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Peer reviewedOpen accessPlague

Using evidence to inform response to the 2017 plague outbreak in Madagascar: a view from the WHO African Regional Office

Epidemiology and Infection·

K. Heitzinger, B. Impouma, B. L. Farham, E. L. Hamblion, C. Lukoya, C. Machingaidze, L. A. Rakotonjanabelo, M. Yao, B. Diallo, M. H. Djingarey, N. Nsenga, C. F. Ndiaye, I. S. Fall

DOI
10.1017/s0950268818001875
PMID
PMCID
OpenAlex
W2884659777
Study type
Journal article
Publisher
Cambridge University Press (CUP)
Article type
journal-article
Integrity
current

Why this research matters now

The article offers lessons for future outbreak responses in the WHO African region by evaluating how evidence informed the response to an unprecedented urban pneumonic plague outbreak.

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Structured evidence summary

Research question

The article documents how evidence was collected and used by WHO and Madagascar's Ministry of Public Health during the 2017 plague outbreak response, and evaluates that evidence use against four operational research goals.

Study design

This is a descriptive case study that documents quantitative and qualitative data collection during an outbreak response and evaluates evidence utilization for operational decision-making.

Population and setting

The outbreak occurred in Madagascar in 2017, with 2417 reported cases and 209 deaths during the acute urban pneumonic phase. WHO African Regional Office, WHO Country Office, WHO Headquarters, and Madagascar's Ministry of Public Health were involved in the response.

Main findings

The article presents key findings from data collected during the response and describes actions taken based on that evidence, though specific epidemiologic or intervention findings are not detailed in the abstract.

Public-health relevance

The article offers lessons for future outbreak responses in the WHO African region by evaluating how evidence informed the response to an unprecedented urban pneumonic plague outbreak.

Important limitations

This summary relies on the supplied single-article abstract and bibliographic metadata. The full paper is required for decision-grade interpretation of the evidence quality, completeness of data collection methods, and generalizability of lessons learned.

GIDS interpretation

The article is discoverable under plague, Madagascar, health policy, One Health, and outbreak investigation. It documents evidence use during a 2017 response and does not represent current surveillance activity.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

03

Evidence relationships

This article has 9 auditable classifier relationships to diseases, places, topics, and study design.

about diseaseaddresses topicaddresses topicaddresses topichas pathogen typeinforms policy domainstudied instudied population settinguses study design