{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T13:18:07Z","timestamp":1770297487482,"version":"3.49.0"},"reference-count":0,"publisher":"International Union Against Tuberculosis and Lung Disease","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["public health action"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:p>\n                    <jats:bold>Setting:<\/jats:bold>\n                    In 1995, a rapid response project for humanitarian and medical emergencies, including outbreak responses, named \u2018\n                    <jats:italic>Pool d\u2019Urgence Congo<\/jats:italic>\n                    \u2019 (PUC), was implemented in the Democratic Republic of Congo by M\u00e9decins Sans Fronti\u00e8res.\n                    <jats:bold>Objective:<\/jats:bold>\n                    To assess the outcomes of cholera and measles outbreak alerts that were received in the PUC surveillance system between 2016 and 2018.\n                    <jats:bold>Design:<\/jats:bold>\n                    This was a retrospective cross-sectional study.\n                    <jats:bold>Results:<\/jats:bold>\n                    Overall, 459 outbreak alerts were detected, respectively 69% and 31% for cholera and measles. Of these, 32% were actively detected and 68% passively detected. Most alerts (90%) required no intervention and 10% of alerts had an intervention. There were 25% investigations that were not carried out despite thresholds being met; 17% interventions were not performed, the main reported reason being PUC operational capacity was exceeded. Confirmed cholera and measles outbreaks that met an investigation threshold comprised respectively 90% and 76% of alerts; 59% of measles investigations were followed by a delayed outbreak response of 14 days (\n                    <jats:italic>n<\/jats:italic>\n                    = 10 outbreaks).\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Some alerts for cholera and measles outbreaks that were detected in the PUC system did not lead to a response even when required; the main reported reason was limited operational capacity to respond to all of them.\n                  <\/jats:p>","DOI":"10.5588\/pha.19.0074","type":"journal-article","created":{"date-parts":[[2020,10,21]],"date-time":"2020-10-21T00:36:33Z","timestamp":1603240593000},"page":"124-130","source":"Crossref","is-referenced-by-count":1,"title":["Outcomes of cholera and measles outbreak alerts in the Democratic Republic of Congo"],"prefix":"10.5588","volume":"10","author":[{"given":"J. P. K.","family":"Makelele","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Ade","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. C.","family":"Takarinda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Manzi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Gil","family":"Cuesta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Acma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. M.","family":"Y\u00e9pez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Mashako","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3554","published-online":{"date-parts":[[2020,9,1]]},"container-title":["Public Health Action"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.5588\/pha.19.0074","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T16:42:32Z","timestamp":1768408952000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.theunion.org\/lookup\/doi\/10.5588\/pha.19.0074"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020,9,1]]},"published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.5588\/pha.19.0074"],"URL":"https:\/\/doi.org\/10.5588\/pha.19.0074","relation":{},"ISSN":["2220-8372"],"issn-type":[{"value":"2220-8372","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9]]}}}