PMID- 27029911 OWN - NLM STAT- MEDLINE DCOM- 20170609 LR - 20220716 IS - 1469-4409 (Electronic) IS - 0950-2688 (Print) IS - 0950-2688 (Linking) VI - 144 IP - 7 DP - 2016 May TI - Assessment of the severity of Ebola virus disease in Sierra Leone in 2014-2015. PG - 1473-81 LID - 10.1017/S0950268815003003 [doi] AB - The current Ebola virus disease (EVD) epidemic in West Africa is unprecedented in scale, and Sierra Leone is the most severely affected country. The case fatality risk (CFR) and hospitalization fatality risk (HFR) were used to characterize the severity of infections in confirmed and probable EVD cases in Sierra Leone. Proportional hazards regression models were used to investigate factors associated with the risk of death in EVD cases. In total, there were 17 318 EVD cases reported in Sierra Leone from 23 May 2014 to 31 January 2015. Of the probable and confirmed EVD cases with a reported final outcome, a total of 2536 deaths and 886 recoveries were reported. CFR and HFR estimates were 74.2% [95% credibility interval (CrI) 72.6-75.5] and 68.9% (95% CrI 66.2-71.6), respectively. Risks of death were higher in the youngest (0-4 years) and oldest (⩾60 years) age groups, and in the calendar month of October 2014. Sex and occupational status did not significantly affect the mortality of EVD. The CFR and HFR estimates of EVD were very high in Sierra Leone. FAU - Wong, J Y AU - Wong JY AD - WHO Collaborating Centre for Infectious Disease Epidemiology and Control,School of Public Health, Li Ka Shing Faculty of Medicine,The University of Hong Kong,Hong Kong Special Administrative Region,China. FAU - Zhang, W AU - Zhang W AD - Beijing Institute of Disease Control and Prevention,Beijing,China. FAU - Kargbo, D AU - Kargbo D AD - Ministry of Health and Sanitation,Freetown,Sierra Leone. FAU - Haque, U AU - Haque U AD - Emerging Pathogens Institute,University of Florida,Gainesville,FL,USA. FAU - Hu, W AU - Hu W AD - School of Public Health and Social Work,Queensland University of Technology,Brisbane,Australia. FAU - Wu, P AU - Wu P AD - WHO Collaborating Centre for Infectious Disease Epidemiology and Control,School of Public Health, Li Ka Shing Faculty of Medicine,The University of Hong Kong,Hong Kong Special Administrative Region,China. FAU - Kamara, A AU - Kamara A AD - Ministry of Health and Sanitation,Freetown,Sierra Leone. FAU - Chen, Y AU - Chen Y AD - Beijing Institute of Disease Control and Prevention,Beijing,China. FAU - Kargbo, B AU - Kargbo B AD - Ministry of Health and Sanitation,Freetown,Sierra Leone. FAU - Glass, G E AU - Glass GE AD - Emerging Pathogens Institute,University of Florida,Gainesville,FL,USA. FAU - Yang, R AU - Yang R AD - China Mobile Laboratory Response Team for Ebola in Sierra Leone,Freetown,Sierra Leone. FAU - Cowling, B J AU - Cowling BJ AD - WHO Collaborating Centre for Infectious Disease Epidemiology and Control,School of Public Health, Li Ka Shing Faculty of Medicine,The University of Hong Kong,Hong Kong Special Administrative Region,China. FAU - Liu, C AU - Liu C AD - Beijing Institute of Disease Control and Prevention,Beijing,China. LA - eng GR - U54 GM088558/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - England TA - Epidemiol Infect JT - Epidemiology and infection JID - 8703737 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Child MH - Child, Preschool MH - Ebolavirus/*physiology MH - *Epidemics MH - Female MH - Hemorrhagic Fever, Ebola/*mortality/virology MH - Hospitalization/statistics & numerical data MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - Middle Aged MH - Proportional Hazards Models MH - Risk Assessment MH - *Severity of Illness Index MH - Sierra Leone/epidemiology MH - Young Adult PMC - PMC5528867 MID - NIHMS881046 OTO - NOTNLM OT - Death OT - Ebola virus OT - severity EDAT- 2016/04/01 06:00 MHDA- 2017/06/10 06:00 PMCR- 2022/05/30 CRDT- 2016/04/01 06:00 PHST- 2016/04/01 06:00 [entrez] PHST- 2016/04/01 06:00 [pubmed] PHST- 2017/06/10 06:00 [medline] PHST- 2022/05/30 00:00 [pmc-release] AID - S0950268815003003 [pii] AID - 00300 [pii] AID - 10.1017/S0950268815003003 [doi] PST - ppublish SO - Epidemiol Infect. 2016 May;144(7):1473-81. doi: 10.1017/S0950268815003003.