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Lessons learned around RCCE in outbreak responses in East and Southern Africa recognise the need to learn from and strengthen national and cross-border collaboration in the face of frequent public health emergencies. In October 2023, One Health partners conducted a Simulation Exercise in the Mandera
...
region between Ethiopia, Kenya, and Somalia to test cross-border readiness. One of the key recommendations from this workshop was that current and future agreements, plans, and SOPs on One Health Emergency Preparedness and Response (EPR) in all three countries should include RCCE for cross-border situations.
more
This toolkit lays out a framework for a waterborne disease investigation and consolidates resources to assist investigation activities.
The Waterborne Disease Outbreak Investigation Toolkit was designed to assist state and local health departments in conducting waterborne disease outbreak invest
...
igations. Using experiences of epidemiologists at the state and local levels, this toolkit describes best practices in preparing for, identifying, and responding to a waterborne disease outbreak.
more
The resurgence of mpox in multiple African countries since 2022 has highlighted urgent gaps in preparedness, detection, and response capacities across the continent. While the mpox outbreak was initially classified as a Public Health Emergency of International Concern (PHEIC) and a Public Health Eme
...
rgency of Continental Security (PHECS), the risk of continued transmission in high-risk areas of Africa remains significant, particularly due to persistent zoonotic reservoirs, cross-border spread, and fragile surveillance systems.
more
Epidemic Preparedness and Response in Africa | Guidelines for the Decentralization of Laboratory Capacity
recommended
The decentralization of laboratory capacities is a critical strategy for improving epidemic preparedness and response in Africa. Centralized systems often delay case confirmation, hinder timely interventions, and exacerbate the impact of outbreaks, especially in rural and hard-to-reach areas.
Thi
...
s Guidelines outlines a structured approach to decentralization, focusing on:
Strategic Goals: Strengthening laboratory capacity at subnational levels to ensure timely detection and control of epidemic-prone diseases.
Guiding Principles: Equity, country ownership, multisectoral collaboration and evidence-based decision-making.
Implementation Framework: Practical steps for planning, executing, and sustaining decentralized diagnostic networks, with intra- and post-implementation reviews for continuous improvement.
Integration: Alignment with existing surveillance, case management and infection prevention and control (IPC) systems, with a focus on the One Health approach.
While the Guidelines is informed by the Mpox outbreak response, it is adaptable to other priority diseases and aligned with the International Health Regulations (IHR 2005), the Africa CDC Strategic Plan (2022-2027), and the WHO Health Security Framework.
more
Préparatiom et la riposte aux Épidémies er Afrique guide de Décentralisation des capacités de Laboratoire
recommended
L’augmentation en fréquence et en ampleur des urgences de santé publique en Afrique met en évidence
l’importance cruciale d’un dépistage précoce, d’une intervention rapide et d’un accès équitable aux
capacités de laboratoire. Les systèmes centralisés se sont souvent révélés
...
insuffisants, notamment
dans les zones reculées ou mal desservies, entraînant des retards dans la confirmation des cas et
réduisant l’efficacité des mesures de contrôle des épidémies.
La décentralisation des capacités de laboratoire constitue une stratégie transformative pour combler
ces lacunes. En rapprochant les examens diagnostiques des points de prestation de soins, les États
Membres de l’Union Africaine peuvent détecter les épidémies plus tôt, réagir plus efficacement et
renforcer la confiance du public dans les systèmes de santé.
Ce document propose un cadre global pour aider les États Membres à concevoir, mettre en œuvre
et pérenniser des réseaux de diagnostic décentralisés. Il met l’accent sur l’équité, l’appropriation
nationale, la collaboration multisectorielle et l’intégration avec les autres fonctions du système de santé.
De plus, il souligne l’importance du maintien des normes de qualité dans les contextes décentralisés,
en recommandant la mise en place de dispositifs de contrôle qualité adaptés, de mécanismes de
supervision ciblés et l’harmonisation avec les cadres nationaux d’assurance qualité.
Africa CDC, l’OMS et leurs partenaires restent déterminés à soutenir les États Membres à travers une
assistance technique, des plateformes de coordination et la mobilisation de ressources. Ensemble,
nous pouvons bâtir un écosystème de diagnostic résilient, réactif et inclusif, protégeant la santé de
toutes les communautés africaines.
more
The lack of an African research ethics framework during epidemic emergencies (EE) has been a glaring concern
amongst African scholars for decades. In the context of major public health emergencies of continental and global health concern over the last five years, such as Ebola in 2019, COVID in 202
...
0 and Mpox in 2024, and ongoing epidemics, including those of pandemic potential, the need for such a framework is evident. Ethics frameworks for research during emergencies have been published (World Health Organisation, 2016; Nuffield Council on Bioethics, 2020). However, there is currently no African and continent-wide, coherent guidance that promotes African values, elaborated by Africans for hosting research during EE on the continent. To address this gap, the African Centre for Disease Control convened an Ethics Working Group (Ethics WG) to develop an African
framework that embraces dominant African principles/values that might guide the ethical conduct of research in
more
لى الرغم من أّن أفريقيا تحتضن ما يقارب خمس سكان العالم وتتحمل ربع العبء المرضي عالمًيا، فإن مساهمتها في الأبحاث
لا ةيملاعلا ةيحصلا زواجتت 3 طقف % . نمكي و دحأ زربأ ةي
...
صلا ثاحبلأا هجاوت يتلا تايدحتلا يف ةراقلا يف تايقلاخأ راطإ فعض
ثحبلا روصقو يف ةيلودلا ثحبلا تايقلاخأ ئدابم لا ريفوت ةيامح يلثملا لل يف ةقرافلأا نيكراشم ةيثحبلا تاساردلا . زيمتت
بوعشلا ةيقيرفلأا ب دقتعم تاموظنمو ميقو تافاقث ية لئاضفو ةديرف ، يعدتسي امب لاا و فاشكتس لا مهف قمعب قايس يف
ريت في بيئة أفريقية بأن ضرمل ةيبلس تاصيخشتب ىضرملا غلابإ ُج أ ،لاثملا ليبس ىلع .ثحبلا تايقلاخأ جئاتن ترهظ دراسٌة أ
ءانثأناطرسلا دق ةرينتسملا ةقفاوملا ةيلمع يلعرثؤت .ىضرملل ةياعرلاو جلاعلا جئاتن بلا يف ،ةيقيرفلأا تائي فلاخب لودلا
،ةمدقتملا ُيمنح اهتمام أكبر لا عمتجملا ةيللاقتس باسح يلع .درفلا ةيللاقتسا كلذ يلع ةولاع فف ةيقيرفلأا تاعمتجملا ي
دق ،ظوحلم لكشب ةيحصلا ةفاقثلا تايوتسم اهيف ضفخنت يتلا دحي مهف ةعيبط ةقفاوملا ةرتف للاخ ضارملأاو ثاحبلأا
ةرينتسملا نم ةرينتسم تارارق ذاختا ىلع ةردقلا ةيفاك ةفرعم ىلع ةينبمو ةيعاو . ةيداصتقلااو ةيعامتجلاا عاضولأا يندت نأ ام
فلأا ناكسلل يف نيكراشملا ةقرا طاخملل ةضرع رثكأ مهلعجي دق تاساردلا ، إذ قد تؤثر الحوافز الُمقّدمة عليهم في قرارات مه
ب .اهيف ةكراشم
more
Seulement 3 % de la recherche mondiale en santé provient d’Afrique, malgré sa part de 18 % de la population
mondiale et de 25 % de la charge de morbidité. L’un des défis auxquels est confrontée cette recherche limitée en
matière de santé sur le continent provient du cadre défaillant d
...
e l’éthique de la recherche et de l’incapacité des
principes internationaux d’éthique de la recherche à protéger de manière optimale les participants africains à la
recherche. Les populations africaines possèdent des cultures, des valeurs, des systèmes de croyances et des
vertus spécifiques qu'il convient d'explorer et de comprendre pour mener la recherche de manière éthiques. Par
exemple, une étude menée en Afrique a révélé que l'information sur les diagnostics, notamment ceux de cancer,
lors du consentement éclairé a été jugée défavorable, ce qui peut altérer le traitement et les résultats des soins
prodigués aux patients. En Afrique, contrairement aux pays développés, l'accent est davantage mis sur
l'autonomie communautaire que sur l'autonomie individuelle. Le niveau d’alphabétisation en santé des populations
africaines est faible par rapport à celui des pays développés, ce qui affecte leur compréhension du consentement
éclairé et compromet leur capacité à prendre des décisions éclairées. Le statut socio-économique inférieur des
populations africaines pourrait également rendre les participants à l'étude vulnérables, car les incitations offertes
pourraient influencer leur décision de participer à l'étude.
more
Apenas 3% da investigação global em saúde provém de África, apesar da sua quota de 18% da
população mundial e de 25% da carga de doença. Um desafio para esta investigação limitada
em saúde no continente decorre do deficiente quadro de ética de investigação e da falha dos
princípios
...
internacionais de ética na investigação em proteger de forma óptima os participantes
africanos da investigação. As populações africanas possuem culturas, valores, sistemas de
crenças e virtudes peculiares que necessitam de ser explorados e compreendidos no processo
de conduta ética na investigação. Por exemplo, um estudo realizado num contexto africano
reportou que a informação sobre os diagnósticos de cancro como desfavorável durante o
processo de consentimento informado poderia alterar o tratamento e o resultado dos cuidados
aos doentes. Nos contextos africanos, ao contrário dos países desenvolvidos, a ênfase é
colocada na autonomia comunitária em detrimento da autonomia individual. Nas populações
africanas onde os níveis de literacia em saúde são comparativamente baixos, a compreensão da
investigação e da doença durante o consentimento informado pode comprometer a capacidade
de tomar decisões informadas. Além disso, o menor estatuto socioeconómico das populações
africanas pode tornar os participantes do estudo vulneráveis, dado que os incentivos oferecidos
podem afectar as suas decisões de participar no estudo.
more
Several tools are available to support and guide outbreak preparedness, investigation and response activities. These are open access and free to use.
A number of restricted platforms support early detection of public health threats and coordinate response activities between EU Member States, the E
...
uropean Commission and other partners. Access to these tools is limited to nominated users.
more
3rd edition!Large File 17 MB!
3rd edition!
The document provides comprehensive guidelines on cholera outbreak management, including prevention, diagnosis, and treatment. It emphasizes rapid response measures, the importance of rehydration therapy (oral and intravenous), and public health interventions such as water sanitation, hygiene promot
...
ion, and disease surveillance to control the spread of cholera in affected communities. It is designed as a resource for healthcare providers and public health officials.
more
The WHO Guide on Cholera Control in Complex Emergencies provides key steps for preparedness, prevention, and response to cholera and other diarrheal diseases in crisis situations. It highlights the importance of early warning systems, rapid response
...
, and coordination among health agencies. The guide outlines measures for case management, water sanitation, hygiene promotion, and outbreak containment, particularly in refugee camps and disaster-affected areas. It emphasizes community involvement, surveillance, and proper health infrastructure to reduce mortality and control disease spread in vulnerable populations.
more
A training tutorial for healthcare professionals
This ECDC tutorial presents the fundamental concepts of personal protective equipment (PPE) and barrier nursing to support preparedness in hospitals across Europe. It provides practical information on the proper use of PPE at the point of care, inclu
...
ding technical requirements and procurement aspects
more
