Interventions for Ebola

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Age Cohort: 5 - 11 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Counselling about handwashing with soap Counselling on WASH services (use of safe water supply, sanitation and hygiene)	Vaccination: Ebola virus disease Reduce risk of wildlife-to-human transmission by avoiding contact with infected fruit bats, monkeys, apes, forest antelope or porcupines and the consumption of their raw meat * Reduce risk of human-to-human transmission by avoiding direct or close contact with people with Ebola symptoms, particularly with their bodily fluids Safe and dignified burial of the dead Identifying people who may have been in contact with someone infected with Ebola and monitoring their health for 21 days, Separate the healthy from the sick to prevent further spread, Good hygiene and maintaining a clean environment. Safe sex practice for men who have survived Ebola disease Frequent ANC attendance of pregnant women who have survived Ebola		Report suspected cases accordingly * Referral to the next level
Primary Care
Counselling about handwashing with soap Counselling on WASH services (use of safe water supply; sanitation and hygiene)	Vaccination: Ebola virus disease Reduce risk of wildlife-to-human transmission by avoiding contact with infected fruit bats, monkeys, apes, forest antelope or porcupines and the consumption of their raw meat * Reduce risk of human-to-human transmission by avoiding direct or close contact with people with Ebola symptoms, particularly with their bodily fluids Safe and dignified burial of the dead Identifying people who may have been in contact with someone infected with Ebola and monitoring their health for 21 days, Separate the healthy from the sick to prevent further spread, Good hygiene and maintaining a clean environment. Safe sex practice for men who have survived Ebola disease Frequent ANC attendance of pregnant women who have survived Ebola disease		Report suspected cases accordingly Rapid antigen detection tests Referral to the next level
Referral Facility: General
Counselling about handwashing with soap Counselling on WASH services (use of safe water supply, sanitation and hygiene)	Vaccination: Ebola virus disease Safe and dignified burial of the dead		History and physical examination Rapid antigen detection tests Basic laboratory test Advanced laboratory test Ultrasound Computed tomography (CT) scan Oral salts for Ebola virus disease Provide water purification for Ebola virus disease Vitamins A, B1, C Oral rehydration solution Oral diuretics for Ebola virus disease Oral anxiolytic for Ebola virus disease Oral antipyretic for Ebola virus disease Pharmacological interventions for symptomatic management Inhaled bronchodilators for Ebola virus disease Topical antimicrobials for complications of Ebola virus disease Rectal anxiolytic for Ebola virus disease Vitamin K as indicated Counselling to ensure safer sexual practices
Referral Facility: Specialist
Counselling about handwashing with soap Counselling on WASH services (use of safe water supply, sanitation and hygiene)	Vaccination: Ebola virus disease Safe and dignified burial of the dead		Automated or semi-automated nucleic acid tests (NAT) Rehydration with oral or intravenous fluids Management of specific symptoms Treat bacterial infections with antibiotics Manage complications such as liver and kidney failure Blood and blood product transfusion Supplemental oxygen Monoclonal antibody treatments Mechanical ventilation Counselling to ensure safer sexual practices

Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Counselling about handwashing with soap Counselling on WASH services (use of safe water supply; sanitation and hygiene)	Vaccination: Ebola virus disease Reduce risk of wildlife-to-human transmission by avoiding contact with infected fruit bats, monkeys, apes, forest antelope or porcupines and the consumption of their raw meat * Reduce risk of human-to-human transmission by avoiding direct or close contact with people with Ebola symptoms, particularly with their bodily fluids Safe and dignified burial of the dead Identifying people who may have been in contact with someone infected with Ebola and monitoring their health for 21 days, Separate the healthy from the sick to prevent further spread, Good hygiene and maintaining a clean environment. Safe sex practice for men who have survived Ebola disease Frequent ANC attendance of pregnant women who have survived Ebola disease		Report suspected cases accordingly * Referral to the next level
Primary Care
Counselling about handwashing with soap Counselling on WASH services (use of safe water supply; sanitation and hygiene)	Vaccination: Ebola virus disease Reduce risk of wildlife-to-human transmission by avoiding contact with infected fruit bats, monkeys, apes, forest antelope or porcupines and the consumption of their raw meat * Reduce risk of human-to-human transmission by avoiding direct or close contact with people with Ebola symptoms, particularly with their bodily fluids Safe and dignified burial of the dead Identifying people who may have been in contact with someone infected with Ebola and monitoring their health for 21 days, Separate the healthy from the sick to prevent further spread, Good hygiene and maintaining a clean environment. Safe sex practice for men who have survived Ebola disease Frequent ANC attendance of pregnant women who have survived Ebola disease		Report suspected cases accordingly Rapid antigen detection tests Referral to the next level
Referral Facility: General
Counselling about handwashing with soap Counselling on WASH services (use of safe water supply; sanitation and hygiene)	Vaccination: Ebola virus disease Safe and dignified burial of the dead		History and physical examination Rapid antigen detection tests Basic laboratory test Advanced laboratory test Ultrasound Oral salts for Ebola virus disease Rehydration with oral or intravenous fluids Management of specific symptoms Treat bacterial infections with antibiotics Blood and blood product transfusion Supplemental oxygen Monoclonal antibody treatments Mechanical ventilation Counselling to ensure safer sexual practices
Referral Facility: Specialist
Counselling about handwashing with soap Counselling on WASH services (use of safe water supply; sanitation and hygiene)	Vaccination: Ebola virus disease Safe and dignified burial of the dead		Automated or semi-automated nucleic acid tests (NAT) Rehydration with oral or intravenous fluids Management of specific symptoms Treat bacterial infections with antibiotics Manage complications such as liver and kidney failure Blood and blood product transfusion Supplemental oxygen Monoclonal antibody treatments Mechanical ventilation Counselling to ensure safer sexual practices

Age Cohort: 60+ years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Counselling about handwashing with soap Counselling on WASH services (use of safe water supply; sanitation and hygiene)	Vaccination: Ebola virus disease Reduce risk of wildlife-to-human transmission by avoiding contact with infected fruit bats, monkeys, apes, forest antelope or porcupines and the consumption of their raw meat * Reduce risk of human-to-human transmission by avoiding direct or close contact with people with Ebola symptoms, particularly with their bodily fluids Safe and dignified burial of the dead Identifying people who may have been in contact with someone infected with Ebola and monitoring their health for 21 days, Separate the healthy from the sick to prevent further spread, Good hygiene and maintaining a clean environment. Safe sex practice for men who have survived Ebola disease Frequent ANC attendance of pregnant women who have survived Ebola disease		Report suspected cases accordingly * Referral to the next level
Primary Care
Counselling about handwashing with soap Counselling on WASH services (use of safe water supply; sanitation and hygiene)	Vaccination: Ebola virus disease Reduce risk of wildlife-to-human transmission by avoiding contact with infected fruit bats, monkeys, apes, forest antelope or porcupines and the consumption of their raw meat Reduce risk of human-to-human transmission by avoiding direct or close contact with people with Ebola symptoms, particularly with their bodily fluids Safe and dignified burial of the dead Identifying people who may have been in contact with someone infected with Ebola and monitoring their health for 21 days, Separate the healthy from the sick to prevent further spread, Good hygiene and maintaining a clean environment. Safe sex practice for men who have survived Ebola disease Frequent ANC attendance of pregnant women who have survived Ebola disease		Report suspected cases accordingly Rapid antigen detection tests Referral to the next level
Referral Facility: General
Counselling about handwashing with soap Counselling on WASH services (use of safe water supply; sanitation and hygiene)	Vaccination: Ebola virus disease Safe and dignified burial of the dead		History and physical examination Rapid antigen detection tests Basic laboratory test Advanced laboratory test Ultrasound Oral salts for Ebola virus disease Rehydration with oral or intravenous fluids Management of specific symptoms Treat bacterial infections with antibiotics Blood and blood product transfusion Supplemental oxygen Monoclonal antibody treatments Mechanical ventilation Counselling to ensure safer sexual practices
Referral Facility: Specialist
Counselling about handwashing with soap Counselling on WASH services (use of safe water supply; sanitation and hygiene)	Vaccination: Ebola virus disease Safe and dignified burial of the dead		History and physical examination for hypertension Condition-specific nutrition assessment and counselling Basic laboratory tests Advanced laboratory tests Therapeutic lifestyle changes Pharmacologic management of hypertension Follow up for treatment adherence Early recognition of the need for referral