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Ebola in Uganda: November 30 - December 17, 2007

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Re: FluTrackers : Ebola in Uganda Spreading - Death toll rising

Re: FluTrackers : Ebola in Uganda Spreading - Death toll rising

So,the Revere's says ebola is not very contagious! :rolleyes: Looks like it has been pretty contagious all week to me:tiphat:
It is worth noting that Revere has no training in infectious disease and has never published a peer reviewed paper in the field of infectious disease. His area of expertise is public health (although I suspect many of his readers don't realize this, since he posts anonymously and only gives his background in VERY general terms).
 
Re: FluTrackers : Ebola in Uganda Spreading - Death toll rising

Re: FluTrackers : Ebola in Uganda Spreading - Death toll rising

The NEW species in Uganda is new because its sequence is VERY different from the four prior Ebola species.

Sequence analysis is NOT a strong suit for ProMed commentators (and this apparently extends to Promed reader / contributors).

I realize that. What I meant was maybe not "new" to humans or the environment - it is certainly new to the CDC.
 
Re: FluTrackers : Ebola in Uganda Spreading - Death toll rising

Re: FluTrackers : Ebola in Uganda Spreading - Death toll rising

Kampala traders on Ebola alert

Publication date: Sunday, 9th December, 2007
<TABLE width="30%" align=right><TBODY><TR><TD>
1197214620Zulu.jpg
</TD></TR><TR><TD>A gloved tailor in Fort Portal town
</TD></TR></TBODY></TABLE>
By Patrick Jaramogi

TRADERS have been cautioned to be on high alert and restrict their movements following an outbreak of Ebola in the country.

?We advise traders to avoid unnecessary body contacts while transacting their businesses,? said Kampala City Traders Association spokesman, Isa Sekito, on Thursday.

His remarks follow the death of Dr. John Kule, the medical superintendent of Kikyo health centre in Bundibugyo district.
Kule had been quarantined at Mulago Hospital last week. By Saturday, the Ebola death toll had climbed to 25.

Sekito said though not enough precaution measures had been put in place to safeguard the traders against the disease, they were sensitising the community about the disease.

When The New Vision visited Wandegeya, Nakawa, Bugolobi, Nakasero and St. Balikuddembe markets, it was established that not much precautionary measures had been put in place. A management executive of St. Balikuddembe Market said: ?People are only careful when they learn that someone is from western Uganda.

We have talked to Kampala City Council to help us get ready to fight Ebola in case it strikes.?
According to a mini-survey by The New Vision, on Thursday, business is going as usual in banks. The tellers had no protective gear.

?We are aware of Ebola but it is not yet that serious for us to start being worried. But we are ready for any eventualities,? said a senior Barclays Bank staff when asked what measures the bank had done to safeguard its staff and customers.

A dfcu bank cashier said: ?We were promised gloves but we have not yet received them.?
At the Kalita bus terminal - that brings most passengers from Fort portal and Bundibugyo, casual labourers had raised the cost of lifting luggage.

?For a bag that we used to charge sh1,000, it now goes sh2,000. We are also scared of Ebola, some of my colleagues have quit the place. They are operating from somewhere else,? said Sam Mukiga.

Atenyi said: ?Ebya ebola ojitegera sebo. Sii kulwa sente, nakyusiiza ekifo.? (You are aware of Ebola. It is not about money, I had to change my working place).

Mulago director Dr. Edward Ddumba said high precaution and prevention measures had been instituted at the hospital.


This article can be found on-line at: http://www.newvision.co.ug/D/8/219/601133
 
Re: FluTrackers : Ebola in Uganda Spreading - Death toll rising

Re: FluTrackers : Ebola in Uganda Spreading - Death toll rising

Ugandan gov't to compensate Ebola infected medics

<!--docTitle--><!--Attention ligne utilis?e pour l'impression-->
<!--Attention ligne utilis?e pour l'impression-->
KAMPALA, Dec 7, 2007 (Xinhua via COMTEX) -- The Ugandan government has announced that it is to compensate medical workers who contract the deadly Ebola hemorrhagic fever while treating patients amid an outbreak presently in the western part of the country.
Emmanuel Otaala, minister of state for primary health care, told reporters here on Friday that the Cabinet approved compensation of medics who have died or fallen sick caring for Ebola patients.
So far, four medical workers have died after being infected by their patients.
The deceased include Jonah Kule, a medical officer at Bundibugyo Hospital, his junior Joshua Kule, a senior clinical officer, Rose Bulimpikya, a matron at the same hospital and another unnamed nurse.
Their deaths bring the toll to 19 of medics killed by Ebola since it broke out in Gulu in 2000, in which at least 15 medical workers lost their lives on duty.
Each family was then paid over 100 million shillings (about 60, 000 U.S. dollars) in compensation.
According to Otaala, this time the figure will be slightly higher.
He also revealed that the government is devising a plan which will increase the allowances for those who would voluntarily treat Ebola patients.
In 2001, doctors and clinical officers were paid a daily allowance of 40,000 shillings (about 24 dollars), while nurses and support staff were paid 30,000 (18 dollars) and 20,000 (12 dollars) shillings respectively.
Otaala said the figure will also be slightly higher than before.
The announcement followed a call by the Uganda Medical Workers Union, an umbrella association of about 20,000 medical workers, for comprehensive protection and better payment to the medics.
"All (medical) workers who are not provided with protective gear should not work on suspected Ebola cases and (should) leave straight away," the Union chairman Apollo Nyangasi said on Thursday.
Early this week, overstretched nurses at Bundibugyo hospital momentarily halted work over delayed payment of risk allowances.
The workers' body said the government should immediately increase the risk allowances to 50,000 shillings (30 dollars) per day for all cadres of medical workers.
An outbreak of Ebola at Bundibugyo district bordering the Democratic Republic of Congo was only confirmed last Thursday after lab tests from the US identified a new strain of the virus hitting the area as early as August.
The new strain, seeming milder than the other four strains, has killed 22 out of 101 infected cases in western Uganda, causing high fever, abdominal pain and diarrhea but less internal and external bleeding. This is the second Ebola outbreak in Uganda, followed by the last one in October 2000, which killed 224 people during its five- month rampage starting from northern Uganda and later spreading to other parts of the country.

http://www.reliefweb.int/rw/RWB.NSF/db900SID/KHII-79R386?OpenDocument
 
Re: FluTrackers : Ebola in Uganda Spreading - Death toll rising

Re: FluTrackers : Ebola in Uganda Spreading - Death toll rising

Uganda: Ebola Isolation Centre Closed Over Violence

TWO more people, including a senior clinical officer, died of Ebola in Bundibugyo yesterday as violence in Kabarole forced the closure of Kichwamba isolation centre.

Asanasio Mate is the fifth health worker to succumb to the deadly virus. He had been admitted at Bundibugyo hospital in a critical condition. Other three medical workers in the same hospital are still fighting for their lives.

The second Ebola victim, who died on Sunday, was an old woman whose identity could not be established by press time.

In Kabarole, irate villagers, said to have been incited by the local leaders, attacked the Kichwamba isolation centre, smashing windows and doors.

Passions had been running high since the district decided to locate the centre at Kichwamba, with residents threatening to flee their village.

Some patients, who had been taken to the centre as they awaited the results of their tests, fled to Bundibugyo and Kabarole. Other patients were transferred to Buhinga Hospital, where an isolation centre has been created.

The commissioner for health services, Dr. Sam Okware, yesterday said the ministry had flown experts to Kichwamba to investigate the riot.

In a bid to appease the population, the ministry of health started sensitising the communities, using a mobile film van.

In Buhinga, too, the presence of suspected Ebola patients scared others. Medical workers said the out-patients' department, which is usually packed, had only one patient on Thursday and only two on Friday.

The in-patients had fled several days earlier when people who showed signs associated with Ebola were admitted at the temporary isolation ward.

In another incident, two patients exhibiting signs of Ebola and their relatives turned violent at Virika Hospital when medical staff did not immediately find transport to transfer them to Buhinga hospital. The hospital had to give an askari protective gear so that he could restrain them.

Health workers in Kabarole reported a lot of fear among the public, which they said could hamper the fight against Ebola. They complained that relatives of suspected patients attacked medical staff, insisting that they must be allowed to handle their patients.

"You find about four people attending to one person, insisting on touching the patient with bare hands. They will spread this disease further," Dr. Musa Walakira said.

Reports from Bundibugyo also said families of patients who died of Ebola, including the family of Dr. Jonah Kule, were being shunned by members of the community.

"Families of patients have experienced isolation. Neighbours are running away from them. Merchants refuse to accept the money they pay to buy food," Dr. Myhre of World Mission Harvest said in a report.

About 350 people are being monitored in Bundibugyo and Kasese. Medical sources said by yesterday, about 50% of them had received check-in visits from mobile medical teams.

Bundibugyo Hospital medical superintendent, Dr. Richard Ssessanga, who had contracted the virus, was expected to be discharged.

The Bundibugyo Resident District Commissioner, Samuel Kazinga, said four other Ebola patients were discharged on Saturday after they recovered. Eight more were ready to be discharged.

According to Dr. Okware, some of the alert patients were found to be suffering from other diseases, which also cause bleeding.

He said the two suspected cases in Adjumani were found to be suffering from other illnesses, while the case in Kanungu had symptoms which were not compatible with Ebola.

The two suspected cases in Lacor Hospital in Gulu also had other ailments, while a 10-month-old baby in Gulu had been discharged after it was found negative.

He dismissed claims that additional cases had been reported in Kampala. There was only one case, Dr. Jonah Kule, who died, he stressed. A guard had been suspected but he was found suffering from dysentery and would be discharged.

In Mubende, a woman was admitted to the main hospital in critical condition exhibiting symptoms associated with Ebola. Florence Nakigudde's presence at the hospital caused panic. She is the second person admitted to the hospital with similar symptoms.

Meanwhile, the lab for testing Ebola has started operating at the Uganda Virus Research Centre in Entebbe. Before, blood samples had to be sent to the Centre for Disease Control in Atlanta, US, which caused costly delays.

By Anne Mugisa, John Thawite, Abdulkarim Ssengendo, Nathan Etengu and Luke Kagiri

http://allafrica.com/stories/200712100049.html
 
Re: FluTrackers : Ebola in Uganda Spreading - Death toll rising

Re: FluTrackers : Ebola in Uganda Spreading - Death toll rising

Ebola Death Toll Rises As Another Medic Dies

The Nation (Nairobi)

10 December 2007

By Solomon Muyita


Kampala Latest reports on the Ebola outbreak indicates that the death toll has risen to 28, with total infections since outbreak reported at 107.

The ministry of Health also confirmed Sunday that Asanasio Kinyerere, a clinical ophthalmic officer attached to Bundibugyo Hospital died of Ebola on Saturday, bringing to death toll of health workers to five.


Earlier, a medical officer, a clinical officer, a senior nursing officer and a nursing assistant, all attached to Bundibugyo Hospital, got infected with the deadly Ebola while treating Ebola-infected patients and passed on within the course of last week.

The Director General of Health Services, Dr Sam Zaramba, who confirmed the toll and the infections, said that Ebola cases have so far been confirmed in the three districts of Bundibugyo, Kabarole and Kasese.


Have come through


"All the reports that have come through about the other districts are alert cases and our findings are that they don't meet the criteria," said Dr Zaramba, dispelling fears that Ebola cases were in the district of Kampala, Mbale, Masaka and Kanungu.

He however, said all the "alert" cases were still in isolation and in the close supervision of the health workers. "Like we have established that case reported in Mulago was a dysentery case, not Ebola," said Dr Zaramba.

Of the confirmed Ebola victims, at least 19 are undergoing treatment at isolation wards in Bundibugyo Hospital, 14 others are in Kikyo Health Center IV, one child-case in Bwera-Kasese and some two adults are in Kichwamba, the health director confirmed.

Signs of the deadly virus have since appeared in different parts of the country. Health workers are still investigating a case in Mbale, eastern Uganda, where a young lady of a disease with symptoms of Ebola, similarly in Masaka, central, where two fishermen died.

http://allafrica.com/stories/200712100106.html
 
Re: FluTrackers : Ebola in Uganda Spreading - Death toll rising

Re: FluTrackers : Ebola in Uganda Spreading - Death toll rising

http://www.reliefweb.int/rw/RWB.NSF/db900SID/SSHN-79RJK9?OpenDocument

Ebola death toll in Uganda rises to 29, 12 new cases recorded

KAMPALA, Dec 10, 2007 (Xinhua via COMTEX) -- Another seven people were killed by the deadly Ebola hemorrhagic fever in Uganda as twelve new cases were reported over the weekend amid an outbreak that has sounded alarm in ten out of 79 districts across the country.

A total of 29 people have so far been killed by Ebola out of 113 infections as of Monday morning, Sam Okware, chairperson of the National Task Force for Ebola, told Xinhua by telephone on Monday.

He said seven new cases were reported in the western district of Bundibugyo which has been hit hard by the epidemic since August.

According to Okware, 32 are still admitted in hospital while six have been discharged. He added that another five are to be discharged.

The deadly virulent disease hit parts of Bundibugyo in August before spreading to neighboring Kabarole and Kasese districts.

This is the second Ebola outbreak in Uganda, which is caused by a new strain of the virus seemingly milder than the other four strains.

The last outbreak in Uganda killed 224 people from October 2000 to March 2001, which started in northern Uganda and later spread to other parts of the country.

The Ugandan government last week declined to declare a state of emergency over the epidemic, arguing that it has put up a mechanism to contain the disease.

Alarmed by the outbreak, the neighboring Kenya, Rwanda and the Democratic Republic of Congo have since last week boosted surveillance along their border with Uganda to block migration of suspected Ebola victims.
 
Re: FluTrackers : Ebola in Uganda Spreading - Death toll rising

Re: FluTrackers : Ebola in Uganda Spreading - Death toll rising

Uganda: Ebola death toll up to 28

<!--docTitle--><!--Attention ligne utilis?e pour l'impression-->
<!--Attention ligne utilis?e pour l'impression-->
KAMPALA, 10 December 2007 (IRIN) - The death toll in the Ebola outbreak in western Uganda has risen to 28 out of 112 people infected with the deadly virus, with a sense of panic spreading among the population, officials said.
Sam Okware, head of the country's taskforce on the Ebola outbreak, said his office was receiving calls from around the country, with people believing that any ailment involving blood was Ebola, a haemorrhagic fever that has spread mainly in the western district of Bundibugyo.
"Any patient who has some blood coming out of the body opening has become an alert for people. We have been running around collecting cases, but many have not been within the description of the disease," Okware told IRIN on 10 December. "We have been helping people to bury those who have died under mysterious circumstances - like a man who died on the streets of Kampala and the people just took off.
"It shows awareness is rising among the public," he added.
A government official in Bundibugyo, Sam Kazinga, said three male patients, including a medical worker, died on 9 December, while seven new cases were admitted to the two isolation centres in the district on the same day. Two doctors who had been helping in the fight against the virus have died of the disease.
"Since the epidemic broke out in my district the cumulative cases have risen to 112 with 28 deaths," said Kazinga.
Okware said efforts to combat the Ebola outbreak have been boosted by the establishment of a laboratory with help from the US Centers for Disease Control at the Ugandan virus research institute. "We started doing the tests in the morning and we shall now be able to get test results within 24 hours, which makes response quicker," said Okware.
He added that some of the suspected cases had turned out to be false alarms, with the exception of one family in Kasese district, which has been under quarantine. "They took care of an Ebola patient and a man and his son have since fallen sick, but we shall confirm their status later today [10 December]".
On the positive side, six Ebola patients have been discharged from the two isolation wards in Bundibugyo district hospital after they showed considerable improvement, Kazinga said.
When the disease broke out in September, health workers in Bundibugyo thought it was one of the many common ailments prevalent among the 250,000 population, mainly farmers of cocoa, rice and vanilla and small-scale cattle-raisers.
According to the Sam Zaramba, Uganda's director-general of health services, the disease could have spread unnoticed in the ensuing medical confusion, with its characteristic haemorrhaging obscured by companion ailments, only to emerge when cases were tested at hospital. This presentation, he said, made health workers think the disease was a "normal" ailment.
An outbreak killed at least 170 people in Uganda's northern Gulu district in 2000. Another recent outbreak killed at least 26 people in DRC's West Kasai region.
The Ebola virus was first identified in 1976 in Sudan and in a nearby region of Democratic Republic of Congo, then Zaire. Outbreaks have also occurred in the Ivory Coast and Gabon.
vm/jn/mw
[END]


A selection of IRIN reports are posted on ReliefWeb. Find more IRIN news and analysis at http://www.irinnews.org
http://www.reliefweb.int/rw/RWB.NSF/db900SID/LRON-79RJN2?OpenDocument
 
Re: Ebola in Uganda Spreading - Death toll rising

Re: Ebola in Uganda Spreading - Death toll rising

So which is right?
28/112
or
29/113
 
Re: Ebola in Uganda Spreading - Death toll rising

Re: Ebola in Uganda Spreading - Death toll rising

Ebola Screening Intensifies


The New Times (Kigali)

NEWS
10 December 2007 </B>
Posted to the web 10 December 2007

By Ambrose Gahene
Gatuna

All travellers entering Rwanda from Uganda have been advised to avoid direct contact with blood and other body fluids to minimise threats of contracting the deadly Ebola virus.
A standby ambulance is stationed at Gatuna border post, the main entry point from Uganda to Rwanda, to attend to emergency cases.
<TABLE cellSpacing=0 cellPadding=5 align=right border=0><TBODY><TR><TD align=right><!-- Display Google AdManager Ad for 'AllAfrica_Other_Inset'--><SCRIPT language=JavaScript> GA_googleFillSlot("AllAfrica_Other_Inset");</SCRIPT><SCRIPT src="http://partner.googleadservices.com/gampad/ads?correlator=1197299652171&output=json_html&callback=_GA_googleAdEngine.setAdContentsBySlotForSync&impl=s&prev_afc=1&client=ca-pub-2420009840005975&slotname=AllAfrica_Other_Inset&page_slots=AllAfrica_Other_BannerBottom%2CAllAfrica_Other_BannerMid%2CAllAfrica_Other_Inset%2CAllAfrica_Other_Leaderboard%2CAllAfrica_Other_LeftA%2CAllAfrica_Other_LeftB%2CAllAfrica_Other_RightA%2CAllAfrica_Other_RightB%2CAllAfrica_Other_RightC&cust_params=language%3Denglish%26Topics%3Dhealth%26Countries%3Dcentralafr%252Crwanda&cookie=ID%3D12eb1897ba9e5266%3AT%3D1196690060%3AS%3DALNI_MYcPugH4NRq_bqTduMuz7P2dTJ5Fw&ga_vid=836489085.1196690017&ga_sid=1197299554&ga_hid=289829717&ga_fc=true&url=http%3A%2F%2Fallafrica.com%2Fstories%2Fprintable%2F200712100866.html&ref=http%3A%2F%2Fallafrica.com%2Fstories%2F200712100866.html&lmt=1197296050&dt=1197299652546&cc=107&u_h=800&u_w=1280&u_ah=770&u_aw=1280&u_cd=32&u_tz=-300&u_his=0&u_java=true&u_nplug=0&u_nmime=0"></SCRIPT><SCRIPT type=text/javascript><!--google_ad_client = "pub-2420009840005975";google_ad_width = 160;google_ad_height = 90;google_ad_format = "160x90_0ads_al_s";//2007-11-16: Link Unit (5) 160x90google_color_border = "000000";google_color_bg = "F0F0F0";google_color_link = "0000FF";google_color_text = "000000";google_color_url = "008000";//--></SCRIPT><SCRIPT src="http://pagead2.googlesyndication.com/pagead/show_ads.js" type=text/javascript></SCRIPT>
</TD></TR></TBODY></TABLE>​
A special tent with medical equipment has already been erected at Byumba Hospital, for any eventualities.
Medical gloves have also been distributed to all staff working at Gatuna border to protect them from getting direct contact with individuals.
"There are no reported Ebola cases so far in Rwanda," Bonaventure Butare, the nursing chief at the border, said.
"We are mainly advising people to take preventive measures against the spread of Ebola," he explained.
Butare said all incoming passengers are asked whether they have had any direct contact with Ebola patients or attended burial ceremonies of Ebola victims.
Recent Ebola outbreak in western Uganda districts of Bundibugyo, Kasese, Kabarole and Mbarara have prompted the Ministry of Health to introduce precautionary measures at all border posts with Uganda and DRC to prevent the disease from spilling over into Rwanda.
A team of medical personnel and nurses from Byumba Hospital and CHK were dispatched last week to screen incoming passengers hailing from Ebola affected districts in Uganda and neighbouring regions of DRC.
Other health institutions such as the Treatment and Research Aids Centre (Trac) and the National Bureau of Standards have also contributed medical equipment and personnel to guard against Ebola.
The deadly hemorrhagic fever has claimed about 24 people since its outbreak in Uganda is characterised by sudden fever, intense body weakness, muscle pain, headache and sore throat among other symptoms.
This is often followed by vomiting, diarrhoea and internal or external bleeding.

http://allafrica.com/stories/200712100866.html
 
Re: Ebola in Uganda Spreading - Death toll rising

Re: Ebola in Uganda Spreading - Death toll rising

Ebola death toll rises to 29 in Uganda, health officials say

2007-12-10 16:43:31 -


KAMPALA, Uganda (AP) - The death toll from a new strain of the Ebola virus in Uganda has risen to 29, and the government was warning against shaking hands and other close contact, health officials said Monday.
The death toll was expected to keep rising, said Dr. Sam Zaramba, director general of Uganda's health services.
?We expect to see a moderate rise in new cases and deaths,? Zaramba said. ?But this strain of Ebola seems less virulent than ones we have seen in the past so we are encouraged and think we are on top of the situation.
Ebola has no cure and typically kills most of those it strikes and has no cure or treatment. It is spread through direct contact with the blood or secretions of an infected person, or objects that have been contaminated with infected secretions.
Experts say the Ebola subtype that sparked the outbreak is new. Though the outbreak began in August, the killer disease was not diagnosed until late November as the classic Ebola symptoms were not always present.
According to ministry officials, all cases of the disease are so far confined to Bundibugyo _ a remote district close to the Congo border some 200 kilometers (125 miles) from the capital, Kampala.
But rumors that the disease is spreading have sparked panic in Uganda.
<!--APPIC-->?There are lots of rumors circulating and we are carefully monitoring any reports of suspicious illnesses,? said Paul Kaggwa, a spokesman for the Ministry of Health. ?We advise cautious behavior such as regular hand washing and not shaking hands in greeting, but there really is no need for fear.
In Bundibugyo, many hotels have closed, public pay phones are not being used and bank tellers are wearing gloves for fear of contracting the disease. Local health workers report that people believed to have come in contact with Ebola patients are being ostracized, some even evicted from their homes.

http://www.pr-inside.com/print340529.htm
 
Last edited by a moderator:
Re: Ebola in Uganda Spreading - Death toll rising

Re: Ebola in Uganda Spreading - Death toll rising

<TABLE cellSpacing=0 cellPadding=5 width="100%"><TBODY><TR><TD></TD><TD align=right></TD></TR><TR><TD id=StoryDataCell vAlign=top colSpan=2>Uganda confirms 113 suspected Ebola cases
Mon Dec 10, 2007 11:14 AM EST

By Tim Cocks
KAMPALA (Reuters) - Uganda has 113 suspected cases of a new strain of Ebola fever that has killed 29 people, officials said on Monday, vowing to take the necessary steps to stop the virus spreading.
Ugandans fear the outbreak could mushroom into a major epidemic affecting the capital Kampala.
"We have an Ebola lab in Entebbe (near Uganda's international airport) where we are testing samples we took from suspected cases," Health Ministry spokesman Paul Kabwa said.
Some banks and supermarkets in the city issued their staff with protective rubber gloves for handling money they feared could be contaminated with the virus, which often causes victims to bleed to death through ears, eyes and other orifices.
All cases so far have been in western Uganda's Bundibugyo district, bordering Democratic Republic of the Congo, except a doctor from the region who went to the capital after treating patients and died soon afterwards in a Kampala hospital.
"I'm very worried," said Valentine Oketcho, 25, who hands out fliers for restaurants in a Kampala shopping mall. "It's terrible, it's killing people in less than a week. This is worse than AIDS. At least you can survive AIDS for some years."
Others said the government should declare a state of emergency, although it has said it is on top of the epidemic.
The outbreak, which started in August, has sparked panic among officials, health workers and the public. A fifth health worker was among the latest dead, officials said.
Kampala was rife with rumors of two Ebola deaths in the city over the weekend, including a man who collapsed in the street, although Kabwa said neither fitted the definition of a suspected Ebola case.
The affected region borders Democratic Republic of the Congo, where the Ebola river gave the virus its name after some of the first cases were recorded in its valley in 1976.
"If it can do all this in Bundibugyo, it could spread further, even Kampala," said Amira Hussein, who runs a gift shop. "So now in addition to malaria, AIDS, plague and all the rest, we have Ebola. Are we unlucky?"
The last Ebola outbreak in Uganda was in 2000, when 425 people caught it and more than half died.
(Editing by Daniel Wallis and Elizabeth Piper)
</TD></TR></TBODY></TABLE>
http://ca.today.reuters.com/news/ne...L10361107_RTRIDST_0_NEWS-UGANDA-EBOLA-COL.XML
 
Re: Ebola in Uganda Spreading - Death toll rising

Re: Ebola in Uganda Spreading - Death toll rising

Dr. Niman, in his 6th December commentary, mentioned one Ebola suspect patient who died, Ms. Olive Mukite. (thread: http://www.flutrackers.com/forum/showthread.php?p=113716). Here is an article about the circumstances around her illness.

http://allafrica.com/stories/200712101100.html

Uganda: Sironko in Ebola Scare
The Monitor (Kampala)

10 December 2007
Posted to the web 10 December 2007

David Mafabi
Mbale

Sironko District authorities have been thrown into panic after one of their workers suspected have contracted Ebola hemorrhagic fever case died at the Mbale Regional Hospital.

Olive Mukite, the Sironko District Information Officer who was admitted at Mbale regional hospital with high fever, diarrhea and vomiting on Thursday morning died later in the day.

Mukite died barely a week after the Sironko District council, technical staff and heads of departments visited Kisoro and Kabale districts for a study tour from November 26-29.

According to the Vice Chairman LC5, Mr Patrick Kibere, who led the team of 66 people, the team visited Kabale District, where they spent a night before traveling to Kisoro and then later Mbarara districts.

"We are really scared because if this girl has died of Ebola, then the entire council and heads of departments besides other technical personnel and their families are in danger," Mr Kibere said.

"We don't know what to do. We fear for our lives and our families and friends because we have mixed freely with them ever since we came back."

The district speaker, Mr Perez Mango, was lost for words.

When contacted by Daily Monitor, Mr Mango said, "Ministry of Health should just come to our rescue if it is true."

The Deputy Cao, Mr Peter Wotunya, who led the technical team, said the entire technical and political teams at the district were paralysed. No work was done because everyone is scared and awaiting a report from the Ministry Of Health.

The LC5 chairman, Mr Kibale Wambi, who did not make the trip to the western districts, said he was ready to die with his team.

"I didn't go to Kabale and Kisoro but if it is true this girl has died of Ebola, then my entire council and technical team is likely to perish. So as a leader, I have no choice but to go to my people and die with them," Mr Kibale said.

When Daily Monitor visited Sironko District headquarters, many people were shunning members of the team that made the trip.

Health officials at the district had not yet made a comment by press time.
 
Re: Ebola in Uganda Spreading - Death toll rising

Re: Ebola in Uganda Spreading - Death toll rising

http://paradoxuganda.blogspot.com/2007/12/ebola-bundibugyo-monday-night.html

Ebola Bundibugyo, Monday night


Just when I thought the tears had run dry, someone sent us a beautiful picture of Scott and Jonah together taken a few months ago. I still can?t believe he won?t come back from Kampala any day and sort things out. I do think sometimes about him meeting my Dad in Heaven. They had a good relationship of respect, and I like to think of them recognizing each other there.
 
Re: Ebola in Uganda Spreading - Death toll rising

Re: Ebola in Uganda Spreading - Death toll rising

OK here is today?s report. Scott was gone from morning to night. The day began with a clinical conference, with Scott, Dr. Jackson Amoni from Ministry of Health, our heros Dr. Yoti from WHO ( also a Ugandan and formerly with MOH) and chief nurse Rosa from MSF. The four of them were tasked to sort out protocols and procedures for caring for the sick in isolation. Our main contribution is to agree with Dr. Yoti and confidently endorse him to everyone else. Scott then went to Kikyo to try and install the Gray?s ?village phone?, which includes an antennae we hoped would overcome the mountainous terrain and distance from the tower and allow that health center immediate phone access at all times. Sadly it did not work, but we are still grateful that the Grays let us try. Somewhere in there he managed to get the lawnmower back to complete the airstrip mowing for the daily flights, and to pick up mosquito nets for pregnant and HIV positive women, and to see some maternity patients too I think. The day ended with the two of us zipping back up to Bundibugyo on the motorcycle for the evening task force meeting, while Scott Will, who had been working at Nyahuka Health Center today, stayed back to cook us dinner. Very nice.
 
Re: Ebola in Uganda Spreading - Death toll rising

Re: Ebola in Uganda Spreading - Death toll rising

The meeting tonight was a bit calmer and more amicable, thanks for prayers for cooperation. Here are the facts:

  • Cumulative cases: 115
  • Cumulative deaths: 29 (CFR 25.2%)
  • Contacts: 368. 298 were seen today! Amazing really if you think about the challenges.
  • Bundibugyo Isolation Ward: 17 inpatients, 4 discharges today (!!), 2 admissions, 0 deaths, with 2 of 17 remaining in critical condition.
  • Kikyo Isolation Ward: 12 inpatients, 1 discharge, 1 admission, 1 death (sadly a 17 year old boy), and 1 of 12 remaining in critical condition.
  • LABS AT LAST!!: 17 patients had samples run today in Entebbe, some were specimens that had been collected days ago. 10 of 12 samples from Bundibugyo were positive for Ebola, either by antigen detection or production of antibody response. ZERO of 5 samples from other districts were positive. In other words all confirmed cases to date stem directly from Bundibugyo. There is still a large back-log of tests so we are not quite ready to breathe a sigh of relief, but at least the initial news is good, the spread may not be as fast and violent as feared.
  • Jonah?s labs: his initial test done on Saturday (day 4 of illness, day 2 of admission) was positive for antigen (presence of the virus) but negative for IgM antibody (he was not yet mounting a detectable immune repsonse). The sample two days later was positive on both counts. It is no surprise that he truly died of Ebola, but provides some closure to have it confirmed.
  • Tribalism: Sadly almost all the cases stem from the Bakonjo tribe (including Jonah). The Bakonjo are a minority in the district; most of them live in Kasese and Congo. The majority tribe here, the Babwisi, have been relatively spared. Since transmission is person to person, this makes sense, that the disease would stay within one primary ethnic group. However even in ADF days there was suspicion and accusation between the tribes. Now the Bakonjo are accusing the Babwisi of poisoning them, and we heard that today some refused to buy rice in market that was grown by the Babwisi women. Yet another way that fear and misunderstanding can be used to foment ethnic unrest.
  • More unrest: on the Fort Portal side of the mountains, that district had decided to locate their isolation unit as close to the Bundibugyo district border as possible, in Kichwamba. But local people rioted last night, breaking windows in the ward, and forcing transfer of two suspect cases back to Fort Portal Town?s main hospital. These tensions are essentially the same that sparked Rwanda, the fear that one?s own family and tribe are at risk and therefore the justification to lash out violently against those perceived to be enemies. We are praying for peace. Thankfully no violence here where the real cases are, but the mistrust and bickering is a smaller symptom of the same issue.
  • More discrimination: a local government official who has been conspicuously absent all week showed up today, complaining that in Kampala he was ostracized as ?the walking dead? because he was from Bundibugyo. We all acknowledge that the country is in a quandary, most people are very upset about the possibility of catching Ebola, and anyone from Bundibugyo is suspected to be a carrier. The district?s ONLY bank closed today, in spite of pleas by the security officer that there was no danger in banking. Inability to access money will definitely put a damper on the response.
  • Tomorrow?s tasks: The minister of health himself and three other top ministry officials will fly in for an official visit tomorrow. Before that Scott and Dr. Yoti will ceremoniously discharge Dr. Sessanga from his home isolation, declaring him cured. Then the Scotts (both) will be participating in training staff at NHC to help allay fears and provide adequate protection so patient care for non-Ebola cases can proceed.

We can?t thank you enough for your care. We?ve been particularly encouraged by several people contributing to the emergency response fund. We will be spending some immediate money on more gloves, and trust that the school fees for Jonah?s children will be provided by the time they need them in late January. It is good to sense how clearly we are only one small part of the larger community of Christ in this time.
 
Outbreak Notice
Updated: Ebola Outbreak in the District of Bundibugyo, Uganda
This information is current as of today, December 10, 2007 at 17:27
Updated: December 10, 2007

The U.S. CDC and the Ministry of Health of Uganda have reported an Ebola hemorrhagic fever outbreak in the Bundibugyo district located in the Western part of the country. The outbreak may have begun as early as August 2007. As of December 5, ninety-three people have become ill; evidence of Ebola virus infection has been confirmed in nine people, and twenty-two people have died. Genetic analysis of samples from case-patients indicated that this is a new virus strain distinct from the four known strains of Ebola virus. However, further studies will be needed before this can be verified.
Ebola hemorrhagic fever is a rare, serious viral disease which develops suddenly, with common symptoms of fever, headache, joint and muscle aches, sore throat, and weakness. Diarrhea, vomiting, and stomach pain start after the first symptoms. A skin rash may develop. By the third or fourth day of illness some people with Ebola hemorrhagic fever may develop internal and external bleeding, shock and organ failure.
Ebola is spread through direct contact with blood or other body fluids (e.g., saliva, urine) of infected persons or objects that have been contaminated with infected body fluids. People who have close contact with a nonhuman primate infected with the virus are also at risk.
Recommendations for U.S. Travelers

The World Health Organization (WHO) has reported that there is no need for any travel restrictions to Uganda. Generally, the risk of contracting Ebola virus is low for travelers. CDC recommends that anyone traveling to Uganda take the following steps to prevent Ebola virus infection:
  • Avoid contact with Ebola patients and their body fluids.
  • Avoid touching used needles or other medical waste.
  • Avoid contact with wild animals and bushmeat, including primates.
More Information

For information about the current situation, see the WHO report at www.who.int.
For additional information on Ebola hemorrhagic fever, please see http://www.cdc.gov/ncidod/dvrd/spb/mnpages/dispages/ebola.htm.
To learn more about traveling to areas with hemorrhagic fevers, see the Viral Hemorrhagic Fevers section of CDC Health Information for International Travel 2008.

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Re: Ebola in Uganda Spreading - Death toll rising

Re: Ebola in Uganda Spreading - Death toll rising

The CDC should have mentioned that the districts only bank closed today....

The district?s ONLY bank closed today, in spite of pleas by the security officer that there was no danger in banking.
 
Re: Ebola in Uganda Spreading - Death toll rising

Re: Ebola in Uganda Spreading - Death toll rising

Uganda: Ebola is Back, We Need to Avoid Contact With Nearly Everybody!

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The East African (Nairobi)
COLUMN
10 December 2007

Posted to the web 10 December 2007
Joachim Buwembo

Epidemics come and go. Some spread their misery for only a few weeks, while others linger or keep cropping up just as you thought they were history. One recent one looks set to be with us for a long time. Worse, there appears to be no telling how devastating the newest strike by the Ebola hemorrhagic fever will be before it is contained.
As a matter of fact, Uganda is today grappling with four "new" epidemics - meningitis and bubonic plague in West Nile region, cholera in Hoima and Buliisa districts and yellow fever in the northern district of Kitgum. But the scariest is Ebola. It kills in the most horrifying way, as blood oozes from all openings in the victim's body. Ebola is transmitted by contact with any fluids from the body of an infected person.
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What is surprising is how long it has taken us - authorities and the public - to take the matter seriously. Everybody knows that this time around, Ebola first struck in the western district of Bundibugyo in August - that is, some four months ago. Considering that our medical workers and authorities had to fight a serious Ebola epidemic in 2000, antennae should have been quivering the minute Ebola-like symptoms manifested themselves. Anti-Ebola precautions would then have been taken as we awaited results of laboratory tests from the United States, which were received just over a week ago, on November 29.
All the same, there is no reason to doubt that we shall get over this, as we have in the past. Didn't we survive the plague just after World War I in the last century? Our grandfathers learnt how to treat the victims from a distance, building isolated huts for them and taking them food served using a long stick. When the victim finally died, a hole was dug near the hut and, avoiding direct contact, the body was pushed down the hole and burial effected immediately.
The colonial authorities were smart and did their bit in checking the epidemic. Having known that rats were responsible for spreading the disease, they asked their African subjects to collect as many rat tails as they could, ostensibly so the medicine to cure the disease could be manufactured from them. People began hunting down all the rats for their "much needed" tails - of course, killing them in the process - and the problem was eventually solved.
OTHER EPIDEMICS HAVE COME AND gone too. We thought yellow fever had gone forever, but now it is back in some parts. Now and then, cholera comes around, especially in crowded places. In Kampala, it tends to hit areas that have poor sanitation. We usually react by setting up a special tent to treat the affected at Mulago national referral hospital and reminding people to wash their hands after visiting the toilet.
There is also HIV and Aids, which first appeared in the early 1980s. When the cause and main mode of transmission were identified, the government embarked on a major campaign to educate the public on how to avoid it. This was in the mid 1980s to early 1990s. The campaigns were largely successful, until HIV became a big industry involving millions of dollars. The anti-HIV campaign then spawned its own epidemic of mini-rackets and scams, but at least the general increase in awareness had helped roll back the viral invasion and keep its spread in check.
However, there is a new challenge. Because of improved care at the community level as well as scientific advances, many infected persons live longer, including those babies who contract the virus at birth. Many such babies have now attained the age of 20 - and a few are even 22. They are at the height of their sexual awareness and are now asking why they have to abstain forever.
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Most are sole survivors from families that were virtually wiped out by the virus and are anxious not to be the "last in the series" - in other words, they want to reproduce.
But back to the Ebola thing, we shall need some prayers in addition to the precautions of avoiding contact with almost everybody. For there is no telling who contracted the thing before the symptoms start showing.:tiphat: http://allafrica.com/stories/200712101774.html
 
Re: Ebola in Uganda Spreading - Death toll rising

Re: Ebola in Uganda Spreading - Death toll rising

Kenya: Ebola Fear Grips Border Town

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The East African Standard (Nairobi)
11 December 2007
Posted to the web 10 December 2007
Robert Wanyonyi And Alex Ndegwa
Nairobi
A man who died in Uganda last week and was hurriedly buried in Malaba town allegedly succumbed to the deadly Ebola virus.
Residents of the town along the Kenya-Uganda border are living in fear following what they described as a secret and hurried burial of Peter Kung'u Mucheru, 35.
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Mucheru was buried on Monday at Amoni, a remote village in Teso District, about 6km from Malaba town, barely an hour after his body was brought from a mortuary in Busia. The coffin was wrapped in a polythene bag.
Family members and residents were cautioned against viewing the body or touching it and were instructed to bury it immediately.
A Ugandan health official, who, however, declined to be identified, said the victim was bleeding from all openings. But he could not confirm that the man died of Ebola.
He said Mucheru got sick and was transferred to a hospital in Kampala. Thereafter, he was referred to Mulago Hospital, where he died.
Many of the Ebola patients from Bundibugyo County, western Uganda, are taken to Mulago Hospital.
So far, 28 people, including three doctors, have died from the disease.
When The Standard visited the border town, Ministry of Health officials were at pains to explain why the body was wrapped in a polythene bag or why the burial was hurried.
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But the Director of Health Promotion, Dr Nicholas Muraguri, ruled out Ebola as the cause of the man's death.
He said they had contacted Ugandan Health officials and medical records showed that the victim was treated for malaria and typhoid.
Muraguri added that Mucheru had not visited western Uganda where the deadly disease broke out.:tiphat: http://allafrica.com/stories/200712101909.html
 
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