[hlth] Ebola Kills 16 in Gabon

HeliumAvid

Too Tired to ReTire
http://www.newsday.com/news/nationw...la1219dec19.story?coll=sns-ap-world-headlines

Ebola Kills 16 in Gabon

By SERGE MABIKA
Associated Press Writer

December 19, 2001, 5:53 PM EST

LIBREVILLE, Gabon -- The death toll from an outbreak of the deadly Ebola
disease rose Wednesday to 16 as an international team of medical experts
tracked down more victims in this central African country, the World Health
Organization said.

Health officials have identified 27 suspected cases, including those who have
died, WHO spokesman Gregory Hartl said by telephone from Geneva,
Switzerland.

There was no immediate indication, however, that the disease was
spreading. The figures were rising because progress was being made
identifying existing cases, not because new cases are emerging, Hartl said.

Gabon's Health Ministry has so far confirmed only 16 cases, including 12
deaths.

WHO and the Health Ministry have set up operations in Ogooue Ivindo, the
province where the outbreak began.

Ten doctors from Medecins Sans Frontieres, known in English as Doctors
Without Borders, arrived in Gabon on Tuesday, followed by another staffer on
Wednesday. The group also sent medical kits.

Ogooue Ivindo, a jungle area inhabited by pygmies and hunter tribes, is one
of the most thinly populated regions in Gabon. Ebola last struck there in
1996-97, killing 45 of the 60 people infected.

The first death in the latest outbreak was recorded Dec. 2. in Ekata, about 5
miles from the Republic of Congo border. Other cases were then reported in
three nearby villages -- Ntolo, Mendemba and Ilahounene -- followed by the
towns of Makokou and Mekambo.

At least 10 of the dead were members of a single extended family, a typical pattern for Ebola, which
spreads quickly to people coming in contact with the patients or their bodies. A nurse who apparently
treated one of the victims also died.

Local authorities have restricted movement to and from the affected area.

Ebola is one of the most deadly viral diseases known to humankind, causing death in 50 to 90 percent
of those who become infected.

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 the disease usually kills its victims faster than it can spread.

The virus was first identified in 1976 in western Sudan and in a nearby region of Congo.

Copyright © 2001, The Associated Press
 

Deb Mc

Veteran Member
It's now spread to the Congo too:


http://dailynews.yahoo.com/h/ap/20011220/wl/ebola_africa_6.html



Thursday December 20 5:25 PM ET


Ebola Outbreak Spreads to Congo


By LOUIS OKAMBA, Associated Press Writer

BRAZZAVILLE, Republic of Congo (AP) - Despite stepped-up border controls, an outbreak of the deadly disease Ebola (news - web sites) has spread from Gabon to neighboring Republic of Congo, the World Health Organization (news - web sites) and government officials said Thursday.

The country's health officials have identified 11 cases in a remote, forested region on the northeastern border with Gabon, where 16 cases have already been reported, WHO said in a statement released in Geneva. The health ministry confirmed the outbreak but said the number of people infected was less than 10.

At least 15 of the victims have died, authorities have said. It was not clear how many of the deaths were in Republic of Congo.

Authorities on both sides of the border had feared the disease would spread and restricted movement between the two central African nations.

But at least one woman believed to be infected with Ebola fled Gabon and was located on the other side of the border in Mbomo village, Republic of Congo health authorities said. The woman's baby died in Republic of Congo before she was repatriated to Gabon, where she also died, health ministry spokesman Bertin Ebinda said.

An international team of medical experts from WHO was working with health officials in both countries to help contain the virus.

Medical staff are tracing everyone who has had contact with any of the known victims and observing them for signs of the virus. A total of 133 contacts are being followed up in Gabon and 94 in Republic of Congo, WHO said.

Local authorities have cordoned off a 125-mile region in Republic of Congo, restricting movement to and from the area. Access is also being restricted to four border villages in Gabon.

The first death was recorded Dec. 2. in Ekata, a Gabon village about five miles from the Republic of Congo border.

At least 10 of the dead were members of a single extended family - a typical pattern for Ebola, which spreads quickly to people coming in contact with the patients or their bodies. A nurse who apparently treated one of the victims also died.

Ebola is one of the most deadly viral diseases known to humankind, causing death in 50 to 90 percent of those who become infected.

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

WHO says over 800 people have died of the disease since the virus was first identified in 1976 in western Sudan and in a nearby region of Congo. The disease last struck in Uganda, killing 224 people last year.
 

Deb Mc

Veteran Member
Something similar seems to be killing great apes and other animals nearby too:



(From an e-mail that Pro-Med sends to all registered members.)


EBOLA HEMORRHAGIC FEVER - GABON: DEAD WILDLIFE

***************************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

[see also:
Ebola hemorrhagic fever - Gabon: dead wildlife (03) 20011220.3079
Ebola hemorrhagic fever - Gabon: dead wildlife (02) 20011216.3046
Ebola hemorrhagic fever - Gabon: dead wildlife 20011216.3041
Ebola haemorrhagic fever - Congo Rep 20011220.3075
Ebola hemorrhagic fever - Gabon (07) 20011220.3074
Ebola hemorrhagic fever - Gabon: WHO confirms 20011211.3002
Viral hemorrhagic fever, suspected - Gabon (06) 20011210.2994
Viral hemorrhagic fever, suspected - Gabon 20011205.2950
1996
---
Hemorrhagic fever - Gabon (3) 19960216.0313
Hemorrhagic fever - Gabon (2) 19960216.0312
1995
---
Ebola new case (2) 19950413.0207
Ebola new case 19950413.0206]

Date: Fri 21 Dec 2001
From: William Karesh <wkaresh@wcs.org> (edited)


Report from an on-site team in Gabon


------------------------------------


I would agree with submitted comments that say gorillas (western lowland gorillas in this instance) are unlikely to have been infected with Ebola virus by eating duikers or other antelopes.

We are working on-site with personnel from the Centre International de Recherches Medicales de Franceville (CIRMF) and Ecosystemes Forestiers d'Afrique Centrale (ECOFAC) to survey villagers about wildlife mortalities and contacts, and to confirm the reports by locating the carcasses where possible.

Currently, we have verbal reports from local people of 25 gorillas seen dead at various forested sites. Additionally, local hunters and villagers are reporting finding dead chimps, guenons, porcupines, pangolins, black-backed duikers, genets, rodents, a "snake", and tortoises. This in itself is a rare observation. Local villagers and hunters say that finding so many dead animals in a short period is unusual. From our work in Central African forests, we concur. One group of hunters said they watched a duiker eating or licking a dead gorilla (In zoos, duikers are known to eat small amounts of meat if available).

Teams sent in to corroborate stories have found the remains of one gorilla group (2 large males, 2 females, and an infant) together. At another location, a report led us to a carcass of a adult male gorilla and samples were collected for laboratory confirmation. In a village near the border, 4 people came in contact with a dead gorilla and collected body parts for
consumption. One of these people has died and the 3 others are ill.
I have no information about the laboratory confirmation of [infection in] these people, but 2 are reportedly recovering and the fourth apparently remains unwell. A domestic goat living with them died bleeding from the nose. Postmortem samples were collected from this goat. All animal samples collected to date have been submitted to our collaborators at the CIRMF, Gabon.

To the best of our knowledge, the 4 humans mentioned above are not linked to any of the other human cases (which appear to have direct or indirect contact paths leading back to the illness and death of one man in Gabon).

--
William B Karesh, DVM
Department Head
Field Veterinary Program
Wildlife Conservation Society
2300 Southern Blvd.
Bronx, NY 10460 USA
<wkaresh@wcs.org>

......................cp/pg/sh

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