Pan African Medical Journal. 2014; 17:181 doi:10.11604/pamj.2014.17.181.3745 This article is available online at: http://www.panafrican-med-journal.com/content/article/17/181/full © Tim Robinson et al. The Pan African Medical Journal ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0)...

Developing a surveillance system during a public health emergency is always challenging but is especially so in countries with limited public health infrastructure. Surveillance for Ebola virus disease (Ebola) in the West African countries heavily affected by Ebola (Guinea, Liberia, and Sierra Leone) faced numerous impediments, including insufficient numbers of trained staff, community reticenc...