4.7 Key points

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    • As soon as the alert is sounded, an outbreak management committee responsible for organising the response is created or reactivated at each level.

    • The role of the committee is to define the strategies, organise free care, coordinate the partners, monitor implementation, draw up the projected budget and prepare the evaluation of the response.

    • A reliable data entry and transmission system is essential to detecting the outbreak, monitoring its course and orienting the response.

    • Epidemiological data analysis is done each week at all levels.

    • Information and social mobilisation are implemented as soon as the outbreak is confirmed (without waiting for laboratory confirmation).

    • A broad range of media should be used to transmit messages.

    • Patient care is decentralised to shorten the time between the onset of symptoms and the start of treatment.

    • Treatment is free of charge.

    • Both outpatients and inpatients should have a special patient flow circuit that reduces their contact with other patients.

    • The distribution of treatment kits facilitates supply.

    • Treatments should be available at all health care facilities throughout the outbreak. Regular monitoring of treatment availability allows supply planning.

    • Analysing the specific attack rates by age group and location helps determine which areas to vaccinate first and the age of the target population.

    • The choice of outbreak response vaccination strategy is guided by the risk of spread of the epidemic.

    • Emergency vaccination campaign preparation should take no more than two weeks.

    • The earlier outbreak response is implemented, the greater its impact will be.