The health impact of the 2014-15 Ebola outbreak
The health impact of the 2014-15 Ebola outbreak
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DOI：
10.1016/j.puhe.2016.10.020
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发表时间：
2017-02-01
期刊：
影响因子：
5.2
通讯作者：
Wright, J.
中科院分区：
文献类型：
--
作者：
Elston, J. W. T.;Cartwright, C.;Wright, J.
目标：2014-15年西非爆发的埃博拉疫情是有记录以来规模最大、最致命的一次；然而，其更广泛的健康后果仍存在不确定性。我们的目标是全面概述埃博拉疫情对三个受影响最严重国家（塞拉利昂、利比里亚和几内亚）人口健康的影响。研究设计：叙述性回顾。方法：对与埃博拉疫情影响和后果相关的同行评议文献和灰色文献进行叙述性概述，综合从生物医学数据库、网络和评议文章参考文献的结构化搜索中检索到的文献的发现。结果：埃博拉疫情的影响是深刻和多方面的。由于巨大的需求、卫生工作者死亡、资源转移和卫生设施关闭，卫生系统受到严重损害。对埃博拉病毒和卫生保健工作者的恐惧导致人们对卫生系统的信任崩溃。获得医疗保健的机会受到影响。据报告，医疗保健利用大幅减少，包括受埃博拉影响地区孕产妇分娩护理减少80%以上，全国儿童疟疾住院人数减少40%
Objectives: The 2014-15 outbreak in West Africa was the largest and deadliest Ebola outbreak recorded; however, there remains uncertainty over its wider health consequences. Our objective was to provide a comprehensive overview of the impact of the Ebola outbreak on population health in the three most affected countries: Sierra Leone, Liberia and Guinea.Study design: Narrative review.Methods: A narrative overview of the peer-reviewed and grey literature related to the impact and consequences of the Ebola outbreak was conducted, synthesizing the findings of literature retrieved from a structured search of biomedical databases, the Web and references of reviewed articles.Results: The impact of the Ebola outbreak was profound and multifaceted. The health system was severely compromised due to overwhelming demand, healthcare workers deaths, resource diversion and closure of health facilities. Fear of Ebola and healthcare workers led to a breakdown in trust in health systems. Access to healthcare was compromised. Substantial reductions in healthcare utilization were reported including over 80% reductions in maternal delivery care in Ebola-affected areas, 40% national reductions in malaria admissions among children