[HLTH] Ebola back again?

CanadaSue

Membership Revoked
Just catching up with ProMed this morning. Looks like we have 2 outbreaks of a viral hemmorhagic fever, one in Gabon & one in the Democratic Republic of the Congo.

In Gabon, the first report came out Thursday & there's a follow on article today. According to who you read, either 6 or 7 people have died. Today marks the first report of cases in Congo, DR. 28 are reported dead in Congo, DR out of 55 infections. Looking at maps, the outbreaks MAY be related, but if that's the case, we should start seeing reports of cases in the Republic of the Congo, which separates the 2 afflicted nations.

Ebola was first reported & described in Congo DR, (the former Zaire) & has occured in Gabon, thus it appears to be endemic to both nations.

Medical teams are still trying to reach the areas involved t start epidemiological investigations.

Reference articles at:

http://www.promedmail.org/pls/askus..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,16932
 

Noatimah

Deceased
Morning Sue, Thanks for the post. Hope you are doing well.
Looks like some terrible stuff... sure hope we don't ever have to deal with it here.
 

CanadaSue

Membership Revoked
Yes & no, NOatimah

Ebola & it's cousin Marburgh are well up on my list of Top Ten Diseases I don't ever want to catch... they're nasty. We're unlikely to ever see widespread outbreaks of these filoviruses & here's why...

The virus needs hot & humid to survive. Granted some areas of the US & Canada provide that in summer, but certainly not in winter. We still don't know where these viruses 'live' when they're not infecting people... the hosts may not live here. The viruses are easily killed by both bleach & ultraviolet light & we can certainly come up with plenty of those here.

Marburgh & Ebola are mainly spread through direct contact with body fluids. In the part of Africa wehere we usually see outbreaks, family members prepare the bodies of loved ones for burial. This involves not only washing them, but some 'internal' cleaning which we simply don't do ourselves here. Needless to say, they wear neither gloves nor masks when preparing bodies...

Certainly I expect to see isolated cases reach North America with perhaps a few secondary cases. We have the means to prevent the spread of these illnesses with very little effort. With the many novels & movies which have featured Ebola & similar fictional filoviruses over the past decade or so, people are aware of them & ensuring their co-operation to prevent spread wouldn't be tough.

I sure don't envy anyone having to deal with them though. Gotta be tough to see people suffer so...
 

Deb Mc

Veteran Member
Morning all!


C.S.,

My concern is that it could be used as a "distractionary" device, in conjunction with a *real* virus, say smallpox as a seconary release.

Slip Ebola into our blood banks' supply and set off a terrible wave of panic in the West. Of course, like you said, it would have a limited impact, as it's only spread by contact with blood, but even with a small number of casualities, it would keep people away from the hospitals. Then, when smallpox is released, it would be more easily transmittable, with less detection by authorities as people are afraid to go to the hospitals...

Like Chuck, I need a shower - I *HATE* trying to think like these creeps! I've never liked watching horror movies, and having to think defensively and proactively feels "unclean"...
 

CanadaSue

Membership Revoked
Possible...

Such a strategy could prove a good distraction... if necessary. I'm nt sure it wouls be necessary though, if a release of smallpox was seriously contemplated. Smallpox on its own spraeds easily & quickly enough. Release it in several well speaced locations, peferably transport hubs & you have your epidemic. Imagine it released at Hartsfield, JFK, DFW & O'Hare. Within 2 weeks it's 'well seeded' world wide, then all bets are off.

Canada had a suspected hemmorhagic fever case last year. The most frightening part of it was how the health authorities messed up. Notifications were late & incomplete. The 2 ambulances used to transport the patient weren't pulled out of service for disinfection until a few other patietns had been transported. Lab techs took blood without wearing gloves. Had this disease been easily transmissible, all hell would have broken loose very quickly.

I suspect people are at heightened alert for anthrax, smallpox & other potential biothreats. The question remains... how ready are the appropriate health authorities to react in appropriate ways. Personally, I think all that the recent anthrax cases have shown is how ill prepared we are for a major bioterror event. Think about it... we had few proven anthrax cases, yet a large percentage of investigative manpower was tied up. They still are, trying to track where this came from, how exactly it was spread & more importantly, is there more out there.

A serious terrorist at this point, wanting a majorbioterror event would, if he/she has the means, look at several releases of different organisms throughout different parts of the country. Ideally, these illnesses would show similar symptoms yet have different methods of detection and treatment. Then watch the fur fly & the insanity begin...
 

Alas Babylon

Inactive
<strong>AP confirms Ebola...</strong>
<a href="http://www.chron.com/cs/CDA/story.hts/world/1165340">Houston Chronicle link </a>
Dec. 10, 2001, 10:06AM

<h3>Ebola virus claims 11 lives in Gabon..Toll is expected to rise </h3>
Associated Press


LIBREVILLE, Gabon -- Health experts were headed to the central African nation of Gabon today, where 11 people have died from the highly contagious Ebola virus -- and the number was expected to rise.

It was not immediately clear how many people were infected, or over what period. Government officials first said they suspected an outbreak last Tuesday, after villagers reported finding an unusually high number of dead primates, including gorillas and chimpanzees, World Wildlife Fund representative Allogo Ndong said in the capital, Libreville.

Around the same time, patients began turning up with symptoms such as vomiting and diarrhea.

The World Health Organization confirmed the outbreak Sunday, saying it was in the remote northeastern province of Ogooue Ivindo, where 45 people were killed when Ebola last struck in 1996-7. The area is near the border of the Republic of Congo.

The deaths, mostly in one extended family, so far appeared to have occurred last week, WHO spokesman Gregory Hartl said in Geneva. The toll was rising as experts were getting a better idea of the extent of the outbreak, he said.

Health officials in Gabon did not return calls seeking comment.

Health officials from around the country went to the stricken province last week to investigate, as did the WHO. Hartl said Sunday that a laboratory in the eastern city of Franceville had confirmed that the disease was Ebola, which has similar symptoms to other, less deadly hemorrhagic fevers.

Hartl said a second team of WHO specialists was being assembled to fly from Europe to Gabon this evening. They will help local medical staff use "barriers" like gloves and masks to prevent contact with the bodily fluids of patients, he said.

The dead included 10 members of an extended family and a health worker -- a typical pattern for Ebola, which spreads quickly to people coming in contact with the patients or their bodies.

It is the first documented outbreak of Ebola since last year, when 224 people -- including health workers -- died from the virus in Uganda.

Ebola is one of the most virulent viral diseases known to humankind, causing death in 50 to 90 percent of all clinically ill cases.

The virus is passed through contact with bodily fluids, such as mucus, saliva and blood, but is not airborne. It incubates for four to 10 days before flu-like symptoms set in. Eventually, the virus causes severe internal bleeding, vomiting and diarrhea. It is believed to be carried by some animals and insects, who may pass it on to humans.

There is no cure, but patients treated early for dehydration have a good chance of survival.

WHO says more than 800 people have died of the disease since the virus was first identified in 1976 in western Sudan and in a nearby region of Zaire, now Congo.

Ebola usually kills its victims faster than it can spread, burning out before it can reach too far.
 

Sassyone

Membership Revoked
WIRE: 12/12/2001 8:43 am ET


Ebola victim disappears from Gabon village, raising fears disease could spread

The Associated Press



LIBREVILLE, Gabon (AP) A woman infected with the deadly Ebola virus has disappeared from her village in the Central African nation of Gabon, and health officials fear she fled to neighboring Republic of Congo and could spread the disease.
Villagers told local authorities the woman believed she had been bewitched and left the remote village of Ntolo to join relatives on the other side of the border, said provincial health director Dr. Prosper Abessolo-Mengue.

The woman is one of at least two people infected with Ebola in a recent outbreak that has killed 10 others in Gabon. Authorities have been trying to keep the highly contagious disease from spreading beyond the affected region in the remote northeastern province of Ogooue Ivindo.

Upon hearing about the woman's disappearance, Gabon authorities notified their counterparts in Republic of Congo. They asked for help in finding her and in restricting movement across the border.

"We are very worried," Republic of Congo Health Minister Leon Opimbat said by telephone from the capital, Brazzaville.

Health officials in Republic of Congo were educating the local population about Ebola and encouraging them to report any suspect fever outbreaks, he said.

A World Health Organization team arrived Tuesday in the capital, Libreville, and was expected to travel in the coming days to Ogooue Ivindo.

The five-member team including experts from France and the United States will help local authorities isolate and treat victims, as well as distribute protective equipment like gloves and masks to prevent contact with the bodily fluids of patients.

A quarantine has not been imposed on the affected region, but local authorities are monitoring movement to and from the area, Abessolo-Mengue said. Journalists have been barred from traveling there.

This is the first documented outbreak of Ebola since last year, when 224 people including health workers died from the virus in Uganda.

Ebola is one of the most virulent viral diseases known to humankind, causing death in 50 to 90 percent of all clinically ill cases. But it usually kills its victims faster than it can spread, burning out before it can reach too far.

The virus is passed through contact with bodily fluids, such as mucus, saliva and blood, but is not airborne. It incubates for four to 10 days before flu-like symptoms set in. Eventually, the virus causes severe internal bleeding, vomiting and diarrhea.

There is no cure, but patients treated early for dehydration have a good chance of survival.

http://abcnews.go.com/wire/World/ap20011212_795.html
 

Deb Mc

Veteran Member
Latest news - it's affecting the primates now too!


http://dailynews.yahoo.com/h/nm/20011212/sc/health_gabon_ebola_dc_3.html


Wednesday December 12 1:32 PM ET


Hunt for Killer Ebola Virus Turns to Dead Apes


By Antoine Lawson

LIBREVILLE (Reuters) - Reports of dead gorillas and chimpanzees in a central African forest are being investigated for links to an outbreak of the deadly Ebola (news - web sites) virus, health authorities in Gabon said Wednesday.

Ebola is thought have killed 10 people in the remote Mekambo district in the northwest, and one more is seriously ill. The disease causes up to 90 percent of its victims to bleed to death in a matter of days and has no known cure or vaccine.

Gabon's authorities have put four villages under quarantine and appealed to people in the sparsely populated country of 1.2 million to remain calm.

Research Minister Andre-Dieudonne Bere said in an official statement that the government had been told of ``the discovery in the forest of the corpses of many great apes, gorillas, chimpanzees and so on.''

``The government has sent a team to carry out investigations with the aim of determining the origin and extent of this epidemic,'' he said.

Blood tests on a human patient confirmed that the disease was indeed Ebola, the World Health Organization (news - web sites) (WHO) said at the weekend.

The disease, which is transmitted by contact with body fluids, killed at least 66 people in a 1996 epidemic in a nearby area of Gabon. It was first known to have struck the country in 1994, when it left more than 20 dead.

DEAD APE LINKS

Where the virus hides in the wild before breaking forth to kill humans and other primates remains a mystery.

Searching for the cause of the first outbreak in 1994, investigators were told of the deaths of many apes in the forest nearby, but found none. In the 1996 outbreak, 13 people fell ill after butchering a dead chimpanzee they had found.

A team from the WHO was heading toward Mekambo, 500 km (310 miles) from the capital Libreville, Wednesday to help contain the epidemic.

Early diagnosis is often difficult because victims suffer symptoms similar to flu such as aches and fever, before developing splitting headaches, stomach pains and diarrhea

Only in the last stages -- when the virus eats through the victim's veins and arteries, causing massive internal hemorrhaging and blood to pour out of every orifice -- is it clear that Ebola has struck.

But epidemics often burn themselves out of victims fairly quickly, and hemorrhagic fevers come well behind malaria, AIDS (news - web sites) and other diseases in keeping life expectancies below 50 years in African countries like Gabon.

The virus is named after a river in the Democratic Republic of Congo (news - web sites), where Ebola was discovered in 1976, and where a 1995 epidemic in the town of Kikwit was blamed for killing over 250 people.
 

LightEcho

Has No Life - Lives on TB
13 years ago this forum was discussing an outbreak. Notice the changes. The last post in 12-2001 hints at the bats being a vector. In the current outbreak, that was one of the main noted causes. Now we don't hear about primates dying as they did back then. This tells me we are operating with a different strain... it let's the host survive longer and spread the disease.

Dec2013 we had the first case break out in Guinea. The boy died quickly and so did his family.

how-ebolas-viruss-breakout-was-traced.html


http://www.universalreporters247.com/2014/08/how-ebolas-viruss-breakout-was-traced.html

How Ebola Virus Breakout Was Traced To A 2-Year-Old Boy Who Infected Mother, Sister And Spreads The Virus - See more at: http://www.universalreporters247.co...breakout-was-traced.html#sthash.zGvpCXzP.dpuf

Patient Zero in the Ebola outbreak, researchers suspect, was a 2-year-old boy who died on December 6, just a few days after falling ill in a village in Guéckédou, in southeastern Guinea. Bordering Sierra Leone and Liberia, Guéckédou is at the intersection of three nations, where the disease found an easy entry point to the region.

A week later, it killed the boy’s mother, then his 3-year-old sister, then his grandmother. All had fever, vomiting and diarrhea, but no one knew what had sickened them.

Two mourners at the grandmother’s funeral took the virus home to their village. A health worker carried it to another, where he died, as did his doctor. They both infected relatives from other towns. By the time Ebola was recognised, in March, dozens of people had died in eight Guinean communities, and suspected cases were popping up in Liberia and Sierra Leone — three of the world’s poorest countries, recovering from years of political dysfunction and civil war.

In Guéckédou, where it all began, “the feeling was fright,” said Dr Kalissa N’fansoumane, the hospital director. He had to persuade his employees to come to work.

On March 31, Doctors Without Borders, which has intervened in many Ebola outbreaks, called this one “unprecedented,” and warned that the disease had erupted in so many locations that fighting it would be enormously difficult.

Now, with 1,779 cases, including 961 deaths and a small cluster in Nigeria, the outbreak is out of control and still getting worse. Not only is it the largest ever, but it also seems likely to surpass all two dozen previous known Ebola outbreaks combined. Epidemiologists predict it will take months to control, perhaps many months, and a spokesman for the World Health Organisation (WHO) said thousands more health workers were needed to fight it.

Some experts warn that the outbreak could destabilise governments in the region. It is already causing widespread panic and disruption. Recently, Guinea announced that it had closed its borders with Sierra Leone and Liberia in a bid to halt the virus’s spread. Doctors worry that deaths from malaria, dysentery and other diseases could shoot up as Ebola drains resources from weak health systems. Health care workers, already in short supply, have been hit hard by the outbreak: 145 have been infected, and 80 of them have died.

Past Ebola outbreaks have been snuffed out, often within a few months. How, then, did this one spin so far out of control? It is partly a consequence of modernisation in Africa, and perhaps a warning that future outbreaks, which are inevitable, will pose tougher challenges. Unlike most previous outbreaks, which occurred in remote, localised spots, this one began in a border region where roads have been improved and people travel a lot. In this case, the disease was on the move before health officials even knew it had struck.

Also, this part of Africa had never seen Ebola before. Health workers did not recognise it and had neither the training nor the equipment to avoid infecting themselves or other patients. Hospitals in the region often lack running water and gloves, and can be fertile ground for epidemics.

Public health experts acknowledge that the initial response, both locally and internationally, was inadequate.

“That’s obviously the case,” said Dr Thomas R. Frieden, director of the Centers for Disease Control and Prevention. “Look at what’s happening now.”

He added, “A couple of months ago, there was a false sense of confidence that it was controlled, a stepping back, and then it flared up worse than before.”

Health experts have grown increasingly confident in recent years that they can control Ebola, Dr Frieden said, based on success in places like Uganda.

But those successes hinged on huge education campaigns to teach people about the disease and persuade them to go to treatment centers. Much work also went into getting people to change funeral practices that involve touching corpses, which are highly infectious.

But in West Africa, Ebola was unknown.
- See more at: http://www.universalreporters247.co...breakout-was-traced.html#sthash.zGvpCXzP.dpuf
 

Hognutz

Has No Life - Lives on TB
WOW this is a step back in time. Very interesting to see how it played out back then and today in comparison...
 

Kris Gandillon

The Other Curmudgeon
_______________
13 years ago this forum was discussing an outbreak. Notice the changes. The last post in 12-2001 hints at the bats being a vector. In the current outbreak, that was one of the main noted causes. Now we don't hear about primates dying as they did back then. This tells me we are operating with a different strain... it let's the host survive longer and spread the disease.

Dec2013 we had the first case break out in Guinea. The boy died quickly and so did his family.

how-ebolas-viruss-breakout-was-traced.html


http://www.universalreporters247.com/2014/08/how-ebolas-viruss-breakout-was-traced.html

How Ebola Virus Breakout Was Traced To A 2-Year-Old Boy Who Infected Mother, Sister And Spreads The Virus - See more at: http://www.universalreporters247.co...breakout-was-traced.html#sthash.zGvpCXzP.dpuf

Patient Zero in the Ebola outbreak, researchers suspect, was a 2-year-old boy who died on December 6, just a few days after falling ill in a village in Guéckédou, in southeastern Guinea. Bordering Sierra Leone and Liberia, Guéckédou is at the intersection of three nations, where the disease found an easy entry point to the region.

A week later, it killed the boy’s mother, then his 3-year-old sister, then his grandmother. All had fever, vomiting and diarrhea, but no one knew what had sickened them.

Two mourners at the grandmother’s funeral took the virus home to their village. A health worker carried it to another, where he died, as did his doctor. They both infected relatives from other towns. By the time Ebola was recognised, in March, dozens of people had died in eight Guinean communities, and suspected cases were popping up in Liberia and Sierra Leone — three of the world’s poorest countries, recovering from years of political dysfunction and civil war.

In Guéckédou, where it all began, “the feeling was fright,” said Dr Kalissa N’fansoumane, the hospital director. He had to persuade his employees to come to work.

On March 31, Doctors Without Borders, which has intervened in many Ebola outbreaks, called this one “unprecedented,” and warned that the disease had erupted in so many locations that fighting it would be enormously difficult.

Now, with 1,779 cases, including 961 deaths and a small cluster in Nigeria, the outbreak is out of control and still getting worse. Not only is it the largest ever, but it also seems likely to surpass all two dozen previous known Ebola outbreaks combined. Epidemiologists predict it will take months to control, perhaps many months, and a spokesman for the World Health Organisation (WHO) said thousands more health workers were needed to fight it.

Some experts warn that the outbreak could destabilise governments in the region. It is already causing widespread panic and disruption. Recently, Guinea announced that it had closed its borders with Sierra Leone and Liberia in a bid to halt the virus’s spread. Doctors worry that deaths from malaria, dysentery and other diseases could shoot up as Ebola drains resources from weak health systems. Health care workers, already in short supply, have been hit hard by the outbreak: 145 have been infected, and 80 of them have died.

Past Ebola outbreaks have been snuffed out, often within a few months. How, then, did this one spin so far out of control? It is partly a consequence of modernisation in Africa, and perhaps a warning that future outbreaks, which are inevitable, will pose tougher challenges. Unlike most previous outbreaks, which occurred in remote, localised spots, this one began in a border region where roads have been improved and people travel a lot. In this case, the disease was on the move before health officials even knew it had struck.

Also, this part of Africa had never seen Ebola before. Health workers did not recognise it and had neither the training nor the equipment to avoid infecting themselves or other patients. Hospitals in the region often lack running water and gloves, and can be fertile ground for epidemics.

Public health experts acknowledge that the initial response, both locally and internationally, was inadequate.

“That’s obviously the case,” said Dr Thomas R. Frieden, director of the Centers for Disease Control and Prevention. “Look at what’s happening now.”

He added, “A couple of months ago, there was a false sense of confidence that it was controlled, a stepping back, and then it flared up worse than before.”

Health experts have grown increasingly confident in recent years that they can control Ebola, Dr Frieden said, based on success in places like Uganda.

But those successes hinged on huge education campaigns to teach people about the disease and persuade them to go to treatment centers. Much work also went into getting people to change funeral practices that involve touching corpses, which are highly infectious.

But in West Africa, Ebola was unknown.
- See more at: http://www.universalreporters247.co...breakout-was-traced.html#sthash.zGvpCXzP.dpuf
Now we don't hear about primates dying as they did back then. This tells me we are operating with a different strain... it let's the host survive longer and spread the disease.

Actually, the WHO report on the origins of this current outbreak notes that dead primates were indeed found in the jungle surrounding Guéckédou.
 
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