{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T09:32:35Z","timestamp":1790501555984,"version":"4.1.0"},"reference-count":20,"publisher":"Cambridge University Press (CUP)","issue":"11","license":[{"start":{"date-parts":[[2016,4,18]],"date-time":"2016-04-18T00:00:00Z","timestamp":1460937600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["journals.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:p>The Ebola virus disease (EVD) outbreak in West Africa may affect healthcare attendance. We describe, in the Guinean prefecture of Gu\u00e9ck\u00e9dou, trends in attendance of public healthcare structures and the main reported diagnoses over the year following the EVD outbreak notification (March 2014). Monthly numbers of visits and main diagnoses such as malaria, schistosomiasis and measles reported by Gu\u00e9ck\u00e9dou health centres and health posts were described from January 2012 to March 2015. The median number of visits was 15 724\/month. From 1 April to 30 September 2014 (EVD outbreak peak), 90 947 visits were reported, representing decreases of 4\u00b78% and 7\u00b74% compared to 2013 and 2012, respectively. Following December 2014 (last EVD notification in Gu\u00e9ck\u00e9dou), visits increased from 12 540 in January to 16 032 in March 2015. Malaria seasonality was observed in 2014 with 22 519 notifications from 1 April to 31 July. No seasonality was observed for intestinal schistosomiasis (median 485 cases\/month); however, a peak was notified in March 2014 (824 cases). Over the study period, all measles cases were notified in 2015 (183 cases). Reduction in healthcare attendance in Gu\u00e9ck\u00e9dou was modest during the EVD outbreak. Enhanced infectious disease surveillance is a challenge in this context, due to the impact of EVD on traditional prevention programmes.<\/jats:p>","DOI":"10.1017\/s0950268816000728","type":"journal-article","created":{"date-parts":[[2016,4,18]],"date-time":"2016-04-18T10:32:34Z","timestamp":1460975554000},"page":"2338-2344","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":7,"title":["Public health structures attendance during the Ebola outbreak in Gu\u00e9ck\u00e9dou, Guinea"],"prefix":"10.1017","volume":"144","author":[{"given":"F.","family":"MOISAN","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"TRAORE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"ZOUMANIGUI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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Cholera update in the West and Central Africa Region (regional update, 2014, week 49) (http:\/\/www.unicef.org\/cholera\/files\/Cholera_regional_update_W49_2014_West_and_Central_Africa.pdf). Accessed 15 December 2015."},{"key":"S0950268816000728_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60713-9"},{"key":"S0950268816000728_ref7","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000000784"},{"key":"S0950268816000728_ref9","doi-asserted-by":"publisher","DOI":"10.1126\/science.aaa3438"},{"key":"S0950268816000728_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)62479-X"},{"key":"S0950268816000728_ref15","unstructured":"WHO. WHO Regional office of Africa, Guinea profile (http:\/\/www.google.fr\/url?sa=t&rct=j&q=&esrc=s&source=web&cd=3&ved=0CCwQFjAC&url=http:\/\/%3A%2F%2Fwww.afro.who.int%2Findex.php%3Foption%3Dcom_docman%26task%3Ddoc_download%26gid%3D4262&ei=kK-SVbSqIcjt-QG2zoD4DQ&usg=AFQjCNG3oX6A88L_RIFqx5dAm1gqPv8oMQ&bvm=bv.96783405,d.ZGU). 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Guinea CO Humanitarian Situation Report (http:\/\/www.unicef.org\/appeals\/files\/UNICEF_Guinea_SitRep_29_MAR_2014.pdf). Accessed 15 December 2015."},{"key":"S0950268816000728_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.medmal.2014.09.009"},{"key":"S0950268816000728_ref8","unstructured":"Perron E , Reduction in attendance of health care centres, during Ebola outbreak in N'Z\u00e9r\u00e9kor\u00e9 prefecture, Guinea, November 2013\u2013March 2015. European Scientific Conference on Applied Infectious Disease Epidemiology. Stockholm, Sweden, 2015."},{"key":"S0950268816000728_ref4","unstructured":"WHO. Ebola Situation Report (http:\/\/apps.who.int\/ebola\/current-situation\/ebola-situation-report-21-october-2015). Accessed 15 December 2015."},{"key":"S0950268816000728_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60178-7"},{"key":"S0950268816000728_ref12","unstructured":"Minist\u00e8re de la sant\u00e9 de C\u00f4te d'Ivoire. Press conference: cholera outbreak in C\u00f4te d\u2019Ivoire [in French] (http:\/\/www.sante.gouv.ci\/index2.php?page=actu&ID=231). Accessed 15 December 2015."},{"key":"S0950268816000728_ref3","unstructured":"M\u00e9decin sans fronti\u00e8res. Pushed beyond our limits. One year of struggle against the worst Ebola outbreak ever reported [in French] (http:\/\/www.msf.lu\/fileadmin\/WEBLibrary\/1_Sur_le_terrain\/Autres_maladies\/MSF_EbolaReport_FR.pdf). Accessed 15 December 2015."},{"key":"S0950268816000728_ref11","unstructured":"UNICEF. Guinea, measle situation report (http:\/\/www.unicef.org\/appeals\/files\/UNICEF_Guinea_Measles_SitRep_24Mar2015.pdf). 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