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      Looking Beyond the Lens of Crimean-Congo Hemorrhagic Fever in Africa

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          Abstract

          Crimean-Congo hemorrhagic fever (CCHF) is a lethal viral disease that has severe public health effects throughout Africa and a case fatality rate of 10%–40%. CCHF virus was first discovered in Crimea in 1944 and has since caused a substantial disease burden in Africa. The shortage of diagnostic tools, ineffective tick control efforts, slow adoption of preventive measures, and cultural hurdles to public education are among the problems associated with continued CCHF virus transmission. Progress in preventing virus spread is also hampered by the dearth of effective serodiagnostic testing for animals and absence of precise surveillance protocols. Intergovernmental coordination, creation of regional reference laboratories, multiinstitutional public education partnerships, investments in healthcare infrastructure, vaccine development, and a One Health approach are strategic methods for solving prevention challenges. Coordinated efforts and financial commitments are needed to combat Crimean-Congo hemorrhagic fever and improve all-around readiness for newly developing infectious illnesses in Africa.

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          Most cited references45

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          Identifying Key Challenges Facing Healthcare Systems In Africa And Potential Solutions

          Introduction Healthcare systems in Africa suffer from neglect and underfunding, leading to severe challenges across the six World Health Organization (WHO) pillars of healthcare delivery. We conducted this study to identify the principal challenges in the health sector in Africa and their solutions for evidence-based decisions, policy development and program prioritization. Methods The study was conducted as part of a recent African Epidemiological Association Meeting in Maputo, Mozambique with participants drawn from 11 African countries, Cuba, Portugal and the United Kingdom. Participants were divided into 10 groups, consisting of 7 to 10 persons each. Brainstorming approaches were used in a structured, modified nominal group process exercise to identify key challenges and strategies to mitigate healthcare service challenges in Africa. Identified challenges and solutions were prioritised by ranking 1–5, with 1 most important and 5 being least important. Results The first three challenges identified were inadequate human resources (34.29%), inadequate budgetary allocation to health (30%) and poor leadership and management (8.45%). The leading solutions suggested included training and capacity building for health workers (29.69%), increase budgetary allocation to health (20.31%) and advocacy for political support and commitment (12.31%). Conclusion The underdeveloped healthcare systems in Africa need radical solutions with innovative thought to break the current impasse in service delivery. For example, public-private initiatives should be sought, where multinational companies extracting resources from Africa might be encouraged to plough some of the profits back into healthcare for the communities providing the workforce for their commercial activities. Most problems and their solutions lie within human resources, budget allocation and management. These should be accorded the highest priority for better health outcomes.
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            The epidemiology of tick-borne Crimean-Congo hemorrhagic fever in Asia, Europe, and Africa.

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              Current status of Crimean-Congo haemorrhagic fever in the World Health Organization Eastern Mediterranean Region: issues, challenges, and future directions

              Highlights • The paper provides a comprehensive overview of the status of Crimean-Congo hemorrhagic fever (CCHF) in countries across the World Health Organization Eastern Mediterranean Region (WHO EMR). • The increasing incidence of CCHF disease in the region and its spread to new geographical areas is highlighted. • Knowledge gaps concerning the burden and circulation of CCHF virus in the WHO EMR are identified. • A strategic framework is described, which details the research and development work necessary to curb the ongoing and new threats posed by CCHF virus.
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                Author and article information

                Journal
                Emerg Infect Dis
                Emerg Infect Dis
                EID
                Emerging Infectious Diseases
                Centers for Disease Control and Prevention
                1080-6040
                1080-6059
                July 2024
                : 30
                : 7
                : 1319-1325
                Affiliations
                [1]Neuropsychiatric Hospital Aro, Abeokuta, Nigeria (O.J. Okesanya, O.A. Adigun);
                [2]University of Ilorin, Ilorin, Nigeria (G.D. Olatunji, E. Kokori);
                [3]Kwara State University, Malete, Nigeria (N.O. Olaleke);
                [4]Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria (N.O. Olaleke);
                [5]University of Rwanda, Kigali, Rwanda (E. Manirambona);
                [6]London School of Hygiene and Tropical Medicine, London, UK (D.E. Lucero-Prisno III)
                Author notes
                Address for correspondence: Gbolahan Deji Olatunji, Medicine and Surgery, PMB 1515, University of Ilorin, Ilorin 240101, Nigeria; email: gbolahanolatunji153@ 123456gmail.com
                Article
                23-0810
                10.3201/eid3007.230810
                11210649
                38916548
                41e5b2c8-9266-4710-bcb2-e96387891d06
                Copyright @ 2024

                Emerging Infectious Diseases is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited.

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                Synopsis
                Looking Beyond the Lens of Crimean-Congo Hemorrhagic Fever in Africa

                Infectious disease & Microbiology
                crimean-congo hemorrhagic fever,cchf,cchf virus,cchfv,outbreak,ticks,vector-borne infections,viruses,zoonoses,africa

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