Resources and other articles

A comprehensive and systematic search for published literature as well as grey literature and other resources was conducted. Learn more about the search for published literature and access our strategy for identifying grey literature and other resources. All information included here is searchable using keywords relevant for infection prevention, management and control, as well as by the type of resource (article, video, etc).

Ebola Virus Disease (EVD) public health contact management interim guidelines

It is unclear if this resource has been informed by a best practice guideline, systematic review, randomized controlled trial or published single study.  The evidence in this resource has not been assessed for quality.

This resource provides guidance to public health about case and contact management with consideration for remote and rural settings.

Author: Manitoba Public Health
Resource Date: Sep 17, 2015
Categories: Monitoring of returned travellers Monitoring of contacts to EVD Public health case management Diagnosis and management Surveillance and monitoring Environmental cleaning Public Health Professionals Manitoba Public Health Manitoba
View Count: 0

This is a summary of guidance provided by Manitoba Health, Healthy Living and Seniors division. The guidance is primarily for public health and community health programs, but it may be applicable to other settings.

The purpose of this document is to provide guidance on the type of contact management follow up that should be done for persons with varying EVD exposure risk. The target audiences for this document are public health (PH) departments and community health programs, though some information provided applies more broadly to healthcare organizations, hospitals, first responders, funeral services and individuals and companies responsible for cleaning and disinfection.

The guidance is organized into several sections, with key highlights noted below.

Public Health Management of Asymptomatic Individuals
The guidance classifies asymptomatic individuals into five groups according to risk exposure, and management is outlined accordingly. For example, a group 1 classification includes individuals with some low-risk travel with no known EVD contact. The management recommendation for this group is patient education from a quarantine officer (QO) at point of entry, no formal PH follow up and no restrictions. In contrast, a group 5 classification includes individuals with direct contact with blood/body fluids of a confirmed EVD case. This group requires PH follow up and active or direct active monitoring, along with travel, movement and possible workplace exclusions.       

Public Health Management of Symptomatic Individuals
The guidance reviews management of symptomatic individuals for two possible situations. In the first, a person in the community not already known to PH exhibits symptoms of EVD and has a positive screen using a regional EVD screening tool (link to tool in document). Recommendation is for the symptomatic individual to contact 911 or a local emergency number, and a public health nurse (PHN) must advise the medical officer of health (MOH) or communicable disease (CD) controller.

The second situation for which management guidelines are provided is for individuals already undergoing 21-day monitoring by PH staff. Recommendation is for the symptomatic individual to contact 911 or a local emergency number, and the PHN must advise the MOH or CD controller. Should the symptomatic individual become classified as a confirmed case, PH will follow up to identify contacts.

The appendices of this guidance document contain recommendations on the following supplementary issues:

A. Management of potential EVD contact in remote or rural areas

B. Guide for Ministers of Health communicating with a Quarantine Officer

C. Direct active monitoring

D. Environmental cleaning/disinfection guidelines for community settings

i) Cleaning by residents of the home

  • Criteria, disinfection and disposal of items, training and personal protective equipment (PPE)

ii) Cleaning by a contract cleaning company

  • Criteria, disinfection and disposal of items, training and PPE
  • Selection of cleaning contractors
  • Principles of cleaning and disinfection
  • Cleaning process
  • Passenger vehicles
  • Grossly contaminated items
  • Blood or other body fluid spills
  • Final disinfection clean
  • Cleaning the toilet
  • Storage of and disposal of waste

E. Information for household members of a person being monitored for EVD (FAQ)

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