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The impact of different types of violence on Ebola virus disease transmission during the 2018-2020 outbreak in the Democratic Republic of the Congo

The Journal of Infectious Diseases Apr 12, 2020

Kelly JD, Wannier SR, Sinai C, et al. - Researchers sought to better understand the different effects of targeted vs non-targeted violence on subsequent EVD transmission in the current outbreak in the eastern Democratic Republic of the Congo (DRC). Time-series data of case counts were used to compare individuals who lived in Ebola-affected health zones in DRC from April 2018 to August 2019. Estimated daily reproduction number (Rt) by health zone was the assessed outcome. The average Rt was 1.06. A cumulative absolute increase in Rt of 0.10 was observed in relation with a mean of 2.92 violent events. EVD transmission increase occurred with more violent events. Observations suggest that the Ebola-targeted violence, primarily driven by civilian-involved events, influenced the EVD transmission to the largest extent.

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