@article{fdi:010075330,
  title = {{S}urveillance in the field : over-identification of {E}bola suspect cases and its contributing factors in {W}est {A}frican at-risk contexts},
  author = {{D}esclaux, {A}lice and {M}alan, {M}. {S}. and {E}grot, {M}arc and {N}dione, {A}lbert {G}autier and {S}ow, {K}. and {A}kindes, {F}. and {EBSEN} {S}tudy {G}roup, and {EBO}-{CI} {S}tudy {G}roup,},
  editor = {},
  language = {{ENG}},
  abstract = {{D}uring an {E}bola outbreak, the {WHO} recommends that health professionals consider people as suspect cases ({SC}s) when they show key signs such as the sudden onset of high fever or specific symptoms after having had contact with a suspect or confirmed {E}bola case. {SC}s should then get care, be isolated and be reported to health authorities until the {E}bola virus disease is confirmed through a lab test. {T}his exploratory study aims to understand this identification process in the field based on a qualitative analysis of the diagnosis and therapeutic itineraries of 19 {SC}s in {C}ote d'{I}voire and {S}enegal (2014-2015). {R}esults indicate that the main criteria for {SC} identification at the field level were fever (understood broadly) and provenance from a highly affected country (applied indiscriminately). {WHO} criteria were not followed in at least 9 of the 19 cases. {S}everal medical, social and cultural factors favour over-identification of people as {SC}s, including relativism in defining 'high fever', placism, humanitarian or securitarian bias, issues in categorising {SC}'s contact cases, and the context of fear. {T}o avoid undue categorisation and its possible harmful social effects, the {WHO} definition should be implemented more carefully in various contexts and with greater consideration for ethical issues, while prioritising diagnosis strategies with higher specificity.},
  keywords = {{E}bola ; identification ; suspect case ; {W}est {A}frica ; surveillance ; {AFRIQUE} {DE} {L}'{OUEST} ; {SENEGAL} ; {COTE} {D}'{IVOIRE}},
  booktitle = {},
  journal = {{G}lobal {P}ublic {H}ealth},
  volume = {14},
  numero = {5},
  pages = {709--721},
  ISSN = {1744-1692},
  year = {2019},
  DOI = {10.1080/17441692.2018.1534255},
  URL = {https://www.documentation.ird.fr/hor/fdi:010075330},
}