[hlth] Parts of the Congo Quarantined Due to Ebola Outbreak

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<b>Cuvette-Ouest Region Quarantined Due to Suspected Ebola Outbreak</b>

Posted to the web February 14, 2003

Brazzaville

The government of the Republic of Congo on Thursday quarantined the Cuvette-Ouest Region due to an outbreak of haemorrhagic fever, suspected to be the Ebola virus.

"We are still waiting for lab confirmation, but it looks almost certain that this is an outbreak of Ebola," Iain Simpson, responsible for media relations and communications at the Communicable Diseases Programme of the World Health Organization (WHO), told IRIN from Geneva on Friday. "We are moving forward as though this is confirmed, assembling a team including case management experts and epidemiologists to travel to Congo as soon as practicable."

The epidemic has already caused 51 deaths, Minister of Health and Population, Alain Moka, told a news conference in the capital, Brazzaville, on Thursday.

The districts of Mbomo and Kelle have been the hardest hit. The village of Ebelangoy, where 38 deaths have already been recorded, is nearly deserted, as residents have fled towards Kelle and the surrounding area.

"The conditions are ripe for a rapid, large-scale spread of the disease, and we have the worst to fear," said Moka.

A series of emergency measures has been taken by the government in an effort to contain the situation: health personnel present in affected districts are being increased; mobile radio stations have been dispatched to inform local populations about haemorrhagic fever; government officials and other prominent Congolese personalities have been asked to participate in the public awareness campaign; all schools in the affected zones have been closed; small transistor radios are being distributed to families throughout the region so that people can receive instruction about the epidemic; public gatherings and movement between villages has been prohibited; and 40 million F CFA (US $68,161) has been made available for the deployment of additional medical teams on the ground.

Moka emphasized that additions measures would be taken. "The situation is far from being brought under control, because no one wants to be told that their family or village has been exposed to Ebola," he said.

One WHO staff member in Brazzaville lamented the "terrible fate" that had befallen Mbomo district, which is experiencing its second outbreak of haemorrhagic fever within one year.

He warned of the challenge of working with terrified populations.

"With the refusal of the population to cooperate, it is difficult to carry out our work and achieve good results," he said, recalling that a member of the Ebola investigation mission that was dispatched in June 2002 to the town of Olloba was attacked by frenzied villagers who were suspicious of the health team's presence. It was only after a local Red Cross official intervened that the health worker was spared.

Authorities were first alerted to a possible Ebola outbreak when a clan of gorillas in the region began to die. Tests carried out on the bodies confirmed that the gorillas had died from the Ebola virus, and the disease has now claimed more than 80 percent of the gorilla clan. The current outbreak is believed to have been caused by villagers eating primates that were infected with Ebola.

Ebola is a haemorrhagic fever transmitted through direct contact with body fluids of infected persons or other primates. There is no cure, and between 50 percent and 90 percent of victims die.
 

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http://straitstimes.asia1.com.sg/world/story/0,4386,171879,00.html

<b>Ebola outbreak claims 51 lives in Congo </b>

The victims are suspected of eating infected gorilla meat as a regional quarantine is imposed

BRAZZAVILLE (Congo) - Government health officials on Thursday quarantined a central region of Congo where a suspected outbreak of the deadly Ebola virus has killed more than four dozen people.

Health Minister Alain Moka appealled for international assistance, saying 51 people had died of haemorrhagic fever in Cuvette West, a sparsely inhabited, forested region that is home to 30,000 people.


Victims apparently caught the disease by eating the meat of infected gorillas found dead in the jungle, Mr Moka said.

'The situation in that region is extremely grave.' he said.

Mr Dick Thompson, spokesman for the Geneva-based World Health Organisation (WHO), said 61 people had contracted the disease, but could only confirm 50 deaths in the region 800 km north of the capital, Brazzaville.

He said the agency was not aware of the quarantine and would advise against it.

'Ebola quarantines haven't been found to be effective,' he said.

Government and WHO experts were drawing blood from victims to determine if the disease was Ebola, Mr Moka said. Results are expected in the coming days.

Ebola is one of the world's deadliest viral diseases, causing rapid death through massive blood loss in up to 90 per cent of those infected.

The disease, which is spread through bodily fluids, generally kills rapidly, meaning the disease burns out before it can spread great distances.

Primates, a food source for many central Africans, can also carry the infection.

Movement in, around and out of Cuvette West had been prohibited, Mr Moka said.

Churches, schools and government offices have been shut and public gatherings banned. Mobile speaker systems were being brought in to broadcast instructions to people in their homes.

Mr Moka said containment efforts were being hampered by the panic triggered by medical teams' boots, helmeted suits and syringes.

'Right now, the teams are having a lot of trouble working with the villagers, who believe the disease is a terrible curse,' he said.

'And when they see the men in the white suits, they flee.'

More than 1,000 people have died of Ebola since the virus was first identified in 1976 in western Sudan and in a nearby region of Congo.

In neighbouring Gabon, Health Minister Faustin Boukoubi said that no cases had been reported yet, but crisis teams had been deployed.

Both Congo and Gabon have been struck by the disease before.

--AFP, AP
 
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