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Projections of Ebola outbreak size and duration with and without vaccine use in Équateur, Democratic Republic of Congo, as of May 27, 2018

) Acknowledgments cratic Republic of Congo. Author Contributions We thank the Ebola responders for their efforts in the 2018 EVD outbreak in E? quateur, DemoConceptualization: J. Daniel Kelly, Lee Worden, Eugene T ... . Richardson, George W. Rutherford, Thomas M. Lietman, Anne W. Rimoin, Travis C. Porco. Data curation: J. Daniel Kelly, S. Rae Wannier, Cyrus Sinai, Xianyun Chen, Daozhou Gao, Bernice Selo, Mathais Mossoko

The Majority of the Pre-Antiretroviral Population Who Were Lost to Follow-Up Stopped Their Care in Freetown, Sierra Leone: A 12-Month Prospective Cohort Study Starting with HIV Diagnosis

Background The heterogeneity of the pre-antiretroviral (pre-ART) population calls for more granular depictions of the cascade of HIV care. Methods We studied a prospective cohort of persons newly diagnosed with HIV infection from a single center in Freetown, Sierra Leone, over a 12-month period and then traced those persons who were lost to follow-up (LTFU) during pre-ART care...

Use of Ultrasound to Diagnose and Manage a Five-Liter Empyema in a Rural Clinic in Sierra Leone

We report the case of a dyspneic patient with a five-liter pleural empyema that was diagnosed and managed in a resource-limited clinic in a rural part of Sierra Leone. The diagnosis and management of this condition are usually guided by imaging modalities such as X-rays or CT scans. However, these resources may not be available in austere settings in developing countries. Because...

Use of Ultrasound to Diagnose and Manage a Five-Liter Empyema in a Rural Clinic in Sierra Leone

We report the case of a dyspneic patient with a five-liter pleural empyema that was diagnosed and managed in a resource-limited clinic in a rural part of Sierra Leone. The diagnosis and management of this condition are usually guided by imaging modalities such as X-rays or CT scans. However, these resources may not be available in austere settings in developing countries. Because...

Performance of the GeneXpert Ebola Assay for Diagnosis of Ebola Virus Disease in Sierra Leone: A Field Evaluation Study

Background Throughout the Ebola virus disease (EVD) epidemic in West Africa, field laboratory testing for EVD has relied on complex, multi-step real-time reverse transcription PCR (RT-PCR) assays; an accurate sample-to-answer RT-PCR test would reduce time to results and potentially increase access to testing. We evaluated the performance of the Cepheid GeneXpert Ebola assay on...

Strengthening Health Systems While Responding to a Health Crisis: Lessons Learned by a Nongovernmental Organization During the Ebola Virus Disease Epidemic in Sierra Leone

Sheila M. Davis Kerry L. Dierberg 7 Jonathan Lascher J. Daniel Kelly 7 8 Mohammed Bailor Barrie 11 Alimamy Philip Koroma 2 Peter George 0 Adikali Alpha Kamara 3 Ronald Marsh 4 Manso S. Sumbuya 5 Cameron T