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Ebola hemorrhagic fever outbreaks in Gabon 1994-1997

This resource describes the fall 1994 epidemic in Gabon and a retrospective check for other etiologic agents due atypical aspects of Yellow fever infection during the epidemic. The paper then highlights the beneficial use of barrier nursing techniques in limiting disease spread and in the prevention of future Ebola hemorrhagic fever epidemics.

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Sierra Leone continues to struggle for relief from Lassa fever

This short article in The Lancet describes the issues faced by the medical relief charity MERLIN, which provides Lassa fever services in Sierra Leone, during and after the civil war. 

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Lassa fever in post-conflict Sierra Leone

This resource presents observations of case fatality rates of Lassa fever in Sierra Leone after the civil war and compared to studies completed prior to the conflict. Peak presentation of Lassa fever cases occurs in the dry season, which is consistent with previous studies. This paper's studies also confirmed reports conducted prior to the civil war that indicate that infants, children, young adults, and pregnant women are disproportionately impacted by Lassa fever.

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Epidemics of Ebola haemorrhagic fever in Gabon (1994-2002)

This resource considers the cultural and psycho-sociological aspects accounting for the difficulty to implement control measures during the Ebola haemorrhagic fever epidemics in Gabon between 1994 and 2002. It discusses the possibilities of better surveillance and a quick management of intervention means, including a regional permanent pre-alert.

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Lassa Fever: a rodent-human interaction

This resource examines the sites of interactions between humans and the multimammate mouse, Mastomys natalensis. It presents findings such as new arenaviruses in other African rodents and in snakes, that  argue preferably toward the host-switching concept. The recent emergence in Sierra Leone, the absence of virus positive Mastomys between the two endemic zones and poor virus diversity in the Mano River area also point in the direction of a unique import of Lassa virus from Nigeria to Sierra Leone during the 19th century. This resource also discusses the hypothesis of human displacements through the Atlantic slave trade and its abolition in 1807.

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Case-control study of Mastomys natalensis and humans in Lassa virus-infected households in Sierra Leone

This resource studied Lassa virus infection and antibodies in households where Lassa fever cases occurred and compared these to those in the nearest neighbour houses and "far" houses located across the village. It reports on rodent infection and human anti-body prevalence. 

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Housing equity for health equity: A rights-based approach to the control of Lassa fever in post-war Sierra Leone

This resource focuses on Lassa fever as a matter of human rights, proposing a strategy to improve housing quality, and discusses how housing equity has the potential to improve health equity and ultimately economic productivity in Sierra Leone. The paper is designed to spur discussion and action towards the provision of housing as part of efforts to prevent disease.

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Acute sensorineural deafness in Lassa fever

This resource describes a prospective audiometric evaluation of 69 hospitalized febrile patients in Sierra Leone, West Africa, that revealed a sensorineural hearing deficit (SNHD) in 14 (29%) of 49 confirmed cases of Lassa fever and in 0 of 20 febrile controls. This study found that lassa fever is associated with an incidence of SNHD, which considerably exceeds that previously reported with any other postnatally acquired infection.

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World Health Organisation: Lassa fever in Sierra Leone

This is an update on Lassa fever in Sierra Leone from the 14th June 1996. 

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Epidemics and related cultural factors for Ebola hemorrhagic fever in Gabon

This resource collected information about Ebola hemorrhagic fever (EHF) epidemics from the Gabon Ministry of Health, district hospitals and other facilities and conducted in-depth interviews with 20 villagers and 2 traditional healers in the village where the third epidemic occurred. This study suggests that cultural factors might be very crucial to EHF outbreaks in developing countries. Quick intervention with health education is needed to disseminate appropriate knowledge and persuade people that traditional practices could carry a high risk of infection

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