Public Health Management of Persons Under Investigation for Ebola Virus Disease in New York City, 2014-2016

Ann Winters; Maryam Iqbal; Isaac Benowitz; Jennifer Baumgartner; Neil M. Vora; Laura Evans; Nate Link; Iona Munjal; Belinda Ostrowsky; Joel Ackelsberg; Sharon Balter; Catherine Dentinger; Anne D. Fine; Scott Harper; Keren Landman; Fabienne Laraque; Marcelle Layton; Sally Slavinski; Don Weiss; Jennifer L. Rakeman; Scott Hughes; Jay K. Varma; Ellen H. Lee

doi:10.1177/0033354919870200

Public Health Management of Persons Under Investigation for Ebola Virus Disease in New York City, 2014-2016

Ann Winters, Maryam Iqbal, Isaac Benowitz, Jennifer Baumgartner, Neil M. Vora, Laura Evans, Nate Link, Iona Munjal, Belinda Ostrowsky, Joel Ackelsberg, Sharon Balter, Catherine Dentinger, Anne D. Fine, Scott Harper, Keren Landman, Fabienne Laraque, Marcelle Layton, Sally Slavinski, Don Weiss, Jennifer L. RakemanScott Hughes, Jay K. Varma, Ellen H. Lee

Pediatrics

Research output: Contribution to journal › Article › peer-review

Abstract

During 2014-2016, the largest outbreak of Ebola virus disease (EVD) in history occurred in West Africa. The New York City Department of Health and Mental Hygiene (DOHMH) worked with health care providers to prepare for persons under investigation (PUIs) for EVD in New York City. From July 1, 2014, through December 29, 2015, we classified as a PUI a person with EVD-compatible signs or symptoms and an epidemiologic risk factor within 21 days before illness onset. Of 112 persons who met PUI criteria, 74 (66%) sought medical care and 49 (44%) were hospitalized. The remaining 38 (34%) were isolated at home with daily contact by DOHMH staff members. Thirty-two (29%) PUIs received a diagnosis of malaria. Of 10 PUIs tested, 1 received a diagnosis of EVD. Home isolation minimized unnecessary hospitalization. This case study highlights the importance of developing competency among clinical and public health staff managing persons suspected to be infected with a high-consequence pathogen.

Original language	English (US)
Pages (from-to)	477-483
Number of pages	7
Journal	Public Health Reports
Volume	134
Issue number	5
DOIs	https://doi.org/10.1177/0033354919870200
State	Published - Sep 1 2019

Keywords

Ebola virus
disease outbreaks
health department

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1177/0033354919870200

Cite this

Winters, A., Iqbal, M., Benowitz, I., Baumgartner, J., Vora, N. M., Evans, L., Link, N., Munjal, I., Ostrowsky, B., Ackelsberg, J., Balter, S., Dentinger, C., Fine, A. D., Harper, S., Landman, K., Laraque, F., Layton, M., Slavinski, S., Weiss, D., ... Lee, E. H. (2019). Public Health Management of Persons Under Investigation for Ebola Virus Disease in New York City, 2014-2016. Public Health Reports, 134(5), 477-483. https://doi.org/10.1177/0033354919870200

Winters, A, Iqbal, M, Benowitz, I, Baumgartner, J, Vora, NM, Evans, L, Link, N, Munjal, I, Ostrowsky, B, Ackelsberg, J, Balter, S, Dentinger, C, Fine, AD, Harper, S, Landman, K, Laraque, F, Layton, M, Slavinski, S, Weiss, D, Rakeman, JL, Hughes, S, Varma, JK & Lee, EH 2019, 'Public Health Management of Persons Under Investigation for Ebola Virus Disease in New York City, 2014-2016', Public Health Reports, vol. 134, no. 5, pp. 477-483. https://doi.org/10.1177/0033354919870200

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title = "Public Health Management of Persons Under Investigation for Ebola Virus Disease in New York City, 2014-2016",

abstract = "During 2014-2016, the largest outbreak of Ebola virus disease (EVD) in history occurred in West Africa. The New York City Department of Health and Mental Hygiene (DOHMH) worked with health care providers to prepare for persons under investigation (PUIs) for EVD in New York City. From July 1, 2014, through December 29, 2015, we classified as a PUI a person with EVD-compatible signs or symptoms and an epidemiologic risk factor within 21 days before illness onset. Of 112 persons who met PUI criteria, 74 (66%) sought medical care and 49 (44%) were hospitalized. The remaining 38 (34%) were isolated at home with daily contact by DOHMH staff members. Thirty-two (29%) PUIs received a diagnosis of malaria. Of 10 PUIs tested, 1 received a diagnosis of EVD. Home isolation minimized unnecessary hospitalization. This case study highlights the importance of developing competency among clinical and public health staff managing persons suspected to be infected with a high-consequence pathogen.",

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author = "Ann Winters and Maryam Iqbal and Isaac Benowitz and Jennifer Baumgartner and Vora, {Neil M.} and Laura Evans and Nate Link and Iona Munjal and Belinda Ostrowsky and Joel Ackelsberg and Sharon Balter and Catherine Dentinger and Fine, {Anne D.} and Scott Harper and Keren Landman and Fabienne Laraque and Marcelle Layton and Sally Slavinski and Don Weiss and Rakeman, {Jennifer L.} and Scott Hughes and Varma, {Jay K.} and Lee, {Ellen H.}",

note = "Funding Information: The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This publication was supported (in part) by the Epidemiology and Laboratory Capacity (ELC) for Infectious Diseases Cooperative Agreement (grants 2014 ELC: 3U50CK000407-01; 2015 ELC: NU50CK000407-02) funded by CDC and the Public Health Emergency Preparedness Cooperative Agreement (grants 2014: 5U90TP000546-03; 2015: 5U90TP000546-04) funded by CDC. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC or the US Department of Health and Human Services. Publisher Copyright: {\textcopyright} 2019, Association of Schools and Programs of Public Health.",

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doi = "10.1177/0033354919870200",

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AU - Benowitz, Isaac

AU - Baumgartner, Jennifer

AU - Vora, Neil M.

AU - Evans, Laura

AU - Link, Nate

AU - Munjal, Iona

AU - Ostrowsky, Belinda

AU - Ackelsberg, Joel

AU - Balter, Sharon

AU - Dentinger, Catherine

AU - Fine, Anne D.

AU - Harper, Scott

AU - Landman, Keren

AU - Laraque, Fabienne

AU - Layton, Marcelle

AU - Slavinski, Sally

AU - Weiss, Don

AU - Rakeman, Jennifer L.

AU - Hughes, Scott

AU - Varma, Jay K.

AU - Lee, Ellen H.

N1 - Funding Information: The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This publication was supported (in part) by the Epidemiology and Laboratory Capacity (ELC) for Infectious Diseases Cooperative Agreement (grants 2014 ELC: 3U50CK000407-01; 2015 ELC: NU50CK000407-02) funded by CDC and the Public Health Emergency Preparedness Cooperative Agreement (grants 2014: 5U90TP000546-03; 2015: 5U90TP000546-04) funded by CDC. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC or the US Department of Health and Human Services. Publisher Copyright: © 2019, Association of Schools and Programs of Public Health.

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N2 - During 2014-2016, the largest outbreak of Ebola virus disease (EVD) in history occurred in West Africa. The New York City Department of Health and Mental Hygiene (DOHMH) worked with health care providers to prepare for persons under investigation (PUIs) for EVD in New York City. From July 1, 2014, through December 29, 2015, we classified as a PUI a person with EVD-compatible signs or symptoms and an epidemiologic risk factor within 21 days before illness onset. Of 112 persons who met PUI criteria, 74 (66%) sought medical care and 49 (44%) were hospitalized. The remaining 38 (34%) were isolated at home with daily contact by DOHMH staff members. Thirty-two (29%) PUIs received a diagnosis of malaria. Of 10 PUIs tested, 1 received a diagnosis of EVD. Home isolation minimized unnecessary hospitalization. This case study highlights the importance of developing competency among clinical and public health staff managing persons suspected to be infected with a high-consequence pathogen.

AB - During 2014-2016, the largest outbreak of Ebola virus disease (EVD) in history occurred in West Africa. The New York City Department of Health and Mental Hygiene (DOHMH) worked with health care providers to prepare for persons under investigation (PUIs) for EVD in New York City. From July 1, 2014, through December 29, 2015, we classified as a PUI a person with EVD-compatible signs or symptoms and an epidemiologic risk factor within 21 days before illness onset. Of 112 persons who met PUI criteria, 74 (66%) sought medical care and 49 (44%) were hospitalized. The remaining 38 (34%) were isolated at home with daily contact by DOHMH staff members. Thirty-two (29%) PUIs received a diagnosis of malaria. Of 10 PUIs tested, 1 received a diagnosis of EVD. Home isolation minimized unnecessary hospitalization. This case study highlights the importance of developing competency among clinical and public health staff managing persons suspected to be infected with a high-consequence pathogen.

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Public Health Management of Persons Under Investigation for Ebola Virus Disease in New York City, 2014-2016

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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