EBOLA HEMORRHAGIC FEVER - UGANDA (12)
*************************************
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International Society for Infectious Diseases
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Date: Sat 4 Aug 2012
Source: The East African [abbrev., edited]
http://www.theeastafrican.co.ke/news/EA ... index.html?
East Africa in panic as Ebola strike again in Uganda
----------------------------------------------------
So far what we see is that it is atypical. Its behaviour is 'very suspicious' Dr Anthony Mbonye the Commissioner for Health Services at the Ministry of Health told The East African, explaining that unlike the typical Sudan strain, victims in the latest [outbreak] suffer fevers without the bleeding normally associated with the virus. The Uganda Ministry of Health declared an outbreak of Ebola in Kibaale district, about 160km [100 miles] west of Kampala. Confirmatory test results were done at the Centres for Disease Control, Uganda Virus Research Institute (UVRI) laboratory in Entebbe. The authorities have been following 176 people that came into contact with the deceased while another 38 suspected cases were under observation.
Although it is confirmed as the Ebola Sudan strain, a viral haemorrhagic fever, it is presenting with less bleeding or haemorrhage, as should be the case with Ebola. "We are not seeing much of the bleeding this time," said Dr Jackson Amone, the Assistant Commissioner Integrated Services at the Ministry of Health who was travelling to Kagadi Hospital in Kibaale, western Uganda, where the 1st cases were reported.
Ebola typically presents with fever, fatigue, vomiting, diarrhoea, joint pains and bleeding. "Most of the patients bleed when they are about to die with the cases we are handling. Sometimes you can confuse it for malaria because there is a high fever, vomiting, diarrhoea," said Dr Amone. According to health workers, in the absence of body fluids the latest strain is easier to manage because Ebola virus is transmissible through contact with body fluids -- saliva, vomit, sweat, blood or other fluids -- in the body of an infected person.
As more investigations are ongoing, samples have been sent to the Centers for Disease Control and Prevention (CDC) Viral Haemorrhagic Fevers (VHF) laboratory in the USA. Results are expected after one week. "CDC is sending samples to Atlanta to do additional sequencing. But the indication now is that it is not a new strain. It is the Sudan strain based on PCR testing, which is specific, said Erik Friedly, the associate head of communication at CDC-Uganda.
CDC health experts said the bleeding is not always present, even though that is what people think of with viral haemorrhagic fevers so less bleeding this time round does not necessarily mean "anything in particular." Dr Denis Lwamafa, the Director General of Health Services at the Ministry of Health, said that although Ebola is a highly infectious disease, which kills within a short time, it can also be prevented if detected early enough and if people adhere to precautionary measures. The Ministry of Health has advised against direct contact with people suffering from Ebola, public gatherings and eating dead meat especially from monkeys.
Neighbouring Democratic Republic of Congo, Rwanda and Kenya have also dispatched medical teams and gear to border towns to help in mitigating spread of the viral disease.
[Byline: Esther Nakkazi; Evelyn Lirri]
--
Communicated by:
ProMED-mail Rapporteur Mary Marshall
[It remains to be seen whether the reduced haemorrhage associated with this outbreak will make the disease easier to contain and eliminate. The results of the genome sequencing being undertaken at present are awaited with interest. - Mod.CP
A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/r/1wa6.]
Ebola-Fieber in Uganda
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Ebola-Fieber in Uganda
EBOLA HEMORRHAGIC FEVER - UGANDA (13)
*************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
[1] Date: Tue 7 Aug 22012
Source: Times Live, South African Press Association (SAPA)/Deutsche Presse-Agentur (DPA) report [edited]
http://www.timeslive.co.za/africa/2012/ ... ontrol-who
An outbreak of the deadly ebolavirus in Uganda, which has killed 16 people has been stemmed, according to a World Health Organization (WHO) official
The outbreak started in western region of Kibaale in the East Africa nation in July [2012]. Some 300 people who were in contact with those who were infected are likely to still remain under observation.
"The cases are now confined only to Kibaale. The [ebolavirus] outbreak is now under control. But there is need to make follow-ups of the contact cases. Surveillance should be intensified over these cases because we can only be sure that they are safe after 21 days," Solomon Fisseha, WHO deputy head in Uganda, told SAPA DPA press agency. The outbreak had forced hundreds of schools to close and in the worst affected areas even social gatherings were banned.
This is the 4th outbreak of [ebolavirus] in the country since 2000, when it killed 224 people. About 40 people died of the disease in villages along the border with the Democratic Republic of Congo in 2008, while another isolated death occurred last year [2011, in Uganda]. Ebola [hemorrhagic fever], which has no known cure, is highly infectious and symptoms include vomiting, diarrhea, and external and internal bleeding. It was first identified in 1976 in Congo near the River Ebola.
[Byline: Henry Wasswa]
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
******
[2] Date Tue 7 Aug 2012
Source: New Vision (Uganda) [edited]
http://www.newvision.co.ug/news/633833- ... Ebola.html
A total of 29 people in Kibaale district, who were initially suspected of having contracted a deadly ebolavirus [infection], have been cleared to return home, the Health Ministry has said. Of the 36 cases that are in isolation, only 3 have been confirmed to have ebolavirus [infection], the Health Ministry spokesperson, Rukia Nakamatte, told New Vision online. She said health experts are still monitoring the condition of those that will be discharged before allowing them to return home. However, 9 were discharged on Monday [6 Aug 2012], New Vision has learnt. "We are finalising plans to allow 29 of the cases to return home because they tested negative for ebolavirus," she said.
Nakamatte explained that while no new cases have been recorded, the ministry surveillance team is still on high alert. Nakamatte also disclosed that health experts were monitoring 398 cases believed to have come into contact with people who died of Ebola [hemorrhagic fever]. Of these, 84 have passed the 21- day period during which signs of infection would have shown, although they are still being monitored.
Dr Joseph Amonye, the national coordinator of the Ebola task force, said the samples taken from these people were negative and there was no reason of confining them at the isolation centre. "We have tested their samples and found out that they do not have Ebola [hemorrhagic fever]," said Amonye.
Meanwhile, Mulago Hospital has discharged a suspected Ebola patient who was admitted at the isolation camp. Speaking in an interview with the press at Mulago, the hospital's executive director, Dr Baterana Byarugaba, said: "This suspected patient had gone to Kibaale. He developed features similar to malaria and people thought that he had Ebola [hemorrhagic fever]. But we have since established that the gentleman does not have [the disease]."
[Byline: Taddeo Bwamba Le, Violet Nabatan Zi, Ismael Kasooha]
--
Communicated by:
ProMED-mail Rapporteur Kunihiko Iizuka
*****
[3] Date: Tue 7 Aug 2012
From: Daniel Bausch [edited]
[Re: ProMED-mail Ebola hemorrhagic fever - Uganda (12) 20120806.1230691]
A comment on bleeding in hemorrhagic fever
------------------------------------------
Regarding bleeding in Ebola hemorrhagic fever, during the Ebola outbreak in Gulu, Uganda in 2000-2001, we collected detailed clinical information on over 100 patients with laboratory confirmed Ebola Sudan virus infection. Excluding subconjunctival bleeding/injection, hemorrhage was noted in only approximately 20 percent of the patients and virtually always occurred in the later stage of illness. Hematemesis and bleeding from the gums were the most frequent hemorrhagic manifestations. Many patients die without visible hemorrhage although, when present, hemorrhage does confer a poor prognosis. Studies done in the isolation ward demonstrated that [ebolavirus] was shed in a wide variety of bodily fluids during the acute period of illness but that the risk of transmission from fomites or from convalescent patients was low (Bausch et al, J Infect Dis. 2007 Nov 15; 196 Suppl 2:S142-7).
This information may be helpful to those combating the present outbreak in Kibaale.
--
Daniel Bausch, MD, MPH&TM
Tulane School of Public Health and Tropical Medicine
New Orleans
USA
[From these and other recent reports it seems probable that this outbreak in the Kibaale District of Uganda has been contained. There have been at least 16 fatalities, but the suspected cases and their contacts are gradually being released provided they show no symptoms during the 21-day surveillance period post exposure.
Dr Daniel Bausch's commentary on hemorrhage is particularly relevant in assessment of the progress of the Kibaale outbreak.
The news story in part [1] of the post above includes an interesting photograph of containment arrangements at Kigadi Hospital in Kibaale.
A HealthMap/ProMED-mail map can be accessed at http://healthmap.org/r/2Xz8. - Mod.CP]
*************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
[1] Date: Tue 7 Aug 22012
Source: Times Live, South African Press Association (SAPA)/Deutsche Presse-Agentur (DPA) report [edited]
http://www.timeslive.co.za/africa/2012/ ... ontrol-who
An outbreak of the deadly ebolavirus in Uganda, which has killed 16 people has been stemmed, according to a World Health Organization (WHO) official
The outbreak started in western region of Kibaale in the East Africa nation in July [2012]. Some 300 people who were in contact with those who were infected are likely to still remain under observation.
"The cases are now confined only to Kibaale. The [ebolavirus] outbreak is now under control. But there is need to make follow-ups of the contact cases. Surveillance should be intensified over these cases because we can only be sure that they are safe after 21 days," Solomon Fisseha, WHO deputy head in Uganda, told SAPA DPA press agency. The outbreak had forced hundreds of schools to close and in the worst affected areas even social gatherings were banned.
This is the 4th outbreak of [ebolavirus] in the country since 2000, when it killed 224 people. About 40 people died of the disease in villages along the border with the Democratic Republic of Congo in 2008, while another isolated death occurred last year [2011, in Uganda]. Ebola [hemorrhagic fever], which has no known cure, is highly infectious and symptoms include vomiting, diarrhea, and external and internal bleeding. It was first identified in 1976 in Congo near the River Ebola.
[Byline: Henry Wasswa]
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
******
[2] Date Tue 7 Aug 2012
Source: New Vision (Uganda) [edited]
http://www.newvision.co.ug/news/633833- ... Ebola.html
A total of 29 people in Kibaale district, who were initially suspected of having contracted a deadly ebolavirus [infection], have been cleared to return home, the Health Ministry has said. Of the 36 cases that are in isolation, only 3 have been confirmed to have ebolavirus [infection], the Health Ministry spokesperson, Rukia Nakamatte, told New Vision online. She said health experts are still monitoring the condition of those that will be discharged before allowing them to return home. However, 9 were discharged on Monday [6 Aug 2012], New Vision has learnt. "We are finalising plans to allow 29 of the cases to return home because they tested negative for ebolavirus," she said.
Nakamatte explained that while no new cases have been recorded, the ministry surveillance team is still on high alert. Nakamatte also disclosed that health experts were monitoring 398 cases believed to have come into contact with people who died of Ebola [hemorrhagic fever]. Of these, 84 have passed the 21- day period during which signs of infection would have shown, although they are still being monitored.
Dr Joseph Amonye, the national coordinator of the Ebola task force, said the samples taken from these people were negative and there was no reason of confining them at the isolation centre. "We have tested their samples and found out that they do not have Ebola [hemorrhagic fever]," said Amonye.
Meanwhile, Mulago Hospital has discharged a suspected Ebola patient who was admitted at the isolation camp. Speaking in an interview with the press at Mulago, the hospital's executive director, Dr Baterana Byarugaba, said: "This suspected patient had gone to Kibaale. He developed features similar to malaria and people thought that he had Ebola [hemorrhagic fever]. But we have since established that the gentleman does not have [the disease]."
[Byline: Taddeo Bwamba Le, Violet Nabatan Zi, Ismael Kasooha]
--
Communicated by:
ProMED-mail Rapporteur Kunihiko Iizuka
*****
[3] Date: Tue 7 Aug 2012
From: Daniel Bausch [edited]
[Re: ProMED-mail Ebola hemorrhagic fever - Uganda (12) 20120806.1230691]
A comment on bleeding in hemorrhagic fever
------------------------------------------
Regarding bleeding in Ebola hemorrhagic fever, during the Ebola outbreak in Gulu, Uganda in 2000-2001, we collected detailed clinical information on over 100 patients with laboratory confirmed Ebola Sudan virus infection. Excluding subconjunctival bleeding/injection, hemorrhage was noted in only approximately 20 percent of the patients and virtually always occurred in the later stage of illness. Hematemesis and bleeding from the gums were the most frequent hemorrhagic manifestations. Many patients die without visible hemorrhage although, when present, hemorrhage does confer a poor prognosis. Studies done in the isolation ward demonstrated that [ebolavirus] was shed in a wide variety of bodily fluids during the acute period of illness but that the risk of transmission from fomites or from convalescent patients was low (Bausch et al, J Infect Dis. 2007 Nov 15; 196 Suppl 2:S142-7).
This information may be helpful to those combating the present outbreak in Kibaale.
--
Daniel Bausch, MD, MPH&TM
Tulane School of Public Health and Tropical Medicine
New Orleans
USA
[From these and other recent reports it seems probable that this outbreak in the Kibaale District of Uganda has been contained. There have been at least 16 fatalities, but the suspected cases and their contacts are gradually being released provided they show no symptoms during the 21-day surveillance period post exposure.
Dr Daniel Bausch's commentary on hemorrhage is particularly relevant in assessment of the progress of the Kibaale outbreak.
The news story in part [1] of the post above includes an interesting photograph of containment arrangements at Kigadi Hospital in Kibaale.
A HealthMap/ProMED-mail map can be accessed at http://healthmap.org/r/2Xz8. - Mod.CP]
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Ebola-Fieber in Uganda
Uganda - Ebola hämorrhagisches Fieber (EHF)
07.08.2012
Seit Anfang Juli gibt es einen Ausbruch des hämorrhagischen Fiebers im Distrikt Kibaale im Westen des Landes, mittlerweile sind 17 Menschen verstorben und insgesamt mindestens 53 erkrankt. Weitere 253 Menschen werden engmaschig überwacht, da sie möglicherweise Kontakt zu erkrankten Personen hatten. Die Infektion verläuft in 50-80% der Fälle tödlich. Die ugandischen Gesundheitsbehörden zusammen mit Experten der WHO und des CDC haben zahlreiche Maßnahmen eingeleitet, eine weitere Ausbreitung zu verhindern. Die Übertragung erfolgt durch engen Kontakt (Blut, Körperflüssigkeiten) von Mensch zu Mensch. Die Infektion ist hochansteckend, eine spezifische Therapie existiert nicht. Zuletzt waren bei Epidemien in den Jahren 2000 und 2007 über 200 Menschen verstorben. Im vergangenen Jahr starb ein 12-jähriges Mädchen. / Quelle: crm
Gruß
Birgitt
07.08.2012
Seit Anfang Juli gibt es einen Ausbruch des hämorrhagischen Fiebers im Distrikt Kibaale im Westen des Landes, mittlerweile sind 17 Menschen verstorben und insgesamt mindestens 53 erkrankt. Weitere 253 Menschen werden engmaschig überwacht, da sie möglicherweise Kontakt zu erkrankten Personen hatten. Die Infektion verläuft in 50-80% der Fälle tödlich. Die ugandischen Gesundheitsbehörden zusammen mit Experten der WHO und des CDC haben zahlreiche Maßnahmen eingeleitet, eine weitere Ausbreitung zu verhindern. Die Übertragung erfolgt durch engen Kontakt (Blut, Körperflüssigkeiten) von Mensch zu Mensch. Die Infektion ist hochansteckend, eine spezifische Therapie existiert nicht. Zuletzt waren bei Epidemien in den Jahren 2000 und 2007 über 200 Menschen verstorben. Im vergangenen Jahr starb ein 12-jähriges Mädchen. / Quelle: crm
Gruß
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Ebola-Fieber in Uganda
EBOLA HEMORRHAGIC FEVER - UGANDA (14)
**************************************
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 7 Aug 2012
Source: The Daily Monitor [abbrev., edited]
http://www.monitor.co.ug/News/National/ ... index.html
In summary -- the latest on ebolavirus infection
------------------------------------------------
- Admissions; 36 people have so far been admitted on suspicion of having the virus.
- Contact cases; 398 people are suspected to have got into contact with Ebola patients but of these, 295 have so far been followed.
- To be discharged; 29 patients who were admitted on suspicion of Ebola and tested negative will be discharged from Kagadi hospital.
- More detected cases; 3 more people tested positive for ebolavirus infection.
More Ebola haemorrhagic fever cases detected
--------------------------------------------
A total of 3 more people had by yesterday tested positive of the ebolavirus infection and were admitted to Kagadi Hospital, raising the number of confirmed cases to 13. Of these, 6 are still admitted, 3 have since died while 4 have recovered since the Ebola virus epidemic was declared.
The disease has so far claimed 16 lives inclusive of the 13 that died before the epidemic was officially declared. Health officials in Kibaale District said they had discharged 7 patients, 3 of whom are inmates who were admitted on suspicion of suffering from ebolavirus infection. "They have been given a resettlement package to help them re-unite with their families and live better lives," Mr Stephen Mfashingabo, the vice chairperson of the District Ebola Task Force, said. They are some of the 29 patients who tested negative of ebolavirus infection and are being released gradually from hospital. They are also accompanied by counsellors to re-unite them with their respective families.
Earlier on, Dr Dan Kyamanywa, the Kibaale District health officer, said those that had tested positive were already on treatment, while those that tested negative were being examined to ensure that they regain enough strength before they are discharged. "The 3 new patients that tested positive have been put on treatment and are being closely monitored. 29 suspected cases have tested negative and are currently being screened by our officials to see who is in good shape to go back home," Mr Kyamanywa said. He added that ebolavirus infection contacts had increased from 353 by Sunday to 398 yesterday with medics following up 295 cases.
However, Asuman Lukwago, the permanent secretary in the Ministry of Health, told the Daily Monitor that he was not aware of any new positive cases. "The information I have extends up to yesterday night (5 Aug 2012). There is no new case of ebolavirus infection. In case of any new cases, we shall officially communicate."
[Byline: Nicholas Kalungi, Francis Mugerwa, Ronald Tumusiime]
--
Communicated by:
ProMED-mail from HealthMap alerts
[Overall the Ebola hemorrhagic fever outbreak remains confined to the Kibaale District of Uganda. It is unclear how many of the ebolavirus-positive diagnoses have been confirmed by laboratory testing.
A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/r/1wa6. - Mod.CP
A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/r/1wa6.]
**************************************
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 7 Aug 2012
Source: The Daily Monitor [abbrev., edited]
http://www.monitor.co.ug/News/National/ ... index.html
In summary -- the latest on ebolavirus infection
------------------------------------------------
- Admissions; 36 people have so far been admitted on suspicion of having the virus.
- Contact cases; 398 people are suspected to have got into contact with Ebola patients but of these, 295 have so far been followed.
- To be discharged; 29 patients who were admitted on suspicion of Ebola and tested negative will be discharged from Kagadi hospital.
- More detected cases; 3 more people tested positive for ebolavirus infection.
More Ebola haemorrhagic fever cases detected
--------------------------------------------
A total of 3 more people had by yesterday tested positive of the ebolavirus infection and were admitted to Kagadi Hospital, raising the number of confirmed cases to 13. Of these, 6 are still admitted, 3 have since died while 4 have recovered since the Ebola virus epidemic was declared.
The disease has so far claimed 16 lives inclusive of the 13 that died before the epidemic was officially declared. Health officials in Kibaale District said they had discharged 7 patients, 3 of whom are inmates who were admitted on suspicion of suffering from ebolavirus infection. "They have been given a resettlement package to help them re-unite with their families and live better lives," Mr Stephen Mfashingabo, the vice chairperson of the District Ebola Task Force, said. They are some of the 29 patients who tested negative of ebolavirus infection and are being released gradually from hospital. They are also accompanied by counsellors to re-unite them with their respective families.
Earlier on, Dr Dan Kyamanywa, the Kibaale District health officer, said those that had tested positive were already on treatment, while those that tested negative were being examined to ensure that they regain enough strength before they are discharged. "The 3 new patients that tested positive have been put on treatment and are being closely monitored. 29 suspected cases have tested negative and are currently being screened by our officials to see who is in good shape to go back home," Mr Kyamanywa said. He added that ebolavirus infection contacts had increased from 353 by Sunday to 398 yesterday with medics following up 295 cases.
However, Asuman Lukwago, the permanent secretary in the Ministry of Health, told the Daily Monitor that he was not aware of any new positive cases. "The information I have extends up to yesterday night (5 Aug 2012). There is no new case of ebolavirus infection. In case of any new cases, we shall officially communicate."
[Byline: Nicholas Kalungi, Francis Mugerwa, Ronald Tumusiime]
--
Communicated by:
ProMED-mail from HealthMap alerts
[Overall the Ebola hemorrhagic fever outbreak remains confined to the Kibaale District of Uganda. It is unclear how many of the ebolavirus-positive diagnoses have been confirmed by laboratory testing.
A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/r/1wa6. - Mod.CP
A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/r/1wa6.]
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Ebola-Fieber in Uganda - Kibaale
Reise-/Sicherheitshinweis Auswärtiges Amt vom 09.08.2012Auswärtiges Amt hat geschrieben:Nach der medizinischen Evaluation der Situation vor Ort ist ein Expertenteam des ugandischen Gesundheitsministeriums, der WHO und des Centers for Disease Control and Prevention (CDC) zwischenzeitlich zu dem Ergebnis gekommen, dass die akute Phase des Ausbruchs beendet ist; es wurden keine neuen Fälle mehr diagnostiziert.
Reisende in den betroffenen Distrikt sollten sich trotzdem noch in den Medien zur aktuellen epidemiologischen Situation informieren.
Gruß
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Ebola-Fieber in Uganda
Ebola in Uganda – update
10.08.2012 - WHO
The Ministry of Health (MoH) is continuing to work with partners to respond to the Ebola haemorrhagic fever outbreak in Uganda. As of 8 August 2012, the MoH has recorded a total of 23 probable and confirmed cases, including 16 deaths. Of these, 10 cases have been laboratory confirmed by the Uganda Virus Research Institute (UVRI) in Entebbe.
The most recent confirmed case was isolated in Kagadi isolation facility on 4 August 2012. So far, samples from other districts tested have been negative for Ebola. Suspected cases that tested negative during the laboratory investigations have been treated for their ailments and discharged following recovery.
All people who came into contact with probable and confirmed cases of Ebola are being followed-up for a period of 21 days. Among the contact persons, 190 have completed 21 days of close monitoring, while 185 are still being closely monitored for any possible sign or symptom of illness.
Response
The Government is closely working with partners to implement interventions to respond to the outbreak. The partners include African Field Epidemiology Network (AFENET), EMESCO Foundation (a local NGO), Infectious Diseases Institute (IDI), Uganda Red Cross Society (URCS), Médecins Sans Frontières (MSF), US Centers for Disease Control and Prevention (US CDC), and WHO. WHO is also coordinating with Global Outbreak Alert and Response Network (GOARN) partners.
Efforts are in progress to mobilize additional resources to respond to the outbreak.
With the support of MSF, a temporary isolation facility for suspected cases has been established in Kagadi, Kibaale district.
Active surveillance is ongoing in and around Kibaale district, where the index case was identified. Teams are also being trained to provide psycho-social support to families affected by the outbreak.
Campaigns to raise awareness about prevention and control of Ebola are being carried out throughout the country. The MoH is advising the public to take measures to avert the spread of the disease and to report any suspected patient to the nearest health unit. Public announcements are being disseminated in 11 local languages on 20 radio stations at the national level. At the local level, over 120 URCS volunteers are conducting active door-to-door and community campaigns in over 85 villages.
Neighbouring countries
Countries sharing a border with Uganda are taking steps to enhance surveillance regarding Ebola; at the time of this update, none of them have reported any confirmed cases.
WHO does not recommend that any travel or trade restrictions are applied to Uganda.
Gruß
Birgitt
10.08.2012 - WHO
The Ministry of Health (MoH) is continuing to work with partners to respond to the Ebola haemorrhagic fever outbreak in Uganda. As of 8 August 2012, the MoH has recorded a total of 23 probable and confirmed cases, including 16 deaths. Of these, 10 cases have been laboratory confirmed by the Uganda Virus Research Institute (UVRI) in Entebbe.
The most recent confirmed case was isolated in Kagadi isolation facility on 4 August 2012. So far, samples from other districts tested have been negative for Ebola. Suspected cases that tested negative during the laboratory investigations have been treated for their ailments and discharged following recovery.
All people who came into contact with probable and confirmed cases of Ebola are being followed-up for a period of 21 days. Among the contact persons, 190 have completed 21 days of close monitoring, while 185 are still being closely monitored for any possible sign or symptom of illness.
Response
The Government is closely working with partners to implement interventions to respond to the outbreak. The partners include African Field Epidemiology Network (AFENET), EMESCO Foundation (a local NGO), Infectious Diseases Institute (IDI), Uganda Red Cross Society (URCS), Médecins Sans Frontières (MSF), US Centers for Disease Control and Prevention (US CDC), and WHO. WHO is also coordinating with Global Outbreak Alert and Response Network (GOARN) partners.
Efforts are in progress to mobilize additional resources to respond to the outbreak.
With the support of MSF, a temporary isolation facility for suspected cases has been established in Kagadi, Kibaale district.
Active surveillance is ongoing in and around Kibaale district, where the index case was identified. Teams are also being trained to provide psycho-social support to families affected by the outbreak.
Campaigns to raise awareness about prevention and control of Ebola are being carried out throughout the country. The MoH is advising the public to take measures to avert the spread of the disease and to report any suspected patient to the nearest health unit. Public announcements are being disseminated in 11 local languages on 20 radio stations at the national level. At the local level, over 120 URCS volunteers are conducting active door-to-door and community campaigns in over 85 villages.
Neighbouring countries
Countries sharing a border with Uganda are taking steps to enhance surveillance regarding Ebola; at the time of this update, none of them have reported any confirmed cases.
WHO does not recommend that any travel or trade restrictions are applied to Uganda.
Gruß
Birgitt
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Ebola-Fieber in Uganda
Uganda - Ebola hämorrhagisches Fieber (EHF)
10.08.2012
Seit Anfang Juli gibt es einen Ausbruch des hämorrhagischen Fiebers im Distrikt Kibaale im Westen des Landes, es sind mindestens 16 Menschen verstorben, etwa 50 sind erkrankt. Ungefähr 300 Kontaktpersonen werden engmaschig überwacht. Die Infektion verläuft in 50-80% der Fälle tödlich. Die ugandischen Gesundheitsbehörden zusammen mit Experten der WHO und des CDC haben zahlreiche Maßnahmen eingeleitet, um eine weitere Ausbreitung zu verhindern. Diese Maßnahmen zeigen sehr gute Erfolge. Die Übertragung erfolgt durch engen Kontakt (Blut, Körperflüssigkeiten) von Mensch zu Mensch. Die Infektion ist hochansteckend, eine spezifische Therapie existiert nicht. Zuletzt waren bei Epidemien in den Jahren 2000 und 2007 über 200 Menschen verstorben. Im vergangenen Jahr starb ein 12-jähriges Mädchen. / Quelle: crm
Gruß
Birgitt
10.08.2012
Seit Anfang Juli gibt es einen Ausbruch des hämorrhagischen Fiebers im Distrikt Kibaale im Westen des Landes, es sind mindestens 16 Menschen verstorben, etwa 50 sind erkrankt. Ungefähr 300 Kontaktpersonen werden engmaschig überwacht. Die Infektion verläuft in 50-80% der Fälle tödlich. Die ugandischen Gesundheitsbehörden zusammen mit Experten der WHO und des CDC haben zahlreiche Maßnahmen eingeleitet, um eine weitere Ausbreitung zu verhindern. Diese Maßnahmen zeigen sehr gute Erfolge. Die Übertragung erfolgt durch engen Kontakt (Blut, Körperflüssigkeiten) von Mensch zu Mensch. Die Infektion ist hochansteckend, eine spezifische Therapie existiert nicht. Zuletzt waren bei Epidemien in den Jahren 2000 und 2007 über 200 Menschen verstorben. Im vergangenen Jahr starb ein 12-jähriges Mädchen. / Quelle: crm
Gruß
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Ebola-Fieber in Uganda unter Kontrolle ?
Uganda's deadly Ebola outbreak under control, says MSFThe outbreak of the deadly Ebola virus in Uganda appears to be under control, says the medical charity Medecins Sans Frontieres (MSF). The last confirmed death from Ebola took place 11 days ago, MSF epidemiologist Dr Paul Roddy told the BBC. But he warned that if a pocket of the virus was missed it could erupt once more. He said there had been 19 confirmed and probable deaths during the outbreak. "We are still receiving admissions of individuals that meet the clinical and epidemiological case definitions, but we have not had a laboratory-confirmed Ebola death in 11 days, and the last identified individual that we received with a positive laboratory confirmation was six days ago," said Dr Roddy. Dr Roddy said that if there were no confirmed cases for 42 days the outbreak could be considered contained.
11.08.2012 - BBC
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Ebola-Fieber in Uganda - Kibaale
EBOLA HEMORRHAGIC FEVER - UGANDA (17) (KIBAALAE)
************************************************
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International Society for Infectious Diseases
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Date: Sun 12 Aug 2012
Source: New Vision (Uganda) [summ., edited]
http://www.newvision.co.ug/news/634018- ... back.html=
The outbreak of Ebola [fever] in Kibaale district is still shrouded in mystery 52 days after the 1st patient died. A mother left her 2 month old baby sleeping in a mud and wattle hut and went to her crop garden. On return, she found the baby dead. The baby's left palm had the sign of an animal bite. Neighbours who spoke to Sunday Vision suspected that it could have been a monkey, but no one really saw it. About 300 metres [328 yards] away from the family is a 10-acre [4 ha] forest and there are bushes in between, so it would be possible for a monkey or any other small animal to move unnoticed.
A 15 year old girl who touched the baby's wound, became sick 2 days later, and died on 21 Jun 2012. Eventually, 9 members of the family died but the baby's mother did not become sick. Then the baby's father and a paternal uncle fell sick. According to the national Ebola task force, the 15 year old girl was the 1st patient. However, locals insist she got the disease from the baby. Medical theory indicates that an Ebola [fever] outbreak starts when an infected animal, most likely a monkey or a bat, infects a human being. Through direct contact, s/he then infects other people. However, it is not clear how animals become infected and where the virus hides in the environment before infecting animals.
Critics have blamed the Ministry of Health for taking long to diagnose [ebolavirus infection]. By the time the ministry announced it was Ebola [fever] on 24 Jul 2012, the epidemic had gone on for 37 days, killing 14 people including a clinical officer. The ministry, on the other hand, says the outbreak was confusing because it did not show the typical symptoms [that is, little haemorrhage]. Tests have shown that the current epidemic has been caused by a strain of the virus known as Sudan ebolavirus. However, its signs are different from the previously known Sudan ebolavirus outbreaks.
According to a press statement released by the health ministry last week [week of 6 Aug 2012], the number of people contracting [ebolavirus] had reduced significantly due to increased public awareness. No case has been reported outside Kibaale, says the statement signed by Dr Denis Lwamafa on behalf of the director general of Health Services. By Thu 19 Aug 2012, 190 out of the 408 people being observed after coming in contact with Ebola fever patients had been declared free of the disease after they did not become sick within 21 days, the maximum incubation period. The ward had only 3 ebolavirus infected patients, one of whom was recovering.
But the campaign has not been without challenges and, as Dr Mbonye argues, the Kibaale outbreak should be a lesson. "The government should have an emergency fund for epidemics because every time we are faced with outbreaks, the ministry has to run to cabinet and parliament to ask for funds. This consumes a lot of time as people are dying. At least funds should be earmarked for epidemics annually," said Mbonye. Nearly half the budget for the campaign against [the current ebolavirus outbreak] has come from donors, and officials argue it is disastrous to depend on donors for epidemic responses.
According to Dr Anthony Mbonye, the commissioner for health service and head of community health, it is unusual for an Ebola [fever] patient to bleed after, rather than before death as was the case in Kibaale. The patients had high fever, vomiting, diarrhoea, and stomach aches. Most of them were not bleeding until after death. It was initially mistaken for malaria.
Mbonye says the health ministry is preparing to conduct ecological studies in the area to investigate the cause of the outbreak. It might involve catching monkey, rodents, bats, and other wild animals and testing them for the virus. But we have never understood the exact animal reservoir. In Luweero we slaughtered monkeys and birds in pursuit of the cause but the results were negative," says Mbonye. "What we know is that ebolavirus is highly infectious. If an infected monkey, for instance, ate part of a fruit, you don't need to eat it to catch the virus; you can get infected if you touch it and don't disinfect your hands."
Although the current outbreak is small, it has a big impact on the economy. Already the tourism sector has begun feeling the pinch as some tourists cancel trips for fear of catching the deadly contagious virus.
[byline: Francis Kagolo, Ismael Kasooha]
--
communicated by:
ProMED-mail rapporteur Mary Marshall
[At this time ProMED-mail has seen no independent information to verify this account of the early events in the outbreak of Sudan ebolavirus infection in Kibaale.
Kibaale District is a district in Western Uganda. It is named after its principal town where the district headquarters are located. Kibaale can be located on the map of the districts of Uganda at http://en.wikipedia.org/wiki/Districts_of_Uganda. A HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/2Xz8. - Mod.CP]
************************************************
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: Sun 12 Aug 2012
Source: New Vision (Uganda) [summ., edited]
http://www.newvision.co.ug/news/634018- ... back.html=
The outbreak of Ebola [fever] in Kibaale district is still shrouded in mystery 52 days after the 1st patient died. A mother left her 2 month old baby sleeping in a mud and wattle hut and went to her crop garden. On return, she found the baby dead. The baby's left palm had the sign of an animal bite. Neighbours who spoke to Sunday Vision suspected that it could have been a monkey, but no one really saw it. About 300 metres [328 yards] away from the family is a 10-acre [4 ha] forest and there are bushes in between, so it would be possible for a monkey or any other small animal to move unnoticed.
A 15 year old girl who touched the baby's wound, became sick 2 days later, and died on 21 Jun 2012. Eventually, 9 members of the family died but the baby's mother did not become sick. Then the baby's father and a paternal uncle fell sick. According to the national Ebola task force, the 15 year old girl was the 1st patient. However, locals insist she got the disease from the baby. Medical theory indicates that an Ebola [fever] outbreak starts when an infected animal, most likely a monkey or a bat, infects a human being. Through direct contact, s/he then infects other people. However, it is not clear how animals become infected and where the virus hides in the environment before infecting animals.
Critics have blamed the Ministry of Health for taking long to diagnose [ebolavirus infection]. By the time the ministry announced it was Ebola [fever] on 24 Jul 2012, the epidemic had gone on for 37 days, killing 14 people including a clinical officer. The ministry, on the other hand, says the outbreak was confusing because it did not show the typical symptoms [that is, little haemorrhage]. Tests have shown that the current epidemic has been caused by a strain of the virus known as Sudan ebolavirus. However, its signs are different from the previously known Sudan ebolavirus outbreaks.
According to a press statement released by the health ministry last week [week of 6 Aug 2012], the number of people contracting [ebolavirus] had reduced significantly due to increased public awareness. No case has been reported outside Kibaale, says the statement signed by Dr Denis Lwamafa on behalf of the director general of Health Services. By Thu 19 Aug 2012, 190 out of the 408 people being observed after coming in contact with Ebola fever patients had been declared free of the disease after they did not become sick within 21 days, the maximum incubation period. The ward had only 3 ebolavirus infected patients, one of whom was recovering.
But the campaign has not been without challenges and, as Dr Mbonye argues, the Kibaale outbreak should be a lesson. "The government should have an emergency fund for epidemics because every time we are faced with outbreaks, the ministry has to run to cabinet and parliament to ask for funds. This consumes a lot of time as people are dying. At least funds should be earmarked for epidemics annually," said Mbonye. Nearly half the budget for the campaign against [the current ebolavirus outbreak] has come from donors, and officials argue it is disastrous to depend on donors for epidemic responses.
According to Dr Anthony Mbonye, the commissioner for health service and head of community health, it is unusual for an Ebola [fever] patient to bleed after, rather than before death as was the case in Kibaale. The patients had high fever, vomiting, diarrhoea, and stomach aches. Most of them were not bleeding until after death. It was initially mistaken for malaria.
Mbonye says the health ministry is preparing to conduct ecological studies in the area to investigate the cause of the outbreak. It might involve catching monkey, rodents, bats, and other wild animals and testing them for the virus. But we have never understood the exact animal reservoir. In Luweero we slaughtered monkeys and birds in pursuit of the cause but the results were negative," says Mbonye. "What we know is that ebolavirus is highly infectious. If an infected monkey, for instance, ate part of a fruit, you don't need to eat it to catch the virus; you can get infected if you touch it and don't disinfect your hands."
Although the current outbreak is small, it has a big impact on the economy. Already the tourism sector has begun feeling the pinch as some tourists cancel trips for fear of catching the deadly contagious virus.
[byline: Francis Kagolo, Ismael Kasooha]
--
communicated by:
ProMED-mail rapporteur Mary Marshall
[At this time ProMED-mail has seen no independent information to verify this account of the early events in the outbreak of Sudan ebolavirus infection in Kibaale.
Kibaale District is a district in Western Uganda. It is named after its principal town where the district headquarters are located. Kibaale can be located on the map of the districts of Uganda at http://en.wikipedia.org/wiki/Districts_of_Uganda. A HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/2Xz8. - Mod.CP]
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Ebola-Fieber in Uganda
Ebola in Uganda – update
14.08.2012 - WHO
The Ministry of Health of Uganda (MoH) continues to work with partners including WHO, CDC, Red Cross, MSF, World Vision, PREDICT, among others to control the outbreak of Ebola haemorrhagic fever in Kibaale district. The national and district task forces continue to meet daily to coordinate the response to the outbreak.
To date, 24 probable and confirmed cases including 16 deaths have been reported. 10 cases have been laboratory confirmed by the Uganda Virus Research Institute (UVRI) in Entebbe. The most recent confirmed case was admitted in Kagadi isolation facility on 4 August 2012.
Suspected cases which tested negative during the laboratory investigations have been discarded as Ebola patients, treated symptomatically for their ailments and discharged following recovery. A total of 43 people have been discharged from the isolation facility including one confirmed case. With the support of the psychosocial team, these 43 people have been counselled prior to discharge and reintegrated into the community. Even for the people who were negative for Ebola, psychosocial counselling of the communities to which they are returning, has been very important. It has allayed fears and reduced stigma, enabling them to be accepted back in the community.
All contacts of probable and confirmed cases are followed up daily for 21 days and are monitored for any possible signs or symptoms of illness. All alerts of suspected cases in the other districts have been investigated and are negative for Ebola.
In Kibaale district, the MoH is working in close coordination with Médecins Sans Frontières (MSF) in clinical management of suspected and confirmed cases.
Social mobilization teams comprising Red Cross volunteers and village health teams have reached most of the villages and households in the most affected sub-counties in Kibaale district. These activities are reinforced by the distribution of Information, Education and Communication (IEC) materials, and by the broadcast of health awareness messages on radio and by film vans.
Neighbouring countries
Countries sharing borders with Uganda are taking steps to enhance surveillance for Ebola; at the time of this update, none of them have reported any confirmed cases.
WHO does not recommend that any travel or trade restrictions are applied to Uganda.
____________
Uganda - Ebola hämorrhagisches Fieber (EHF)
14.08.2012
Seit Anfang Juli gibt es einen Ausbruch des hämorrhagischen Fiebers im Distrikt Kibaale im Westen des Landes, es sind mindestens 16 Menschen verstorben, etwa 23 sind erkrankt. Über 300 Kontaktpersonen werden engmaschig überwacht. Die Infektion verläuft in 50-80% der Fälle tödlich. Die ugandischen Gesundheitsbehörden zusammen mit Experten der WHO und des CDC haben zahlreiche Maßnahmen eingeleitet, um eine weitere Ausbreitung zu verhindern. Diese Maßnahmen zeigen sehr gute Erfolge. Die Übertragung erfolgt durch engen Kontakt (Blut, Körperflüssigkeiten) von Mensch zu Mensch. Die Infektion ist hochansteckend, eine spezifische Therapie existiert nicht. Zuletzt waren bei Epidemien in den Jahren 2000 und 2007 über 200 Menschen verstorben. Im vergangenen Jahr starb ein 12-jähriges Mädchen. / Quelle: crm
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Birgitt
14.08.2012 - WHO
The Ministry of Health of Uganda (MoH) continues to work with partners including WHO, CDC, Red Cross, MSF, World Vision, PREDICT, among others to control the outbreak of Ebola haemorrhagic fever in Kibaale district. The national and district task forces continue to meet daily to coordinate the response to the outbreak.
To date, 24 probable and confirmed cases including 16 deaths have been reported. 10 cases have been laboratory confirmed by the Uganda Virus Research Institute (UVRI) in Entebbe. The most recent confirmed case was admitted in Kagadi isolation facility on 4 August 2012.
Suspected cases which tested negative during the laboratory investigations have been discarded as Ebola patients, treated symptomatically for their ailments and discharged following recovery. A total of 43 people have been discharged from the isolation facility including one confirmed case. With the support of the psychosocial team, these 43 people have been counselled prior to discharge and reintegrated into the community. Even for the people who were negative for Ebola, psychosocial counselling of the communities to which they are returning, has been very important. It has allayed fears and reduced stigma, enabling them to be accepted back in the community.
All contacts of probable and confirmed cases are followed up daily for 21 days and are monitored for any possible signs or symptoms of illness. All alerts of suspected cases in the other districts have been investigated and are negative for Ebola.
In Kibaale district, the MoH is working in close coordination with Médecins Sans Frontières (MSF) in clinical management of suspected and confirmed cases.
Social mobilization teams comprising Red Cross volunteers and village health teams have reached most of the villages and households in the most affected sub-counties in Kibaale district. These activities are reinforced by the distribution of Information, Education and Communication (IEC) materials, and by the broadcast of health awareness messages on radio and by film vans.
Neighbouring countries
Countries sharing borders with Uganda are taking steps to enhance surveillance for Ebola; at the time of this update, none of them have reported any confirmed cases.
WHO does not recommend that any travel or trade restrictions are applied to Uganda.
____________
Uganda - Ebola hämorrhagisches Fieber (EHF)
14.08.2012
Seit Anfang Juli gibt es einen Ausbruch des hämorrhagischen Fiebers im Distrikt Kibaale im Westen des Landes, es sind mindestens 16 Menschen verstorben, etwa 23 sind erkrankt. Über 300 Kontaktpersonen werden engmaschig überwacht. Die Infektion verläuft in 50-80% der Fälle tödlich. Die ugandischen Gesundheitsbehörden zusammen mit Experten der WHO und des CDC haben zahlreiche Maßnahmen eingeleitet, um eine weitere Ausbreitung zu verhindern. Diese Maßnahmen zeigen sehr gute Erfolge. Die Übertragung erfolgt durch engen Kontakt (Blut, Körperflüssigkeiten) von Mensch zu Mensch. Die Infektion ist hochansteckend, eine spezifische Therapie existiert nicht. Zuletzt waren bei Epidemien in den Jahren 2000 und 2007 über 200 Menschen verstorben. Im vergangenen Jahr starb ein 12-jähriges Mädchen. / Quelle: crm
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Ebola-Fieber in Uganda
Ebola in Uganda – update
17.08.2012 - WHO
The Ministry of Health of Uganda (MoH) continues to work with partners to control the outbreak of Ebola haemorrhagic fever in Kibaale district. The national and district task forces also meet daily to coordinate the response to the outbreak.
To date, 24 probable and confirmed cases including 16 deaths have been reported. Eleven cases have been laboratory confirmed by the Uganda Virus Research Institute (UVRI) in Entebbe. The last confirmed case was admitted to the Kagadi isolation facility on 4 August 2012.
Suspected cases which tested negative during the laboratory investigations have been discarded as Ebola patients, treated symptomatically for their ailments and discharged following recovery. A total of forty nine (49) people have been discharged from the isolation facility, including one confirmed case.
All contacts of probable and confirmed cases are followed up daily for 21 days and are monitored for any possible signs or symptoms of illness. More than 70% of the 408 listed contacts have completed 21 days of follow up without developing any symptoms. All alerts of suspected cases in the other districts have been investigated and are so far negative for Ebola.
With the support of WHO and other partners, the Ministry of Health has established and equipped an isolation facility at Mulago National referral hospital in Kampala, Uganda in anticipation of receiving suspected cases from other districts, should they occur. Health workers who will manage the facility have already been trained.
Social mobilization teams comprised of Red Cross volunteers and village health teams have reached most of the villages and households in the most affected sub-counties in Kibaale district. These activities are reinforced by the distribution of Information, Education and Communication (IEC) materials, and by the broadcast of health awareness messages on radio and by film vans.
A team led by CDC has begun conducting ecological studies in Kibaale district to try and understand the likely source and route of transmission of this outbreak.
Neighbouring countries
Countries sharing borders with Uganda are taking steps to enhance surveillance for Ebola. At the time of this update, none of them have reported any confirmed cases related to the Uganda outbreak.
WHO does not recommend that any travel or trade restrictions are applied to Uganda.
Gruß
Birgitt
17.08.2012 - WHO
The Ministry of Health of Uganda (MoH) continues to work with partners to control the outbreak of Ebola haemorrhagic fever in Kibaale district. The national and district task forces also meet daily to coordinate the response to the outbreak.
To date, 24 probable and confirmed cases including 16 deaths have been reported. Eleven cases have been laboratory confirmed by the Uganda Virus Research Institute (UVRI) in Entebbe. The last confirmed case was admitted to the Kagadi isolation facility on 4 August 2012.
Suspected cases which tested negative during the laboratory investigations have been discarded as Ebola patients, treated symptomatically for their ailments and discharged following recovery. A total of forty nine (49) people have been discharged from the isolation facility, including one confirmed case.
All contacts of probable and confirmed cases are followed up daily for 21 days and are monitored for any possible signs or symptoms of illness. More than 70% of the 408 listed contacts have completed 21 days of follow up without developing any symptoms. All alerts of suspected cases in the other districts have been investigated and are so far negative for Ebola.
With the support of WHO and other partners, the Ministry of Health has established and equipped an isolation facility at Mulago National referral hospital in Kampala, Uganda in anticipation of receiving suspected cases from other districts, should they occur. Health workers who will manage the facility have already been trained.
Social mobilization teams comprised of Red Cross volunteers and village health teams have reached most of the villages and households in the most affected sub-counties in Kibaale district. These activities are reinforced by the distribution of Information, Education and Communication (IEC) materials, and by the broadcast of health awareness messages on radio and by film vans.
A team led by CDC has begun conducting ecological studies in Kibaale district to try and understand the likely source and route of transmission of this outbreak.
Neighbouring countries
Countries sharing borders with Uganda are taking steps to enhance surveillance for Ebola. At the time of this update, none of them have reported any confirmed cases related to the Uganda outbreak.
WHO does not recommend that any travel or trade restrictions are applied to Uganda.
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Ebola-Fieber in Uganda | Distrikt Kibaale
Uganda - Ebola hämorrhagisches Fieber (EHF)
21.08.2012
Seit Anfang Juli gibt es einen Ausbruch des hämorrhagischen Fiebers im Distrikt Kibaale im Westen des Landes, es sind mindestens 16 Menschen verstorben, etwa 24 waren erkrankt. Bei 70% der etwa 400 Kontaktpersonen ist mittlerweile klar, dass sie sich nicht angesteckt haben. Die Infektion verläuft in 50-80% der Fälle letal. Die ugandischen Gesundheitsbehörden zusammen mit Experten der WHO sowie weiteren Hilfsorganisationen haben zahlreiche Maßnahmen eingeleitet, um eine weitere Ausbreitung zu verhindern. Diese Maßnahmen zeigen sehr gute Erfolge, momentan scheint es als sei der Ausbruch erfolgreich eingedämmt worden. Die Übertragung erfolgt durch engen Kontakt (Blut, Körperflüssigkeiten) von Mensch zu Mensch. Die Infektion ist hochansteckend, eine spezifische Therapie existiert nicht. Zuletzt waren bei Epidemien in den Jahren 2000 und 2007 über 200 Menschen verstorben. Im vergangenen Jahr starb ein 12-jähriges Mädchen. Quelle: crm
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21.08.2012
Seit Anfang Juli gibt es einen Ausbruch des hämorrhagischen Fiebers im Distrikt Kibaale im Westen des Landes, es sind mindestens 16 Menschen verstorben, etwa 24 waren erkrankt. Bei 70% der etwa 400 Kontaktpersonen ist mittlerweile klar, dass sie sich nicht angesteckt haben. Die Infektion verläuft in 50-80% der Fälle letal. Die ugandischen Gesundheitsbehörden zusammen mit Experten der WHO sowie weiteren Hilfsorganisationen haben zahlreiche Maßnahmen eingeleitet, um eine weitere Ausbreitung zu verhindern. Diese Maßnahmen zeigen sehr gute Erfolge, momentan scheint es als sei der Ausbruch erfolgreich eingedämmt worden. Die Übertragung erfolgt durch engen Kontakt (Blut, Körperflüssigkeiten) von Mensch zu Mensch. Die Infektion ist hochansteckend, eine spezifische Therapie existiert nicht. Zuletzt waren bei Epidemien in den Jahren 2000 und 2007 über 200 Menschen verstorben. Im vergangenen Jahr starb ein 12-jähriges Mädchen. Quelle: crm
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Ebola-Fieber in Uganda - Kibaale
EBOLA VIRUS DISEASE - UGANDA (21): (KIBAALE)
********************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
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Date: Fri 24 Aug 2012
Source: UGPulse [edited]
http://www.ugpulse.com/uganda-news/heal ... 26927.aspx>
Another Ebola Patient Dead, Only One Remains In Isolation Facility
--------------------------------------------------------
Another person has succumbed to Ebola virus disease after a long battle with the deadly fever at the isolation facility at Kagadi government hospital in Kibaale district. This brings the total number of people who have died of the deadly disease to 17. The deceased's identity has however been withheld by the Health Ministry. The Ministry's public relations officer Rukia Nakamatte says since [the patient's admission] to the isolation camp her condition had never improved and her chances of survival were minimal. Nakamatte adds that the deceased was HIV-positive and by the time she contracted Ebola virus disease she had just had an abortion thus making her immune system very weak. She says now only one Ebola virus disease patient remains admitted at the isolation facility.
Nakamatte adds that 3 suspected Ebola virus disease cases are currently undergoing monitoring and their samples have already been taken to the Uganda Virus Research Institute for tests.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[The death toll in the Kibaale outbreak of Ebola Sudan virus infection has risen to 17, with only one other case remaining in the isolation facility and receiving treatment. Human immunodeficiency virus (HIV) infection may have been a contributory factor in the death of the 17th case. It will be relevant to establish the HIV-status of the other fatal cases in this outbreak. Three additional cases remain under surveillance. - Mod.CP.
A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/r/1wa6.]
********************************************
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 24 Aug 2012
Source: UGPulse [edited]
http://www.ugpulse.com/uganda-news/heal ... 26927.aspx>
Another Ebola Patient Dead, Only One Remains In Isolation Facility
--------------------------------------------------------
Another person has succumbed to Ebola virus disease after a long battle with the deadly fever at the isolation facility at Kagadi government hospital in Kibaale district. This brings the total number of people who have died of the deadly disease to 17. The deceased's identity has however been withheld by the Health Ministry. The Ministry's public relations officer Rukia Nakamatte says since [the patient's admission] to the isolation camp her condition had never improved and her chances of survival were minimal. Nakamatte adds that the deceased was HIV-positive and by the time she contracted Ebola virus disease she had just had an abortion thus making her immune system very weak. She says now only one Ebola virus disease patient remains admitted at the isolation facility.
Nakamatte adds that 3 suspected Ebola virus disease cases are currently undergoing monitoring and their samples have already been taken to the Uganda Virus Research Institute for tests.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[The death toll in the Kibaale outbreak of Ebola Sudan virus infection has risen to 17, with only one other case remaining in the isolation facility and receiving treatment. Human immunodeficiency virus (HIV) infection may have been a contributory factor in the death of the 17th case. It will be relevant to establish the HIV-status of the other fatal cases in this outbreak. Three additional cases remain under surveillance. - Mod.CP.
A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/r/1wa6.]
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Ebola-Fieber in Uganda - Kibaale
Ebola in Uganda – update
03.09.2012 - WHO
There have been no new confirmed cases of Ebola haemorrhagic fever reported in Kibaale district, Uganda, since 3 August 2012, indicating that the outbreak is coming to an end. A total of 24 probable and confirmed cases including 17 deaths have been reported since the beginning of the outbreak. Of these, 11 cases were laboratory confirmed by the Uganda Virus Research Institute (UVRI) in Entebbe. The last confirmed case was discharged on 24 August 2012 following recovery.
All contacts of probable and confirmed cases have been followed up daily and have completed the recommended 21 days of monitoring for any possible signs or symptoms of Ebola.
The partners who are involved in the response to the Ebola outbreak are transferring capacity to national and district authorities to sustain the essential functions, including enhanced surveillance and response, psychosocial support and infection prevention and control in health care facilities.
The Ebola isolation facilities in Kibaale District Hospital and at Mulago National Referral Hospital in Kampala remain on stand-by for receiving any suspected cases.
The ecological studies team in Kibaale district has collected samples from bats, primates and livestock to study the possible natural history of Ebola virus and putative initial human infection from wildlife.
Neighbouring countries
At the time of this update, an Ebola outbreak is on-going in the Province Orientale of the Democratic Republic of Congo. These two Ebola outbreaks are not epidemiologically linked and have been caused by two different Ebola subtypes; (Uganda: Ebola subtype Sudan, Democratic Republic of Congo Ebola subtype Bundibugyo).
With respect to this event, WHO does not recommend that any travel or trade restrictions are applied to Uganda.
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Birgitt
03.09.2012 - WHO
There have been no new confirmed cases of Ebola haemorrhagic fever reported in Kibaale district, Uganda, since 3 August 2012, indicating that the outbreak is coming to an end. A total of 24 probable and confirmed cases including 17 deaths have been reported since the beginning of the outbreak. Of these, 11 cases were laboratory confirmed by the Uganda Virus Research Institute (UVRI) in Entebbe. The last confirmed case was discharged on 24 August 2012 following recovery.
All contacts of probable and confirmed cases have been followed up daily and have completed the recommended 21 days of monitoring for any possible signs or symptoms of Ebola.
The partners who are involved in the response to the Ebola outbreak are transferring capacity to national and district authorities to sustain the essential functions, including enhanced surveillance and response, psychosocial support and infection prevention and control in health care facilities.
The Ebola isolation facilities in Kibaale District Hospital and at Mulago National Referral Hospital in Kampala remain on stand-by for receiving any suspected cases.
The ecological studies team in Kibaale district has collected samples from bats, primates and livestock to study the possible natural history of Ebola virus and putative initial human infection from wildlife.
Neighbouring countries
At the time of this update, an Ebola outbreak is on-going in the Province Orientale of the Democratic Republic of Congo. These two Ebola outbreaks are not epidemiologically linked and have been caused by two different Ebola subtypes; (Uganda: Ebola subtype Sudan, Democratic Republic of Congo Ebola subtype Bundibugyo).
With respect to this event, WHO does not recommend that any travel or trade restrictions are applied to Uganda.
Gruß
Birgitt
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Birgitt
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Ebola-Fieber in Uganda | Distrikt Kibaale
Uganda - Ebola hämorrhagisches Fieber (EHF)
04.09.2012
Im Juli gab es einen Ausbruch des hämorrhagischen Fiebers im Distrikt Kibaale im Westen des Landes, 17 Menschen sind verstorben, 24 waren erkrankt. Der Ausbruch scheint beendet zu sein, seit Anfang August wurden keine neuen Erkrankungen mehr gemeldet. Die Infektion verläuft in 50-80% der Fälle tödlich. Die Übertragung erfolgt durch engen Kontakt (Blut, Körperflüssigkeiten) von Mensch zu Mensch. Die Infektion ist hochansteckend, eine spezifische Therapie existiert nicht. Zuletzt waren bei Epidemien in den Jahren 2000 und 2007 über 200 Menschen verstorben. Im vergangenen Jahr starb ein 12-jähriges Mädchen. / Quelle: crm
Gruß
Birgitt
04.09.2012
Im Juli gab es einen Ausbruch des hämorrhagischen Fiebers im Distrikt Kibaale im Westen des Landes, 17 Menschen sind verstorben, 24 waren erkrankt. Der Ausbruch scheint beendet zu sein, seit Anfang August wurden keine neuen Erkrankungen mehr gemeldet. Die Infektion verläuft in 50-80% der Fälle tödlich. Die Übertragung erfolgt durch engen Kontakt (Blut, Körperflüssigkeiten) von Mensch zu Mensch. Die Infektion ist hochansteckend, eine spezifische Therapie existiert nicht. Zuletzt waren bei Epidemien in den Jahren 2000 und 2007 über 200 Menschen verstorben. Im vergangenen Jahr starb ein 12-jähriges Mädchen. / Quelle: crm
Gruß
Birgitt
