Creation and Support of Operation of a Hospital Net to Treat COVID-19 Patients in Guinea

The paper provides information on the construction, development and functioning of a hospital network for the detection and treatment of patients with dangerous infectious diseases in the Republic of Guinea. With the support of UC RUSAL and with the assistance of the Ministry of Health of Guinea, hospitals have been established to provide medical care to patients suspected of COVID-19. Sick persons are admitted from regional hospitals from all over country. The majority of the hospitalized persons are patients with mild and moderate forms of the disease. Diagnostic studies using RT-PCR to detect SARS-CoV-2 virus RNA are carried out at the premises of stationary (Kindia) and mobile (Fria) laboratories. Testing of the received samples is carried out using diagnostic preparations of domestic and foreign production. This stage of work is performed by employees of the Rospotrebnadzor institutions (the Russian Federation) working on the territory of the Republic of Guinea. In total, since the beginning of the epidemic, more than 630 patients have received treatment in the stated hospitals; more than 20 thousand tests of clinical material samples have been conducted to detect the RNA of the SARS-CoV-2 virus. In addition to residents of Guinea, medical assistance was provided to citizens of Russia, Ukraine, Belarus, Kazakhstan, China, India, Sierra Leone, and the Comoros. The organization of the network of hospitals and their inclusion into the national system for counteracting the spread of new coronavirus infection allowed us to begin active work on the identifcation and treatment of COVID-19 patients in the territory of the Republic of Guinea and make a signifcant contribution to the fght against the epidemic.

1. Interim infection prevention and control guidance for care of patients with suspected or confrmed Filovirus Hemorrhagic Fever in healthcare settings, with focus on Ebola. WHO/HIS/SDS/2014.4 Rev. 1. World HealthOrganization. URL: http://www.who.int/csr/resources/publications/ebola/filovirus_infection_control/en (Accessed: June 15, 2021).

2. Health worker Ebola infections in Guinea, Liberia and Sierra Leone. Preliminary report WHO. 2015. URL: http://www.who.int/hrh/documents/21may2015_web_fnal.pdf. (Accessed: June 15, 2021).

3. Maleev V.V., Tolno F., Konomou K.V., Sow T.I., Itskov Ya.Yu., Demina Yu.V., Levkovsky A.E., Kolomoets E.V., Kovalev G.A., Khoroshilov V.Yu., Omariev Z.M. Epidemiological peculiarities and clinical features of Ebola virus disease in the Republic of Guinea. Problemy Osobo Opasnykh Infektsii. [Problems of Particularly Dangerous Infections]. 2015; 3:27–32. DOI: 10.21055/0370-1069-2015-3-27-32.

4. Bezsmertny V.E., Bredikhin V.N., Koneva A.S., Panin Yu.A., Pozdnyakov I.V., Itskov Y.Yu., Kolomoets E.V., Levkovsky A.E. Experience in building infectious hospital for treatment of particularly dangerous infectious diseases in the Republic of Guinea. Problems of Problemy Osobo Opasnykh Infektsii. [Particularly Dangerous Infections]. 2015; (3):13–15. (In Russ.) DOI: 10.21055/0370-1069-2015-3-13-15.

5. Naidenova E.V., Lopatin A.A., Safronov V.A., Kolomoets E.V., Levkovskiy A.E., Silla A.L., Starshinov V.A., Shcherbakova S.A., Maleev V.V. Biological safety at carrying out anti-epidemic measures during the liquidation of the Ebola fever pandemic in the Republic of Guinea. Infektsionnye Bolezni: Novosti, Mneniya, Obuchenie. Infectious Diseases: News, Opinions, Training. 2018; 7(3):102–8. DOI: 10.24411/2305-3496-2018-13015.

6. Lopatin A.A., Naidenova E.V., Safronov V.A., Razdorsky A.S., Utkin D.V., Kas’yan Zh.A., Kritsky A.A., Ternovoy V.A., Nesterov A.E., Sergeev A.A., Sylla A.L., Kanomou V., Boiro M.Y., Demina Yu.V., Khoroshilov V.Yu., Popova A.Yu., Kutyrev V.V. Studies of Ebola virus persistence in the body fluids of patients at advanced stages of convalescence. Problemy Osobo Opasnykh Infektsii. [Problems of Particularly Dangerous Infections]. 2015; (3):73–76. (In Russ.) doi: 10.21055/0370-1069-2015-3-73-76.

7. Popova A.Yu., Kutyrev V.V., editors. Eradication of the Ebola Epidemic in the Republic of Guinea: Work of the Specialized Anti-Epidemic Team of the Rospotrebnadzor. Izhevsk: LLC “Print-2”; 2017.388 p.

8. Popova A.Yu., Kutyrev V.V., editors. Russia – Guinea: Results and Prospects of Cooperation in the Field of Ensuring the Sanitary-Epidemiological Welfare of the Population. Saratov: “Amirit”; 2020.272 p.

9. Itskov Ya.Yu., Kolomoets E.V., Konomou V., Naidenova E.V., Keita S., Lamah R. Establishment of the hospital network for treatment of COVID-19 patients in the Republic of Guinea. In: Popova A.Yu., Kutyrev V.V., editors. [Materials of the International Scientifc and Practical Conference on the Issues of Combating New Coronavirus Infection and Other Infectious Diseases (December 9–10, 2020, St. Petersburg). Saratov: “Amirit”; 2020. P. 86.

10. Popova A.Yu., editor. New features of infection in the Republic of Guinea. St. Petersburg: St. Petersburg Pasteur Institute; 2020. 212 p.

11. Ebola outbreak 2021 – N’Zerekore, Guinea. URL: https://www.who.int/emergencies/situations/ebola-2021-nzerekore-guinea (Accessed: June 15, 2021).