Framework Ebola Virus Disease

Abstract

The current outbreak of Ebola virus disease (EVD) in West Africa is the largest recognized outbreak of this disease to date. It is also the first such outbreak including cases infected outside of Africa. The risk of an introduction of EVD to Germany (defined as an infected person entering Germany and passing the infection to others) is very low. But it cannot be totally excluded that in isolated instances infected persons could enter unrecognizably during the incubation period, potentially leading to a limited number of secondary infections in Germany. Germany is well prepared for having cases of EVD. Treatment capacities for patients with highly contagious and life-threatening diseases are higher than in any other industrialized nation. Medical care can be provided to the highest standard. The German Public Health Service (ÖGD) works efficiently. In a crisis situation, national, state and local level authorities collaborate effectively, as has lately been thoroughly practiced in a large multi-state exercise (LÜKEX 2013). Levels of government regularly exchange information, and infection control recommendations are harmonized. This framework sums up available information, recommendations and regulations regarding infection control and clinical management of EVD cases in Germany within the context of the current outbreak in West Africa. Biological safety rules and regulations regarding technical, logistical and personal protective measures have been taken into account. It is a work in progress, intended to further evolve over time. Of note: The existing small risk the outbreak poses for the German population can only be minimized substantially and sustainably by combating the epidemic in West Africa urgently and effectively.