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Uganda declares Ebola Virus Disease outbreak (SEBOV) - 20 Sept 2022

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  • #16
    Translation Google

    Uganda: MSF teams mobilized to fight the Ebola epidemic

    SEPTEMBER 23, 2022
    ...
    On Wednesday 21 September, a six-person MSF team, made up mainly of doctors and logisticians, traveled to the town of Mubende to carry out an assessment of the situation and needs at the regional referral hospital where the first case.

    Since then, MSF has been working to set up an Ebola isolation and treatment center at Mubende hospital. Teams are studying the possibility of setting up a second in the town of Madudu, 25 kilometers to the north, where the first person to die of the disease originated and where several suspected cases have been reported.
    ...

    https://www.msf.fr/actualites/ougand...idemie-d-ebola
    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
    -Nelson Mandela

    Comment


    • #17
      EBOLA: Patient admission rises to 30 in Mubende, suspect in Zombo isolated

      The Independent September 24, 2022 NEWS

      Mubende, Uganda | THE INDEPENDENT | The number of people admitted at Mubende Referral Hospital suspected of suffering from Ebola has increased from 21 to 30.

      Health workers at Mubende hospital said that the patients were brought to the hospital from Madudu Sub County in Mubende District and Kyaka Refugee Camp in Kyegegwa District.

      Rosemary Byabashaija, the Mubende Resident District Commissioner, said that the 14 are suspected cases and have been isolated as they wait for the results that were taken to the Uganda Virus Research Institute-UVRI.

      She added that the 16 patients all tested positive after they were tracked by the surveillance team from Madudu Sub County. Byabashaija also the chairperson of Taskforce said that one girl died in the hospital and that the body awaits the burial team to handle.

      The death of the 12-year-old girl brings to 3, the number of people who have died in the hospital while the first deaths including an enrolled nurse were announced before confirmation of Ebola. She said the father of the deceased, being an immediate contact person, has been isolated.
      ...
      Meanwhile, a suspected Ebola patient has been admitted to an isolation ward at Warr Health center IV in Warr Town Council, Zombo District.

      Richard Bayo, the Regional Disease Surveillance Officer at Infectious Disease Institute (IDI) notes that the patient checked into the facility on Wednesday with signs and symptoms that are consistent with Ebola virus. He says that the patient was bleeding through body openings.
      ...
      https://www.independent.co.ug/ebola-...ombo-isolated/
      "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
      -Nelson Mandela

      Comment


      • #18
        Ministry of Health- Uganda
        @MinofHealthUG

        UPDATE ON EBOLA VIRUS DISEASE OUTBREAK

        New Confirmed cases: 4

        Cumulative confirmed cases: 15

        Cumulative deaths: 19 (All probable)

        Active cases on admissions: 29

        11:46 AM · Sep 24, 2022·Twitter for iPhone
        "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
        -Nelson Mandela

        Comment


        • #19
          Ebola spreads to more areas

          Sunday, September 25, 2022
          By Monitor Team
          ...
          Dr Henry Kyobe, the Ebola incident commander, said the majority of the cases are in Mubende, the epicentre. The sub-counties of Madudu, Kiruuma, and Kasambya, have reported one or more confirmed and or suspected cases of Ebola.

          In Kyegegwa, at least six suspected cases, one suspected Ebola death and 20 contacts of victims have been listed and are being followed.

          While in Kisoro, a district 413 kilometres away from Mubende, two suspected cases have been reported, which if confirmed will mean the epidemic could have spread widely. Perhaps more troubling is the one suspected Ebola death in Kampala, a district more than 140 kilometres from Mubende with a huge day and night population.

          Dr Daniel Okello, the head of public health services at the Kampala Capital City Authority, said the sample from the person suspected to have died of Ebola in Kansanga has been taken to UVRI for testing.
          ...

          Reporting by Tonny Abet, Daniel Wandera and Alex Tumuhimbise


          https://www.monitor.co.ug/uganda/new...-areas-3960842

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


          Ministry of Health- Uganda
          @MinofHealthUG

          CURRENT UPDATE ON EBOLA OUTBREAK

          Cumulative cases: 34 (16 confirmed, 18 probable)

          Cases reported outside Mubende: 3 in Kyegegwa and 1 in Kassanda. No confirmed cases in Kampala as yet.

          Cumulative deaths: 21 (4 confirmed, 17 probable)


          8:55 AM · Sep 25, 2022
          "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
          -Nelson Mandela

          Comment


          • #20

            Ministry of Health- Uganda
            @MinofHealthUG

            CURRENT #EbolaOutbreakUG update: As of 25th September, 2022

            New Confirmed Cases: 2

            Cumulative cases: 36 (18 confirmed and 18 probable cases)

            New deaths: 2 Cumulative deaths: 23 (5 confirmed deaths and 18 probable deaths)

            Active cases on admission: 35

            7:23 AM · Sep 26, 2022·Twitter for iPhone
            "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
            -Nelson Mandela

            Comment


            • #21
              Source: https://www.bbc.com/news/world-africa-62994459

              Uganda's Ebola outbreak: Trainee doctors go on strike over safety fears
              By Patience Atuhaire
              BBC News, Kampala
              Published 2 hours ago

              Trainee medics battling Ebola in Uganda's virus epicentre accuse the government of putting their lives at risk.

              "Most times you come into contact with a patient and you use your bare hands," one worker told the BBC anonymously.

              All trainees at Mubende's regional hospital say they are on strike and are demanding to be moved somewhere safer.

              But Ugandan health ministry spokesman Emmanuel Ainebyoona told the BBC there was "no strike at the hospital".

              Yet all 34 of the hospital's interns - including doctors, pharmacists and nurses - have announced their decision to strike in a joint statement.

              They say they are being put at undue risk because they lack appropriate safety kit, risk allowances and health insurance...

              Comment


              • #22
                VIDEO:

                Mubende medical interns withdraw services citing tough conditions

                6hours ago.

                Medical interns at Mubende Regional Referral Hospital have withdrawn their services amidst Ebola outbreak from the Mubende epicentre. The thirty-four interns have appended their signatures to a letter to the Ministry of Health complaining of difficult working conditions. As Walter Mwesigye reports, this latest development will present a challenge to Ebola management in the face of rising cases.

                https://www.ntv.co.ug/ug/news/mubend...itions-3962952

                Comment


                • #23
                  Seven suspected Ebola patients flee from health officials

                  Monday, September 26, 2022

                  By Dan Wandera

                  The Ebola National taskforce is yet to locate seven suspected Ebola patients who reportedly escaped from the surveillance health teams in Mubende District, the epicenter of the disease.

                  The seven are among the contacts that are supposed to be at the Ebola isolation centre but escaped from the health teams before they could get to the Centre, the Ebola incident commander, Lt Col Henry Kyobe Bbosa told a stakeholder and taskforce meeting at Mubende District Council Hall at the weekend.
                  While it is clear that escapees are supposed to be subjected to monitoring at the isolation centre, a section of leaders believe that hiding away from possible treatment could escalate disease spread in cases where the suspects turn out to be positive while in the community.

                  “The communities need better sensitization on what happens at the isolation centre. There is a lot of misinformation about the isolation facilities. A section of the public claim that isolation facilities are areas where patients are subjected to stress due to lack of family company,” Mr Happy Cleophas, a District Councilor representing Lubimbiri Sub County in Mubende said.
                  But Mubende RDC, Ms Rosemary Byabasaija says while the incident is unfortunate, the taskforce is working hard to have all contact persons get to the isolation facility.
                  “We need to handle the Ebola outbreak decisively to ensure that our people survive the epidemic,” she said on Sunday.

                  ... “The community should be made to understand that once you are listed as a contact person, you hand yourself in for treatment. If you run away, you are most likely going to die or spread the disease. An isolation facility is not a prison but for your own safety,” she said.

                  https://www.monitor.co.ug/uganda/new...cials--3961816

                  Comment


                  • #24
                    Source: https://www.who.int/emergencies/dise...em/2022-DON410


                    Ebola Disease caused by Sudan virus - Uganda

                    26 September 2022

                    Outbreak at a glance
                    On 20 September 2022, Uganda health authorities declared an outbreak of Ebola disease, caused by Sudan virus, following laboratory confirmation of a patient from a village in Madudu sub-county, Mubende district, central Uganda.
                    As of 25 September 2022, a cumulative number of 18 confirmed and 18 probable cases have been reported from Mubende, Kyegegwa and Kassanda districts, including 23 deaths, of which five were among confirmed cases (CFR among confirmed cases 28%). This is the first Ebola disease outbreak caused by Sudan virus (SUDV) in Uganda since 2012.
                    Description of the outbreak
                    On 20 September 2022, the health authorities in Uganda declared an outbreak of Ebola disease caused by Sudan virus (SUDV), after a case was confirmed in a village of Madudu sub-county in Mubende district, central Uganda.
                    The case was a 24-year-old male who developed a wide range of symptoms on 11 September including high-grade fever, tonic convulsions, blood-stained vomit and diarrhoea, loss of appetite, pain while swallowing, chest pain, dry cough and bleeding in the eyes. He visited two private clinics, successively between 11-13 and 13-15 September without improvement. He was then referred to the Regional Referral Hospital (RRH) on 15 September where he was isolated as a suspected case of viral haemorrhagic fever. A blood sample was collected on 17 September and sent to the Uganda Virus Research Institute (UVRI) in Kampala where RT- PCR tests conducted were positive for SUDV on 19 September. On the same day, the patient died.
                    Results of preliminary investigations identified a number of community deaths from an unknown illness in Madudu and Kiruma sub-counties of Mubende district reported in the first two weeks of September. These deaths are now considered to be probable cases of Ebola caused by SUDV.
                    As of 25 September 2022, a cumulative number of 36 cases (18 confirmed and 18 probable cases) have been reported from Mubende (14 confirmed and 18 probable), Kyegegwa (three confirmed cases) and Kassanda (one confirmed case) districts. Twenty-three deaths have been recorded, of which five were among confirmed cases (CFR among confirmed cases 28%). Of the total confirmed and suspected cases, 62% are female and 38% are male. There are currently 13 confirmed cases hospitalized. The median age of the cases is 26 years (range 1 year to 60 years). A cumulative number of 223 contacts have been listed.
                    Map of confirmed (n=18) and suspected (n=18) cases of Ebola disease caused by Sudan virus, by district, Uganda (as of 25 September 2022).
                    Epidemiology of the disease
                    According to the International Classification of Disease for filoviruses (ICD-11) released in May 2019, Ebola disease is now sub-categorized depending on the causative virus. Outbreaks of Ebola disease caused by Sudan virus are named Sudan Virus Disease (SVD) outbreaks. Prior to May 2019 all viruses causing Ebola disease were grouped together. Based on the results of laboratory tests, this outbreak is caused by Sudan virus.
                    Sudan virus disease is a severe, often fatal illness affecting humans. Sudan virus was first reported in southern Sudan in June 1976, since then the virus has emerged periodically and up to now, seven outbreaks caused by SUDV have been reported, four in Uganda and three in Sudan. The estimated case fatality ratios of SVD have varied from 41% to 100% in past outbreaks.
                    The virus is introduced into the human population through close contact with the blood, secretions, organs or other bodily fluids of infected animals such as fruit bats, chimpanzees, gorillas, monkeys, forest antelope or porcupines found ill or dead or in the rainforest. The virus then spreads through human-to-human transmission via direct contact (through broken skin or mucous membranes) with either blood or body fluids of a person who is sick with or has died from SVD or objects that have been contaminated with body fluids (like blood, faeces, vomit) from a person sick with SVD or the body of a person who died from SVD.
                    The incubation period ranges from 2 to 21 days. People infected with Sudan virus cannot spread the disease until they develop symptoms, and they remain infectious as long as their blood contains the virus. Symptoms of SVD can be sudden and include fever, fatigue, muscle pain, headache, and sore throat later followed by vomiting, diarrhoea, rash, symptoms of impaired kidney and liver function. In some cases, the patient might present both internal and external bleeding (for example, bleeding from the gums, or blood in the stools).
                    The diagnosis of SVD can be difficult, as early nonspecific manifestation of the disease may mimic other infectious diseases such as malaria, typhoid fever and meningitis. Confirmation is made using numerous diagnostic methods including RT-PCR. Supportive care - rehydration with oral or intravenous fluids - and treatment of specific symptoms improve survival.
                    There are no licensed vaccines or therapeutics for the prevention and treatment of Sudan virus disease.
                    Uganda has reported four SVD outbreaks, in 2000, 2011 and 2012 (two outbreaks). Uganda also reported a Bundibugyo virus disease outbreak in 2007 and an Ebola virus disease outbreak in 2019.


                    Public health response

                    Coordination
                    • The Ministry of Health (MOH) established a National Task Force, with WHO providing technical support
                    • The Incidence Management Team was activated both within the MOH and the WHO country office
                    • The MOH Incident Commander has been deployed to Mubende District to support response efforts in the affected region
                    • WHO is supporting the orientation of the leadership at the Regional Referral Hospital and the district health team on early identification and case management
                    • A response plan is being developed and priority actions have been identified


                    Surveillance and Laboratory
                    • WHO has supported the activation of surveillance structures in districts
                    • Contact tracing and active case finding are ongoing
                    • WHO has deployed a technical team in Mubende district to support surveillance


                    Case Management
                    • WHO has supported the assessment of the isolation unit at the regional referral Hospital and dispatched an Ebola disease kit and tent for the isolation of patients
                    • WHO has deployed a central team of experts to support the establishment of a treatment unit in the Regional Referral Hospital
                    • Infection prevention and control (IPC) teams were deployed to support capacity building of health workers in IPC and the establishment of screening and triage at all health facilities in affected districts
                    Communication and Risk Communication
                    • As part of the communication and risk communication activities, WHO provided technical support for the organization of the press conference on Ebola and the development and dissemination of a press statement by the Ministry of Health
                    • Currently, WHO is supporting the review of Information, Education and Communication (IEC) material for dissemination to the public

                    WHO risk assessment

                    Uganda has experience in responding to Ebola virus disease and Sudan virus disease outbreaks, and necessary action has been initiated quickly. The current outbreak is the first Ebola disease outbreak caused by Sudan virus in Uganda since 2012.
                    In the absence of licensed vaccines and therapeutics for prevention and treatment of Sudan virus disease, the risk of potential serious public health impact is high. Community deaths and care of patients in private facilities and hospitals and other community health services with limited protection and infection prevention and control measures entail a high risk of many transmission chains. Investigations are ongoing to determine the scope of the outbreak and the possibility of spreading to other districts. Importation of cases to neighbouring countries cannot be ruled out at this stage.
                    According to the information currently available, the overall risk has been assessed as high at national level considering: (i) the confirmed Sudan virus and the lack of an authorized vaccine (ii) the possibility that the event started three weeks before the identification of the index case and several transmission chains have not been not tracked; (iii) patients presented at various facilities with suboptimal infection, prevention and control (IPC) practices including inadequate use of personal protective equipment (PPE); the patients died and were traditionally buried with large gathering ceremonies; (iv) although the country has developed an increased capacity to respond to Ebola outbreaks over recent years, and has a local capacity that can be easily mobilized and organised with available resources to mount a robust response, the system could be overwhelmed if the number of cases increases and the outbreak spreads to other sub-counties, districts and regions, as the country simultaneously responds to multiple emergencies, including anthrax, COVID-19, Rift Valley fever and Yellow fever, as well as flooding and prevailing food insecurity.
                    In addition, the outbreak was detected among individuals living around an active local gold mine. Mobility among traders of this commodity is likely to be high, and the declaration of the outbreak may cause some miners already incubating the disease to flee.
                    The currently affected Mubende district has no international borders. Nevertheless, the risk of international spread cannot be ruled out due to the active cross-border population movement. In addition, investigations are ongoing to establish transmission chains and the scope of the outbreak is yet to be determined.
                    At Regional and Global levels, the overall risk has been assessed as low.

                    WHO advice

                    Effective outbreak control relies on applying a package of interventions, including case management, surveillance and contact tracing, an optimal laboratory service, implementation of infection prevention and control measures in health care and community settings, safe and dignified burials and community engagement and social mobilization. Community engagement is essential to successfully controlling outbreaks. Raising awareness of risk factors for Ebola infection and protective measures that individuals can take is an effective way to reduce human transmission.
                    Early initiation of supportive treatment has been shown to significantly reduce deaths from Ebola disease. There is a need to strengthen surveillance and other response activities to contain the possibility of exponential spread.
                    Based on available evidence the ERVEBO vaccine — used in the recent responses against the Ebola virus disease outbreaks — will not provide cross-protection against the Sudan virus disease.
                    The Johnson & Johnson (Janssen) vaccine called Zabdeno/Mvabea against Ebola has only been approved by the European Medicines Agency (EMA) against Ebola virus disease and has not been tested against Sudan virus disease. This vaccine is administered on a two-dose schedule and requires 56 days between the two doses. The first dose provides protection against the Zaire ebolavirus and the second dose was designed to provide protection against other species of the virus, including Sudan. However, this multiantigen protection has not been demonstrated with clinical data. Even if the vaccine was tested and proved to be effective against Sudan ebolavirus, it would only provide protection some days after the second dose is administered. This means the vaccine is not appropriate for outbreak response.
                    WHO advises against any restrictions on travel and/or trade to Uganda based on available information for the current outbreak.

                    Further informationCitable reference: World Health Organization (26 September 2022). Disease Outbreak News; Ebola Disease caused by Sudan virus – Uganda. Available at: https://www.who.int/emergencies/dise...em/2022-DON410


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                    • #25
                      Source: https://kesq.com/news/2022/09/26/ebo...l-rises-to-23/

                      Ebola infections grow in Uganda as death toll rises to 23
                      By Nimi Princewill, CNN

                      Ebola infections have risen across districts in Uganda, bringing the cumulative number of confirmed and suspected deaths to 23, health authorities in the east African country said Monday.

                      Uganda declared an Ebola outbreak last Tuesday after a case of the relatively rare Sudan strain was detected in the country’s Mubende district.

                      The virus has now spread to neighboring Kyegegwa and Kassanda districts, with the Ugandan Health Ministry reporting that cumulative cases had risen to 36, including confirmed and probable cases. No cases have been detected in the capital city Kampala.

                      The Ugandan Health Ministry considers a “probable case” as any person who died from suspected EVD (ebola) and had an epidemiological link to a confirmed case but was not tested and did not have lab confirmation.

                      The ministry considers “confirmed cases” as those with positive lab results. Of the number of infections identified so far, 18 of the cases have been confirmed to be infected while another 18 were suspected of having the virus.

                      The ministry also stated that five of the deceased patients were confirmed to have died of the virus while 18 were listed as probable deaths. Around 35 patients are currently being admitted, it added...

                      Comment


                      • #26
                        Source: https://www.kfm.co.ug/news/suspected...-district.html

                        Suspected Ebola patient dies in Wakiso
                        admin by admin
                        September 27, 2022
                        By Mike Sebalu

                        A 22-year-old girl with symptoms of Ebola died on Monday, September 26 at Kasangati Health Centre IV.

                        Kasangati Town Council authorities in Wakiso district have criticised the slow response by the government in handling a suspected case of Ebola at the mentioned health facility.

                        Kasangati Mayor, Tom Muwonge says much as they have identified the contacts of the deceased, their samples have not yet been taken for testing at the Uganda Virus Research Institute.

                        Muwonge has also decried lack of Personal Protective Equipment (PPE) for the health workers which has put many of their lives at stake...


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

                        Wakiso District is a district in the Central Region of Uganda that partly encircles Kampala, Uganda's capital city. The town of Wakiso is the site of the district headquarters. Kira, the country's second largest city and suburb of Kampala, is in the district.

                        https://en.wikipedia.org/wiki/Wakiso_District

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

                        Kasangati is 7 miles from Kampala, the capital of Uganda.

                        Last edited by sharon sanders; September 27, 2022, 09:39 AM. Reason: added comment and link

                        Comment


                        • #27
                          Dr. Jane Ruth Aceng Ocero
                          @JaneRuth_Aceng

                          As of today, there is no confirmed case of #Ebola in #Kampala. All samples tested for #Ebola from Kampala turned negative.

                          Right now, we are awaiting the results of the sample tested from Kasangati. We shall keep the public informed and call for calmness and vigilance. Stay safe.

                          ...

                          4:45 AM · Sep 27, 2022·Twitter for iPhone
                          "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                          -Nelson Mandela

                          Comment


                          • #28
                            As Ebola Spreads, Ugandan Medical Interns Strike Over Safety

                            September 27, 2022 12:51 PM
                            Halima Athumani

                            KAMPALA, UGANDA —

                            ...
                            Uganda Medical Association President, Dr. Samuel Oledo, told VOA one intern, three staff, and a medical student have been confirmed for exposure to the virus and at least three senior health officers (SHO) are showing symptoms.

                            "We have 34 interns in Mubende. And we have less than 12 doctors employed on the ground,” Oledo said. “If you have interns and they are pulling out at once, it's catastrophic. And the justifications are clear, honestly. Results have come out today and one of the SHOs who actually performed surgeries with one of the interns on one case has become positive of Ebola."

                            Oledo said they suspect as many as 104 medical students in Mubende hospital have been exposed to the virus.

                            Uganda’s Ministry of Health has yet to confirm the exposures and infections of students and staff at the hospital.
                            ...

                            https://www.voanews.com/a/as-ebola-s...y/6765445.html
                            "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                            -Nelson Mandela

                            Comment


                            • #29
                              Dr. Jane Ruth Aceng Ocero

                              @JaneRuth_Aceng

                              The sample tested from the Kasangati patient is NEGATIVE for #Ebola.

                              Please note that there are no confirmed cases of #Ebola in Kampala.

                              The public should remain calm and vigilant.

                              ...
                              1:42 AM · Sep 28, 2022·Twitter for iPhone
                              "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                              -Nelson Mandela

                              Comment


                              • #30
                                Six health workers at Mubende Hospital test positive for Ebola

                                Wednesday, September 28, 2022

                                By U R N
                                New Agency
                                Uganda Radio Network
                                ...
                                Six health workers at Mubende Regional Referral Hospital have tested positive for the Ebola Virus Disease.

                                According to the General Secretary of the Uganda Medical Association, Mr Herbert Luswata, three are medical workers, two are interns and one is a medical student. The samples of the health workers were sent to the Uganda Virus Research Institute which confirmed the Ebola virus on Wednesday.
                                ...
                                Ms Rosemary Byabashaija, the Mubende Resident District Commissioner said that currently there are 42 people admitted at the Ebola Centre in Mubende with 16 people tested and confirmed to be positive for Ebola Virus. She said that one died bringing the number of deaths at the facility to six, while 19 others died in the villages making 25, the total number of deaths.

                                “Many people continue to contract this disease as the numbers continue increasing, but the good news is that some are being cured of the disease. We currently have 42 people in isolation, and the confirmed positive cases are 16. We have 26 in emergency units,” she said on Wednesday.
                                ...

                                https://www.monitor.co.ug/uganda/new...-ebola-3965644
                                "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                                -Nelson Mandela

                                Comment

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