Last data update: Jun 03, 2024. (Total: 46935 publications since 2009)
Records 1-3 (of 3 Records) |
Query Trace: Etoundi GA [original query] |
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Building on Capacity Established through US Centers for Disease Control and Prevention Global Health Programs to Respond to COVID-19, Cameroon.
Dokubo EK , Shang JD , N'Dir A , Ndongmo CB , Okpu G , Fadil YM , Takang LE , Angumua C , Lyonga E , Mayer M , Ayukotabe T , Nkwoh TK , Hedje J , Etoundi GA , Njock RL . Emerg Infect Dis 2022 28 (13) S181-s190 The COVID-19 pandemic has highlighted the need for resilient health systems with the capacity to effectively detect and respond to disease outbreaks and ensure continuity of health service delivery. The pandemic has disproportionately affected resource-limited settings with inadequate health capacity, resulting in disruptions in health service delivery and worsened outcomes for key health indicators. As part of the US government's goal of ensuring health security, the US Centers for Disease Control and Prevention has used its scientific and technical expertise to build health capacity and address health threats globally. We describe how capacity developed through global health programs of the US Centers for Disease Control and Prevention in Cameroon was leveraged to respond to coronavirus disease and maintain health service delivery. The health system strengthening efforts in Cameroon can be applied in similar settings to ensure preparedness for future global public health threats and improve health outcomes. |
Asymptomatic orthopoxvirus circulation in humans in the wake of a monkeypox outbreak among chimpanzees in Cameroon
Guagliardo SAJ , Monroe B , Moundjoa C , Athanase A , Okpu G , Burgado J , Townsend MB , Satheshkumar PS , Epperson S , Doty JB , Reynolds MG , Dibongue EE , Etoundi GA , Mathieu E , McCollum AM . Am J Trop Med Hyg 2019 102 (1) 206-212 Monkeypox virus is a zoonotic Orthopoxvirus (OPXV) that causes smallpox-like illness in humans. In Cameroon, human monkeypox cases were confirmed in 2018, and outbreaks in captive chimpanzees occurred in 2014 and 2016. We investigated the OPXV serological status among staff at a primate sanctuary (where the 2016 chimpanzee outbreak occurred) and residents from nearby villages, and describe contact with possible monkeypox reservoirs. We focused specifically on Gambian rats (Cricetomys spp.) because it is a recognized possible reservoir and because contact with this species was common enough to render sufficient statistical power. We collected one 5-mL whole blood specimen from each participant to perform a generic anti-OPXV ELISA test for IgG and IgM antibodies and administered a questionnaire about prior symptoms of monkeypox-like illness and contact with possible reservoirs. Our results showed evidence of OPXV exposures (IgG positive, 6.3%; IgM positive, 1.6%) among some of those too young to have received smallpox vaccination (born after 1980, n = 63). No participants reported prior symptoms consistent with monkeypox. After adjusting for the education level, participants who frequently visited the forest were more likely to have recently eaten Gambian rats (OR: 3.36, 95% CI: 1.91-5.92, P < 0.001) and primate sanctuary staff were less likely to have touched or sold Gambian rats (OR: 0.23, 95% CI: 0.19-0.28, P < 0.001). The asymptomatic or undetected circulation of OPXVs in humans in Cameroon is likely, and contact with monkeypox reservoirs is common, raising the need for continued surveillance for human and animal disease. |
Evaluation of diarrheal disease surveillance in the Minawao refugee camp - Cameroon, 2016
Amabo FC , Seukap EC , Mathieu E , Etoundi GA . Int J Infect Dis 2019 82 9-14 BACKGROUND: Between 2013 and 2015, the Minawao refugee camp in Cameroon received about 51,000 refugees fleeing Boko Haram. Rapid population increase and inadequate sanitary installations increase the risk of diarrheal disease, thus we assessed the structure and attributes of the surveillance system in Minawao. METHODS: We used updated CDC guidelines for evaluating public health surveillance systems. Information sources included health registers, surveillance reports, and key informant interviews. We used scorecards to assess the system's simplicity, flexibility, data quality, acceptability, sensitivity, timeliness, stability and usefulness. RESULTS: Surveillance in Minawao is both passive and active, integrating four diseases reported weekly/immediately. All key informants agreed that surveillance was part of their routine work. Of 138 surveillance reports reviewed, all were complete; 91 (66%) were timely. Overall, 143 (100%) cases of diarrheal disease identified in health registers were reported to the next level. Only two (20%) surveillance personnel could correctly state standardized case definitions (SCD); three (30%) were unable to identify cases of diarrheal disease based on SCD. CONCLUSIONS: In Minawao, diarrheal disease surveillance is acceptable, flexible, sensitive, and useful. To improve timeliness and use of SCD, we recommend using mobile phones for reporting and displaying SCD in health facilities. |
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