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Ebola preparedness in Belgium Erika Vlieghe, MD PhD Nationale Ebola Coordinator, FOD Volksgezondheid Departement Klinische Wetenschappen, ITG Antwerpen.

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Presentation on theme: "Ebola preparedness in Belgium Erika Vlieghe, MD PhD Nationale Ebola Coordinator, FOD Volksgezondheid Departement Klinische Wetenschappen, ITG Antwerpen."— Presentation transcript:

1 Ebola preparedness in Belgium Erika Vlieghe, MD PhD Nationale Ebola Coordinator, FOD Volksgezondheid Departement Klinische Wetenschappen, ITG Antwerpen Dienst Tropische Ziekten, UZA

2 Today Madrid, tomorrow Brussels…?

3 Brussels Airlines’ destinations… 3

4 Preparing for an epidemic in Belgium… 2-4 languages… New government Changing/fragmented competences Private and public partners Syndical unrest

5 Airport Community Tertiary hospital Regional hosp. Ships Trains Fedasil employers Local authoritiesSchools GP’s Ambulances Army beds drugs labs Funerary services PRIORITY FIELD FOR ACTIONS

6 6

7 Partners & interactions Federal and regional governments Institute of Tropical Medicine University hospitals Regional ( non-university) hospitals Superior Health Council GP’s (Para)medical professional organisations MSF Belgian army Brussels Airlines and Brussels Airport Fedasil/DVZ Trade unions, Customs, Police … 7

8 ‘Entry points’ for the country… Temperature screening Safer cleaning procedures Procedures in case of ill traveler Exercises

9 Family doctors, asylum centers, hospitals Over- versus underdiagnosis Procedures Seminars & meetings Website with learning tools

10 10

11 Triaging and case finding in Belgium

12 Patient transport according to the needs & circumstances ‘Dry’ case in stable situation: in his/her own car…? Transport with dedicated ‘empty’ ambulance after 112 call, triaged and discussed (civil protection + fire brigade 1/province) Inter-hospital transport: army ambulance with ‘Iso-ark’

13 Network of reference hospitals for Ebola cases

14 Diagnosis 3/2014 – 2/2015: 11 genuine ‘probable cases’  all tested negative (many more ‘suspect’ but not meeting all criteria)

15 Clinical care of Ebola patients SAFETY FIRST Supportive care  which interventions? Specific treatment  access, evidence,… – Antivirals – Vaccines – Antibodies – … Expert team of 3 reference hospitals Frequent tele-conferences ‘Administratief besluit’ 14 november 2014

16 Taking care of returning HCW and contacts… No blanket ‘quarentaine’ But procedures for high risk exposure  PEP

17 Centralised communication FOD/SPF GP Referring hospital NGO/employer Asylum centre Airport Public health dr Reference hospital press cabinet ITM

18 Ebola is about challenging balances Individual health >< public health Effective treatment >< Staff safety Pragmatism >< maximal safety Overdiagnosis >< underdiagnosis

19 What does 2015 bring…? ‘go for zero….’

20 … but also preparing for the next epidemic Build on existing structures and agreements Integrate experiences from former outbreaks or threats ‘Strengthen health system’  long-lasting capacity for high risk isolation Coordination & communication in a fragmented country… Ad hoc collaboration  national and international clinical networks

21 Thank you for your attention!


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