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Volume 23, Number 8—August 2017

Dispatch

Occupational Exposures to Ebola Virus in Ebola Treatment Center, Conakry, Guinea

Hélène SaviniComments to Author , Frédéric Janvier, Ludovic Karkowski, Magali Billhot, Marc Aletti, Julien Bordes, Fassou Koulibaly, Pierre-Yves Cordier, Jean-Marie Cournac, Nancy Maugey, Nicolas Gagnon, Jean Cotte, Audrey Cambon, Christine Mac Nab, Sophie Moroge, Claire Rousseau, Vincent Foissaud, Thierry De Greslan, Hervé Granier, Gilles Cellarier, Eric Valade, Philippe Kraemer, Philippe Alla, Audrey Mérens, Emmanuel Sagui, Thierry Carmoi, and Christophe Rapp
Author affiliations: French Military Teaching Hospital Laveran, Marseille, France (H. Savini, P.-Y. Cordier, S. Moroge, P. Kraemer, E. Sagui); French Military Teaching Hospital Saint Anne, Toulon, France (F. Janvier, J. Bordes, J. Cotte, G. Cellarier, P. Alla); French Military Teaching Hospital Legouest, Metz, France (L. Karkowski, N. Gagnon); French Military Teaching Hospital Val de Grâce, Paris, France (M. Billhot, A. Cambon, T. De Greslan, T. Carmoi); French Military Teaching Hospital Percy, Clamart, France (M. Aletti, J.-M. Cournac, C. Mac Nab, V. Foissaud); Guinean Military Health Services, Conakry, Guinea (F. Koulibaly); Frégate Européenne Multi-Mission Aquitaine, Bordeaux Consortium for Regenerative Medicine, Brest, France (N. Maugey); French Military Teaching Hospital Clermont Tonnerre, Brest, France (C. Rousseau, H. Granier); Institut de Recherche Biomédicale des Armées, Brétigny sur Orge, France (E. Valade); French Military Teaching Hospital Bégin, Saint Mandé, France (A. Mérens, C. Rapp)

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Table 2

Characteristics of 77 occupational exposures for healthcare workers at the Ebola Treatment Center, Conakry, Guinea, January–May, 2015*

Characteristic Total, n = 77 Low risk, n = 62 High risk, n = 15
Exposure
Healthy skin >1 m from patient† 52 (67.5) 52 (83.9) 0
Healthy skin <1 m from patient† 11 (14.3) 0 11 (73.3)
Mucous membrane >1 m from patient 1 (1.3) 1 (1.6) 0
Undressing patient 6 (7.8) 6 (9.7) 0
Fluid projection on healthy skin† 2 (2.6) 0 2 (13.3)
Fluid projection on mucous membrane 1 (1.3) 0 1 (6.7)
Percutaneous exposure 0 0 0
Other
4 (5.2)
3 (4.8)
1 (6.7)
Exposed worker activity‡
Fluid management 26 (33.8) 21 (33.9) 5 (33.3)
Patient care or clinical examination 35 (45.5) 28 (45.2) 7 (46.7)
Blood sampling† 13 (16.9) 7 (11.3) 6 (40.0)
Supervision 6 (7.8) 4 (6.5) 2 (13.3)
Undressing patient 9 (11.7) 9 (14.5) 0
Other
5 (6.5)
4 (6.5)
1 (6.7)
Mean activity duration, min
53.5
53.9
52
Exposure time interval
6:00 am–10:00 am 30 (39.0) 24 (38.7) 6 (40.0)
10:01 am–4:00 pm 16 (20.8) 11 (17.7) 5 (33.3)
4:01 pm–8:00 pm 21 (27.3) 18 (29.0) 3 (20.0)
8:01 pm–5:59 am 9 (11.7) 8 (12.9) 1 (6.7)
No data
1 (1.3)
1 (1.6)
0
Time of exposure
First month 56 (72.7) 45 (72.6) 11 (73.3)
Last month 21 (27.3) 17 (27.4) 4 (26.7)

*Values are no. (%) unless otherwise indicated.
†Associated with high risk of virus transmission (p<0.05).
‡>1 activity was possible.

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