Viral haemorrhagic fevers (VHFs) are a group of severe illnesses caused by viruses that affect multiple organ systems and damage the cardiovascular system. VHFs include Ebola virus disease and Marburg virus disease. There is wide variation in how VHFs are diagnosed, how pathogenic they are, their geographic distribution, their known reservoirs (i.e., animals or insects that spread the disease) and the availability of vaccines or treatments. When using this Question Bank for a specific public health emergency in connection with an identified VHF, consider these factors in addition to an updated country context analysis and the clinical progression of disease among at-risk populations.
The development of this Question Bank has been based on over 10 years of extensive social science research conducted during outbreaks of VHFs and other public health emergencies involving infectious diseases. Many of the thematic areas covered by this Question Bank will be relevant to outbreaks of VHFs where person-to-person transmission has been identified as a significant contributor to the spread of the outbreak and where patient experiences of care must be understood for a community-centred response. The questions must be adapted for the specific VHF, the country context and the respondent population.
![In late February/early March 2016 in Benin, (foreground) Carine, a student at the district school in Tchaourou, smiles as she holds up her slate with the correct answer Lassa Fever to the question posed by her teacher: What disease is making people in our town sick these days and is being transmitted from rats to humans and from person to person? Schoolchildren at this and other schools in the surrounding area are being taught how the disease is transmitted and how to protect themselves against it, and the importance of not discriminating against their fellow students whose parents may have gotten sick from Lassa Fever. Lassa Fever, a viral disease that can be fatal in severe cases, is transmitted through contact with rats infected with the virus and through person-to-person contact. UNICEF is scaling up its emergency response to help prevent further spread of the disease and to support people affected by the ongoing outbreak.
[ORIGINAL TEXT IN FRENCH] Carine sourit car elle a trouvé la bonne réponse : « Quelle maladie fait du mal dans notre ville en ce moment et qui se transmet par le rat et aussi de lhumain à lhumain lhomme? » La Fièvre Lassa a-t-elle écrit sur son ardoise. A lécole de quartier de Tchaourou, comme dans toutes les écoles des environs, les enseignants apprennent aux élèves les modes de transmissions et de prévention de la maladie mais également la nécessité de ne pas discriminer les camarades dont les parents auraient été malades. UNICEF/UN014699/Bonnaud](https://www.socialscienceinaction.org/wp-content/uploads/2017/01/UN014699_Med-Res-1024x683.jpg)