Uganda: Ebola Sudan identified in 17 deaths, all monitoring completed, outbreak declared over

[Treyfish]

Re: Uganda: Ebola Sudan identified in 14-18? deaths including Healthcare worker in Kibaale out of 26 total suspected cases

Kenya on alert after Ebola reported in Kampala

Posted by CATHERINE KARONGO and JUDIE KABERIA on July 30, 2012 <!--end: postmeta-->

He added that the ministry was still gathering more information on the Uganda outbreak and further decisions will be made as information is gathered/AFP

NAIROBI, Kenya, Jul 30 ? Kenya declared a high Ebola alert on Monday in provinces that border Uganda, after an outbreak of the disease was confirmed in Kampala.
The Head of Disease Prevention and Control at the Ministry of Public Health Willis Akhwale said they had instructed Provincial Directors of Health and District Medical Officers in Western, Nyanza and Rift Valley provinces to immediately report any suspicious cases.
?We will issue the health workers in these areas with personal protective clothing for them to effectively handle any suspicious case,? he told Capital FM News.
He added that the ministry was still gathering more information on the Uganda outbreak and further decisions will be made as information is gathered.
Earlier, the Director of Public Health Dr Shahnaz Sharif told Capital FM News that Kenya would not advise its citizens against travelling to Uganda following the outbreak.
He said Ebola was not airborne and at the moment there was no serious risk. He further said all measures were in place to deal with it in case there is an outbreak in Kenya.
?We are not issuing any advisory for people travelling to Uganda. Everything is under control. If there is anything occurring, we can explore the disease within a short time. We have lab facilities to do so, nothing to worry about? you should relax.?
Reports from Kampala said doctors and health workers involved in handling the known cases had already been quarantined.
Uganda?s president Yoweri Museveni on Monday warned against any form of physical contact after victims were reported in the capital Kampala for the first time.
?The Ministry of Health are tracing all the people who have had contact with the victims,? Museveni said in a state broadcast, adding that 14 people had died in total since Ebola broke out in western Uganda three weeks ago.
Two cases have since been reported in the capital, with one victim reported dead in Kampala?s Mulago Hospital, he said, calling on people not to shake hands to avoid the spread of the killer virus.
?Ebola spreads by contact when you contact each other physically? avoid shaking of hands, because that can cause contact ..http://www.capitalfm.co.ke/news/2012...ed-in-kampala/

[sharon sanders]

Re: Uganda: Ebola Sudan identified in 14-18? deaths including Healthcare worker in Kibaale out of 26 total suspected cases

19 dead

Ebola Virus Hits Kampala
on July 30, 2012

Ebola virus outbreak has been reported in Kampala for the first time, with two cases reported and one person confirmed dead.

The victim reportedly died at Mulago Hospital.

This brings the death toll to 19 of which 18 were reported in Kibaale district where the out break first hit last week.

...Seven doctors and 13 health workers at Mulago hospital are in quarantine after ?at least one or two cases? were taken there, with one later dying from the virus.

...
An isolation ward has been established Kagadi hospital to avoid spread of the disease.

[link to www.ugandapicks.com]

This writer does not quote any sources for her death count. I am leaving the title of the thread at 14-18? until we can obtain a second source for the total death count.

[Treyfish]

Re: Uganda: Ebola Sudan identified in 14-18? deaths including Healthcare worker in Kibaale out of 26 total suspected cases

Most schools in Kampala and Buyaga county in Kibaale district have close after an outbreak of Ebola was confirmed.
The virus has so far killed 19 people with 1 case recorded in Kampala at Mulago hospital.http://www.ugandapicks.com/2012/07/s...eak-12627.html

[Treyfish]

Re: Uganda: Ebola Sudan identified in 14-18? deaths including Healthcare worker in Kibaale out of 26 total suspected cases

34 People Being Monitored for Ebola Signs
2012-07-30 15:58:10


The disease which broke out in Nyamarunda sub county Kibaale district has so far killed 14 people and another 7 are still fighting for their lives at Kagadi Hospital in Kibaale district.


Read more: http://ugandaradionetwork.com/a/stor...#ixzz228FIKSYX

[Treyfish]

Re: Uganda: Ebola Sudan identified in 14-18? deaths including Healthcare worker in Kibaale out of 26 total suspected cases

Government Alerts Public on Spread of Ebola Virus in neighbouring country
Kigali, July 30th, 2012: – Following reported outbreak of the deadly Ebola hemorrhagic fever in neighboring Uganda, the Government of Rwanda has put in place stringent measures that will ensure the safety of Rwandans from this deadly virus.
Over the weekend, Uganda’s Ministry of Health and WHO confirmed an outbreak of Ebola hemorrhagic fever in Kibale district in Western Uganda near the border with the Democratic Republic of Congo (DRC). Twenty people have been affected so far and 14 people have died as of 29th/07/2012.
Kibale district is approximately 300 Km from the Rwandan border and specifically the districts of Musanze, Nyagatare, Gicumbi and Burera. Due to high traffic and population movements, there is risk that Ebola can be imported to Rwanda at any time.

..Though no case has been reported in Rwanda for the last 15 years, government has put in place measures aimed at protecting Rwandans from this deadly disease but is also cautioning Rwandans to remain vigilant and report any suspected cases immediately.
Ministry of Health in collaboration with its partners and through the emergency preparedness team is taking actions for preparedness and response to prevent potential health risks that might be caused by the deadly disease.
Specifically, the Ministry of Health has issued alert warnings to all health centres on how to detect and handle cases should they arise. The Ministry is also training health care providers especially in districts neighbouring Uganda on case management and preventive measures.
In addition, all the necessary kits and medical supplies needed have been assembled and dispatched to health facilities in the bordering districts.
What is required from the public
FOR YLABORATION
• To immediately seek medical attention at the nearest health facility in case of suspicion of Ebola
• Any person who visited Uganda and had contact with someone presenting signs and symptoms of Ebola should immediately inform the nearest health facility
Current situation
No cases of Ebola Hemorrhagic Fever have so far been reported in Rwanda. The Ministry of Health has elaborated plans to effectively respond should the disease occur within our borders.
We request the public to stay calm and continue business as usual.
For more media details contact:
Arthur Asiimwe, Head of the Rwanda Health Communication Centre
0788312517http://www.gov.rw/Government-Alerts-...ountry?lang=en

[Treyfish]

Re: Uganda: Ebola Sudan identified in 14-18? deaths including Healthcare worker in Kibaale out of 26 total suspected cases

According to Tumusiime Jamilo, a reporter with Kagadi Kibaale Community Radio (KKCR), panic had gripped the Kagadi hospital in Kibaale, where suspected Ebola cases were being treated.


Some hospital staff had initially fled the establishment but were now returning as the authorities were providing protective gear for them, ..

Kibaale local government authorities have ordered the closure of local primary and secondary schools and banned public gatherings as a precaution, he added.

Dan Kyamanywa, a health officer in Kibaale district, said up to 80 000 people in the district were at risk of infection. http://www.iol.co.za/news/africa/uganda-warns-against-handshakes-1.1352512

[Treyfish]

Re: Uganda: Ebola Sudan identified in 14-18? deaths including Healthcare worker in Kibaale out of 26 total suspected cases

Uganda: Ebola outbreak - Information Bulletin n? 2

The situation: According to the Ministry of Health of Uganda, the first case of Ebola was reported in Kagadi hospital on July 7, 2012 and since then, there have been 27 confirmed cases in total, the last two new cases within the last 48 hours.

As of this morning (July 30th, 2012), there are 7 patients currently admitted within the isolation facility of Kagadi Hospital, 5 of which are new admissions, all with epidemiological linkages to previous probable cases/deaths. So far, there has been 14 deaths (9 from the same family where the index case so far seems to have come from).

There are fears that the disease may have spread beyond Kibaale District. A patient who escaped the isolation ward two days ago has been retrieved and re-admitted. Also according to the same ministry, 7 samples have been collected (4 from new cases and 3 from convalescent cases) and have been shipped to the national laboratory at Uganda Virus Research Institute in Entebbe.
One of the confirmed cases died in Mulago Hospital, prompting follow-up of all the health workers and other people who came into contact with that particular patient ? none of them has so far come up with the disease.
edit"so far"


The symptoms presented by people affected by this particular outbreak of Ebola are somewhat different from those of the past (for example, there was no haemorrhage in most cases), which made some people to think initially that the outbreak was cholera, another disease that is also currently quite active in the area.
There is an urgent need for communication/social mobilization capacity to strengthen public information and social mobilization. At the moment, follow-up is still not adequate. There is a serious need for an adequate surveillance mechanism and resources, which could allow for a proper follow-up of all the contact cases for 21 days. The extent of the epidemic is still unknown, therefore the epidemic is not contained. There is a high demand of Personal Protective Equipment (PPE) and medical supplies ? demands that currently are being met; yet additional stock may be required.http://reliefweb.int/report/uganda/u...medium=twitter

[Ronan Kelly]

Re: Uganda: Ebola Sudan identified in 14-18? deaths including Healthcare worker in Kibaale out of 27 total confirmed cases

Continuing from post above....

...
The coordination mechanism at field level has yet to gather momentum and needs improvement. For example, there have been challenges in jump-starting public awareness campaigns, surveillance efforts, and tracking, among other activities. There are insufficient means of transport for patients and of surveillance teams and this has been highlighted during coordination meetings at Kampala (headquarters) level. Information to the public is another clear need that has been identified. Patients in the isolation units are also in need of food while it has been reported that Isolation facilities lack toilets.

According to the Ministry of Health, there is urgent need for more experts to beef up response to the outbreak with priority to epidemiologists to update the epidemiological information on cases, active case search, contact listing and follow-up and communication experts to enhance public information.

Red Cross and Red Crescent action
Uganda Red Cross Society (URCS) has mobilized a team from the national headquarters that is currently in
the area and will support the field team of staff and volunteers. This is expected to be expanded according to
needs on the ground.

At the same time, the National Society is finalizing a Disaster Relief Emergency Fund (DREF) that will allow
Uganda RCS to: train and deploy 100 volunteers1 on public awareness campaigns (including house-tohouse),
case tracking, surveillance and direct support to families affected by the disease with non-food items
(to only families whose household items will need to be destroyed as part of the management of the disease)
psychosocial support (to help families and communities deal with stigma and discrimination that is typically
attached to this disease); and support to case management (procurement of Personal Protection Equipment,
body bags, etc.). The DREF will, thus, enable URCS to provide immediate assistance to about 1.6m indirect
beneficiaries through community sensitization and community disease surveillance.

URCS has benefited from technical support from the IFRC East Africa regional office through the visit of the Coordination and Partnerships
URCS is working closely with the Ministry of Health and other agencies that are active on the ground
including WHO, Center for Disease Control (CDC), MSF Holland, Africa Epidemic Network (AFINET), World
Vision and Uganda Red Cross Society.
The Director General of Health Services led a delegation of senior officials from the Ministry of Health of
Uganda and the World Health Organization (WHO) to the affected district. The delegation held a meeting
with the district task force and health workers. The mission was intended to assess the situation on the
ground; support district response and build confidence of the healthcare workers.
The Ministry of Health of Uganda has continued to coordinate activities, and will chair one Task Force
meeting every day for the foreseeable future during the epidemic period. The Ministry of Health is
coordinating efforts to finalize the case definition, which will allow agencies to focus their efforts in treatment
and public information campaigns. The Government of Uganda is in discussions with the World Food
Programme (WFP) on the provision of food to patients who are in isolation.
Some PPE has been provided by WHO and some by Medecins Sans Frontiers (MSF). Already, URCS has
dispatched these items to Kibaale to support the case management team and URCS volunteers with their
work on ground as they also protect themselves against the fever.
MSF Holland arrived in the district to prepare the ground for an isolation unit that they are planning to set up
in the area. This should be up and running by Tuesday, July 31 2012.
Contact information
For further information specifically related to this operation please contact:
? In Uganda: Michael Nataka, Secretary General, Uganda Red Cross Society, Kampala, Uganda;
Phone: +256 41 258 701 Email: natakam@redcrossug.org;
? IFRC Regional Representation: Charlie Musoka, Operations Delegate; phone +254 20 2835 000,
mobile: +254 (0) 786546032; fax: +254 20 271 2777; email charlie.musoka@ifrc.org
? IFRC Zone: Daniel Bola?os, Disaster Management Coordinator, Africa; phone: +254 (0)731 067
489; email: daniel.bolanos@ifrc.org
? IFRC Geneva: Christine South, Operations Support; phone: +41.22.730.45 29; email:
christine.south@ifrc.org
For Resource Mobilization and Pledges:
? IFRC Regional Representation: Douglas Masika, Senior Resource Mobilization Officer; phone:
+254 20 283 5000; email:douglas.masika@ifrc.org
Disaster Management and health coordinators to URCS.
For Performance and Accountability (planning, monitoring, evaluation and reporting)
?
IFRC Zone: Robert Ondrusek, PMER/QA Delegate, Africa phone: +254 731 067277; email: robert.ondrusek@ifrc.org
...

http://www.ifrc.org/docs/Appeals/12/MIBUG20120730.pdf

[Ronan Kelly]

Re: Uganda: Ebola Sudan identified in 14-18? deaths including Healthcare worker in Kibaale out of 27 total confirmed cases

http://reliefweb.int/sites/reliefweb.int/files/resources/EP-2012-000124-UGA_0730.pdf

[Pathfinder]

Re: Uganda: Ebola Sudan identified in 14-18? deaths including Healthcare worker in Kibaale out of 27 total confirmed cases

MoH: Ebola outbreak is contained

<IFRAME height=315 src="http://www.youtube.com/embed/5O8FWJgOlcY" frameBorder=0 width=420 allowfullscreen></IFRAME>

Published on Jul 30, 2012 by ntvuganda
http://www.ntvuganda.co.ug/

The Ministry of Health and the World Health organisation have confirmed that they have managed to contain the latest Ebola outbreak in the country's Western district of Kibaale. The announcement came as President Yoweri Museveni called for vigilance and for people to avoid promiscuity in the wake of the outbreak. The Uganda Red Cross Society has mobilised an emergency health team of 100 volunteers to support the Ministry of Health and partners to combat the deadly Ebola virus.

http://www.youtube.com/watch?v=5O8FWJgOlcY

[Treyfish]

Re: Uganda: Ebola Sudan identified in 14-18? deaths including Healthcare worker in Kibaale out of 27 total confirmed cases

UPDATE ON EBOLA IN KIBAALE DISTRICTPRESS STATEMENT ON THE UPDATE ON EBOLA IN KIBAALE DISTRICT

30TH July 2011




MINISTRY OF HEALTH
P. O. BOX 7272,
KAMPALA - UGANDA




PRESS STATEMENT ON THE UPDATE ON EBOLA IN KIBAALE DISTRICT

The Ministry of Health declared an outbreak of Ebloa in Kibaale district on Saturday July 28th after receiving confirmatory results from the Uganda Virus Research Institute that the strange disease that had killed 14 people in the district was Ebola Hemorrhagic fever, Sudan strain.
The announcement followed investigations after the Ministry received a report from Kibaale district health authorities on 11th July 2012 about the strange disease that was associated with death in Nyanswiga LCI in Nyamarunda Parish of Nyamarunda subcounty, Kibaale district. The report had indicated that the patients presented with the common symptoms of diarrhoea, vomiting and fever. It indicated that by 10th July 2012, despite many of the patients having received treatment from Emesco HCIII, Mugarama HCIII, Kagadi Hospital and St Ambrose, 10 of them had died.
It further indicated that initial samples of blood and stool taken from the sick did not yield any positive findings in the laboratories in Kagadi Hospital and Central Public Health Laboratories of the Ministry of Health, Kampala.
The report also noted that people were delaying to present themselves to seek for treatment, partly because they believed that the cause of the illness was due to “evil spirits”. This caused civil strife among the community requiring Police intervention to quell the animosity.
In response to this report, a team from the Ministry of Health was dispatched to do a quick assessment of the outbreak and give direction for further measures to be taken. The team carried out an eye balling exercise and verbal autopsy on the affected family.
Between the 24th and 25th July 2012, detailed laboratory investigations were conducted at the Uganda Virus Research Institute and confirmed that the “Strange Disease” was Ebola hemorrhagic fever, Sudan.
Three samples taken from the dead confirmed Ebola to be present in their biological specimen.
The Ministry of Health wished to inform the public that the index case belonged to a family in Nyanswiga village in Nyamarunda Sub-county in Kibaale district. Nine other members of the family had also succumbed to death. Four other people including a clinical officer who had attended to the dead at Kagadi Hospital also died at Mulago Hospital after she had been referred there. Her three-month-old daughter also died after admission at Kagadi Hospital on July 28th. This brings the total number of dead to 14 as of July 28th.
The ministry of Health and its partners mainly the World Health Organisation, U.S. Center for Disease Control (CDC), MSF and other Health Development Partners convened an emergency meeting to discuss the management of the outbreak. The meeting agreed to embark on the following to contain the situation;

• Started active and sustained tracing and listing of all possible contacts that were exposed to the suspected and confirmed cases since 6th July 2012.
• Dispatched a team of experts from MoH, WHO and CDC to support the response plan
• Mobilized the necessary supplies and logistics for case management from the National Medical Stores
• CDC dispatched Personal Protective Equipment (PPEs) and body Bags to the district.
• World Health Organisation provided an initial supply of PPEs and body bags
• Requested Mulago National Referral Hospital to reactive its isolation camp in readiness for any possible cases detected in the surrounding areas at the hospital.
Yesterday, the Ministry of Health high powered delegation visited the Kibaale district to assess the current situation and build confidence of the healthcare workers. The delegation was led by the National Disease Control Programme Dr. Denis Lwamafa and other Commissioner. Others on the team includd representatives from the World Health Organisation, the U.S. Center for Disease Control and Prevention (CDC) and other Health Development Partners.
The Ministry of Health assures the public that it is working around the clock with its international partners to rapidly assess the extent of the outbreak and to bring it fully under control as quickly as possible.
Currently, there have been no more deaths recorded since the outbreak of the epidemic in July 28th. The death toll still remains at 14 with only three confirmed to have died of Ebola. There are seven suspect cases admitted at Kagadi District Hospital and are responding well to the treatment being given. Other people who got into contact with the dead have not reported any signs of the disease so far, but continue to be monitored closely.
The Ministry of Health has further set up a temporary Isolation centre at Kagadi Government Hospital to accommodate all people suspected to be infected with the disease. The facility is to be beefed up with medical team from Mulago National Referral Hospital to manage the suspect cases.
A team of experts from the centre for U.S Center for Disease Control and PreventionCDC and World Health Organization have collected seven more samples from close contacts for further investigations bringing the total number of specimens collected to 11. The samples are being investigated at the Uganda Virus Institute, Entebbe. The Ministry continues to undertake active and sustained tracing and listing of all possible contacts.
Another team of experts is undertaking disinfection control at the wards and the isolation facility at the Hospital. The hospital has set up burial committees to manage burials of people suspected to have died of Ebola. The committee has been oriented on burial procedures and infection prevention and control.This is one of the control measures to control the spread of the highly contiguous disease.
Mulago Hospital is in the process of reactivating its isolation camp to cater for any reported cases in Kampala and neighbouring districts.

The Ministry of Health once again urges the public to take the following measures to avert the spread of the disease.
• Report and immediately take any suspected patient to a nearby health unit
• Avoid direct contact with body fluids of a person suspected to be suffering from Ebola by using protective materials like gloves and masks
• Disinfect the bedding and clothing of an infected person
• Persons who have died of Ebola must be handled with strong protective wear and buried immediately, avoid feasting and funerals
• Avoid eating dead animals especially monkeys
• Avoid public gathering especially in the affected district
• Burial of suspicious community deaths should be done under close supervision of district health workers
• Report all suspicious deaths to the health workers
Once again the Ministry of Health calls upon the public to stay calm as all possible measures are being undertaken to control the situation.

http://www.mediacentre.go.ug/details...Id=3&item=1777

[Treyfish]

Re: Uganda: Ebola Sudan identified in 14-18? deaths including Healthcare worker in Kibaale out of 27 total confirmed cases

MoH: Ebola outbreak is contained

<IFRAME height=315 src="http://www.youtube.com/embed/5O8FWJgOlcY" frameBorder=0 width=420 allowfullscreen></IFRAME>

Published on Jul 30, 2012 by ntvuganda
http://www.ntvuganda.co.ug/

The Ministry of Health and the World Health organisation have confirmed that they have managed to contain the latest Ebola outbreak in the country's Western district of Kibaale. The announcement came as President Yoweri Museveni called for vigilance and for people to avoid promiscuity in the wake of the outbreak. The Uganda Red Cross Society has mobilised an emergency health team of 100 volunteers to support the Ministry of Health and partners to combat the deadly Ebola virus.

http://www.youtube.com/watch?v=5O8FWJgOlcY

Good thing it's contained already.. I mean they just found out it was Ebola 2 days ago! Man that is some fast work, and just in time for Hillary Clinton to visit.
US Secretary of State Hillary Clinton will be in Uganda tomorrow Tuesday to discus with President Museveni efforts to end war in Democratic Republic of Congo,Global News reportshttp://www.ugandapicks.com/2012/07/h...war-44999.html
last time there was an outbreak of something, Hillary was on the way and the outbreak was " under control and over with".

[Vibrant62]

Re: Uganda: Ebola Sudan identified in 14 deaths including Healthcare worker in Kibaale out of 27 total confirmed cases

US Secretary of State Hillary Clinton will be in Uganda tomorrow Tuesday to discus with President Museveni efforts to end war in Democratic Republic of Congo,Global News reportshttp://www.ugandapicks.com/2012/07/h...war-44999.html
last time there was an outbreak of something, Hillary was on the way and the outbreak was " under control and over with".

This can only be stated with certainty once

a) the incubation period (2 - 21 days with an average of 4 - 10 days) has passed without a new case

AFTER

b) the last confirmed case has been identified. Illness duration is usually 4-21 days.

That means a period of 6 weeks must pass without a new case before an outbreak can truly be declared over.

[Treyfish]

Re: Uganda: Ebola Sudan identified in 14 deaths including Healthcare worker in Kibaale out of 27 total confirmed cases

This can only be stated with certainty once

a) the incubation period (2 - 21 days with an average of 4 - 10 days) has passed without a new case

AFTER

b) the last confirmed case has been identified. Illness duration is usually 4-21 days.

That means a period of 6 weeks must pass without a new case before an outbreak can truly be declared over.

..Stephen Bayaruhanga, health secretary of Kibaale, said on Monday that six more patients suspected to have contracted Ebola had been admitted to hospital...

Chick rode a bus or some other form of public transportation. I suppose they are all under watch too

[Treyfish]

Re: Uganda: Ebola Sudan identified in 14 deaths including Healthcare worker in Kibaale out of 27 total confirmed cases

..In a nationally televised speech today, President Yoweri Museveni said health officials are working to contain the disease to the rural district where the outbreak was confirmed Saturday, but at least one of the suspected victims was taken to a hospital in the capital city of Kampala. Now, nearly two dozen medical workers at Mulago Hospital are being held in isolation.
?We have asked people in the whole country to be careful and aware of those who present with symptoms. We have informed health facilities of the right way to respond,? said Dr. Anthony Mbonye at Uganda?s Ministry of Health.
Mbonye said no other patients at Mulago Hospital in Kampala are at risk, and he is optimistic the outbreak in the Kibaale district 125 miles west of the capital city can be contained soon.
?I have hope because since Friday we have not had any new suspected cases of Ebola,? he said.
However, another health official from the affected district told the Associated Press up to six more patients suspected to have Ebola have been admitted to a hospital there and said people in other villages are reporting possible Ebola infections.

Mbonye said people are frightened because many illnesses that are common in the region, such as malaria, have the same symptoms as Ebola.
He said health officials have to balance the need to inform the public while not wanting to cause unnecessary panic. In Kibaale, schools are closed and social gatherings have been cancelledhttp://abcnews.go.com/blogs/headline...bola-outbreak/ Oh yeah, It's contained..