Cuban Strategy and Medical Cooperation to Combat Ebola, 2014-2016.

Abstract:

:The Ebola virus is a pathogen that causes high morbidity and mortality in epidemic events during which health personnel are frequently infected. Such an epidemic occurred in West Africa, prompting WHO to issue a call in 2014 for health personnel to be dispatched to affected countries. Cuba responded and signed an assistance agreement under which 265 Cuban health professionals, members of the Henry Reeve Emergency Medical Contingent, volunteered their services in the Republic of Guinea, Sierra Leone and Liberia. This article presents Cuba's strategy of medical aid and organization of the three medical teams formed; refers to the teams' contribution to epidemic control in treatment centers where they worked alongside other personnel; and describes measures taken in Cuba to prevent the virus from entering the country through returning volunteers or other means. In the centers where Cuban medical teams worked with other health professionals in West Africa, case fatality decreased from 80%-90% to 24%, contributing to control of the epidemic; no Ebola outbreaks occurred in Cuba. During the epidemic, two Cuban health professionals died of malaria and one physician fell ill with Ebola. This paper includes an overview of the treatment and evolution of the latter case, a doctor who contracted the disease in Sierra Leone and was treated in Geneva and Havana. KEYWORDS Ebola virus, treatment, strategy, followup, medical collaboration, Republic of Guinea, Sierra Leone, Liberia, Cuba.

journal_name

MEDICC Rev

journal_title

MEDICC review

authors

Pérez-Avila J,Núñez-Monteagudo D,Muné-Jiménez M,Gil-Del Valle L,Garcés-Martínez M,Fernández-Llanes R,Somarriba-López L

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

53-58

issue

4

eissn

1555-7960

issn

1527-3172

journal_volume

21

pub_type

历史文章,杂志文章
  • Comprehensive Care for Cuban Children in the First 1000 Days of Life.

    abstract::The first 1000 days of life constitute a short and exceptionally important period when the foundation is established for children's growth, development and lifelong health. Cuba has a comprehensive care system for this population that aims to promote the best start in life so that children can reach their highest deve...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Esquivel-Lauzurique M,Álvarez-Valdés G,Castro-Pacheco BL,Santana-Espinosa MC,Machado-Lubián MDC,Herrera-Alcázar V,Martínez-Delgado D

    更新日期:2019-01-01 00:00:00

  • Transforming cancer indicators begs bold new strategies from biotechnology.

    abstract::A national cancer program is essentially a population health initiative that goes beyond satisfying the demand for health services to propose modifying specific objective indicators in a defined population through interventions that have a scientifically grounded probability of success. In the case of malignant neopla...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Lage A

    更新日期:2009-07-01 00:00:00

  • Endoscopic findings and associated risk factors in primary health care settings in Havana, Cuba.

    abstract::INTRODUCTION Upper gastrointestinal endoscopy, traditionally performed in Cuba in specialized hospitals, was decentralized to the primary health care level in 2004 to make it more patient-accessible. OBJECTIVES Describe frequency and distribution of the principal symptomatic diseases of the upper gastrointestinal trac...

    journal_title:MEDICC review

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Galbán E,Arús E,Periles U

    更新日期:2012-01-01 00:00:00

  • Gender Roles in Cuba: Leaving the Kitchen Isn't Enough.

    abstract::The scene: a family doctor-and-nurse offi ce. After the usual well-baby visit for the eight-month-old, the physician poses a question to the young mother that sounds more like a statement: "I sup-pose you won't be going back to work, right? You'll be staying home to take care of your little girl." The mother, surprise...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Terrero A

    更新日期:2020-01-01 00:00:00

  • Moving Closer to Tuberculosis Elimination through Institutional Scientific Collaboration: Opportunities for Cuba and the USA.

    abstract::Global efforts to eliminate tuberculosis by 2050 continue to challenge health systems. In countries with low reported tuberculosis incidence, such as the USA (3.1/100,000 population) and Cuba (6.9/100,000), differences in classification by income level and health systems' overall organizational structure are evident. ...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Chapman HJ,Armas-Pérez LA,Lauzardo M,González-Ochoa ER

    更新日期:2018-04-01 00:00:00

  • Normal Values of T, B and NK Lymphocyte Subpopulations in Peripheral Blood of Healthy Cuban Adults.

    abstract::INTRODUCTION Quantification of lymphocyte subpopulations is useful for evaluating immune response in states of health and disease, including immunodeficiencies, autoimmunity, infections and cancer. Studies have found that concentrations and proportions of different cell subpopulations vary with geographic location, ag...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Kokuina E,Breff-Fonseca MC,Villegas-Valverde CA,Mora-Díaz I

    更新日期:2019-04-01 00:00:00

  • Approaches to Climate Change & Health in Cuba: Guillermo Mesa MD MPhil, Director, Disasters & Health, National School of Public Health. Paulo Ortiz MS PhD, Senior Researcher, Climate Center, Cuban Meteorology Institute.

    abstract::The US National Institutes of Health predict climate change will cause an additional 250,000 deaths between 2030 and 2050, with damages to health costing US$2-$4 billion by 2030. Although much debate still surrounds climate change, island ecosystems-such as Cuba's-in the developing world are arguably among the most vu...

    journal_title:MEDICC review

    pub_type: 面试

    doi:

    authors: Mesa G,Ortiz P,Gorry C

    更新日期:2015-04-01 00:00:00

  • Lung cancer diagnostic delay in a Havana hospital.

    abstract:INTRODUCTION:Lung cancer is one of the leading causes of death worldwide and in Cuba, where its incidence and mortality are on the rise. Diagnostic delay is a variable linked to survival and prognosis. Quantifying this delay and comparing it with data from other national and international sources may lead to planning a...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Fernández de la Vega JF,Pérez H,Samper JA

    更新日期:2015-01-01 00:00:00

  • Early Signs of Atherogenesis in Adolescents in a Havana Family Medicine Catchment Area.

    abstract::INTRODUCTION Atherosclerosis is the common underlying cause of cardiovascular diseases; the leading cause of morbidity and mortality globally. It is a major contributor to disability and poorer quality of life and is costly to health systems, individuals, families and society. Early signs of atherogenesis are manifest...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Valdés W,Díaz-Perera G,Espinosa TM

    更新日期:2015-10-01 00:00:00

  • Educating Well-rounded Physicians for the 21st Century.

    abstract::In MEDICC Review,[1] Natalia Orihuela presents her four-year journey at the Latin American School of Medicine (ELAM), Havana, Cuba, describing her didactic coursework and community rotations in vulnerable communities where access to healthcare is a major priority. Using a team-oriented approach, ELAM's educational pro...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors:

    更新日期:2019-04-01 00:00:00

  • Public health: champion of food and nutritional security in an insecure world.

    abstract::When it comes to nutrition, like most middle-income countries, Cuba is equally haunted by shadows of an undernourished past and forebodings of an overweight future. This dilemma is the country-level expression of a tough global reality: the world's empty stomachs and empty calories result from the same skewed constell...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Editors MEDICC Review.

    更新日期:2009-10-01 00:00:00

  • Increasing Research Productivity across Africa.

    abstract::Empowering scientific innovation, building knowledge management and strengthening research capacity across Africa are fundamental for improving high-level policy decision-making. Such contributions can distinguish the continent as a reputable source of scientific expertise, prepared to manage local and global challeng...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Oyewole BK,Animasahun VJ,Chapman HJ

    更新日期:2019-04-01 00:00:00

  • Cuba in the World's Tough Battle for Drug-Free Sport.

    abstract::In 1982, Chicago physician Bob Goldman began conducting surveys every two years of sprinters, swimmers, powerlifters and other athletes-most of them US Olympians or aspiring Olympians. As reported in a Sports Illustrated cover story, the 1995 poll of 198 such athletes produced this chilling result: "Scenario I. You ar...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Granda M

    更新日期:2009-04-01 00:00:00

  • Mobilizing Primary Health Care:Cuba's Powerful Weapon against COVID-19.

    abstract::A strong foundation of primary care is critical to the health system and is particularly important during pandemics like COVID-19. Primary care practices should be a natural fi t for triaging, testing, treating, and educating patients.-Corinne Lewis, Shanoor Seervai, Tanya Shah, Melinda K. Abrams, and Laurie Zephyrin ...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Aguilar-Guerra TL,Reed G

    更新日期:2020-04-01 00:00:00

  • Childhood cancer incidence in Cuba, 2001 to 2003.

    abstract:INTRODUCTION:Estimating childhood cancer incidence globally is hampered by lack of reliable data and uniform age limits for classifying and analyzing data reported. In Cuba, cancer data has been systematically gathered and processed by the National Cancer Registry (NCR) since 1964. The International Classification of C...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Torres P,Galán Y,Lence J,García M,Lezcano M,Fernández L

    更新日期:2010-04-01 00:00:00

  • Depression in an older adult rural population in India.

    abstract:INTRODUCTION:With a rapidly aging society, geriatric mental health is emerging as an important public health concern. According to the WHO, prevalence of depression in adults aged ≥60 years in developed and developing countries was 0.5 million and 4.8 million respectively in 2004. In India, increased life expectancy le...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Sinha SP,Shrivastava SR,Ramasamy J

    更新日期:2013-10-01 00:00:00

  • Biomodulina T May Restore Immunity in Older Adults.

    abstract::Worldwide, there has been a progressive demographic shift over the past 50 years resulting in a larger proportion of older adults in the general population. Aging itself is a complex biological phenomenon characterized in part by changes in the immune system known as "immunosenescence", which makes older adults more s...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:10.37757/MR2020.V22.N3.11

    authors: Suárez-Formigo GM,Saavedra-Hernández D

    更新日期:2020-07-01 00:00:00

  • Estimating Need, Demand and Supply in Primary Health Care Services: A Local Application in Argentina.

    abstract::INTRODUCTION To provide equal access, health care provision should be distributed across geodemographic space based on need. In Argentina, the social security, publicly funded health care and private health care subsectors are responsible for delivering health services. In the public subsector, which is responsible fo...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Elorza ME,Moscoso NS,Blanco AM,Gentili JO

    更新日期:2018-07-01 00:00:00

  • Usefulness of nuclear cardiology techniques for silent ischemia detection in diabetics.

    abstract::Cardiovascular disease is the main cause of death for diabetics, and in many cases its presence is silent due to cardiac autonomic neuropathy. Thus, early diagnosis of coronary disease is essential, permitting proper risk stratification and appropriate therapy. This paper examines the usefulness of several noninvasive...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:10.1590/s1555-79602013000100008

    authors: Peix A

    更新日期:2013-01-01 00:00:00

  • Albuminuria as a marker of kidney and cardio-cerebral vascular damage. Isle of Youth Study (ISYS), Cuba.

    abstract:INTRODUCTION:The disease complex comprised of atherosclerosis, chronic kidney disease (CKD) and other associated chronic vascular diseases is the leading cause of mortality worldwide. Microalbuminuria is a marker for vascular damage in the heart, kidney and brain. This paper presents selected findings of the clinical-e...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Herrera R,Almaguer M,Chipi J,Martínez O,Bacallao J,Rodríguez N,Abreu Mde L,Fariña O,Roche Mdel C

    更新日期:2010-10-01 00:00:00

  • Connecting science to population health: the "closed loop" approach.

    abstract::Vaccination programs have been successful in Cuba, whatever metrics are used to evaluate them: the population is protected against 13 diseases, well beyond WHO goals; illnesses such as polio, diphtheria, whooping cough and others have been eradicated; and even hepatitis B is slated to disappear. How can these results ...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Lage A

    更新日期:2008-10-01 00:00:00

  • Rising Cancer Drug Prices: What Can Low- and Middle-income Countries Do?

    abstract::Public health systems face the contradiction of skyrocketing cancer incidence and cancer drug prices, thus limiting patient access to more effective treatments. The situation is particularly dire in low- and middle-income countries. We urgently need consensus on the main determinants of this problem, as well as specif...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Blanco-García E,Ledón N,Lage-Dávila A

    更新日期:2018-10-01 00:00:00

  • Raising HIV/AIDS awareness through Cuba's Memorias project.

    abstract::As long as there is no cure for AIDS, the only effective means of containing its spread is prevention, primarily through public education. Cuba's AIDS Prevention Group is a community-based organization whose main purpose is to support the National HIV/AIDS Program's prevention and education efforts. The Group's Memori...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Aragonés C,Campos JR,Nogueira O,Pérez J

    更新日期:2011-04-01 00:00:00

  • Contributions of bioethics to health sector leadership.

    abstract::Leadership is the perception or acceptance by members of a group of their superior's ability to inspire, influence and motivate them to meet their goals and contribute to the achievement of shared objectives. This article analyzes the characteristics of bioethics and the profile of the bioethicist in relation to the c...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:10.1590/s1555-79602012000300009

    authors: Hodelín R,Fuentes D

    更新日期:2012-07-01 00:00:00

  • Sounding the alarm on chronic kidney disease in farming communities: María Isabel Rodríguez MD. Minister of health, El Salvador. Interview by Conner Gorry.

    abstract::In April 2013, a consortium of regional health ministries, nongovernmental organizations, aid agencies, clinical specialists and researchers from diverse sectors convened in San Salvador to discuss the epidemic of chronic kidney disease of unknown or non-traditional causes (CKDu) plaguing agricultural communities in C...

    journal_title:MEDICC review

    pub_type: 面试

    doi:

    authors: Rodríguez MI

    更新日期:2013-07-01 00:00:00

  • Before the next big one.

    abstract::The China earthquake, 2008. New Orleans' Hurricane Katrina, 2005. The Indonesian tsunami, 2004. These are the Big Ones that startle the front pages and bring disaster home. But the lasting story lies behind the headlines where vulnerabilities are laid bare, and between the disasters themselves, where the opportunity f...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Editors MEDICC Review.

    更新日期:2008-07-01 00:00:00

  • Cubans' deadly diet: a wakeup call.

    abstract::Learning to live and eat differently is essential to turning back the global epidemic of chronic diseases. And Cubans are no exception. As a rule, Cubans scarcely consume whole-grain cereals, fruits, or leafy green and other vegetables. But we have a relatively high consumption of saturated fats, sugars, refined cerea...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Porrata C

    更新日期:2008-04-01 00:00:00

  • Chronic kidney disease and associated risk factors in two Salvadoran farming communities, 2012.

    abstract:INTRODUCTION:Chronic kidney disease is a global pandemic, affecting the majority of countries in the world. Its prevalence is approximately 10% and it is associated mainly with diabetes and high blood pressure. In El Salvador, it is the leading cause of hospital deaths among men. OBJECTIVE:Determine prevalence of chro...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Vela XF,Henríquez DO,Zelaya SM,Granados DV,Hernández MX,Orantes CM

    更新日期:2014-04-01 00:00:00

  • Women and children first.

    abstract::Women and children first! is a phrase rather infamously associated with the sinking Titanic. Although without basis in maritime law, it reflects an ethical imperative to protect those who historically are perceived as the most vulnerable in times of peril, diametrically opposed to the skewed survival-of-the-fittest po...

    journal_title:MEDICC review

    pub_type: 社论

    doi:

    authors:

    更新日期:2015-01-01 00:00:00

  • Implementing ACCM critical care guidelines for septic shock management in a Cuban pediatric intensive care unit.

    abstract::INTRODUCTION Sepsis is the most common direct cause of death worldwide and septic shock the syndrome's most serious complication. In 2002, the pediatric intensive care unit of the José Luis Miranda Pediatric University Hospital in Santa Clara (Villa Clara Province), Cuba, began implementing the recently published guid...

    journal_title:MEDICC review

    pub_type: 杂志文章

    doi:

    authors: Cartaya JM,Rovira LE,Segredo Y,Alvarez I,Acevedo Y,Moya A

    更新日期:2014-07-01 00:00:00