{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T09:32:38Z","timestamp":1790501558542,"version":"4.1.0"},"reference-count":31,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,12,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:p>Multiple community-based approaches can aid in quantifying mortality in the absence of reliable health facility data. Community-based sentinel site surveillance that was used to document mortality and the systems utility for outbreak detection was evaluated. We retrospectively analyzed data from 46 sentinel sites in three sous-pr\u00e9fectures with a reinforced malaria control program and one sous-pr\u00e9fecture without (Koundou) in Guinea. Deaths were recorded by key informants and classified as due to malaria or another cause. Malaria deaths were those reported as due to malaria or fever in the 3 days before death with no other known cause. Suspect Ebola virus disease (sEVD) deaths were those due to select symptoms in the EVD case definition. Deaths were aggregated by sous-pr\u00e9fecture and analyzed by a 6-month period. A total of 43,000 individuals were monitored by the surveillance system; 1,242 deaths were reported from July 2011\u2013June 2014, of which 55.2% (<jats:italic>N<\/jats:italic> = 686) were reported as due to malaria. Malaria-attributable proportional mortality decreased by 26.5% (95% confidence interval [CI] = 13.9\u201333.1, <jats:italic>P<\/jats:italic> &lt; 0.001) in the program area and by 6.6% (95% CI = \u221217.3\u201330.5, <jats:italic>P<\/jats:italic> = 0.589) in Koundou. Sixty-eight deaths were classified as sEVD and increased by 6.1% (95% CI = 1.3\u201310.8, <jats:italic>P<\/jats:italic> = 0.021). Seventeen sEVD deaths were reported from November 2013 to March 2014 including the first two laboratory-confirmed EVD deaths. Community surveillance can capture information on mortality in areas where data collection is weak, but determining causes of death remains challenging. It can also be useful for outbreak detection if timeliness of data collection and reporting facilitate real-time data analysis.<\/jats:p>","DOI":"10.4269\/ajtmh.16-0376","type":"journal-article","created":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T03:29:34Z","timestamp":1475551774000},"page":"1389-1397","source":"Crossref","is-referenced-by-count":11,"title":["Community-Based Surveillance to Monitor Mortality in a Malaria-Endemic and Ebola-Epidemic Setting in Rural Guinea"],"prefix":"10.4269","volume":"95","author":[{"given":"Amanda","family":"Tiffany","sequence":"first","affiliation":[{"name":"Epicentre, Geneva, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faya Pascal","family":"Moundekeno","sequence":"additional","affiliation":[{"name":"M\u00e9decins sans Fronti\u00e8res, Gu\u00e9ck\u00e9dou, Guinea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis","family":"Traor\u00e9","sequence":"additional","affiliation":[{"name":"Direction Pr\u00e9fectorale de la Sant\u00e9, Gu\u00e9ck\u00e9dou, Guinea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melat","family":"Haile","sequence":"additional","affiliation":[{"name":"M\u00e9decins sans Fronti\u00e8res, Conakry, Guinea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"Sterk","sequence":"additional","affiliation":[{"name":"M\u00e9decins sans Fronti\u00e8res, Geneva, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timoth\u00e9","family":"Guilavogui","sequence":"additional","affiliation":[{"name":"National Malaria Control Program, Conakry, Guinea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micaela","family":"Serafini","sequence":"additional","affiliation":[{"name":"M\u00e9decins sans Fronti\u00e8res, Geneva, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blaise","family":"Genton","sequence":"additional","affiliation":[{"name":"Swiss Tropical and Public Health Institute, University of Basel, Basel, Switzerland."},{"name":"Infectious Disease Service, University Hospital, Lausanne, Switzerland."},{"name":"Department of Ambulatory Care, University Hospital, Lausanne, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca F.","family":"Grais","sequence":"additional","affiliation":[{"name":"Epicentre, Paris, France."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"ref1","series-title":"Guin\u00e9e Enqu\u00eate D\u00e9mographique de la Sant\u00e9","author":"Measure","year":"2012"},{"key":"ref2","series-title":"Politique Nationale de Lutte Contre Le Paludisme","author":"Ministere de la Sant\u00e9 et de l'Hygiene Publique\u2013Republique de la Guin\u00e9e","year":"2014"},{"key":"ref3","series-title":"Glob Health Action","first-page":"25369","article-title":"Malaria mortality in Africa and Asia: evidence from INDEPTH health and demographic surveillance system sites","volume":"7","author":"Streatfield","year":"2014"},{"key":"ref4","series-title":"Verbal Autopsy Standards: The 2014 WHO Verbal Autopsy Instrument","author":"World Health Organization (WHO)","year":"2015"},{"key":"ref5","series-title":"Bull World Health Organ","first-page":"3","article-title":"Potential and limits of verbal autopsies","volume":"84","author":"Garenne","year":"2006"},{"key":"ref6","series-title":"N Engl J Med","first-page":"1418","article-title":"Emergence of Zaire Ebola virus disease in Guinea: preliminary report","volume":"371","author":"Baize","year":"2014"},{"key":"ref7","series-title":"Ebola Situation Report: 25 November 2015","author":"World Health Organization","year":"2015"},{"key":"ref8","series-title":"Am J Trop Med Hyg","first-page":"497","article-title":"Community attitudes toward mass drug administration for control and elimination of neglected tropical diseases after the 2014 outbreak of Ebola virus disease in Lofa County, Liberia","volume":"94","author":"Bogus","year":"2015"},{"key":"ref9","series-title":"Lancet Infect Dis","first-page":"1017","article-title":"Effect of the Ebola-virus-disease epidemic on malaria case management in Guinea, 2014: a cross-sectional survey of health facilities","volume":"15","author":"Plucinski","year":"2015"},{"key":"ref10","series-title":"Case Definition Recommendations for Ebola or Marburg Virus Diseases. 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