Uganda, May 2011: Deadly Ebola Virus Confirmed Near Capital, 1 confirmed dead, other suspected cases including fatalities all test negative, monitoring ended

[Treyfish]

Re: Uganda: Deadly Ebola Virus Confirmed Near Capital (New York Times, May 14 2011)

Study: Pigs susceptible to deadly Ebola strain

Robert Roos News Editor

May 13, 2011 (CIDRAP News) ? Canadian researchers have shown that an Ebola virus species that can kill humans can also infect pigs and spread among them, raising the specter of Ebola virus as a potential foodborne pathogen.
The researchers infected two groups of pigs with a high dose of the Zaire Ebola virus ("ZEBOV"), a strain that is up to 90% fatal in humans, according to a report published in the Journal of Infectious Diseases. The pigs became ill to varying degrees, with severe signs in some cases, and they transmitted the virus to other pigs that were previously unexposed.
A US expert who wrote a commentary on the findings said the probability of Ebola virus becoming a foodborne pathogen is small but can't be dismissed for now... http://www.cidrap.umn.edu/cidrap/con...1ebola-jw.html

[alert]

Re: Uganda: Deadly Ebola Virus Confirmed Near Capital, 1 dead, 33 monitored

The good news is that all the contacts appear to be asymptomatic at this point, and most are more than half-way through the maximum incubation period.

Hopefully, the prompt response by local officials may have prevented any transmission.

http://www.newvision.co.ug/D/8/12/754815

Health team visits Ebola-hit Luweero
Sunday, 15th May, 2011 E-mail article Print article

By Raymond Baguma

A team of health experts is set to visit Luweero district today where an outbreak of Ebola has occurred.

Rukia Nakamatte, the Ministry of Health public relations officer, yesterday said the experts had been constituted into a taskforce to respond to the outbreak.

The taskforce is comprised of response teams at district and national levels.

The taskforce is headed by the commissioner for community health, Dr. Anthony Mbonye and includes a team from the World Health Organisation.

The ministry on Saturday confirmed the outbreak of Ebola after a 12-year-old girl from Zirobwe sub-county in Luweero district died at Bombo Military Hospital.

Tests conducted in Entebbe confirmed Ebola to be the cause of death. Also, 33 people who came in contact with the victim while she was sick are being monitored from their homes for any signs and symptoms.

They include relatives and health workers at the clinic where the victim was initially treated before being referred to Bombo.

Ebola is a highly contagious disease with a high fatality rate. It presents with fever, bleeding through body openings, vomiting, diarrhoea, abdominal pain, headache, rash and red eyes. Currently, there is no known cure for Ebola.

The disease is spread through direct physical contact with body fluids like saliva, blood, stool, vomit, urine and sweat from an infected person.

[alert]

Re: Uganda: Deadly Ebola Virus Confirmed Near Capital, 1 dead, 30 monitored

http://www.monitor.co.ug/News/National/-/688334/1163220/-/c1ite9z/-/

Breaking News
Ms Winnie Byanyima, the wife to Ugandan Opposition leader Dr. Kizza Besigye was on Monday morning besieged in her car right outside their family...
HomeNewsNational National

Borders on high alert after Ebola outbreak is confirmed

Posted Monday, May 16 2011 at 00:00

Districts neighbouring key border points have been put on high alert after health officials warned of a possible spread of the Ebola haemorrhagic fever.

The outbreak of the deadly disease, which has killed one person so far, was announced by the Ministry of Health on Saturday. ?We have already alerted the people at the border points to put in place safety measures and to report any suspected cases to the nearest health facility,? Dr Anthony Mbonye, the head of the Ebola task force, said.
This follows the death, on May 6 of a 12-year-old girl from a type of Ebola believed to be common in neighbouring Sudan.

Strains
The World Health Organisation says there are at least five types of Ebola?Zaire, Sudan, Cote d? Ivoire, Bundibugyo and Reston.The disease has no known cure.

In this particular type known as Sudan Ebola, Dr Mbonye said 50 to 60 per cent of clinically-ill patients end up dying.He explained that with massive movement of people across borders every day, the potential for infected persons to spread the virus is very high. This is because the Ebola virus is spread by direct contact with the blood, secretions, organs or other body fluids of infected persons.

So far there are no new cases of the disease reported but the Ministry of Health is closely monitoring some 33 people who are believed to have had direct contact with the girl who died including medical workers at Bombo Military Hospital where she died.

?We are observing and monitoring these 33 people for at least 21 days to see if they show signs and symptoms of the fever,? Dr Mbonye said.
Health officials have also issued precautionary measures including avoiding direct contact with body fluids of infected persons, using protective gears to handle infected cases and avoiding feasting on dead monkeys.

In Luweero District?some 60kms from Kampala city where the latest case of the disease was confirmed?the reaction has been mixed?with some residents of Zirobwe Sub-county where the girl died, claiming ignorance about the outbreak.

Mr Abdon Mugerwa, the area LC3 chairman, told Daily Monitor that the health officials have not come out clearly to inform the public about what happened and try to find ways of isolating people who might be suspected to have had contact with the deceased girl.

Uganda is not new to epidemics. It has twice been hit by Ebola with major outbreaks in 2000 and 2007.

[Treyfish]

Re: Uganda: Deadly Ebola Virus Confirmed Near Capital, 1 dead, 30 monitored

WARDEN MESSAGE

<!--Start If Image-->

U.S. Embassy Kampala, Uganda
Warden Message - May 14, 2011

Hemorrhagic fever in Central Uganda

On May 14, 2011, the Uganda Ministry of Health confirmed that a 12-year-old girl who died on May 6 at Bombo Military Hospital, Luwero District (one hour north of Kampala) was infected with the Ebola virus. The Ministry of Health, U.S. Centers for Disease Control and Prevention, and international partners are investigating the case to determine the extent of the outbreak and if additional cases are present. As of now, there are no additional cases.<?XML:NAMESPACE PREFIX = O /><O:P></O:P>
<O:P></O:P>
Ebola is a deadly disease but is preventable. A person suffering from Ebola presents with sudden onset of high fever with any of the following: headache, vomits blood, has joint and muscle pains, bleeds through the body openings (eyes, nose, gums, ears, anus) and has reduced urine. Ebola disease can only be spread through direct contact with body fluids like saliva, urine or blood of an infected person or the body of someone who has died from the disease. Since the virus spreads through direct contact with blood and other body secretions of an infected person, people living with and caring for Ebola patients are at a high risk of getting infected.
The U.S. Mission in Kampala and the CDC office in Uganda recommend that U.S. citizens working, residing and traveling in central Uganda avoid contact with individuals exhibiting the symptoms described above until further information becomes available.<O:P></O:P>
To minimize the risk of contracting Ebola, avoid direct contact with body fluids (blood, saliva, vomitus, urine, and stool) by wearing protective materials like gloves, masks and gowns. Also avoid communal washing of hands during funerals and any other public gatherings.<O:P></O:P>
For more information on Ebola hemorrhagic fever, please visit the following websites:<O:P></O:P>
http://www.cdc.gov/ncidod/dvrd/spb/mnpages/dispages/ebola.htmhttp://kampala.usembassy.gov/warden_...al-uganda.html<O:P></O:P>

[sharon sanders]

Re: Uganda: Deadly Ebola Virus Confirmed Near Capital, 1 dead, 30 monitored

machine translation -

Disease, "Ebola" kills a child in Uganda
Monday, May 16, 2011 - 00:48

Ebola virus has killed rare, a Ugandan girl in the second ten-year-old, said officials in health they expect more of this infectious killer disease.

Said Anthony Imbony government commissioner for community health that the baby from the area of Luwero, 75 km north of Kampala, and died May 6 in the first outbreak of the disease in Uganda four years ago, adding: "Investigations Laboratory confirmed that Ebola is the primary cause of illness and death."

According to news agency "Reuters", was the last time the back of the Ebola - a disease that bleeding a patient was often quickly even death - in Uganda has experienced the death of 37 people, where there is no cure or vaccine for "Ebola," which is transmitted to communicate personal near and, as strain of virus that could kill 90% of patients.

Initial symptoms include a sharp rise of the disease in a sudden fever, weakness and severe muscle pain, headache, sore throat, which is followed by vomiting, diarrhea, skin rash and weakness, and kidney and liver functions as well as internal and external bleeding.

The reason for the Ebola virus and the death of dozens of people in Africa, which also threatens rare gorillas as well as its threat to humans

http://www.youm7.com/News.asp?NewsID=413369&SecID=245&IssueID=167

[alert]

Re: Uganda: Deadly Ebola Virus Confirmed Near Capital, 1 dead, 30 monitored

Errant reporting alert: There are no confirmed or suspected Ebola cases in Sudan. There is one confirmed "Ebola Sudan" case in Uganda.

http://allafrica.com/stories/201105161245.html

Kenya: Alert Over Ebola Outbreak
Maureen Waruinge
16 May 2011

Tight border controls are being put in place following an Ebola outbreak in Uganda and Sudan, Immigration officials and health centers along the Kenya Uganda border have been told to take precaution. Public Health Director Sharif Shahanaz says the government has been notified of the outbreak by the American Center for Disease control. He says one person has died after developing symptoms of Ebola while 30 others have been isolated and are being monitored by health officials.

[alert]

Re: Uganda: Deadly Ebola Virus Confirmed Near Capital, 1 dead, 30 monitored

http://www.promedmail.org/pls/apex/f?p=2400:1001:153472940816276::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,88455

Archive Number 20110516.1489
Published Date 16-MAY-2011
Subject PRO/AH/EDR> Ebola hemorrhagic fever - Uganda (02): (LW)

EBOLA HEMORRHAGIC FEVER - UGANDA (02): (LUWERO)
***********************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: 15 May 2011
Source: Xinhua [edited]
<http://news.xinhuanet.com/english2010/health/2011-05/15/c_13875099.htm>


The deadly Ebola hemorrhagic fever has broken out in Uganda, killing
one person and leaving over 30 others being monitored by health
officials, ministry of health announced here on Saturday [14 May
2011]. The epicenter of the outbreak is in the central Ugandan
district of Luwero, located about 50 km north of the capital Kampala.

According to Anthony Mbonye, head of the community health department
at the Ministry of Health, a 12-year-old girl in Zirombwe Sub-county
developed symptoms of ebolavirus infection, and when she was admitted
at a military hospital in the district, laboratory tests confirmed
that it was an ebolavirus infection.

Ebolaviruses are highly contagious and cause a range of symptoms
including fever, vomiting, diarrhea, generalized pain or malaise, and
in many cases, internal and external bleeding. The girl died on Fri 6
May 2011, and about 30 people with whom she had contact are being
asked to avoid contact with the public, as health officials monitor
them for about 21 days.

The 30 people have not yet developed any symptoms of ebolavirus
infection, but if they do, they will be isolated from the public.
Mbonye said that preliminary investigations have showed that this
ebolavirus is similar to the one that broke out in Sudan, now named
Sudan ebolavirus. The epicenter of the outbreak is also located along
the highway to southern Sudan. This viral subtype has a human case
fatality rate of 60 percent, meaning that it will kill 60 percent of
infected people.

Another subtype of ebolavirus also appeared in Uganda in 2007. This
[Sudan] one has a human case fatality rate of over 80 percent. The
2007 outbreak which occurred in the western district of Bundibugyo,
bordering eastern Democratic Republic of Congo, claimed [only] 37
lives out of the 148 infected. Mbonye said that there are also ongoing
investigations to find out whether the index case had contact with
moneys or bats, the known reservoirs of ebolaviruses.

Following the outbreak, government has reactivated the National Ebola
Task Force (NETF) to coordinate the fight against the disease at the
national level. District task forces are also in the process of being
formed according to Mbonye, who is the chairperson of the NETF.
Immigration officials at all the country's border posts have been put
on alert, and the neighboring countries have been notified about the
outbreak.

According to Joachim Saweka, a World Health Organization (WHO)
representative here, tight border controls are not yet necessary,
although the immigration officers should be on alert. With some people
reluctant to disclose their exact areas of origin for fear of being
inconvenienced and perhaps quarantined, it remains a challenge how the
immigration staff will handle the situation.

According to Saweka, a team of experts from WHO are also on the way
to Uganda to beef up the team, which is already camped in the affected
district. A ministry of health statement issued on Saturday [14 May
2011] urged the public to stay calm, as all possible measures are
being undertaken to control the situation. The ministry urged the
public to avoid direct contact with body fluids of a person suffering
from ebolavirus infection by using protective materials like gloves
and masks. The public is also urged to bury people who have died of
ebolavirus infection immediately and to avoid feasting and funerals.

The government has also stocked the necessary drugs, supplies and
materials for case management. Isolation facilities have also been set
up in the affected district. "Any claim of somebody bleeding should
not just be disregarded, but the person should be rushed to the
nearest health centre, and then from there, we are already working
with the health system to try to instruct people on how to deal with
these cases," said Saweka.

[Byline: Mu Xuequan]

--
Communicated by:
ProMED-mail <promed@promedmail.org>

[If this information is correct, the case of Ebola hemorrhagic fever
reported from Luwero district is not caused by the novel Ugandan
strain of ebolavirus responsible for the outbreak of Ebola hemorrhagic
fever that occurred in Bundibugyo district in 2007.

Taxonomically, the viruses causing Ebola hemorrhagic fever are
classified in the genus _Ebolavirus_ (family _Filoviridae_), which is
comprised of distinct species designated as: _Cote d'Ivoire
ebolavirus_, _Reston ebolavirus_, _Sudan ebolavirus_, and _Zaire
ebolavirus_. The Zaire, Sudan and Bundibugyo ebolavirus species have
been associated with large Ebola hemorrhagic fever outbreaks in Africa
with a high case fatality ratio (25-90 percent), while the Cote
d'Ivoire and Reston ebolaviruses have not.

Reston ebolavirus can infect humans, but no serious illness or death
in humans have been reported to date. Human infection with the Reston
ebolavirus, found in the Western Pacific, has only caused asymptomatic
illness, meaning that those who become infected do not experience
clinical illness. The natural reservoir of ebolaviruses seems to
reside in the rain forests of the African continent and in areas of
the Western Pacific.

[Shiloh]

Re: Uganda: Deadly Ebola Virus Confirmed Near Capital, 1 dead, 30 monitored

Source: http://www.newvision.co.ug/D/8/12/754951

Luweero Ebola victim frequented forest
Monday, 16th May, 2011
By Raymond Baguma

THE mother of the 12-year-old girl who died of Ebola has told health workers that she and her daughter used to go to the forest to cultivate the family gardens and gather firewood.

The mother is now among the group of people being monitored from their homes for symptoms of Ebola, according to the Luwero medical officer, Dr. Joseph Okware.

Other people who got into contact with the girl have also been advised to avoid sex, hosting visitors or visiting, mass gatherings and using public transport.

Okware declined to disclose the identities of the confined people and their physical addresses for ethical reasons.

He, however, said the village in Zirobwe sub-county where the deceased lived has over 40 homesteads.

Okware said a meeting would be held to discuss how the confined people will be supported. He also disclosed that medical follow-ups will be done from their homes.

?We have agreed that they are confined to their homes for the next 21 days,? he said.

Okware added that a quarantine would be imposed if more people showed signs of infection.

The commissioner for community health, Dr. Anthony Mbonye, said experts investigating the source of the disease had taken the mother?s statement into account.

?We are following it up because monkeys are one of the disease carriers. The disease spreads from wild animals to humans. We have gone to the community and we are studying their water and firewood collecting habits,? he said.

He, however, said they had not reached a conclusion and did want to spread information that would alarm the community.

Mbonye also said the health ministry was working with public health experts, wildlife conservationists, the Uganda Wildlife Authority, the World Health Organisation (WHO), Centres for Disease Control and Prevention and UNICEF.

The virus reported in Luwero is known as Ebola-Sudan, which has a 50-60% fatality rate.

The disease presents with fever, joint and muscle pains, headache, dry throat, diarrhoea, rash, kidney failure, internal and external bleeding.

According to the WHO, about 1,850 cases and 1,200 deaths have occurred since the Ebola virus was first discovered in 1976.

In Uganda, the first Ebola outbreak was in October 2000 in Gulu where 170 people died. In November 2007, another Ebola outbreak in Bundibugyo killed 37.

[alert]

Re: Uganda: Deadly Ebola Virus Confirmed Near Capital, 1 dead, 30 monitored

And reports of three suspected cases, two of which are believed to be excluded.

No indication what exposure the 28-year-old man may have had.

Yes, malaria is common enough in Uganda that a sibling of the confrimed fatality could have contracted malaria within two weeks of his/her sister's Ebola death.

http://www.newvision.co.ug/D/8/13/754999

Bombo sets up Ebola isolation ward
Tuesday, 17th May, 2011 E-mail article Print article


A casual labourer at the site of the proposed Ebola isolation area at Bombo military barracks


By RAYMOND BAGUMA

A new suspected case of Ebola was yesterday reported in Bombo Military Hospital. Blood samples were removed from the patient and taken for further testing at the Uganda Virus Research Institute in Entebbe.

According to authorities at the hospital, the suspect identified as a 28-year-old male was admitted with symptoms similar to those of Ebola.

“He had a fever, blood in his urine and general body weakness. We have isolated him,” said an army Doctor, John Ssentamu.

An Ebola isolation ward is being constructed at Bombo Hospital to handle suspected cases of the disease.
According to Lt. Col. Dr. Godfrey Bwire from the UPDF directorate of medical services, the ward will be ready in three days.

Yesterday, teams from the health ministry, the World Health Organisation, the Spanish embassy, the Centres for Disease Control and Prevention and the Africa Field Epidemiology Network visited Nakisamata village in Zirobwe sub-county, where the first case was reported.

The commissioner for community health, Dr. Anthony Mbonye, said a response plan had been designed in Kampala, Wakiso, Mukono, Nakaseke and Nakasongola.

There was concern after a mortuary attendant at Bombo Hospital, who handled the corpse of the first Ebola victim, fell ill.

However, Bwire said medical tests had diagnosed malaria, which was being treated.

There were also fears after a one-and-a-half year old child from the home of the first Ebola case developed a fever. But tests later proved it to be malaria, according to the Luwero district medical officer, Dr. Joseph Okware.

Okware asked the Ministry of Health to provide protective equipment and sensitise medical workers how to identify Ebola cases and control infection.

[Treyfish]

Re: Uganda: Deadly Ebola Virus Confirmed Near Capital, 1 dead, 30 monitored

malaria..

[alert]

Re: Uganda: Deadly Ebola Virus Confirmed Near Capital, 1 dead, 30 monitored

malaria..

I thought of that, Treyfish, but malaria is easy enough to diagnose and treat in Uganda. We'll see what develops; if either of those cases dies, it will be a good sign that the illness was not malaria. It is also possible that the individuals could have BOTH illnesses.

Hopefully they both remain in isolation until they recover in any case.

[Treyfish]

Re: Uganda: Deadly Ebola Virus Confirmed Near Capital, 1 dead, 30 monitored

<TABLE border=0 cellSpacing=0 cellPadding=0 width=870 bgColor=#ffffff height=730><TBODY><TR><TD vAlign=top>Uganda Health News: Minister Malinga heads Ebola team

2011/05/17 2:39:09 PM EST
</TD></TR><TR><TD vAlign=top>The minister of health has dispatched a technical team to Luwero district to assess the situation on Ebola.

This follows an outbreak of the disease over the weekend where one person was confirmed to have been infected with the virus.

The team has been headed by the outgoing minister of health Stephen Malinga.

Speaking to journalists Malinga says there has not been any more infections reported, however noting that the team is going to sensitize residents on how to detect and prevent further spread of the disease.
http://www.ugpulse.com/articles/dail...team+&ID=19525
</TD></TR></TBODY></TABLE>

[Treyfish]

Re: Uganda: Deadly Ebola Virus Confirmed Near Capital, 1 dead, 30 monitored

http://www.youtube.com/watch?v=FJLmanZyljM

[Treyfish]

Re: Uganda: Deadly Ebola Virus Confirmed Near Capital, 1 dead, 30 monitored

Let Ugandans Know about Ebola Disease.It is Killing people in Luwero

May 17, 2011 at 2:32 pm (HEALTH, Food and health)

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Dear All,
As you may have heard there is an Ebola outbreak in Luwero District (Yes, one confirmed case of Ebola is enough for it to qualify as an epidemic). People who came in close contact with this 12 years old girl who died of Ebola are being followed up (for up to three weeks) and the Ministry of Health is sending a task force to Luweero. The aim of this task force is to increase epidemic preparedness and emergence response to the epidemic.
So far Plan response in Luwero has been agreed upon and communicated to the Luweero team.
Attached below is a brief on the key facts about Ebola. Please keep alert but do not panic:
EBOLA FEVER
The Ebola is a disease caused by a virus and is characterized by: sudden onset of fever, intense weakness, muscle pains, headache, sore throat, vomiting, diarrhoea and both internal and external bleeding. Note that sudden onset of fever associated with bleeding from the mouth, anus, and in urine are the defining features
Transmission: Normally found within the wild animals (especially monkeys) but can be transmitted to the human being who gets into contact with an infected animal. Once in the human being transmission is from person to person through direct contact with the blood, urine, vomit, stools, or other body fluids of infected persons.
Drivers of the epidemic:
? Burial ceremonies where mourners have direct contact with the body of the deceased person can play a significant role in the transmission of Ebola.
? Health care workers have frequently been infected while treating Ebola patients, through close contact without correct infection control precautions
Incubation period: Two to 21 days
Diagnosis: Confirmation is by laboratory testing at the reference laboratory at the Uganda Virus research Institute.
Treatment and vaccine
There is no specific treatment or vaccine is yet available for Ebola. Urgently seek care from a qualified health facility where supportive care in form of intravenous fluids or oral re-hydration solutions, blood transfusions, and other necessary life support can be provided.
Recommended actions to contain the epidemic and the key actors
? Suspected cases should be isolated from other patients and strict barrier nursing techniques implemented (Health facility )
? Disinfection with JIK of the soiled clothing or bed linens from a patient with Ebola is required before handling these items (Health facility and Community).
? Strict surveillance- tracing and following up people who may have come in close contact with Ebola patients are essential (Ministry of Health).
? Hospital staff should be briefed on the nature of the disease and its transmission routes ( Ministry of Health)
? Communities affected by Ebola should make efforts to ensure that the population is well informed, both about the nature of the disease itself and about necessary outbreak containment measures, including burial of the deceased (Ministry of Health, Health facility staff, NGOs).
? People who have died from Ebola should be promptly and safely buried (Community).
Regards
Charles Luwaga
Country Health Advisor
Plan Uganda
P.O.Box 12075 , Plot 126, Luthuli Avenue ,
Bugolobi, Kampala
Uganda
Tel: +256-41-305000 begin_of_the_skype_highlighting +256-41-305000 end_of_the_skype_highlighting Fax:+256-41-505005
Direct: 256-41-305145 begin_of_the_skype_highlighting 256-41-305145 end_of_the_skype_highlighting Mobile : 256-772360365
www.plan-international.org
http://ugandansatheart.org/2011/05/1...ple-in-luwero/

[Treyfish]

Re: Uganda: Deadly Ebola Virus Confirmed Near Capital, 1 dead, 30 monitored

<TABLE class=contentpaneopen><TBODY><TR><TD class=contentheading width="100%">Experts visit Luwero over Ebola </TD></TR></TBODY></TABLE><TABLE class=contentpaneopen><TBODY><TR><TD vAlign=top>Written by Ben Musanje </TD></TR><TR><TD class=createdate vAlign=top>Tuesday, 17 May 2011 17:07 </TD></TR><TR><TD vAlign=top>Experts in the health sector have paid a visit to Luweero district to investigate the reported Ebola case in the area.

Dr Paul Kaggwa one of the experts visiting the area says there is no other person detected with the virus ever since the death of an Ebola victim reported last week.

The mother of the deceased is among the 30 people now being monitored from their homes for symptoms of Ebola after the death of the girl whose identity is still withheld.

Kaggwa says experts from the ministry of health, and the World Health Organisation among others sent samples for investigating the case.

He has advised the public to avoid sex, hosting visitors or visiting, mass gatherings and public transport.http://www.radiosapientia.com/news/7...ero-over-ebola

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