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Laboratory capacity assessments in 25 African countries at high risk of yellow fever, August-December 2018


Barbara Wilmot Johnson
Maurice Demanou
Gamou Fall
Jean-Luc Betoulle
Celestina Obiekea
Alison Jane Basile
Cristina Domingo
Christin Goodman
Eric Mossel
Chantal Reusken
Erin Staples
Joana Filipa Machado de Morais
Zoraima Neto
Paula Paixão
Yves Eric Denon
Mariette Glitho
José Mahinou
Therese Kagone
Emmanuel Nakoune
Kadidja Gamougam
Elisabeth Pukuta Simbu
Steve Ahuka
Jean-Vivien Mombouli
Cynthia Goma-Nkoua
Edgard Valery Adjogoua
Adamu Tayachew
Berhane Beyene
Bakary Sanneh
Modou Lamin Jarju
Alphonse Mendy
Dodzi Kofi Amelor
Lawrence Ofosu-Appiah
David Opare
Lorreta Antwi
Rexford Adade
N'Faly Magassouba
Sabado Fernandes Gomes
Samson Limbaso
Joel Lutomiah
Burgess Gbelee Jr
John Dogba
Issa Cisse
Zakou Idde
Chikwe Ihekweazu
Nwando Mba
Ousmane Faye
Oumar Faye
Amadou Alpha Sall
Zikan Koroma
Manuela Alphonse Juma
James Ayei Maror
Mawahib Eldigail
Adel Hussein Elduma
Rehab Elageb
Kossi Badziklou
Koba Adjaho Komla
John Kayiwa
Julius Julian Lutwama
Lee Hampton
Mick Norman Mulders

Abstract

Introduction: accurate and timely laboratory diagnosis of yellow fever (YF) is critical to the Eliminate Yellow Fever Epidemics (EYE) strategy. Gavi, the Vaccine Alliance recognized the need to support and build capacity in the national and regional laboratories in the Global YF Laboratory Network (GYFLN) as part of this strategy. Methods: to better understand current capacity, gaps and needs of the GYFLN laboratories in Africa, assessments were carried out in national and regional reference laboratories in the 25 African countries at high risk for YF outbreaks that were eligible for new financial support from Gavi. Results: the assessments found that the GYFLN in Africa has high capacity but 21% of specimens were not tested due to lack of testing kits or reagents and approximately 50% of presumptive YF cases were not confirmed at the regional reference laboratory due to problems with shipping. Conclusion: the laboratory assessments helped to document the baseline capacities of these laboratories prior to Gavi funding to support strengthening YF laboratories.


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eISSN: 1937-8688