Click to Translate to English Click to Translate to French  Click to Translate to Spanish  Click to Translate to German  Click to Translate to Italian  Click to Translate to Japanese  Click to Translate to Chinese Simplified  Click to Translate to Korean  Click to Translate to Arabic  Click to Translate to Russian  Click to Translate to Portuguese


Forum Home Forum Home > General Discussion > Latest News
  New Posts New Posts RSS Feed - Ebola Again
  FAQ FAQ  Forum Search   Events   Register Register  Login Login

Online Discussion: Tracking new emerging diseases and the next pandemic

Ebola Again

 Post Reply Post Reply Page  123 9>
Author
Message Reverse Sort Order
carbon20 View Drop Down
Admin Group
Admin Group


Joined: April 08 2006
Location: West Australia
Status: Offline
Points: 27331
Post Options Post Options   Thanks (0) Thanks(0)   Quote carbon20 Quote  Post ReplyReply Direct Link To This Post Topic: Ebola Again
    Posted: March 23 2019 at 1:54pm
it was Ebola that first got me interested in Pandemic viruses ,

the Time to worry if it becomes Airbourne!!!!!!!!!!!!

THE HOT ZONE R.PRESTON:great read, https://g.co/kgs/W2MYw8

from the, CDC:

Transmission

Scientists think people are initially infected with Ebola virus through contact with an infected animal, such as a fruit bat or nonhuman primate. This is called a spillover event. After that, the virus spreads from person to person, potentially affecting a large number of people.

The virus spreads through direct contact (such as through broken skin or mucous membranes in the eyes, nose, or mouth) with:

Blood or body fluids (urine, saliva, sweat, feces, vomit, breast milk, and semen) of a person who is sick with or has died from Ebola Virus Disease (EVD)
Objects (such as needles and syringes) contaminated with body fluids from a person sick with EVD or the body of a person who died from EVD
Infected fruit bats or nonhuman primates (such as apes and monkeys)
Semen from a man who recovered from EVD (through oral, vaginal, or anal sex). The virus can remain in certain bodily fluids (including semen) of a patient who has recovered from EVD, even if they no longer have symptoms of severe illness.
When someone gets infected with Ebola, they will not show signs or symptoms of illness right away. The Ebola virus CANNOT spread to others until a person develops signs or symptoms of EVD. After a person infected with Ebola develops symptoms of illness, they can spread Ebola to others.

Additionally, Ebola virus usually is not transmitted by food. However, in certain parts of the world, Ebola virus may spread through the handling and consumption of bushmeat (wild animals hunted for food). There is also no evidence that mosquitoes or other insects can transmit Ebola virus.

Persistence of the virus
There is no known risk of becoming infected with Ebola virus through casual contact with a survivor. However, the virus can remain in certain bodily fluids and continue to spread to others after a person has recovered from the infection. The virus can persist in semen, breast milk, ocular (eye) fluid, and spinal column fluid. Areas of the body that contain these fluids are known as immunologically privileged sites. These are sites of the body where viruses and pathogens, like Ebola virus, can remain undetected even after the immune system has cleared the virus from other sites of the body. Scientists are now studying how long the virus stays in these body fluids among Ebola survivors.

During an Ebola outbreak, the virus can spread quickly within healthcare settings (such as clinics or hospitals). Clinicians and other healthcare personnel providing care should use dedicated medical equipment, preferably disposable. Proper cleaning and disposal of instruments such as needles and syringes are important. If instruments are not disposable, they must be sterilized before additional use.

Ebola virus is killed using a U.S. Environmental Protection Agency (EPA)-registered hospital disinfectant[PDF – 278KB] with a label claim for a non-enveloped virus. On dry surfaces, like doorknobs and countertops, the virus can survive for several hours. However, in body fluids, like blood, the virus can survive up to several days at room temperature.

Pets and livestock
Serologic studies show that Ebola virus has been detected in dogs and cats living in areas affected by an Ebola outbreak, but there are no reports of dogs or cats becoming sick with EVD, or spreading the Ebola virus to people or other animals.[1] However, certain exotic or unusual pets (monkeys, apes, or pigs) have a higher risk of being infected with the virus and spreading it, if they are exposed to it.

Pigs are the only species of livestock known to be at risk of infection by an Ebola virus. In the Philippines and China, pigs are naturally infected with Ebola Reston virus, which does not cause illness in people. While pigs have developed illness when infected with an extremely high dose of Ebola virus (Zaire ebolavirus) in a laboratory setting, they are not known to become naturally infected with this virus strain, and there is no indication they are involved in the spread of this virus.
the virus can remain in certain bodily fluids and continue to spread to others after a person has recovered from the infection. The virus can persist in semen, breast milk, ocular (eye) fluid, and spinal column fluid. Areas of the body that contain these fluids are known as immunologically privileged sites. These are sites of the body where viruses and pathogens, like Ebola virus, can remain undetected even after the immune system has cleared the virus from other sites of the body. Scientists are now studying how long the virus stays in these body fluids among Ebola survivors.
12 Monkeys...............
1995 ‧ Science fiction film/Thriller ‧ 2h 11m a must for AFT
Back to Top
Dutch Josh View Drop Down
Senior Advisor Group
Senior Advisor Group


Joined: May 01 2013
Location: Arnhem-Netherla
Status: Offline
Points: 34812
Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: March 23 2019 at 1:19am
We cannot solve our problems with the same thinking we used when we created them.
~Albert Einstein
Back to Top
Technophobe View Drop Down
Senior Moderator
Senior Moderator
Avatar

Joined: January 16 2014
Location: Scotland
Status: Offline
Points: 55610
Post Options Post Options   Thanks (0) Thanks(0)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: January 08 2019 at 10:26am
Whilst on the subject (again!) this link gives current numbers and contains a timeline of links to recent articles:   http://www.cidrap.umn.edu/news-perspective/2019/01/ebola-outbreak-continues-grow-multiple-drc-sites

and this link helps explain why the political situation is making things much, much worse:   https://www.kff.org/news-summary/ongoing-violence-in-drc-hindering-ebola-outbreak-response-total-recorded-cases-exceed-600/

Back to Top
Technophobe View Drop Down
Senior Moderator
Senior Moderator
Avatar

Joined: January 16 2014
Location: Scotland
Status: Offline
Points: 55610
Post Options Post Options   Thanks (0) Thanks(0)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: January 08 2019 at 10:21am
SHEA calls for renewed multi-country response to Ebola outbreak in DRC

January 7, 2019
Hilary Babcock, MD, MPH

The Society for Healthcare Epidemiology of America has called for a renewed coordinated multi-country response to the ongoing Ebola virus outbreak in the Democratic Republic of Congo.

The statement followed an announcement that a health care worker from the United States was evacuated to a hospital in Nebraska after possibly being exposed to Ebola on the ground in the DRC. The U.S. evacuated CDC staff from the outbreak zone months ago over security fears.
See Also

    Q&A: Outbreak Prevention and Response Week
    Congo’s 10th Ebola outbreak deemed ‘top degree…
    Romaine lettuce outbreak: Same E. coli strain found…

“Appropriate U.S. investments in infectious diseases preparedness and response help keep Americans safe,” SHEA president Hilary Babcock, MD, MPH, professor of medicine in the division of infectious diseases at Washington University in St. Louis, said in a news release. “There is an ongoing need for support to further the efforts in the Congo, as well as domestic preparedness to ensure readiness nationally. U.S. hospitals are well-situated to respond to infectious outbreaks, but ongoing funding and attention are required to maintain the training required for readiness.”

SHEA said the impact of resources provided by governments and non-governmental organizations can be maximized by focusing on prevention, treatment and containment at the epicenter of the outbreak.

It noted that Nebraska Medical Center, where the U.S. health care worker is being monitored, has a dedicated biocontainment unit with specially trained health care personnel to treat patients with highly infectious diseases. It is one of only a few such units in the U.S. The hospital has said the unit will be activated if the person develops symptoms of Ebola.

“We have complete confidence in the personnel and resources available at the Nebraska Medical Center,” Babcock said in the release. “Their preparedness and readiness to manage cases like this is well established.”

As of Jan. 6, the DRC health ministry reported that there have been 623 cases of Ebola infection (575 confirmed, 48 probable), including 347 deaths, since the beginning of the outbreak. – by Bruce Thiel

Source:   https://www.healio.com/infectious-disease/emerging-diseases/news/online/%7Ba8f346c7-214e-4042-873e-c6cf88828263%7D/shea-calls-for-renewed-multi-country-response-to-ebola-outbreak-in-drc
Back to Top
Dutch Josh View Drop Down
Senior Advisor Group
Senior Advisor Group


Joined: May 01 2013
Location: Arnhem-Netherla
Status: Offline
Points: 34812
Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: January 06 2019 at 2:58am
We cannot solve our problems with the same thinking we used when we created them.
~Albert Einstein
Back to Top
Dutch Josh View Drop Down
Senior Advisor Group
Senior Advisor Group


Joined: May 01 2013
Location: Arnhem-Netherla
Status: Offline
Points: 34812
Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: January 04 2019 at 9:13am
We cannot solve our problems with the same thinking we used when we created them.
~Albert Einstein
Back to Top
Dutch Josh View Drop Down
Senior Advisor Group
Senior Advisor Group


Joined: May 01 2013
Location: Arnhem-Netherla
Status: Offline
Points: 34812
Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: December 27 2018 at 9:35pm
We cannot solve our problems with the same thinking we used when we created them.
~Albert Einstein
Back to Top
Dutch Josh View Drop Down
Senior Advisor Group
Senior Advisor Group


Joined: May 01 2013
Location: Arnhem-Netherla
Status: Offline
Points: 34812
Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: November 29 2018 at 9:46pm
https://afro.who.int/news/joint-release-clarification-alleged-ebola-death-kabarole-district Uganda
https://afro.who.int/sites/default/files/2018-11/Weekly%20Update%20on%20Ebola%20Virus%20Disease%20%28EVD%29%20Preparedness_%2313.pdf South Sudan
(DJ-There are some reports on Ebola-cases in Uganda and South Sudan)

https://www.crisisgroup.org/africa/central-africa/central-african-republic and https://afro.who.int/news/central-african-republic-prepares-ebola-response?country=906&name=Central%20African%20Republic
(DJ-The Central African Republic (CAR) is a de facto failed state north of DR Congo. There is no way to stop the ebola-virus from spreading in that region when it gets there. And it will be very hard to avoid the virus from getting there. Once Ebola gets widespread in CAR the real nightmare begins.)
We cannot solve our problems with the same thinking we used when we created them.
~Albert Einstein
Back to Top
CRS, DrPH View Drop Down
Expert Level Adviser
Expert Level Adviser


Joined: January 20 2014
Status: Offline
Points: 17300
Post Options Post Options   Thanks (0) Thanks(0)   Quote CRS, DrPH Quote  Post ReplyReply Direct Link To This Post Posted: November 28 2018 at 3:12pm
^Techno, thanks for the updates! I read them all and have been tracking this closely.

If (or perhaps, when) this outbreak expands into another country or population center, all hell could break loose. Remember that happened during the last big outbreak. Be safe!
CRS, DrPH
Back to Top
Technophobe View Drop Down
Senior Moderator
Senior Moderator
Avatar

Joined: January 16 2014
Location: Scotland
Status: Offline
Points: 55610
Post Options Post Options   Thanks (1) Thanks(1)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: November 28 2018 at 1:41pm
Ebola Treatment Trials Launched In Democratic Republic Of The Congo Amid Outbreak

By Colin Dwyer

NPR.org, November 27, 2018 · Deep in the grips of an Ebola outbreak, the Democratic Republic of the Congo has embarked on an "important step" toward finding an effective treatment for the deadly virus. The World Health Organization said the country has launched the first-ever multidrug clinical trial for potential Ebola treatments.

"The giant step DRC is taking now will bring clarity about what works best, and save many lives in years to come," Tedros Adhanom Ghebreyesus, the WHO's director-general, said in a statement released Monday. "We hope to one day say that the death and suffering from Ebola is behind us."

The trial aims to determine which of the four leading Ebola treatments — referred to by the WHO as mAb114, Regeneron, Remdesivir and ZMapp — proves most successful in combating a virus that can have a high fatality rate.

Since the latest outbreak was declared about four months ago, the Democratic Republic of the Congo health ministry says there have been at least 419 confirmed and suspected cases of Ebola — at least 240 of whom have died.

To better evaluate these drugs, the WHO has revised a treatment protocol it created specifically for Ebola, known as Monitored Emergency Use of Unregistered and Investigational Interventions. The organization came up with the protocol as an emergency workaround, intending to enable medical workers to use experimental treatments that had not yet passed clinical trials.

"The new medicines that we're using, they're not approved for Ebola because there's not enough clinical trials to show they're effective," the WHO's Janet Diaz told NPR's All Things Considered earlier this month. "So what we got was permission from the ethical committee of the Congo to use these potentially lifesaving therapeutics in patients in the DRC."

The WHO explains that this protocol will remain the same, but for one big change.

"Patients will not be treated noticeably differently from before, though the treatment they receive will be decided by random allocation," the group explained. "The data gathered will become standardized and will be useful for drawing conclusions about the safety and efficacy of the drugs."

In fighting the most recent outbreak, however, medical workers have had more to contend with than the disease alone. The Ebola cases surfaced in Democratic Republic of the Congo's war-torn eastern provinces, North Kivu and Ituri, where rebels are waging a bloody guerrilla campaign against government forces.

Seven United Nations peacekeepers were killed in one such skirmish earlier this month, and another 11 civilians — including two Congolese health workers — were killed in the region last month. Experts fear that continued bloodshed is impeding the medical response and could derail it altogether. In addition to tracking and treating cases, frontline health workers are vaccinating tens of thousands of people.

"You take that away, you've removed a dampener," J. Stephen Morrison, director of the Global Health Policy Center, told NPR's Nurith Aizenman. "You're going to see a sharp escalation of this outbreak. And your risks of export into the region and beyond go through the ceiling."

It is already the Democratic Republic of the Congo's largest Ebola outbreak ever on record. Still, the country's health minister, Oly Ilunga, expressed hope Monday that the new randomized trials mark a turning point on how to treat the virus.

"Our country is struck with Ebola outbreaks too often, which also means we have unique expertise in combating it," he said. "These trials will contribute to building that knowledge, while we continue to respond on every front to bring the current outbreak to an end."

Source:   https://text.npr.org/s.php?sId=670913385
Absence of proof is not proof of absence.
Back to Top
Technophobe View Drop Down
Senior Moderator
Senior Moderator
Avatar

Joined: January 16 2014
Location: Scotland
Status: Offline
Points: 55610
Post Options Post Options   Thanks (0) Thanks(0)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: November 27 2018 at 5:17am

NOV 25, 2018 04:29 PM PST
Ongoing Ebola Outbreak in DRC Becomes Country's Worst Ever

On August 1, 2018, an Ebola outbreak was declared in the Democratic Republic of the Congo, which is still ongoing. There have been 366 reported cases, and 167 confirmed deaths so far, making it the worst outbreak the country has experienced.

Cases began in a town of about 40,000 called Mangina and then moved to a bigger city called Beni, home to about 420,000 people. A city of one million, Butembo, has now started to report new cases weekly.

What is especially worrisome to investigators is that some cases are not following previously known chains of transmission. The region is densely populated, and residents face high levels of danger and insecurity; an estimated 100 armed groups are active in the area, hampering efforts to stem the transmission of the disease. Médecins Sans Frontières (MSF) is working with local authorities to get the outbreak under control. Learn more from the video.

Source: MSF

My Source and Video:   https://www.labroots.com/trending/videos/13355/ongoing-ebola-outbreak-drc-country-s-worst
Absence of proof is not proof of absence.
Back to Top
Technophobe View Drop Down
Senior Moderator
Senior Moderator
Avatar

Joined: January 16 2014
Location: Scotland
Status: Offline
Points: 55610
Post Options Post Options   Thanks (0) Thanks(0)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: November 19 2018 at 5:35pm
Absence of proof is not proof of absence.
Back to Top
EdwinSm, View Drop Down
Adviser Group
Adviser Group


Joined: April 03 2013
Status: Online
Points: 7150
Post Options Post Options   Thanks (0) Thanks(0)   Quote EdwinSm, Quote  Post ReplyReply Direct Link To This Post Posted: November 17 2018 at 9:49pm
More bad news in the effort to contain the out-break:

Originally posted by BBC BBC wrote:

Health authorities in the Democratic Republic of Congo have suspended efforts to contain an Ebola virus outbreak in the town of Beni because of worsening rebel attacks.

A militia attacked just "a few metres" from an emergency centre, the country's health ministry said.

Staff of the World Health Organization (WHO) were forced to leave as a shell hit the building they were in.

It is not clear when the mission might resume.


https://www.bbc.com/news/world-africa-46249319
Back to Top
Dutch Josh View Drop Down
Senior Advisor Group
Senior Advisor Group


Joined: May 01 2013
Location: Arnhem-Netherla
Status: Offline
Points: 34812
Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: November 16 2018 at 9:51pm
We cannot solve our problems with the same thinking we used when we created them.
~Albert Einstein
Back to Top
Technophobe View Drop Down
Senior Moderator
Senior Moderator
Avatar

Joined: January 16 2014
Location: Scotland
Status: Offline
Points: 55610
Post Options Post Options   Thanks (0) Thanks(0)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: November 16 2018 at 1:05am
It's Feared Congo's Ebola Outbreak Will Get Even Worse

By Nurith Aizenman

Morning Edition, · Global health experts warn the Ebola epidemic in Democratic Republic of the Congo could soon enter a new phase. Ongoing conflict there prevents health workers from wiping out the disease.

Transcript

DAVID GREENE, HOST:

The Ebola outbreak spreading through the Democratic Republic of Congo has claimed at least 177 lives. This outbreak is in a part of the country with a lot of conflict, and fears are growing that things could get worse. NPR's Nurith Aizenman has more.

NURITH AIZENMAN, BYLINE: Pierre Rollin is an expert on Ebola with the U.S. Centers for Disease Control and Prevention who recently returned from the Democratic Republic of Congo. He's been responding to Ebola outbreaks there for more than 20 years. And he says health officials are usually able to get a handle on them quickly.

PIERRE ROLLIN: Three, four months maximum.

AIZENMAN: But that's how long this outbreak has been going on for. And...

ROLLIN: By some aspect, it looks like we just discovered the outbreak. We're are not making any progress. We don't see decreasing number of case. They still have a lot of people that are not detected in time.

AIZENMAN: Response teams are continually finding themselves blocked by armed rebel groups who launch attacks on the government and civilians, by factions within the Congolese military that clash with each other, and by a population that is deeply distrustful of anyone associated with the government, including health workers. Rollin worries about what will happen in late December, when the DRC is set to hold national elections.

ROLLIN: And we have no idea what's going to happen.

AIZENMAN: The fear is the results will be disputed, sparking more violence.

ROLLIN: The terrible scenario is the one in which there are escalated attacks, including targeting of health workers.

AIZENMAN: Stephen Morrison is director of the Global Health Policy Center at the Washington think tank Center for Strategic and International Studies.

STEPHEN MORRISON: That could very rapidly trigger a decision to evacuate.

AIZENMAN: He points out that there are currently hundreds of health workers in the outbreak zone, including teams that have given more than 30,000 people a new vaccine.

MORRISON: You take that away, you've removed a dampener. You're going to see a sharp escalation of this outbreak. And your risks of export into the region and beyond go through the ceiling.

AIZENMAN: So he says, you'd think international governments would be crafting an aggressive intervention. And yet...

MORRISON: I see no evidence whatsoever that there's any mobilization of this kind happening.

AIZENMAN: Peter Salama is helping to lead the response by the World Health Organization. He says he shares Morrisons fears, but he's also more optimistic. Salama notes that there's a long-standing U.N. peacekeeping force in the DRC, and he met with them last week.

PETER SALAMA: We discussed how the force could have really acted more than just a reactive force, but a deterrent.

AIZENMAN: Manning checkpoints in key cities in the outbreak zone, for instance. Still, Salama says, even in the best-case scenario, ending this outbreak will take at least six more months. Nurith Aizenman, NPR News.

(SOUNDBITE OF ERNEST GONZALES' "SOPHIA'S LULLABY")
Source:   https://text.npr.org/s.php?sId=668135805
Absence of proof is not proof of absence.
Back to Top
Technophobe View Drop Down
Senior Moderator
Senior Moderator
Avatar

Joined: January 16 2014
Location: Scotland
Status: Offline
Points: 55610
Post Options Post Options   Thanks (0) Thanks(0)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: November 12 2018 at 1:32pm
[Technophobe: Things are definitely going from bad to worse. The medical people treating the sick and the researchers looking for vaccines and cures are getting quite good at this disease, but the local situation is so difficult that things are still deteriorating.]

[Anyway:]


The Risk That Ebola Will Spread to Uganda Is Now ‘Very High’

Source and full article:   https://www.wired.com/story/the-risk-that-ebola-will-spread-to-uganda-is-now-very-high/

[and]

Ebola outbreak worst in history of Democratic Republic of Congo

Source and full article:   https://edition.cnn.com/2018/11/12/health/ebola-congo-intl/index.html
Absence of proof is not proof of absence.
Back to Top
Technophobe View Drop Down
Senior Moderator
Senior Moderator
Avatar

Joined: January 16 2014
Location: Scotland
Status: Offline
Points: 55610
Post Options Post Options   Thanks (0) Thanks(0)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: November 10 2018 at 7:19am
Congo says Ebola outbreak worst in nation's history


Health ministry says there are 319 confirmed and probable cases
The Associated Press ·

Posted: Nov 10, 2018 8:34 AM ET | Last Updated: an hour ago

Congo's latest Ebola outbreak is the worst in the country's recorded history with 319 confirmed and probable cases, the health ministry said.

The deadly virus has killed about 198 people since the outbreak was declared Aug. 1 in the volatile east, the ministry said. Those dead include 163 confirmed Ebola cases, with 35 probable deaths. Nearly 100 people have survived Ebola.

This is Congo's tenth outbreak since 1976, when the hemorrhagic fever was first identified in Yambuku, in the Equateur province, the ministry said.

    WHO takes closer look at Congo's Ebola outbreak

Health Minister Dr. Oly Ilunga Kalenga said late Friday that the figures now exceed that outbreak.

"No other epidemic in the world has been as complex as the one we are currently experiencing," Kalenga said. "Since their arrival in the region, the response teams have faced threats, physical assaults, repeated destruction of their equipment and kidnapping. Two of our colleagues in the Rapid Response Medical Unit even lost their lives in an attack."
Violence complicates response

Armed groups vying for control of Congo's mineral-rich east have staged regular attacks in Congo's Ituri and North Kivu provinces, complicating the response by health officials who are also meeting community resistance.

This epidemic remains dangerous and unpredictable, and we must not let our guard down.

    - Dr. Oly Ilunga Kalenga, Congo's health minister

Health officials, however, have managed to vaccinate more than 27,000 high-risk contacts, of which at least half could have developed Ebola, the health minister said.

"This epidemic remains dangerous and unpredictable, and we must not let our guard down. We must continue to pursue a very dynamic response that requires permanent readjustments and real ownership at the community level," he said.

The head of UN peacekeeping operations vowed this week to do more with Congo's government to help improve security in the country's east.

This is the first time an Ebola outbreak has occurred in Congo's far northeast. The health ministry has said teams responding to the Ebola outbreak are attacked three or four times a week on average, a level of violence unseen in the country's nine previous outbreaks of the virus.

Ebola is spread via the body fluids of infected people, including the dead.

    Uganda at 'big risk' for Ebola spreading from neighbouring Congo, officials say

Source:   https://www.cbc.ca/news/world/congo-ebola-worst-in-nations-history-1.4900641
Absence of proof is not proof of absence.
Back to Top
tiger_deF View Drop Down
Valued Member
Valued Member
Avatar

Joined: May 16 2018
Location: Arlington MA
Status: Offline
Points: 60
Post Options Post Options   Thanks (0) Thanks(0)   Quote tiger_deF Quote  Post ReplyReply Direct Link To This Post Posted: October 21 2018 at 10:58am
I have a very bad feeling about this second wave of infections. Over the past 4 days there have been 3 large scale attacks on health workers and civilians, infection rates have doubled from a few weeks ago, ebola is spreading in Butembo, a city the size of Boston, and community mistrust appears to be growing, with health workers able to work less and less. Furthermore many deaths have been community deaths, showing that Ebola is spreading undetected in at least 2 locations.

Even worse, 50% of patients treated with the experimental ebola treatments have perished, showing that at least some if not all of them are not effective.

This perfect storm could be the kindling ebola needs to explode across the region. This area is far more populated than West Africa, and if it makes it to Kinsasha we could see devastating totals.

What do you all think?
Back to Top
Technophobe View Drop Down
Senior Moderator
Senior Moderator
Avatar

Joined: January 16 2014
Location: Scotland
Status: Offline
Points: 55610
Post Options Post Options   Thanks (0) Thanks(0)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: October 21 2018 at 9:37am

Congo rebels kill 15, abduct kids in Ebola outbreak region
World Oct 21, 2018 11:07 AM EDT

JOHANNESBURG — Congolese rebels killed 15 civilians and abducted a dozen children in an attack at the center of the latest deadly Ebola outbreak, Congo’s military said Sunday, as the violence threatened to again force the suspension of crucial virus containment efforts.

“We condemn this attack,” said the World Health Organization’s director-general, Tedros Adhanom Ghebreyesus. “Everyone should work on achieving peace and fight Ebola.”

Allied Democratic Forces rebels attacked Congolese army positions and several neighborhoods of Beni on Saturday and into Sunday, Capt. Mak Hazukay Mongha told The Associated Press. The U.N. peacekeeping mission said its troops exchanged fire with rebels in the Mayangose area of Beni.

Angry over the killings, Beni residents on Sunday carried four of the bodies to the town hall, where police dispersed them with tear gas. Vehicles of aid organizations and the peacekeeping mission were pelted with stones, the U.N.-backed Radio Okapi reported.

The ADF rebels have killed hundreds of civilians in recent years and are just one of several militias active in Congo’s far northeast.

Late last month, Ebola outbreak containment efforts were suspended for days in Beni after a deadly attack, complicating work to find and track suspected contacts of infected people. Since then, many of the new confirmed Ebola cases have been reported in Beni as the rate of new cases overall has more than doubled, alarming aid groups.

The latest attack comes after two medical agents with the Congolese army were shot dead — the first time health workers have been killed by rebels in this outbreak.

It is a “dark day” for everyone fighting Ebola, Congo’s health minister said late Saturday while announcing the deaths.

Mai Mai rebels surged from the forest and opened fire on the unarmed agents with the army’s rapid intervention medical unit at an entrance to Butembo city, the health ministry said.

The daytime attack appeared premeditated, with civilians present left unharmed, the statement said. The medical agents had been placed in “dangerous zones” to assist national border health officials.

Confirmed Ebola cases have now reached 200, including 117 deaths.

A Congolese health worker administers Ebola vaccine to a woman who had contact with an Ebola sufferer in the village of Mangina in North Kivu province of the Democratic Republic of Congo, August 18, 2018. REUTERS/Olivia Acland – RC114C777860

Health workers in this outbreak, declared on Aug. 1, have described hearing gunshots daily, operating under the armed escort of U.N. peacekeepers or Congolese security forces and ending work by sundown to lower the risk of attack.

Congo’s health ministry has reported “numerous aggressions” against health workers. Early this month two Red Cross volunteers were severely injured in a confrontation with wary community members in a region traumatized by decades of fighting and facing an Ebola outbreak for the first time.

“Health agents are not a target for armed groups,” Health Minister Oly Ilunga said on Saturday. “Our agents will continue to go into the field each day to fulfill the mission entrusted to them. They are true heroes and we will continue to take all necessary measures so that they can do their job safely.”

On Wednesday, WHO said it was “deeply concerned” by the outbreak but announced it does not yet warrant being declared a global emergency. An outbreak must be “an extraordinary event” that might cross borders, requiring a coordinated response. Confirmed cases have been found near the heavily traveled border with Uganda.

In the latest example of the rumors that pose another serious challenge to containing the virus, the health ministry said 22 youth in Butembo dug up the body of an Ebola victim and opened the body bag, “wanting to verify that no organs had been taken from the body by health workers.”

They ended up touching highly infectious bodily fluids, the ministry said. “The next day, they agreed to be vaccinated,” joining the more than 20,000 people who have received vaccinations so far.

Source:   https://www.pbs.org/newshour/world/congo-rebels-kill-15-abduct-kids-in-ebola-outbreak-region
Absence of proof is not proof of absence.
Back to Top
Technophobe View Drop Down
Senior Moderator
Senior Moderator
Avatar

Joined: January 16 2014
Location: Scotland
Status: Offline
Points: 55610
Post Options Post Options   Thanks (0) Thanks(0)   Quote Technophobe Quote  Post ReplyReply Direct Link To This Post Posted: October 20 2018 at 12:34am
An Ebola outbreak presents a new mystery involving children

By Helen Branswell @HelenBranswell

October 19, 2018     

Epidemiologists working on the world’s latest Ebola outbreak are racing to try to solve a mystery. Why have so many children — some still infants — been infected with the virus?

The disproportionate number of recent infections among children in the Democratic Republic of Congo — specifically in Beni, the outbreak’s current hot spot — has come as a surprise; typically young children don’t make up a big proportion of cases during an Ebola outbreak.

But in the first two weeks of October, nearly 60 percent of the newly reported cases in and around Beni were children under the age of 16, Dr. Peter Salama, of the World Health Organization, told STAT.

“It is unusual for this outbreak and it is unusual in previous outbreaks … to see this proportion of kids,” said Salama, who called it “a very high number.”

The latest situation report from the global health agency noted that of 43 cases reported in early October — there have been more since the report was written — 20 were children. Nine of the children were under the age of 5.

Overall there have been 223 confirmed and probable cases in this outbreak, which is believed to have begun in July. Of those infections, 144 have been fatal.

Salama, who is WHO’s deputy director-general of emergency preparedness and response, said epidemiologists in Beni are trying to figure out what’s behind the puzzling phenomenon involving children.

At this point, they have a theory — though Salama stressed that it is only that at this stage.

It is currently peak malaria season in Beni. Children in particular can become severely ill when they contract malaria. And it appears that a lot of the children who contracted Ebola in Beni had recently seen medical practitioners or traditional healers.

If a clinic or traditional healer is treating an undiagnosed Ebola patient, other people also present could become infected. That is believed to have happened recently to a plumber who worked on the U.N. peacekeepers’ compound at Beni.

It’s also possible that children who were brought for care for malaria might have received a therapy — something injectable — that could explain the exposures, Salama said.

“It’s a working theory at the moment and we’re trying to get to the bottom of it over the next couple of days,” he said of the malaria hypothesis.

Some of the children have died at home, which puts the family members who looked after them at grave risk. But others have been brought to Ebola treatment centers, Salama said.

The emergency medical response group Alima is operating the Ebola treatment center at Beni and, for the first time in an Ebola outbreak, has started to use an innovative new approach to build community trust and encourage people to bring sick loved ones in for care, Salama said.

That approach is built around a cube — a contained, clear enclosure in which a patient receives care. Medical personnel remain outside the cube, but can reach inside through gloved ports to deliver care. (They don’t need the multiple layers of protective equipment that make them look more alien than human.)

“From the perspective of family engagement and family understanding of what’s happening, I think they’ve been an extremely important advance,” Salama said. “I don’t have scientific evidence for that, but certainly anecdotally I think that’s helping a lot with family members feeling more confident that they know what’s happening and they can stay engaged with their loved one.”

There is still community resistance, however. And that, combined with security problems, have resulted in a worrying turn of events: It’s becoming more and more difficult for the responders to follow the Ebola chain of transmission. Knowing where the virus is spreading is critical to controlling an outbreak.

Over the past three or four weeks, a growing proportion of cases have been people who were not identified as contacts of previous cases. And increasingly, even retrospective attempts to figure out how these people became infected are failing to chart the links. “That’s extremely concerning,” Salama said.

Response coordinators are exploring the possibility of using rapid genome sequencing of viruses to try to bolster their flagging surveillance efforts, he said. Comparing the genetic blueprint of a virus to others in the outbreak can show if a new infection is part of an established chain of transmission, or is perhaps a sign other transmission chains have been spreading disease undetected.

“Given that we’re struggling now because of security to be able to keep track of the chain or chains of transmission, having that added reassurance from the genetics would be another data point,” Salama said.

The WHO is discussing the issue with the ministry of health, looking for agreement. Salama said the country’s national laboratory, the National Institute of Biomedical Research, believes it has the capacity to do the work.

If that doesn’t work, there are other options, Salama said. “There’s a lot of groups that want to support us on this, and we think it’s another good innovation.”

Source:   https://www.statnews.com/2018/10/19/ebola-outbreak-new-mystery-children/
Absence of proof is not proof of absence.
Back to Top
 Post Reply Post Reply Page  123 9>
  Share Topic   

Forum Jump Forum Permissions View Drop Down