Ebola-Fieber in Uganda

[Alexander]

Ebola in Afrika
Attacke aus dem Nichts

In Uganda ist ein Mädchen an Ebola gestorben - und noch immer ist es ein Rätsel, wo sich der tödliche Angreifer versteckt. Während die Ärzte nach ihm fahnden, betreuen sie Menschen, die sich vielleicht auch angesteckt haben. mehr...

Grüsse
Alexander

[Birgitt]

EBOLA HEMORRHAGIC FEVER - UGANDA (10): (LUWERO)
***********************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Fri 3 Jun 2011
Source: TMCnet.com, (The Observer/All Africa Global Media via COMTEX)
[edited]
<http://www.tmcnet.com/usubmit/2011/06/03/5551994.htm>



How Uganda Registered Ebola Success
-----------------------------------
On 27 May 2011 in Bombo, as outgoing minister of health, Stephen
Malinga, announced that the 25 people who had been in contact with the
girl who died from Ebola [hemorrhagic fever] were Ebola free, he also
told the story of how the outbreak was contained.

Dr Joseph Okware, Luwero's district health officer, says that on 1
May 2011, the lone victim of this year's [2011] Ebola outbreak fell
ill and her grandmother tried to treat her using modest means. She
took her to a clinic and after 3 days of treatment without any signs
of improvement, the [patient] was referred to another clinic in
Wobulenzi. However, her caretaker instead took her to Bombo Military
Hospital. Okware describes this as "good luck" because if the
[patient] had been taken to the clinic in Wobulenzi, a bigger number
of people could have become infected.

But because the staff at Bombo Military Hospital was experienced in
handling Ebola [hemorrhagic fever cases] -- having worked with Ebola
patients in Gulu and Bundibugyo [previously] -- they quickly
recognised the symptoms and took measures to curb its spread.
Unfortunately, they were unable to save her; she died 5 hours after
admission to the hospital.

To determine whether the people who had been contact with the girl
had Ebola or not, they were monitored for symptoms of the disease and
when they did not show any after 21 days, they were declared Ebola
free.

Even as Malinga congratulated the team at Bombo Military Hospital for
stopping what could have been an epidemic, he called upon the public
to remain vigilant. "We should celebrate because we have been
successful in controlling this outbreak but while we celebrate, we
should remember that other cases could be reported," Malinga said.

He called upon sick individuals to refrain from going to the
Namugongo shrine to celebrate Martyrs Day on Fri 3 Jun 2011 as they
might have Ebola and spread it to the masses that turn up to
celebrate. If there is anything this outbreak has shown, it is the
fact that if patients seek treatment from properly trained personnel,
epidemics can be averted.

Also, the fact that ordinary Ugandans can be lax about their health
was highlighted during this outbreak. [A woman], who runs a restaurant
near Bombo Military Hospital, said people were not bothered about the
disease. Instead, they simply went about their business, seemingly
unperturbed. Only one man expressed fear of the disease.

While it might be said that the people were right to be unperturbed,
[since] the crisis had been declared over, Malinga called for
vigilance. This means that individuals, especially those that are a
mere 40km [25 miles] away from Zirobwe (Bombo Military Hospital and
Zirobwe are 40km apart), cannot afford to relax.

--
Communicated by:
ProMED-EAFR
<promed-eafr@promedmail.org>

[This report highlights the efforts made to contain the Ebola
hemorrhagic fever outbreak in Central Uganda as the index case was the
only person confirmed to have the disease. Therefore, to date, there
is no evidence that any of her close contacts contracted the disease,
since she sought treatment early enough from trained health care
workers, who had experience from previous Ebola outbreaks in the
country. If no further cases are confirmed, the outbreak should be
declared over as of 17 Jun 2011, 2 incubation periods after the lone
case in this outbreak died.

A map of Uganda, can be accessed at
<http://en.wikipedia.org/wiki/Districts_of_Uganda>
and the HealthMap/ ProMED-mail interactive map of the country is
available at
<http://healthmap.org/r/0RSl>.
A map showing the geographic distribution of Ebola hemorrhagic fever
outbreaks (2009) can be seen at
<http://www.who.int/csr/disease/ebola/Gl ... 090510.png

>. - Mod.JFW

The Ugandan health authorities certainly deserve commendation for the
successful containment of this most recent outbreak of Ebola
hemorrhagic fever, despite some initial confusion and release of
contradictory information. Some questions remain to be answered,
however, in particular the source of the infection of the index
patient and the genetic relationship of this new isolate of Sudan
ebolavirus to previously isolated strains that in general have been
responsibly for extensive outbreaks of hemorrhagic fever. No doubt
these questions will be addressed in time and in the meantime it is to
be hope that the deadline of 17 Jun 2011 for final closure of this
episode will pass without remark. - Mod.CP]

[Birgitt]

Uganda - Ebola hämorrhagisches Fieber (EHF)
06.06.2011

Nach Angaben der Gesundheisbehörden starb Anfang Mai in der Stadt Bombo (ca. 40 km nördlich der Hauptstadt Kampala) ein 12-jähriges Mädchen an Ebola hämorrhagischem Fieber (EHF). Um eine Ausbreitung der hochinfektiösen Krankheit zu verhindern wurden insgesamt 33 Personen, darunter Familienangehörige, Ärzte und Pflegepersonal, unter Quarantäne gestellt. Weitere Erkrankungen wurden nicht gemeldet, der Ausbruch kann damit als beendet angesehen werden. Im Jahr 2007 verstarben 37 Personen im Westen des Landes, ca. 170 Menschen starben bei einem Ausbruch im Norden im Jahr 2000. / Quelle: crm

[Birgitt]

EBOLA HEMORRHAGIC FEVER - UGANDA (11): (LUWERO)
***********************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Thu 16 Jun 2011
Source: The New Vision, Uganda [edited]
<http://www.tmcnet.com/usubmit/2011/06/03/5551994.htm>



Uganda Ebola free
-----------------
The ministry of health is set to announce an end of the Ebola
outbreak in the country tomorrow (Fri 17 Jun 2011).

Rukia Nakamatte, the ministry's spokesperson said Friday [17 Jun
2011] would mark the end of 42 days, the required days designated to
mark an end to such an epidemic.

The Ebola outbreak was confirmed on May 12 [2011] after a 12-year-old
girl from Zirobwe Sub County in Luwero district died on 6 May 2011 at
Bombo Military Hospital.

The case remained the only confirmed case of the Sudan Ebola strain
outbreak. All suspected cases were tested at the Uganda Virus Research
Institute, Entebbe and proved negative.

[Byline: Raymond Baguma]

--
Communicated by:
ProMED-EAFR
<promed-eafr@promedmail.org>

[The Ebola outbreak in Uganda is finally contained since no new cases
have been confirmed beyond the index case even after enhanced
surveillance was initiated as part of the outbreak response. 17 Jun
2011 will mark 2 incubation periods after the lone confirmed case
died, hence in the absence of additional confirmed cases the outbreak
will be declared over. Routine case based laboratory backed
surveillance for febrile hemorrhagic illness should continue to ensure
that all suspect cases are detected and investigated promptly to
prevent large scale outbreaks that have afflicted the country in the
past.

A map of Uganda, can be accessed at
<http://en.wikipedia.org/wiki/Districts_of_Uganda> and the
HealthMap/ProMED-mail interactive map of the country is available at
<http://healthmap.org/r/0RSl>. A map showing the geographic
distribution of Ebola hemorrhagic fever outbreaks (2009) can be seen
at
<http://www.who.int/csr/disease/ebola/Gl ... 090510.png>.
- Mod.JFW]

[Birgitt]

Uganda - Ebola hämorrhagisches Fieber (EHF)
20.06.2011

Nach Angaben der Gesundheisbehörden starb Anfang Mai in der Stadt Bombo (ca. 40 km nördlich der Hauptstadt Kampala) ein 12-jähriges Mädchen an Ebola hämorrhagischem Fieber (EHF). Um eine Ausbreitung der hochinfektiösen Krankheit zu verhindern wurden insgesamt 33 Personen, darunter Familienangehörige, Ärzte und Pflegepersonal, unter Quarantäne gestellt. Weitere Erkrankungen wurden nicht gemeldet, der Ausbruch gilt nach Angaben des Gesundheitsministeriums nun offiziell als beendet. Im Jahr 2007 verstarben 37 Personen im Westen des Landes, ca. 170 Menschen starben bei einem Ausbruch im Norden im Jahr 2000. / Quelle: crm

Gruß
Birgitt

[ochim1103]

..hat mir gerade unsere Tochter berichtet, die dieses W'ende in Katwe, QENP weilt.

[picco]

Hoi Achim

Ich hab das hier auch schon eingestellt: viewtopic.php?f=38&t=1726&p=133272#p133272

[Birgitt]

UNDIAGNOSED FATAL DISEASE - UGANDA: (KIBAALE)
**********************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org


Date: Tue 24 Jul 2012
Source: UGpulse.com [edited]
http://www.ugpulse.com/uganda-news/heal ... 26400.aspx


Kibaale District attacked by a strange disease, 12 people dead
--------------------------------------------------------------
Health personnel in Kibaale district are puzzled by a strange disease which has invaded the district leaving 12 people dead and others on their deathbeds. The name and cause of the disease is not yet known.

Information coming in from the District Health Officer indicates that 11 people from one family in Nyamarunda Sub County have died since the strange disease surfaced in the district. However, what has worried the health workers more is that the disease has started killing their own. Yesterday a Clinical Officer at Kagadi health sub-district was buried after dying from that strange disease. It's said that the Clinical Officer was the one who treated some of the 11 people from Nyamarunda Sub County and is suspected to have contracted the disease from them. There is also information that the driver of the vehicle which transported some of the dead people from home to the hospital is also seriously ill.

According to the District Health Officer, Dr. Dan Kyamanwa, the signs of the disease include: high fever, vomiting, diarrhea and systems failure. It kills patients within 4 days to a week. The Minister of State for Planning, Matia Kasaija, while speaking during the burial of the Clinical Officer, promised that government will send a team of experts to investigate the cause of the strange disease.

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[The undiagnosed disease is characterised by high fever, vomiting, diarrhea and systems failure. It kills patients within 4 days to a week, and appears to be easily transmissible to carers. Haemorrhage is not mentioned as a significant feature which excludes some filovirus haemorrhagic fevers such as Ebola and Marburg. However, the signs and symptoms are compatible with an outbreak of Bundibugyo haemorrhagic fever, a filovirus haemorrhagic fever 1st identified in the Bundibugyo district of Western Uganda. Bundibugyo District is located in western Uganda, which borders the Democratic Republic of Congo. After reports of a mysterious illness in Bundibugyo District, the presence of a novel 5th filovirus species, Bundibugyo ebolavirus (BEBOV), was identified in diagnostic samples submitted to the Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA, in November 2007.

According to McNeil et al., in Emerging Infectious Diseases, Volume 16, Number 12, December 2010
(http://wwwnc.cdc.gov/eid/article/16/12/ ... rticle.htm) the onset of this filovirus haemorrhagic fever is associated with nonspecific signs and symptoms, including fever, myalgias, headache, abdominal pain, nausea, vomiting, and diarrhea; at later stages of disease, overt hemorrhage has been reported in about 45 percent of cases. In the outbreak of Bundibugyo filovirus haemorrhagic fever the proportion of deaths among those infected was lower (about 40 percent). In the original Bundibugyo outbreak the signs and symptoms included headache, vomiting, diarrhea, abdominal pain, conjunctivitis, skin rash, muscle pain, fatigue, difficulty swallowing, difficulty breathing, hiccups, bleeding, unexplained death, or contact with a patient with suspected Ebola haemorrhagic fever.

Kibaale District is a district in Western Uganda. Like most other Ugandan districts, it is named after its principal town, in this case Kibaale, where the district headquarters are located. Kibaale can be located on the map of the District of Uganda at: http://en.wikipedia.org/wiki/Districts_of_Uganda. This map shows that Kibaale and Bundibigyo are adjacent districts in the Western Region of Uganda.

Of course, this outbreak of disease may not be caused by a virus. Further information is awaited. - Mod.CP]

[Birgitt]

UNDIAGNOSED DISEASE - UGANDA (02): (KIBAALE)
********************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org


Date: Fri 27 Jul 2012
Source: chimpreports.com [edited]
http://www.chimpreports.com/index.php/p ... ls-13.html

Health Officials Rush To Kibaale As Strange Disease Kills 13
--------------------------------------------------
The Ministry of Health is investigating a strange and contagious disease that has broken out in Nyamarunda sub-county in Kibaale district. The Director General of Health Services Dr. D.K.W Lwamafa says surveillance
reports from the investigations undertaken by theMinistry of Health, the district and international partners indicate that 21 people have been affected with 13 deaths since 21 Jun 2012. The cases have been reported largely from one family in Nyansigwa village in Nyamarunda parish.

"Preliminary investigations show that it is a highly contagious disease that is transmitted from one person to another and can easily cause death," says Lwamafa. Samples have been obtained from the cases and laboratory testing is underway in the Central Public Health Laboratory and at the Uganda Virus Research
Institute to confirm the disease.

Lwamafa notes the Ministry of Health team, working with partners is already on the ground to support the district to investigate and manage the cases. "The general public is hereby cautioned to avoid public gathering especially in the affected district and sick people are advised to promptly seek for medical care at the nearest health facility," cautions Lwamafa. He added burial of suspicious community deaths should be done under close supervision of district health workers and all suspicious deaths should be reported to the health workers. "The Ministry reassures the public that the reported strange disease is under intensive investigation and there should be no undue panic in the community," says Lwamafa. The Ministry promised to continue updating the public of any new information about the strange disease.

(By Gold Ronald)

--
Communicated by:
ProMEd-mail from HealthMap alerts
<promed@promedmail.org>


[[Since the previous report from Kibaale (see: ProMED-mail "Undiagnosed fatal disease - Uganda: (KI), archive number 20120725.1214822) the number of fatalities has increased from 12 to 13, but the number of affected persons remains 21.

The undiagnosed disease is characterised by high fever, vomiting, diarrhea and systems failure. It kills patients within 4 days to a week, and appears to be easily transmissible to carers. Haemorrhage is not mentioned as a significant feature which excludes some filovirus haemorrhagic fevers such as Ebola and Marburg. However, the signs and symptoms are compatible with an outbreak of Bundibugyo haemorrhagic fever, a filovirus haemorrhagic fever first identified in the Bundibugyo district of Western Uganda. Bundibugyo District is located in western Uganda, which borders the Democratic Republic of Congo. After reports of a mysterious illness in Bundibugyo District, the presence of a novel 5th filovirus species, Bundibugyo ebolavirus (BEBOV), was identified in diagnostic samples submitted to the Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA, in November 2007.

According to McNeil et al., in Emerging Infectious Diseases, Volume 16, Number 12, December 2010
(http://wwwnc.cdc.gov/eid/article/16/12/ ... rticle.htm) the onset of this filovirus haemorrhagic fever is associated with nonspecific signs and symptoms, including fever, myalgias, headache, abdominal pain, nausea, vomiting, and diarrhea; at later stages of disease, overt hemorrhage has been reported in about 45 percent of cases. In the outbreak of Bundibugyo filovirus haemorrhagic fever the proportion of deaths among those infected was lower (about 40 percent). In the original Bundibugyo outbreak the signs and symptoms included headache, vomiting, diarrhea, abdominal pain, conjunctivitis, skin rash, muscle pain, fatigue, difficulty swallowing, difficulty breathing, hiccups, bleeding, unexplained death, or contact with a patient with suspected Ebola haemorrhagic fever.

Kibaale District is a district in Western Uganda. Like most other Ugandan districts, it is named after its principal town, in this case Kibaale, where the district headquarters are located. Kibaale can be located on the map of the District of Uganda at: http://en.wikipedia.org/wiki/Districts_of_Uganda. This map shows that Kibaale and Bundibigyo are adjacent districts in the Western Region of Uganda. - Mod.CP

A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/r/1wa6.]

[Birgitt]

EBOLA HEMORRHAGIC FEVER - UGANDA: (KIBAALE)
********************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org


Date: Sat 28 Jun 2012
Source: Associated Press and Fox hews [edited]
http://www.foxnews.com/world/2012/07/28 ... icials-say

Ebola virus breaks out in Uganda, officials say
--------------------------------------
KAMPALA: The deadly Ebola virus has killed 14 people in western Uganda this month, Ugandan health officials said on Saturday, ending weeks of speculation about the cause of a strange disease that had many people fleeing their homes. The officials and a World Health Organization representative told a news conference in Kampala Saturday [28 Jul 2012] that there is "an outbreak of Ebola" in Uganda. "Laboratory investigations done at the Uganda Virus Research Institute...have confirmed that the strange disease reported in Kibaale is indeed Ebola hemorrhagic fever," the Ugandan government and WHO said in joint statement.

Kibaale is a district in midwestern Uganda, where people in recent weeks have been troubled by a mysterious illness that seemed to have come from nowhere. Ugandan health officials had been stumped as well, and spent weeks conducting laboratory tests that were at first inconclusive. On Friday, Joaquim Saweka, the WHO representative in Uganda, told the Associated Press that investigators were "not so sure" it was Ebola, and a Ugandan health official dismissed the possibility of Ebola as merely a rumor. It appears firm evidence of Ebola was clinched overnight.

Health officials told reporters in Kampala that the 14 dead were among 20 reported with the disease. Two of the infected have beenisolated for examination by researchers and health officials. A clinical officer and, days later, her 4-month-old baby died from the disease caused by the Ebola virus, officials said. Officials urged Ugandans to be calm, saying a national emergency taskforce had been set up to stop the disease from spreading far and wide. There is no cure or vaccine for Ebola, and in Uganda, where in 2000 the disease killed 224 people and left hundreds more traumatized, it resurrects terrible memories.

Ebola, which manifests itself as a hemorrhagic fever, is highly infectious and kills quickly. It was first reported in 1976 in Congo and is named for the river where it was recognised, according to the Centers for Disease Control and Prevention. Scientists don't know the natural reservoir of the virus, but they suspect the first victim in an Ebola outbreak gets infected through contact with an infected animal, such as a monkey.

The virus can be transmitted in several ways, including through direct contact with the blood of an infected person. During communal funerals, for example, when the bereaved come into contact with an Ebola victim, the virus can be contracted, officials said, warning against unnecessary contact with suspected cases of Ebola. In Kibaale, some villagers had started abandoning their homes in recent weeks to escape what they thought was an illness that had something to do with bad luck, because people were quickly falling ill and dying, and there was no immediate explanation, officials said.

Officials said now that they've verified Ebola in the area, they can concentrate on controlling the disease. Ebola patients were being treated at the only major hospital in Kibaale, said Stephen Byaruhanga, the district's health secretary. "Being a strange disease, we were shocked to learn that it was Ebola," Byaruhanga said. "Our only hope is that in the past whenEbola broke out in other parts of Uganda it was controlled." The challenge, he said, was retaining the services of all the nurses and doctors who are being asked to risk their lives in order to look after the sick. Officials also worry that other villagers suffering from other diseases might be afraid to visit the hospital for fear of
catching Ebola, he said.

--
Communicated by:
Michael P. Owen
Research Technician
U.S. Food and Drug Administration
Bellevue, WA USA



[As of Sat 28 Jul 2012 the number of fatalities has increase by one to 14, but the number cases remains the same. Although haemorrhage is not mentioned as a major factor in the disease the causative agent has been identified now as an ebolavirus. It has not yet been established whether this represents a re-emergence of Bundibugyo ebolavirus or another distinct type of ebolavirus (see: (Undiagnosed fatal disease - Uganda: (KI) 20120725.1214822). The precise identification of the virus remains to be determined. At present the outbreak appears to have been limited in extent and remains contained. Further information is awaited. - Mod.CP

A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/r/1wa6.]

[Birgitt]

Die Weltgesundheitsorganisation (WHO) hat den Ausbruch des tödlichen Ebola-Fiebers im Westen Ugandas bestätigt. Die Krankheit sei bei insgesamt 20 Menschen festgestellt worden. 14 von ihnen seien bereits an der hochansteckenden Viruserkrankung gestorben. Demnach trat das tödliche Virus im Distrikt Kibaale auf, rund 200 Kilometer westlich von der Hauptstadt Kampala und unweit der Grenze zur Demokratischen Republik Kongo.

WHO bestätigt Ebola-Ausbruch in Uganda
29.07.2012 - tagesschau

Karte: Google Maps (Kibaale = Punkt A)

Gruß
Birgitt

[Birgitt]

Ebola in Uganda
29.07.2012 - WHO

The Ministry of Health (MoH) of Uganda has notified WHO of an outbreak of Ebola haemorrhagic fever in Kibaale district in the western part of the country.

A total of 20 cases, including 14 deaths have been reported since the beginning of July 2012. The index case was identified in a family from Nyanswiga village, Nyamarunda sub-county of Kibaale district, where nine of the deaths were recorded. The deceased include a clinical officer who attended to a patient, and her four month-old child. Nine of the 14 deaths have occurred in a single household.

Laboratory confirmation was done by the Uganda Virus Research Institute in Entebbe.

Currently, two patients are hospitalized and are in stable condition. The first is a 38 year-old female who attended to her sister, the clinical officer who died. She was admitted to the hospital on 26 July 2012. The second is a 30 year-old female who participated in conducting the burial of the index case. She was admitted to the hospital on 23 July 2012. Both cases were admitted to hospital with fever, vomiting, diarrhoea and abdominal pain. Neither of the cases has so far shown bleeding, a symptom that often appears in viral haemorrhagic fever patients.

The MoH is working with stakeholders and partners to control the outbreak. Response plans at the national and district levels are being finalised. A national task force coordinated by the MoH has been re-activated at the MOH headquarters and holds daily meetings. In Kibaale a district task force has been formed to better coordinate field response. The neighbouring districts have been put on high alert about the outbreak and to step up surveillance.

A team of experts from MoH, WHO and Centers for Disease Control and Prevention (CDC) is in Kibaale to support the response operations. All possible contacts that were exposed to the suspected and confirmed cases since 6 July 2012 are being identified for active follow up. The necessary supplies and logistics required for supportive management of patients are being mobilized.

Kibaale hospital has established a temporary isolation ward for suspected, probable and confirmed cases. Médecins Sans Frontières (MSF), Holland, has mobilized necessary requirements for setting up isolation centre at the hospital. The MoH and Mulago Hospital have mobilized some staff to manage the isolation centre but more are urgently needed.

The MoH has advised the public to take measures to avert the spread of the disease and to report any suspected patient to the nearest health unit.

WHO does not recommend that any travel or trade restrictions are applied to Uganda.

Gruß
Birgitt

[ochim1103]

Schön!
Achim

[picco]

Hoi zämä

Soeben ist im Radio die Meldung dass es nun auch in Kampala Ebola-Fälle gibt, gesendet worden!!!
Schriftlicher Bericht siehe hier (klick mich!)

[Birgitt]

Uganda - Ebola hämorrhagisches Fieber (EHF)
30.07.2012

Nach Angaben der WHO und des ugandischen Gesundheitsministerium gibt es einen Ausbruch im Distrikt Kibaale (W), mindestens 13 Menschen sind verstorben und sechs weitere erkrankt. Um eine Ausbreitung zu verhindern hat die Regierung eine nationale Taskforce eingesetzt. / Quelle: crm

Gruß
Birgitt