Table 1

EVD and MVD diagnostic comparisons

Test typeLaboratory infrastructure requirement (example)Training requirement
(example)
Turnaround timeIn-house/prototype available for EVD/MVDCommercial source available for EVD/MVD
Viral isolation, histologyHIGH
(BSL-4 reference laboratory)
HIGH
(advanced laboratory technician)
7–10 days
NAAT reference (including multiplex)MODERATE/HIGH (reference laboratory)MODERATE/HIGH
(advanced laboratory technician)
3 hours
(1–2 hours preparation)
Y/YY/Y
NAAT POCMODERATE
(district hospital)
MODERATE
(laboratory technician)
1–2 hoursY/NN/N
Serology
(eg, ELISA)
MODERATE/HIGH
(regional laboratory, district hospital)
MODERATE
(laboratory technician)
3–4 hoursY/YN/N
RDTsLOW
(clinic, health centre, field setting)
LOW
(nurse, healthcare worker)
<30 minY/NN/N
  • BSL-4, biosafety level 4; EVD, ebolavirus disease; MVD, Marburg virus disease; NAAT, nucleic acid amplification test; POC, point of care;RAD, rapid diagnostic test.