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Experiences and challenges in the health protection of medical teams in the Chinese Ebola treatment center,Liberia:a qualitative study

作     者:Ying Li Huan Wang Xu-Rui Jin Xiang Li Michelle Pender Cai-Ping Song Sheng-Lan Tang Jia Cao Hao Wu Yun-Gui Wang 

作者机构:Department of Social Medicine and Health Service ManagementArmy Medical University(Third Military Medical University)ChongqingChina Bureau of Medical Affairs AdministrationFirst affiliated HospitalArmy Medical University(Third Military Medical University)ChongqingChina The Cadet Brigade of Clinic MedicineArmy Medical University(Third Military Medical University)Chongqing 400038China Duke Global Health InstituteDuke UniversityDurhamNCUSA Bureau of nurse AdministrationSecond affiliated hospitalArmy Medical University(Third Military Medical University)ChongqingChina Department of Hygienic ToxicologyArmy Medical University(Third Military Medical University)ChongqingChina Army Medical University(Third Military Medical University)No.30 Gaotanyan RoadShapingba districtChongqing 400038China 

出 版 物:《Infectious Diseases of Poverty》 (贫困所致传染病(英文))

年 卷 期:2018年第7卷第1期

页      面:951-962页

核心收录:

学科分类:1004[医学-公共卫生与预防医学(可授医学、理学学位)] 100401[医学-流行病与卫生统计学] 10[医学] 

基  金:This study was funded by the Seed Funding,Army Medical University(Third Military Medical University),China(2016XYY04) Project from PLA(AWS17J014) The funders had no role in study design,data collection and analysis,decision to publish,or preparation of the manuscript 

主  题:Infectious diseases Ebola China Ebola treatment center Medical team Liberia 

摘      要:Background:Health care workers are at the frontline in the fight against infectious disease,and as a result are at a high risk of *** the 2014-2015 Ebola outbreak in West Africa,many health care workers contracted Ebola,some ***,no members of the Chinese Anti-Ebola medical team,deployed to provide vital medical care in Liberia were *** study aims to understand how this zero infection rate was ***:Data was collected through 15 in-depth interviews with participants from the People’s Liberation Army of China medical team which operated the Chinese Ebola Treatment Center from October 2014 to January 2015 in *** were analysed using systematic framework ***:This study found numerous bio-psycho-socio-behavioural risk factors that directly or indirectly threatened the health of the medical team working in the Chinese Ebola Treatment *** factors included social and emotional stress caused by:(1)the disruption of family and social networks;(2)adapting to a different culture;(3)and anxiety over social and political unrest in *** to Ebola from patients and local co-workers,and the incorrect use of personal protective equipment due to fatigue was another major risk *** risk factors identified were:(1)shortage of supplies;(2)lack of trained health personnel;(3)exposure to contaminated food and water;(4)and long working *** efforts were taken throughout the mission to mitigate these *** measure was taken to prevent the medical team’s exposure to the Ebola virus,and to provide the medical team with safe,comfortable working and living *** were many challenges in maintaining the health safety of the team,such as the limited capability of the emergency command system(the standardized approach to the command,control,and coordination of an emergency response),and the lack of comprehensive international protocols for dealing with emerging infectiou

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