The World | • Updated | By
The reason: the discomfort of a young African man who had stayed in Guinea before arriving in France on 1 st October. He was accompanied by three other foreign miners, one had flu symptoms. An episode that illustrates the difficulty of navigating between principled application of the precautionary principle and panic.
The initial approach taken by the staff of the district health bureau has complied with the procedures established at the possibility of A case of infection with Ebola virus or other infectious agents present a serious risk. The four young men had entered the premises for monitoring by social services. From the appearance of the first symptoms, they were isolated along with seven other people who had been in contact with them, in this case the personal hospitality and firefighters who were present intervened.
UAS AND INSTITUTE FOR PUBLIC HEALTH ON SITE
The alarm was raised at the center 15 again, as provided by the procedure. An EMS team provided with protective equipment was therefore made on site to support young people and examine them. Specialists of the Institute of Health Surveillance (VS) were also deployed to assess whether the four miners could be classified as suspected or be excluded.
A suspected patient InVS defined as “any person having, within twenty-one days after his return to the area at risk, as measured by a fever higher than 38 ° C care and for which exposure to risk has been established within twenty-one days before the start of symptoms (…) or for which it is impossible to assess the existence of exhibitions at risk “, for example, for a patient unable to be interviewed.
EXCLUSIVE ON DIAGNOSIS OF CLINICAL CASE
Only when was provided laboratory confirmation of infection Ebola conducted by the National Reference Center for haemorrhagic fevers in Lyon, it is possible to speak of a confirmed case. Conversely, the diagnosis of infection with the Ebola virus will be excluded if the patient “does not meet the criteria for a suspected case” , or to be considered as a possible case, and of course if the biological test in a potentially infected patient is negative.
According to reports, it was considered that infection with the Ebola virus was excluded on the basis of clinical and non-biological arguments, mainly the fact that the period of twenty-one days since the start of the area at risk was exceeded. This period is indeed a maximum known incubation period of the disease. If it goes from two to twenty one days, the time between infection and the onset of symptoms averages four to ten days. It is only when symptoms are present (fever, diarrhea, vomiting, etc.) as infected with Ebola patient is contagious.
It is likely that other episodes of the same type recur. The response device in the case of Cergy-Pontoise seems to have worked according to procedures defined by the health authorities
See also:. Ebola how MSF nurse-t she was treated in France?
Check : Ebola: “There is a lack of working tools for physicians’