Canada, Winnipeg (D. S.); and Friedrich-Löffler-Institut, Greifswald–Insel Riems, Germany (A. G. and T. H.).

          Correspondence: H. Feldmann, Laboratory of Virology, DIR, NIAID, NIH, 903 S 4th St, Hamilton, MT 59840 ( feldmannh@ 123456niaid.nih.gov ).
          Article
          PMC5050467 PMC5050467 5050467 jiw216
          10.1093/infdis/jiw216
          5050467
          27333914
          90ee0b22-97b3-40b5-b790-5a8fdc5e424c
          Published by Oxford University Press for the Infectious Diseases Society of America 2016. This work is written by (a) US Government employee(s) and is in the public domain in the US.
          History
          Funding
          Funded by: National Institute of Allergy and Infectious Diseases [NIAID];
          Funded by: National Institutes of Health;
          Funded by: NIH;
          Funded by: NIH;
          Funded by: Intramural Research Program;
          Funded by: NIAID;
          Funded by: NIH;
          Funded by: CDC;
          Categories
          Ebola Outbreak in West Africa
          Public Health

          Ebola virus,West Africa,epidemic,mobile laboratory,diagnostics

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