{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T21:11:43Z","timestamp":1792789903619,"version":"4.5.0"},"reference-count":90,"publisher":"Oxford University Press (OUP)","issue":"2","funder":[{"name":"UNICEF entitled: Analytic Support for the Ebola Outbreaks and Strengthening Primary Health Care in West Africa and Democratic Republic of Congo"},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,3,1]]},"abstract":"<jats:p>To better understand the impact of national and global efforts to contain the Ebola virus disease epidemic of 2014\u201315 in Liberia, we provide a detailed timeline of the major interventions and relate them to the epidemic curve.<\/jats:p>\n               <jats:p>\u2003In addition to personal experience in the response, we systematically reviewed situation reports from the Liberian government, UN, CDC, WHO, UNICEF, IFRC, USAID, and local and international news reports to create the timeline. We extracted data on the timing and nature of activities and compared them to the timeline of the epidemic curve using the reproduction number\u2014the estimate of the average number of new cases caused by a single case.<\/jats:p>\n               <jats:p>\u2003Interventions were organized around five major strategies, with the majority of resources directed to the creation of treatment beds. We conclude that no single intervention stopped the epidemic; rather, the interventions likely had reinforcing effects, and some were less likely than others to have made a major impact. We find that the epidemic\u2019s turning coincided with a reorganization of the response in August\u2013September 2014, the emergence of community leadership in control efforts, and changing beliefs and practices in the population. Ebola Treatment Units were important for Ebola treatment, but the vast majority of these treatment centre beds became available after the epidemic curve began declining. Similarly, the United Nations Mission for Ebola Emergency Response was launched after the epidemic curve had already turned.<\/jats:p>\n               <jats:p>\u2003These findings have significant policy implications for future epidemics and suggest that much of the decline in the epidemic curve was driven by critical behaviour changes within local communities, rather than by international efforts that came after the epidemic had turned. Future global interventions in epidemic response should focus on building community capabilities, strengthening local ownership, and dramatically reducing delays in the response.<\/jats:p>","DOI":"10.1093\/heapol\/czw113","type":"journal-article","created":{"date-parts":[[2016,10,29]],"date-time":"2016-10-29T20:28:37Z","timestamp":1477772917000},"page":"205-214","source":"Crossref","is-referenced-by-count":46,"title":["Impact of interventions and the incidence of ebola virus disease in Liberia\u2014implications for future epidemics"],"prefix":"10.1093","volume":"32","author":[{"given":"Thomas D","family":"Kirsch","sequence":"first","affiliation":[{"name":"Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, USA,"},{"name":"Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi","family":"Moseson","sequence":"additional","affiliation":[{"name":"Department of Epidemiology & Biostatistics, University of California, San Francisco, San Francisco, CA, USA,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moses","family":"Massaquoi","sequence":"additional","affiliation":[{"name":"Liberian Ministry of Health, Tubman Blvd, Monrovia, Liberia and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tolbert G","family":"Nyenswah","sequence":"additional","affiliation":[{"name":"Liberian Ministry of Health, Tubman Blvd, Monrovia, Liberia and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Goodermote","sequence":"additional","affiliation":[{"name":"Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, USA,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Rodriguez-Barraquer","sequence":"additional","affiliation":[{"name":"Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, USA,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Lessler","sequence":"additional","affiliation":[{"name":"Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, USA,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derek A T","family":"Cumings","sequence":"additional","affiliation":[{"name":"Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, USA,"},{"name":"Department of Biology and Emerging Pathogens Institute, University of Florida, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David H","family":"Peters","sequence":"additional","affiliation":[{"name":"Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, 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