Ebola Preparedness and Response in Liberian and US
HospitalsJosh Mugele, MD
Financial Disclosures: I am employed by IU Health (Methodist Hospital) and Indiana University and contract with the Indiana State Department of Health.
Preparedness
Resilience
Image From Emory University
Lessons learned in Liberia
• Lockdown difficult due to space limitations, citizen cooperation
• Poor infection control baseline knowledge• Inflexible/bureaucratic structure
necessitated by lack of resources• Poor relationship with MOH• Challenges implementing screening
protocols• Strong provider/individual resilience
Lessons learned in Indiana
• Lack of sense of urgency• Poor communication with CDC and Health
Department• Challenging implementing screening
protocols• Focus on PPE, less regard for other
aspects of preparedness• Less individual resilience among providers
Summary Comparison
• Liberia: lack of resources, but good individual resilience
• Indiana: focus on supplies and resources, lack of urgency and individual resilience
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