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Volume 12, Number 9—September 2006

Dispatch

Lookback Exercise with Imported Crimean-Congo Hemorrhagic Fever, Senegal and France

Arnaud Tarantola*Comments to Author , Pierre Nabeth†, Pierre Tattevin‡, Christian Michelet‡, Hervé Zeller§, and for the Incident Management Group
Author affiliations: *Institut de Veille Sanitaire, Paris, France; †Formerly of Institut Pasteur, Dakar, Senegal; ‡CHU Pontchaillou, Rennes, France; §Centre National de Référence pour les Arboviroses, Lyon, France

Main Article

Table 1

Synopsis of phases, risks, and management of case of Crimean-Congo hemorrhagic fever*

Institution/phase Place/date Contacts, persons at risk Measures No. contacts (N = 181) Responsible
Incubation phase Senegal/Oct–Nov 2 Contacts in Saly, Senegal SOS Médecins Saly informed. 2 IPD and DIT-InVS
Before hospitalization Dakar, Senegal/Nov 2–4 Radiologist and his family Radiologist informed 5 IPD and DIT-InVS
Hospitalization 1 Dakar, Senegal/Nov 4–10 HCWs and laboratory personnel Head physicians informed and agreed to verify staff health status 20 IPD and DIT-InVS
Patients who shared the room Head physicians informed and agreed to verify patient health status 4 IPD and DIT-InVS
Other physicians in health clinics welcoming expatriates informed IPD and DIT-InVS
Dental appointment Dentist informed 1 IPD and DIT-InVS
Visitors (friends) Physician and radiologist informed 10 IPD and DIT-InVS
Ambulance transport 1 Dakar, Senegal/Nov10 Personnel who transported the patient Head physicians informed and agreed to verify staff health status 2 IPD and DIT-InVS
Hospitalization 2 Dakar, Senegal/Nov 10–13 HCWs who provided care Head physicians informed and agreed to verify staff health status 25 IPD and DIT-InVS
Ambulance transport 2 Dakar, Senegal/Nov 13 Personnel who transported the patient Head physicians informed and agreed to verify staff health status 2 IPD and DIT-InVS
Medical transport plane Plane Dakar-Paris/Nov 13–14 German team who provided care Head physician informed and agreed to verify staff health status; German health authorities informed 2 DIT-InVS
Ambulance transport 3 Rennes, France/Nov 14 Personnel who transported the patient Identification of contacts. Daily clinical follow up of contacts until Nov 26 2 Ddass 35 and CIRE Quest
Hospitalization 3 Rennes, France/Nov 14–24 ICU personnel who provided care Identification of contacts. Daily clinical follow up of contacts until Nov 26 34 C-Clin Ouest, Ddass 35 and CIRE Ouest
ID personnel who provided care Identification of contacts. Daily clinical follow up of contacts until Nov 26 10 C-Clin Ouest, Ddass 35 and CIRE Ouest
Personnel who transported the patient between wards Identification of contacts. Daily clinical follow up of contacts until Nov 26 3 C-Clin Ouest, Ddass 35 and CIRE Ouest
Laboratory personnel Identification of contacts. Daily clinical follow up of contacts until Nov 26; identification/tracing of samples 50 C-Clin Ouest, Ddass 35 and CIRE Ouest
Patient's family who visited Identification of contacts. Daily follow up of contacts by telephone until Nov 26 9 C-Clin Ouest, Ddass 35 and CIRE Ouest

*HCW, healthcare workers; ICU, intensive care unit; ID, infectious diseases department; IPD, Institut Pasteur, Dakar; DIT, Département International et Tropical; InVS, Institut de Veille Sanitaire; CIRE, Cellule Interrégionale d'Epidémiologie.

Main Article

1The members of the incident management group were (in alphabetical order) M. Aupée, J.-L. Avril, C. Bailly, B. Branger, J. Dissais, D. Escourolle, R. Garlantezec, S. Ioos, S. Jauréguiberry, C. Laguitton, M. Lampérier, R. le Goff, A. Lepoutre, G. Manet, M. Marquis, C. Michelet, P. Nabeth, C. Paquet, M.-C. Paty, C. Picot, H. Sénéchal, A. Tall, A. Tarantola, P. Tattevin, S. Veyrat, and H. Zeller.

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