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Stuck in 'the field': why applied epidemiology needs to go home.

Published version
Peer-reviewed

Repository DOI


Type

Article

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Abstract

Between December 2010 and January 2011, 16 children presented to a mission hospital, in what at the time was, the Brong Ahafo Region (BAR) of Ghana, with unusual forms of seizure and paralysis. Initial testing suggested that the cause was B virus, a zoonotic monkey-borne virus not previously seen in Africa. These unexpected and concerning results spurred national public health authorities to deploy a field epidemiology team from the capital. Although short-lived, the findings from their investigation implicated a local monkey population occupying a forest belt which stretched along all of the affected communities. Newly collected samples were sent to a foreign reference laboratory for confirmatory testing, but no results were reported back. In the interim, several transnational research coalitions were formed to investigate the outbreak further. One did manage to obtain some confirmatory testing and the results suggested that B virus was not the cause of the outbreak. This prompted the remaining research coalitions to consider other potential causative agents and animal hosts. Over time it became clear, however, that the reports of a monkey-filled forest were also incorrect and that the clinical picture had not supported an infectious aetiology as definitely as first thought.

Description

Keywords

Accountability, Decision Making, Encephalitis, Epidemiology, Global Health

Journal Title

BMJ Glob Health

Conference Name

Journal ISSN

2059-7908
2059-7908

Volume Title

9

Publisher

BMJ