Don't want you to miss the photo of the isolation unit in the effected hospital.
Medicins Sans Frontieres (MSF) staff attend an Ebola patient inside an isolation ward in Bundibugyo December 12, 2007 in this picture released by MSF on December 20, 2007. (Reuters/Claude Mahoudeau/MSF/Handout)
Panic in Uganda as outbreak of deadly Ebola virus spreads
Published: 30 July, 2012, 19:14
The Ugandan Government has created an emergency task force to deal with an outbreak of the Ebola virus. Dozens of terrified patients have fled hospitals afraid of contracting the disease, making quarantine near-impossible.
The onset of the virus outbreak – the third in the last 12 years – has caused the deaths of at least 14 people in western Uganda.
Depending on the strain the Ebola fatality rate can be up to 90 per cent.
Health officials said the first cases were registered at the beginning of July, but only now have been confirmed as Ebola. In total, 20 people have been infected over the course of the month. Six more cases have been confirmed on Monday, bringing the total number of registered Ebola infections to 26.
The first cases came from a single village, where at first the sudden deaths were explained as witchcraft. Health officials say this slowed the identification of the virus increasing the number infected.
But as soon as news broke of the onset of one of the deadliest virus known to man, patients at the Kagadi hospital where some of the ill have died, fled in terror of being infected.
Ugandan Health Secretary Stephen Bayaruhanga said many sick people who may have been infected with the virus refused to get tested at hospitals, fearing they may contract the disease there if they don’t already have it. In Kampala, where at least two of the cases have been treated, seven doctors and 13 health workers are under quarantine.
There’s no treatment or vaccine against Ebola, which is transmitted by close personal contact, through body fluids and tissues of infected persons. It can also be transmitted by handling sick or dead wild animals infected with the virus, such as gorillas, forest antelopes and fruits bats.
The disease was identified in 1976 in Sudan; its symptoms include sudden fever, intense weakness, muscle pain, headache and sore throat, followed by vomiting, diarrhoea, impaired kidney and live function and bleeding.
Ugandan President Yoweri Museveni urged people to avoid physical contact, and not bury possible Ebola victims on their own.
“Instead call health workers because they know how to do it,” he said.
Museveni said an emergency taskforce has been set up to contain the outbreak, aided by the World Health Organization and US Centers for Diseases Control officers.
This is the third outbreak of Ebola in Uganda. It struck first in 2000 infecting more than 400 people, of who nearly half died. It hit again in 2007, claiming 37 lives.
Other major epidemics of Ebola have occurred in the Democratic Republic of Congo, also in 2007, with more than 180 dead, and in 2002-2003 in the Republic of Congo, killing 128 people.
more photos at link
Have read several articles. Quick synopsis. Ebola got away because it was misidentified in two ways. First, thought to be witchcraft "evil spirits". Second, it didn't express in its normal way, with hemorraging, but appeared to be flu.
It is now in several villages and the capital. At least 19 people have died, and the villages are seeing people flee as ebola is identified there. Neighboring countries are putting watches at the border to try and stop the sick from entering.
The virus test for ebola, including the variant, was released last weekend. The president has asked people to refrain from contact, including promiscuity and hand shakes.
Two suspected Ebola deaths reported in Uganda
By Elias Biryabarema
KAMPALA | Tue Jul 31, 2012 8:32am EDT
(Reuters) - Two more people, including a child, are suspected to have died of the Ebola virus while 11 more have been put in isolation in western Uganda where the deadly hemorrhagic fever was first confirmed last Friday, health workers said on Tuesday.
So far 14 people have died of the disease and Ugandan officials fear a repeat of an outbreak in 2000, the most devastating to date, when 425 people were infected, more than half of whom died.
Dan Kyamanywa, health officer for Kibaale district where the outbreak had started, told Reuters by telephone that villagers had called medical officials on Tuesday to report that two more people had died, including a 5-year old boy.
Kyamanywa said the latest deaths also occurred in Kibaale, about 170 km (100 miles) west of the capital, and near the Democratic Republic of Congo where the virus first emerged in 1976, taking its name from the Ebola River.
"We got calls this morning about these two deaths which occurred in two different villages yesterday (Monday) evening," he said. "The team that we sent says the initial clinical signs that the patients exhibited are typical of Ebola ... also since yesterday, we have admitted 11 more suspected Ebola patients who are now in isolation."
On Monday Uganda's President Yoweri Museveni advised people to avoid shaking hands, casual sex and do-it-yourself burials to reduce the chance of contracting Ebola virus.
Kiiza Xavier, a farmer in Kibaale's Buyanja county said news of the Ebola outbreak was spreading panic among the population.
"People here love their drinking for instance, but now they're too scared to go to bars as they normally do daily," he said. "Proprietors of lodges are also seeing their incomes shrink because people have been advised to avoid sex."
There is no treatment for Ebola, which is transmitted by close contact and body fluids such as saliva, vomit, faeces, sweat, semen and blood.
In the capital Kampala where a health worker from Kibaale, Clare Muhumuza, died on Friday, residents were fast abandoning handshakes for fear of contracting the disease.
Some said, however, they found that culturally embarrassing.
"Obviously the thought of catching Ebola scares me to the bone and I would do anything to avoid it," said Ben Tumwebaze, 28, a motorcycle rider in Kampala.
"But if you meet a good friend especially one you haven't seen in a long time and refuse to shake his or her hand, it might be misunderstood or create hard feelings between both of you."
Another Tom Clancy novel coming true? 747's as flying bombs came true on 9/11. Ebola spread at Olympics next? I think that was in Rainbow Six. The timing seems about right. Couldn't blame it on terrorists easily. They could blame the athletes.
Far more people die from malaria than ebola each year, but there is something about blood coming out of every orifice of the body that just creeps people out.
Earth is bootcamp for eternity.
The Social Security number is a bigger threat to Liberty than Communism or Osama bin Laden.
The advantage to being a pessimist is that you are often pleasantly surprised.
But the progression of Ebola from infection to death is extremely fast (a mattr of days) when compared to malaria and malaria CAN be treated. Apples to strawberries, changed.
Even though it can be treated, malaria still kills far, far more people than ebola. Even during an outbreak, ebola only kills about 200 people.
Last year 780,000 people died from malaria. In the last ebola outbreak in the Congo, 245 people died.
Earth is bootcamp for eternity.
The Social Security number is a bigger threat to Liberty than Communism or Osama bin Laden.
The advantage to being a pessimist is that you are often pleasantly surprised.
No panic intended, folks. Just the news. We can learn both by observing the spread of the illness, the spread and quality of the news, and by observing the responses of the officials involved. If you find this upsetting, please don't read further.
Tuesday, 31 July 2012 20:28 Kenya Moves to Stop Spread Of Ebola from Uganda
Trans-border surveillance has been heightened in the East African countries of Kenya, Uganda and Rwanda, to stop a possible spread of Ebola fever in the region. In Kenya, screening of travellers has been intensified, particularly for those from Western Uganda. Protective medical gear and medical supplies have been dispatched to Western Kenya--- and in particular the Busia and Malaba border points--- as Sally Mbilu reports.
having some trouble with the video, you can see it at the link if you are so disposed (I didn't watch it)
On a related note, twitter reports are coming through that there is a suspected case in hospital in kenya.
gabrieloguda: RT @StandardKenya: Khalwale: A suspected case of #Ebola has been reported in #Siaya district hospital-Parliamentary proceedings
Official number of deaths is now 16 and 36 cases are reported in the original district where it erupted.
This is good. These folks know what they're dealing with and are moving quickly to contain it. As long as it hasn't aready slipped away, it should be similar to the other two outbreaks of this Sudan variety of Ebola.
Four more patients suspected to be suffering from Ebola have died as 14 new cases are also currently isolated in wards at Kagadi and Mulago hospitals.
This brings the death toll to 18 in the country's third massive wave of Ebola outbreaks in the last one decade.
The first was in Gulu in 2000, followed by that in Bundibugyo in 2007 where hundreds of people died and others were infected.
Medical authorities were also Tuesday investigating a suspected Ebola case in Mbarara. The case was placed under isolation.
The patients who died on Monday all from Kibaale were identified as Susan Nabulya from Burunzi village, the first patient to be admitted at Kagadi hospital, five-year-old Nicholas Asingwire (Kenga village), 12-year-old Kato (Nyamarunda village) and Frediano Nsabimaana of Nyamugusa village in Bwamiramira sub-county.
Another 11 new suspected Ebola patients were Tuesday admitted at Kagadi hospital in Kibaale and three others in Mulago hospital in Kampala.
The number of suspected cases at Kagadi hospital has reached 18, which puts the total suspected cases at Kagadi and Mulago to 21.
The three admitted in Mulago are also from Kibaale district; a four-year old boy, his mother and uncle, according to the deputy executive director, Dr. Doreen Male.
However, the health ministry in a statement issued Tuesday said there were 18 patients in Kagadi hospital, of whom three are confirmed to have contracted Ebola.
The health ministry's surveillance team in Kibaale, according to the statement, is, "actively and closely monitoring 40 people who are suspected to have got in contact with the dead."
"These contacts have not shown any signs of the disease but will be monitored for 21 days," said the statement, adding that after 21 days, they will be declared Ebola-free if no signs are detected.
Kibaale district health officer, Dr. Dan Kyamanywa said that the new suspected Ebola patients were picked from Kagadi town council and the sub-counties of Nyamarunda, Burora, Bwamiramira, Kyaterekera and Muhorro.
The patients, however, on Tuesday protested being poorly fed at the hospital.
One of the patients forced his way out of the isolation ward, as the others caused commotion and were calmed by the police, local and district leaders.
"It is true that we do not have money to feed these patients, but we are making arrangements to get money and buy them food," one of the health officials said on condition of anonymity.
Dr. Kyamanywa said the Medicines Sans Frontiers (Doctors without Borders) had donated plampenats (packed foods) for the patients. But patients had refused to eat the food.
The chief administrative officer of Kibaale, Emmanuel Ssenoga said that the district has not received any funds since the financial year started.
Meanwhile, hotlines have been created for all people to call, in case they suspect anyone to be infected with the disease.
Ebola surveillance teams can be reached on 0774 451762, 0706 506294, and 0757 174556.
The thing is that some places like South Africa for instance have up a third of their population suffering from Aids. Kenya has over 7% with aids. So with so many with compromised immune systems something like Ebola can go through very quickly.
SUSCEPTIBILITY TO DISINFECTANTS: Ebola virus is susceptible to sodium hypochlorite (think Clorox bleach - Dakin's solution), lipid solvents, phenolic disinfectants, peracetic acid, methyl alcohol, ether, sodium deoxycholate, 2% glutaraldehyde, 0.25% Triton X-100, β-propiolactone, 3% acetic acid (pH 2.5) - Vinegar?, formaldehyde and paraformaldehyde, and detergents such as SDS (
~ Ye Olde Pharma ~
DRUG SUSCEPTIBILITY: Unknown. S-adenosylhomocysteine hydrolase inhibitors have been found to have complete mortality protection in mice infected with a lethal dose of Ebola virus (30).
DRUG RESISTANCE: There are no known antiviral treatments available for human infections.
PHYSICAL INACTIVATION: Ebola are moderately thermolabile and can be inactivated by heating for 30 minutes to 60 minutes at 60ºC, boiling for 5 minutes, gamma irradiation (1.2 x106 rads to 1.27 x106 rads), and/or UV radiation (Good ol' sunlight slows it down... Why do they treat these people in dark, dusty hovels?) (3, 6, 20, 32, 33).
Last edited by Aardaerimus; 08-01-2012 at 02:12 PM.
Every sword drawn in the name of your god, every bullet fired, every life extinguished in his name is a declaration of your god's impotence. You have demonstrated the powerlessness of your religion and your lack of trust that your god can effect his own works of judgment.
Panic as Siaya man exhibits Ebola symptoms --IN KENYA NOW-- awating test results
Panic as Siaya man exhibits Ebola symptoms
Posted by CATHERINE KARONGO on August 1, 2012
NAIROBI, Kenya, Aug 1 – Anxiety has gripped Siaya residents after a 27-year-old man was admitted to hospital with symptoms of the deadly Ebola virus.
The man, who was immediately put in a solitary ward in Siaya District Hospital, was admitted Wednesday morning with excessive blood oozing from his gums.
“He is also passing bloody urine,” said Siaya Medical Superintendent Jacktone Omoto who said that was a symptom associated with the haemorrhagic fever.
Omoto said the patient’s blood sample was sent to the Kenya Medical Research Institute in Siaya for testing and the results are expected on Friday at the earliest.
Director of Public Health Shahnaaz Sharif has in the meantime called for calm as the country awaits the results of the tests.
“Don’t panic, I will let you know when we have a case,” he said.
On Monday, the government put on high alert Provincial Directors of Health and District Medical Officers in Western, Nyanza and Rift valley which border Uganda over the outbreak of the deadly Ebola disease.
Public Health Minister Beth Mugo is expected to give a ministerial statement on the specific measures the government has taken since the outbreak was reported in neighbouring Uganda about three weeks ago.
“Mr Speaker I would like her to clarify if she is aware that the disease took a mere three weeks to move from Western Uganda to Kampala which is at the centre of the town and that it is quite possible that it might take a similar period or even a shorter period for it to come to the Eastern part of Uganda and therefore Kenya,” Ikolomani Member of Parliament Boni Khalwale said when he asked for the Ministerial statement.
In May last year, the Ebola virus killed a 12-year-old girl in Uganda prompting the Health Ministry in Kenya to issue an alert on people living at the border.
Ebola is a viral haemorrhagic fever and one of the most dangerous viral diseases known to humankind.
There is no known treatment or vaccine for Ebola, which is transmitted through close personal contact. It kills up to 90 percent of victims.
Its initial symptoms include persistent fever, intense weakness, muscle pain, headache and sore throat which is usually followed by vomiting, diarrhoea, rashes on the body as well as external bleeding.
One wonders what the panic looks like. In the small villages of Uganda we heard reports of patients fleeing the hospitals and villagers leaving towns with cases of infection. Also reports of sick people refusing to go to the hospital for care in case they might pick up the illness.
Call me stupid, but if you have a "small village" where others might have been exposed, why in the world would you require them to travel to the hospital to get tested? You send a hazmat team to the village to set up a quarantine tent to test them there. Contain it in the village and not expose people all along the route of travel, plus people in the hospital to the virus.
Well, unless it becomes extremely virulent I'm not ready to freak.
If it becomes LESS virulent is when you should worry. Right now it sickens or kills before anyone can get onto a jet to London or NYC. If it mutates to take longer to become symptomatic then sick people may start showing up all over the world....
Security personnel and Kagadi hospital staff sit outside the facility on Tuesday after patients protested. Photo by Ronald Tumusiime
Abandoned. Total number of dead rises to 16, RDC engages police to calm protesting patients, Kibaale bans social gatherings as Prisons suspend visits.
The health ministry has announced that two more people died on Tuesday evening of Ebola as reports emerged that patients with the haemorrhagic fever at Kagadi Hospital had gone on strike.
According to a statement from the ministry, signed by Dr Dennis Lwamafa, the two deaths, recorded at Kagadi Hospital in Kibaale District, brings the total number of dead to 16 since the onset of the outbreak in July.
The ministry added that of the patients at Kagadi, two have been confirmed to have Ebola while 16 are under watch as results of tests done on them are awaited from the Uganda Virus Research Institute in Entebbe.
The statement indicated that another 14 samples were on Tuesday taken to Entebbe for study, bringing the total number of samples collected since the outbreak to 30. It added that the ministry is actively following up 176 people who came into contact with the dead or the sick and also asked the public to be vigilant but avoid creating fear. But even as the ministry grapples with figures, Daily Monitor has learnt that it took the intervention of the police to quell patients at the Kagadi isolation facility who were protesting alleged neglect on Tuesday.
The patients, complaining about shortage of food and clean water, reportedly stormed out of the isolation facility in the afternoon, sending health workers scampering.
“Why have you dumped us here without food since Saturday?” yelled one patient, but to no one in particular since the health workers had taken off—fearing physical contact with the patients.
It was not until the deputy RDC, Ms Olivia Kiiza, turned up with two police officers that calm was restored. “Madam please let us go back to our homes because we have no food here,” a patient pleaded with Ms Kiiza. “We just depend in biscuits and Splash (fruit juice).”
In protective gear, Ms Kiiza appealed for calm, promising the patients support. “The patients were serious about going back home,” she told Daily Monitor. “They said they lacked food and no doctor was attending to them. We are asking all well-wishers especially Civil Society Organisations to come to our rescue and donate food.”
The patients’ frustration has also been echoed by the local taskforce set up to monitor and report the outbreak.
Mr Stephen Mfashingabo, the Kibaale District health secretary, who also doubles as the vice chair of the Ebola taskforce, said their reports to Kampala were going unheeded.
“The health minister should desist from making press statements in Kampala. Let them come here and see how the situation is worsening,” he said. “The government has not facilitated doctors to handle this epidemic effectively. The health workers are few and the drug supplies are insufficient.”
Last evening, the ministry spokesperson, Ms Rukia Nakamatte, said they would write to the Prime Minister’s office asking for food supplies since they had only received the report of shortages yesterday.
“About doctors, the World Health Organisation has sent a team of nine experts who should be at Kagadi Hospital this (yesterday) evening. On protective gear, we hope to get more supplies by Friday to supplement the few we have now.”
Meanwhile, in a bid to stem the spread of the disease, both Kibaale and Kabarole districts have banned social gatherings like weddings and crusades.
Kibaale chairperson George Namyaka said even markets would be closed until the outbreak is contained.
“This is a preventative measure to minimise new infections,” he said yesterday. Mr Richard Rwabuhinga, the Kabarole District chairman, said they placed the ban because they are close to Kibaale and also border districts like Kyenjojo and Kyegegwa where suspicious cases have been reported.
The district, in preparation for any eventualities, has set up an isolation unit at Kitaraka Health Centre IV in East Division of Fort Portal Municipality.
Dr Charles Olaro, the medical superintendent at Fort Portal hospital, said they chose Kitaraka because it is near the Kyenjojo-Fort Portal Road and would be accessible by nearby districts.
The outbreak has also affected the transport sector with taxi operators noting a decline in passengers visiting the region. Mr Mathias Musoke, a transporter, said fewer people were boarding taxis to Kibaale District from the neighbouring towns, adding: “People even don’t trust us with their goods in fear of being infected.”
At Least 20 Infected in New Ebola Virus Outbreak http://fox8.com/2012/07/29/at-least-...irus-outbreak/
(CNN) — Ugandan authorities did not initially detect an Ebola outbreak because patients weren’t showing typical symptoms of the lethal virus, the nation’s health minister told CNN Sunday.
Patients had fevers and were vomiting, but did not show other typical symptoms like hemorrhaging, Health Minister Dr. Christine Ondoa said.
A team from the Centers for Disease Control and Prevention was on the way to Uganda to provide laboratory support to officials dealing with the virus, which health authorities say has left at least 14 people dead in the east African nation this month.
A medic who was treating victims is among the dead, Ondoa said.
Officials are trying to determine the extent of the outbreak, CDC spokesman Tom Skinner said Sunday.
About five people from the Atlanta-based centers were expected to join a group of CDC staffers who are permanently based in Uganda, Skinner said.
“These outbreaks have a tendency to sort of stamp themselves out, if you will, if we can get in and sort of stop the chain of transmission,” he said.
Ondoa described the Ebola-Sudan strain detected as “mild” compared to other types of Ebola, noting that victims’ lives can be saved with intervention.
A total of 20 cases of the virus have been recorded, officials said Saturday.
The cases have emerged in Kibaale, a district in midwestern Uganda, where a national task force had been mobilized in an effort to combat the outbreak.
Officials from the World Health Organization and Centers for Disease Control are also supporting that effort, ministry officials say.
The Ebola virus is considered a highly infectious disease spread through direct contact with bodily fluids, with symptoms that include fever, vomiting, diarrhea, abdominal pain, headache, measles-like rash, red eyes and at times bleeding from body openings.
Health officials urged the public to report suspected cases and avoid contact with anyone who has contracted the virus and to disinfect the bedding and clothing of an infected person by using protective gloves and masks.
Officials also advised against eating dead animals, especially monkeys, and to avoid public gatherings in the affected district.
CNN’s Nick Valencia, David Ariosto, Nana Karikari-apau, Jennifer Deaton and Miriam Falco contributed to this report.
I posted a warning about this in my original thread. This has the potential to become a pandemic because it doesn't "present" (as doctors call it) like regular Ebola. Normally, an Ebola patient shows bleeding from nose, eyes, ears and rectum as soon as they become infectious. This Ebola starts with flu-like symptoms and only shows bleeding later, but the patient is infectious before the bleeding starts. Health workers don't realize what they're dealing with until after the patient has spread the disease.
One airplane out of Kampala with a recently-infected carrier on board (which may have happened already) can spread it to the rest of Africa or Europe. There must be an immediate quarantine of Uganda, stopping of all flights from Uganda and a strict quarantine of all persons displaying "flu-like" syptoms recently arrived from Uganda until this is resolved.
The fire that melts the butter also forges the steel - Ann Landers
Man admitted in Moi Eldoret Hospital with symptoms of Ebola
The middle aged man with Ebola symptoms being taken into isolation at the Moi Eldoret Hospital. [PHOTO | Phanice Pkemei | West Fm]
A Middle aged man has been admitted at Moi Teaching and Referral hospital in Eldoret with the signs and symptoms of Ebola.
The patient suspected to have been infected by the deadly Ebola has been put into an isolation ward at Hospital.
The man is believed to have traveled from Sudan through Uganda and is believed he might have conducted the disease from Uganda where the Hospital’s Acting Director Dr. John Kibosia says the patient had high fever; bleeding and his stool had blood as well.
Kibosia confirmed that the symptoms are similar to the ones of Hemorrhagic Ebola fever caused by a virus belonging to the family called Filoviridae
He says the patient had travelled from Sudan through Uganda to Eldoret Wednesday night and the blood s samples have been taken to Kenya Medical Research Institute and Center for Disease Control and Prevention-CDC for testing.
Kibosia has however, assured that the Hospital is well equipped and prepared to deal with any cases of Ebola outbreak in the region.
Panic in Eldoret as man is admitted with Ebola symptoms
Updated 2 hrs 54 mins ago
By TITUS TOO
Panic gripped Moi Teaching and Referral Hospital Eldoret (MTRH) on Thursday when a patient was admitted with symptoms of viral disease, Ebola.
The patient who had travelled from Juba in Southern Sudan through Uganda to Eldoret was put in isolation as doctors attending to him put on protective gear to avoid possible infections.
As word went round that a suspected Ebola case has been received, more protective masks were provided as some staff around the casualty area of the hospital avoided handshakes.
The patient’s relatives however said the patient had been sickly for about three weeks in Southern Sudan and that they had decided that he travels for medication at MTRH Eldoret.
On Monday MTRH Director Dr John Kibosia, said the patient had fever and was bleeding while passing urine and diarrhoea.
He said the hospital was taking precautions by putting him in specialised isolation as blood samples from the patient are sent to Kenya Medical Research Institute (Kemri) to ascertain his condition.
“As for now, we are treating it as haemorrhagic fever as we await tests result from Kemri. But since he was in Uganda where Ebola has been reported, we do not want to take chances,” said Dr Kibosia.
Ebola is one of the most virulent diseases in the world and is spread by close personal contact.
There is no vaccine for the virus whose symptoms include sudden onset of fever, weakness, headache, vomiting and kidney problems.
On Wednesday, there was a scare of the disease in Siaya after a man was admitted with symptoms.
The Government has already formed a national task force to avert a possible spread of Ebola from Uganda where it has killed 17 people since an outbreak was reported three weeks ago.
Director of Public Health Dr Shahnaaz Sharrif announced the formation of the team on Wednesday, adding that all health workers have been put on high alert.
“The task force will monitor the situation and advise the Government. Similar committees have been formed at the border districts,” he said.
Dr Sharrif said relevant labs have been put up at the Kenya Medical Research Institute (Kemri) to undertake rapid Ebola tests.
The Minister of Public Health is expected to give a statement in parliament Thursday afternoon on the situation after the report of the disease in Siaya.
humanitarian news and analysis
a service of the UN Office for the Coordination of Humanitarian Affairs
02 August 2012
UGANDA: Containment worries as Ebola numbers rise
Photo: Courtesy Dr. Yab Boun
Ebola is transmitted through direct contact with an infected person or their body fluids
KAMPALA, 2 August 2012 (IRIN) - Health officials in Uganda's western Kibaale District are struggling to deal with an outbreak of Ebola, as the number of suspected cases stretches local health systems.
The Ugandan government has so far reported 16 suspected Ebola deaths; four have been confirmed by testing carried out at the Uganda Virus Research Institute in Entebbe. The Ministry reports another 22 suspected cases, all in Kibaale District.
According to the Kibaale District Ebola Taskforce (KDET), reports of possible Ebola cases in the west continue to rise: health officials reported that they were following up on 176 people thought to have been in contact with infected patients on 31 July, up from 40 suspected contacts the day before. The disease is transmitted through direct contact with an infected person or their body fluids such as blood and sweat.
Meanwhile, a shortage of trained health workers has affected containment efforts; just 56 percent of health worker positions in the country's public health sector are filled.
Burials in the affected communities have been taken over by KDET, whom the ministry has supplied with vehicles, though there have been delays in providing them with fuel. The ministry has also set up a telephone hotline for citizens to report suspected cases.
Though these efforts have been boosted by the Uganda Red Cross, Médecins Sans Frontières (MSF), the US Centres for Disease Control, the UN World Health Organization and others, KDET chairperson Steven Byaruhanga said suspected cases are quickly outpacing relief efforts.
"At sub-county health centres, we are getting reports that they are shying away from handling patients because they don't have protective gear," he said.
According to Byaruhanga, the district is asking for the equivalent of US$334,000 to upgrade Kagadi Hospital - the centre of the outbreak - to increase awareness messages and to support traumatized health workers.
"Some of them are demoralized, others are stigmatized because their colleague has passed away," he said. "They need at least some motivation."
Byaruhanga said the facility was already dilapidated when the outbreak began, citing an irregular water supply and electricity, a broken sewer system and no medical incinerator.
Local media reports this week said patients at the hospital had protested about the lack of food and water, and wanted to leave.
The Ministry of Health is requesting emergency supplies from the Prime Minister’s Office - responsible for disaster preparedness - as well as support from developing partners such as MSF, who are helping to build isolation centres.
On top of that, the ministry has access to a 2.5 billion Uganda shilling ($1 million) reserve fund for emergencies, according to its permanent secretary, Asuman Lukwago. "We can frontload that money and use it early," Lukwago said.
The outbreak was reported by the government on 28 July, but the first case is thought to have appeared weeks earlier.
The death of a clinical officer from Kagadi in Kibaale District who was taken to Mulago Hospital in the capital, Kampala, sparked fears of an outbreak in the city, but health officials say seven health workers being held in isolation at the hospital have not shown any symptoms, 11 days after their potential exposure. By 1 August, no further cases had been reported in the capital.
The nearly month-long delay in identifying the current outbreak was in part due to the spiritual beliefs of the community. According to Byaruhanga, the virus wiped out nine members of one family, who believed they were "cursed". He added that the delay also erased any real hope of tracing the source of infection.
"It blindfolded other research that would have taken place," he said.
The UN World Health Organization has identified the strain in Kibaale as Ebola-Sudan, the same strain responsible for some 425 infections and 224 deaths in Uganda in 2000-2001 and one death in 2011; another strain, Ebola-Bundibugyo - named after a western Ugandan district - killed some 42 people in the country in 2007-2008.
Byaruhanga also said health officials did not recognize the Sudan strain, which can achieve a 70 percent fatality rate, as it presented differently from the previous Bundibugyo strain, with a 30-40 percent fatality rate; patients presented with fever and vomiting rather than the more typical haemorrhaging usually associated with Ebola.
"We thought it was a strange disease because the symptoms first of all were not like the previous Ebola - that's why people were not cautious about it," he said.
Uganda's President Yoweri Museveni has cautioned the public against physical contact. "Avoid shaking of hands; do not take on burying somebody who has died from symptoms which look like Ebola - instead call the health workers to be the ones to do it and avoid promiscuity because these sicknesses can also go through sex," he said in a statement.
In Kibaale District, Byaruhanga said more than 250 schools had been closed, markets abandoned, and public gatherings banned.
Panic as Five Die in Ntungamo With Ebola Like Symptoms
Mpinga Salongo, the brother to the late Geoffrey Kahigi says that before succumbing to death the victims presented with symptoms of high fever, running stomach and vomiting blood.
It appears (unofficially but from reading twitter reports) that the Siaya District Hospital alarm was a false one, and that patient was bleeding from a tooth extraction gone bad.
Also, the above report was one of two but I lost the other one -- sorry. The earlier report stated that 7 were ill and 5 died from illness and ebola couldn't be ruled out although bleeding was not present. High fevers, headaches, etc. were present and test samples were on the way for verification. They were not simultaneous illnesses but happened on different days, but in enough of a cluster to raise the alarm. Lost the page while looking up the district to determine if it was In Uganda or Kenya.
Sorry about that but was using a private browser and for the life of me can't figure out how I found that article. LOL Hope it's not one of "those days".
the rest of the article repeats info we have already in multiple reports, and old info which is no longer correct. Including it because it raises the interesting question whether the security of Uganda's prison is better than their hospitals' "isolation ward"s, which anyone can get into through a window to offer nourishment or other care to their loved ones.
More importantly, how did it get into the prison and how many there are exposed, if in fact this is ebola. Perhaps it isn't, but given that it's a cluster increases the liklihood that it is.
Last edited by almost ready; 08-02-2012 at 11:40 AM.
Well, it didn't take long to hear from Ntungamo again.
Ebola kills 10 in Ntungamo
Grief has befallen on the people of Ntungamo in Western Uganda following an outbreak of Ebola in in Kibutamo LCI in Ntungamo District.
The reports from this district indicate that over 10 people have died of suspected Ebola and over 35 others are admitted at the different health centres in the district. The dead include Benon Rumanzi, 45, Kenneth Kwoshaba 22, Faraziya Katayomba, 93, Geoffrey Turyahebwa, 21, Eliphaz Tayebwa, and Jovance Katongana, 42.
The relatives of the deceased persons told Ntungamo district health officials that the deceased vomited and complained of headache, fever and too much heat before their death.
The Ntungamo District Health Officer, Dr Benon Bamuturaki says they have sent samples from the patients to the virus research centre at Entebbe to the type of Ebola killing people in Ntungamo. There are over four types of Ebola including Ebola Zaire and Ebola Gabon.
Meanwhile the ministry of health has asked the people of Uganda to avoid being in contact with the people affected with Ebola. The ministry has also asked Ugandans to report any suspected Ebola cases to the concerned authority immediately and that they should be careful in handling the dead, especially those who pass away from their homes.
Ebola Reaches Kampala – 1 Person Dead at Mulago Hospital
Posted by Sandra Birungi on August 3, 2012
he Ebola virus has reached Kampala with one person dead at Mulago hospital with Ebola related signs.
According to the Permanent Secretary Asuman Lukwago, the newest case of Ebola has been registered coming from Luzira, a Kampala suburb with the patient checking in with diarrhea and vomiting.
“The relatives wanted to take the body but we stopped them because we have sent samples to Uganda Virus Research Institute in Entebbe to establish if he died of Ebola or some other infection.”
Twelve new cases have been registered at Kagadi hospital in Kibaale district .
According to the Daily Monitor, there were unconfirmed reports that Mulago was handling 8 suspected Ebola cases following the death last month at the facility of a clinical officer referred from Kibaale.
There is now an isolation center at the hospital. Acting Director General of Health Services, Dr Dennis Lwamafa, said: “The Ministry of Health response teams in Kampala are on the alert to respond to any suspected cases in and around Kampala.”
232 people are on the list of being followed up concerning the virus.
Now ebola believed to be in third country: Tanzania
Google translation of news report.
Posted by FrancisAyo on August 4th, 2012
The disease is believed to enter the village mentioned in the name of Longo Karagwe district. Citizens have to be scared and be aware ilaum government to refrain from Uganda to avoid the disease. They claim that the negligence that led to AIDS is entering from Uganda.
karipotiwa first patient admitted in the hospital room of Karagwe in Kagera ... the hospital's chief doctor reports!
Information shortly [breaking news] from ITV / Radio One is a child of six years in Karagwe is seen to have all symptoms of Ebola disease. Anavuja blood, ears and nostrils. Also fever. Her mother baby, nurse and child were placed in special care.
THESE ARE THE SYMPTOMS / SIGNS MAJOR OF Ebola:
Symptoms of Ebola virus usually begins immediately. Common symptoms include:
> Sore Throat
> Dry cough
> Severe headache
> Joint and muscle aches
> Pain in the Stomach
Rash, hiccups, red eyes and bleeding inside and outside the body can be seen in some patients. For blacks, the rash is often unknown until when you begin to swell.
For pregnant women, common symptoms of Ebola virus include heavy bleeding sehumu confidential abortion (miscarriage).
Death usually occurs during the second week of symptoms. Kwakawaida Ebola victims die from loss of many damuy (bodily fluids).
Remember that fellow who travelled from Sudan, worked a few weeks in Uganda, and continued on into Kenya. He is now deceased. I haven't yet seen any reports of illness from within Kenya, however, a whole different ball of yarn.
Murang’a district hospital is on high alert after a man was admitted exhibiting symptoms similar to those of ebola. The man later died sparking panic among local residents. Murang’a north medical officer of health ephantus maree has called for calm in the area urging residents to allow medical practitioners to establish what the man was suffering from.
As the government tries to take measures to prevent the deadly disease of Ebola from spreading into the country, one patient has been discovered to have been infected with the viruses at Nyakage hospital in Karagwe district, Kagera region.
According to one doctor from the hospital who declined to be named because he is not the authorised spokesperson, doctors at the hospital discovered a patient whose name was not immediately established with all signs of the disease when he went there for treatment on Friday.
The doctor further noted that the patient had travelled from Uganda and had entered into the country via Mulongo border in the western part of Kagera region.
Efforts to contact the Minister for Health and Social Welfare, Dr. Hussein Mwinyi for more clarification about the matter yesterday bore no fruit as he was not ready to speak about the issue, asking the reporter to call him later. However, when efforts were made to reach him about an hour later his phone was switched off.
However, speaking in Parliament on Wednesday, Dr Mwinyi said the government had sent medical experts to the Tanzanian border with Uganda in a quest to contain its spread into the country. The disease is known to have killed 14 victims.
Dr Mwinyi told visibly alarmed legislators that the medical experts who have been dispatched to the border were fully equipped with protective gear, medical supplies and other requisite equipment.
They are also able to identify Ebola virus carriers. The minister advised the public, especially those living in the northern regions of Kagera, Mara, Mwanza and Kigoma, some of which share border crossings with Uganda.
The World Health Organisation (WHO) has already alerted Tanzania on the Ebola threat. The ministry issued a statement to the press elaborating that Ebola was a highly contagious disease brought on by the Ebola virus.
As an outbreak of ebola progresses, bodily fluids from diarrhea, vomiting, and bleeding represent a hazard. Due to lack of proper equipment and hygienic practices, large-scale epidemics occur mostly in poor, isolated areas without modern hospitals or well-educated medical staff.
The Ebola virus was first associated with an outbreak of 318 cases of a hemorrhagic disease in Zaire. Of the 318 cases, 280 of them died—and died quickly. That same year, 1976, 284 people in Sudan also became infected with the virus and 156 died.
The viruses that cause Ebola and Marburg are similar, infecting both monkeys and people. The outbreaks of these diseases are often self-contained, however, because they kill their hosts so quickly that they rapidly run out of people to infect.
In Kampala, Uganda the residents have been urged to avoid contact after the deadly Ebola virus hit the city. Kampala residents have been urged to avoid contact after the deadly Ebola virus hit the city but security guard Joseph Karuba's job is to frisk people and he doesn't have gloves.
"The thing has come back -- it came first time and we beat it, then it came again and we beat it and now it is back," he said, waiting for shoppers outside one of the teeming capital's malls.
President Yoweri Museveni on Monday confirmed that Ebola, one of the world's most virulent diseases, had reached Kampala for the first time following an outbreak in the west of the country.
"We shall request gloves, but for now it is a very big problem because we are exposed," Karuba said.
Officials were searching for anyone who might have come into contact with the virus, amid public warnings for people to take precautions and avoid physical contact..
Nobody can identify the virus carriers until they are exhibiting symptoms of the illness, from 2 to 22 days after exposure. Further, the WHO announced this week that the disease can be spread via semen up to 7 weeks after the patient recovers.
Last edited by almost ready; 08-04-2012 at 09:57 AM.
Reason: remove comment
Tanzania: Two patients with suspected Ebola in Kagera
Via IPPmedia.com: Ebola fear hits Kagera. Excerpt:
A team of medical experts from Dar es Salaam was yesterday dispatched to Kagera region to further examine the two patients believed to be suffering from the Ebola hemorrhagic fever.
But as the team of medical experts was sent to Kagera region, the Ministry of Health and Social Welfare subsequently confirmed the outbreak of the deadly fever in the western part of the country. Confirming the reports, the Deputy Minister for Health and Social Welfare, Dr Seif Seleman Rashid, also said that a team of medical experts was still diagnosing a patient in efforts to establish the symptoms.
In the meantime, reports from Nyakahanga designated hospital in Karagwe district, Kagera region indicate that there were two patients including a child, suspected to be suffering from the deadly fever that has rocked neighbouring Uganda.
According to one of the doctors who diagnosed the patient at Karagwe’s Nyakahanga hospital, preliminary findings show that the victim might have contacted the Ebola virus.
However, the doctor who requested anonymity told the Guardian on Sunday that ‘further medical examination’ would be conducted to gather more evidence about the possible outbreak of Ebola, adding that the patient had since been quarantined pending final results.
According to the doctor, the ‘Ebola patient’ was brought to the hospital on Friday morning and, upon diagnosis, it was established that the patient had suffered from Ebola. The patient who is a six-year-old child was brought to the Mulongo hospital by his mother from a village close to the Uganda-Tanzania boarder after the child developed severe symptoms.
“We are doing further medical examination on a patient … we will tell the general public once it is confirmed that we are dealing with Ebola virus infections,” the doctor said, adding that currently the patient alleged to have been infected was admitted in a separate room and now lives in isolation from other patients at the hospital.
He said preliminary check-ups found out that the diagnosis had all signs showed clear symptoms of Ebola – after which he ordered the patient to be admitted for closer monitoring locally, and further medical examination by medical experts from the ministry headquarters.
He added that the patient had since been placed in a special intensive care room which is out of bounds for all other people -- apart from his mother who is taking care of the patient. However, he said, this was a medical rule aimed at avoiding quick spread of the deadly disease.
Another patient also believed to have crossed the border from Uganda was admitted at the hospital as well, but medical investigations of his deteriorating health conditions were still not completed by Saturday evening.
A great book that I picked up recently while waiting between flights in Atlanta tells the story of an Ebola outbreak in vivid details. It is "Panic in Level 4" (Level 4 being the highest level of biohazard containment at the USA Medical Research Institute of Infectious Diseases at Fort Detrick MD) by Richard Preston. Also on e-book. The introduction of the book and the section titled "The Blood Kiss" describes the outbreak and hospital response from a very personal perspective. Enlightening...and scary.
What was this fire in the middle of the pyramid? It was the fire at the heart of the heavenly pyramid ..... The spectacular nebula burned with unearthly flame, and in the uppermost section of that flame a figure could be seen. A Running Man. http://www.forest-of-lebanon.com/201...e-running-man/
East Africa: Ebola Under Control - WHOTagged: East Africa, East Africa, External Relations, Health, International Organisations, Tanzania
By Meddy Mulisa, 5 August 2012 Comment
Bukoba — THE World Health Organisation (WHO) has confirmed that the Ebola disease which was reported to neighbouring Uganda was now under control.
A WHO spokesperson said in Geneva that Ebola was no longer a threat, calling for continued surveillance.
The WHO describes Ebola as "a viral haemorrhagic fever and one of the most virulent diseases known to humankind". It says the disease was identified in 1976 in a western equatorial province of Sudan and a nearby region of Zaire (now Democratic Republic of the Congo).
It takes its name from a river in the DRC. Kagera Region is on high Ebola alert following reports that neighbouring Uganda risked a major resurgence of the disease after 43 cases were discovered this year.
The warning came after Uganda said an epidemic had killed 16 people this month, including four clinical officers who were attending sick patients. Health officials said at least 20 people had been infected and of those 14 had died.
Sources at the Kagera Regional Hospital said that health officials were making 24-hour surveillance at all entry points to check the disease. The entry points include Rusumo and Kabanga in Ngara District, Kaisho and Murongo in Karagwe District, Kyaka and Mutukula in Misenyi District.
The Regional Health Officer (RHO), Mr Herman Kabirigi, said that a team of experts had been dispatched to all entry points to monitor movements. Terrified patients fled from a hospital in western Uganda as soon as news broke that a mysterious illness that killed at least 14 people in the region was Ebola, one of the world's most virulent diseases.
Ignatius Besisira, an MP for Buyaga East County in the Kibaale District, said people had at first believed the unexplained deaths were related to witchcraft. "Immediately, when there was confirmation that it was Ebola ... patients ran out of Kagadi hospital (where some of the victims had died)," he told the Guardian. "Even the medical officers are very, very frightened," he said.
"Laboratory investigations done at the Uganda Virus Research Institute ... have confirmed that the strange disease reported in Kibaale is indeed Ebola haemorrhagic fever," they said in a joint statement.
There is no treatment or vaccine against Ebola, which is transmitted by close personal contact and, depending on the strain, can kill up to 90% of those who contract the virus.
This outbreak is a sleeper. Since the WHO announced all is under control and the Ugandans brought a team of psychologists into the medical team, the news has been as soothing as a cup of cocoa before bedtime.
Still, the Ugandan ministry admits the outbreak is not over, 398 people are now under watch as having been in contact with the illness. That prisoner hasn't been apprehended, although the bringing in of the wrong guy and the press excitement seems to have closed that story.
The latest on ebola
•Admissions. 36 people have so far been admitted on suspicion of having the varus
•Contact cases. 398 people are suspected to have got into contact with Ebola patients but of these, 295 has 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 of Ebola.
•Funds needed. Shs3 billion needed by the Ministry of Health to fight Ebola. Shs627 million has so far been released"
The big news, which isn't being picked up on the world wires at all is the appearance of a second case in kenya. The first, you will recall, was a traveller who had spent some weeks working his way from Sudan through Uganda, before reaching Kenya. This one is from a Kenyan town, thus creating a new wave of worry.
Don't worry, the psychologists will be there soon.
Kenya: Murang'a On High Alert After Man Dies From Ebola-Like Disease
Murang'a District Hospital has been put on high alert after a man with symptoms similar to those Ebola died on Friday. The man was bleeding from the mouth and nostrils. An isolation ward has been set and staff members who were on leave recalled. Murang'a North medical officer of health Ephantus Maree has called for calm.
The death of the man caused panic in Murang'a town. The residents did not want to go near where the body of the 31-year-old man was suspecting he died from the deadly viral disease which has erupted in Uganda. Witnesses said the man vomited blood and villagers from Mjini slums immediately called the police who later came accompanied by health officers in protective gear.
The team immediately kept people at bay as they fumigated the corpse and the entire area. They took the body to Murang'a District hospital mortuary. But Maree allayed fears of an Ebola attack saying the man from Kitui could have died of a Tuberculosis attack after a medical note was recovered from him indicated he was under treatment for the disease.
He said preliminary investigations had indicated he was suffering from TB and the note shoed that he was last treated at Port Reitz hospital in Mombasa on July 18. "We highly suspect he died from a TB attack as he had a medical card in his pocket indicating that he was under treatment for the disease, but we cannot be 100 mpercent sure," he said.
"We have taken samples and sent them to Nairobi for analysis after preserving the body at a secluded place in the morgue, we are not taking any chances but we ask for calm as we deal with the case," added Maree. The MOH said the isolation ward was ready and that enough medical personnel were in place to cater for any emergency. He asked residents to be on the lookout for any one with symptoms exhibited by the man adding that they should immediately rush such people to hospital.
I would like to note the repeated cases where the patients had been ill prior to this outbreak. It seems to be worst among the already weak.
This case may be TB, it is presented to demonstrate the complexity of the current situation, where the outbreak is spreading mainly because it is so often confused with other illnesses.
It may just burn out, or this combination of a long period before it is recognized with the bleeding (which usually starts days after the illness is underway) may be its perfect storm.
Only time will tell. Until then, no need to be concerned.
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