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

[Giuseppe]

Re: Uganda: Ebola Sudan identified in 17 deaths, 40 contacts being monitored, 380 have tested negative

Re: Uganda: Ebola Sudan identified in 17 deaths, 40 contacts being monitored, 380 have tested negative

[Source: World Health Organization, full page: (LINK). Edited.]

Ebola in Uganda ? update



3 September 2012


There have been no new confirmed cases of Ebola haemorrhagic fever reported in Kibaale district, Uganda, since 3 August 2012, indicating that the outbreak is coming to an end.

A total of 24 probable and confirmed cases including 17 deaths have been reported since the beginning of the outbreak.

Of these, 11 cases were laboratory confirmed by the Uganda Virus Research Institute (UVRI) in Entebbe. The last confirmed case was discharged on 24 August 2012 following recovery.

All contacts of probable and confirmed cases have been followed up daily and have completed the recommended 21 days of monitoring for any possible signs or symptoms of Ebola.

The partners who are involved in the response to the Ebola outbreak are transferring capacity to national and district authorities to sustain the essential functions, including enhanced surveillance and response, psychosocial support and infection prevention and control in health care facilities.

The Ebola isolation facilities in Kibaale District Hospital and at Mulago National Referral Hospital in Kampala remain on stand-by for receiving any suspected cases.

The ecological studies team in Kibaale district has collected samples from bats, primates and livestock to study the possible natural history of Ebola virus and putative initial human infection from wildlife.



Neighbouring countries

At the time of this update, an Ebola outbreak is on-going in the Province Orientale of the Democratic Republic of Congo.

These two Ebola outbreaks are not epidemiologically linked and have been caused by two different Ebola subtypes; (Uganda: Ebola subtype Sudan, Democratic Republic of Congo Ebola subtype Bundibugyo).

With respect to this event, WHO does not recommend that any travel or trade restrictions are applied to Uganda.



General information on Ebola subtypes:
There are five identified subtypes of Ebola virus. The subtypes have been named after the location they have been first detected in Ebola outbreaks.

Three subtypes of the five have been associated with large Ebola haemorrhagic fever (EHF) outbreaks in Africa: Ebola-Zaire, Ebola-Sudan and Ebola-Bundibugyo.

EHF is a febrile haemorrhagic illness which causes death in 25-90% of all cases.

The Ebola Reston species, found in the Philippines, can infect humans, but no illness or death in humans has been reported to date.
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[Catbird]

Re: Uganda: Ebola Sudan identified in 17 deaths, 40 contacts being monitored, 380 have tested negative

Re: Uganda: Ebola Sudan identified in 17 deaths, 40 contacts being monitored, 380 have tested negative

Might be too soon to start celebrating.

From Daily Monitor:

"Two new suspected Ebola cases reported in Kibaale"

Medical officials in Kibaale district have registered two new suspected Ebola cases.

Gertrude Keneema (25) and her four-year child, Tidiya Birungi, were admitted to Kagadi Hospital isolation ward on Sunday afternoon with clinical symptoms similar to those of Ebola.

?They are admitted in an isolation ward at the hospital. They have received medication and they are stable,? the District health officer Dr Dan Kyamanywa told this newspaper on Tuesday.

He says medical experts then carried out investigations to establish whether they had come into contact with an Ebola patient.

?They do not have that history,? Dr Kyamanywa said.

The patients are residents of Kabuga LCI, Nyamacumu parish in Muhorro sub-county. Dr Kyamanywa says the two had fever, and were vomiting as well as passing blood.

?We extracted a blood sample from them and sent it to the Uganda virus research institute for testing? Kyamanywa added.

The results had not been returned by press time.

The suspected cases come within the period health authorities say must elapse before the district is declared Ebola free. The incubation period for Ebola is around 21 days, and the district can only be declared Ebola free if no new case is reported after that period.

The World Health Organisation (WHO) on Monday said the outbreak could be coming to an end since no new confirmed cases have been reported since August 3, 2012."

 

[Laidback Al]

Re: Uganda: Ebola Sudan identified in 17 deaths, 40 contacts being monitored, 380 have tested negative

Re: Uganda: Ebola Sudan identified in 17 deaths, 40 contacts being monitored, 380 have tested negative

Gertrude Keneema (25) and her four-year child, Tidiya Birungi, were admitted to Kagadi Hospital isolation ward on Sunday afternoon with clinical symptoms similar to those of Ebola.

Given that the last confirmed Ebola case in Kibaale District was August 3 (according to WHO) it is extremely unlikely that these two individuals are suffering from Ebola. Of course, there is always the remote possibility that these two individuals represent a new Ebola outbreak in Muhorro sub-county.
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[Pathfinder]

Re: Uganda: Ebola Sudan identified in 17 deaths, 40 contacts being monitored, 380 have tested negative

Re: Uganda: Ebola Sudan identified in 17 deaths, 40 contacts being monitored, 380 have tested negative

Canberra doctor fighting deadly ebola

Date September 9, 2012 Read later
Ewa Kretowicz

CANBERRA doctor Kamalini Lokuge has returned home from Uganda where she has been helping fight one of the world's most feared diseases, ebola virus.
...
It was the third time Dr Lokuge had dropped everything at the Australian National University, where she works as an epidemiologist, to help Doctors without Borders provide life-saving medical care in the desperately poor African country.
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As an epidemiologist Dr Lokuge's role during the most recent outbreak was to trace all the potential contacts and transmissions of the virus, putting patients in isolation until the risk of infection has passed effectively containing the virus.

Scientists suspect ebola virus lives in bat colonies and Dr Lokuge said the outbreak started after one family member spent time in the forest.
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Full text:
http://www.canberratimes.com.au/act...eadly-ebola-20120908-25lcn.html#ixzz25w3n5A8b

 

[alert]

Re: Uganda: Ebola Sudan identified in 17 deaths, 40 contacts being monitored, 380 have tested negative

Re: Uganda: Ebola Sudan identified in 17 deaths, 40 contacts being monitored, 380 have tested negative

http://www.independent.co.ug/news/news/6427-ebola-outbreak-over

Ebola outbreak over
Friday, 14 September 2012 14:13 By Sarah Namulondo

M?decins Sans Fronti?res (MSF), an international medical humanitarian organisation, has finally declared Uganda Ebola free two months after the disease broke out claiming 17 lives.

After the outbreak was declared in late-July, MSF?s emergency team responded by setting up treatment centres at Kagadi Hospital in Kibaale District, western Uganda and training health staff on caring for patients. MSF has now handed over the Ebola treatment centre to the Ministry of Health.

MSF emergency coordinator, Olimpia de la Rosa in a statement sent to the Independent said that Uganda has developed the capacity to respond to Ebola emergencies. She noted that the Ministry of Health staff can take over and manage Ebola cases with all safety guarantees.

An Ebola outbreak is officially considered eradicated after 42 days have elapsed without any new confirmed cases. There have been no confirmed cases since Aug 3 making Uganda Ebola free.

The Ebola epidemic has successfully been contained thanks to the efforts of the Ministry of Health, MSF, and the US Centers for Disease Control (CDC), the Uganda Red Cross and the World Health Organisation (WHO).

 

[alert]

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

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

http://www.newvision.co.ug/news/635208-Kibaale-Ebola-family-desperate.html

Kibaale Ebola family desperate
Publish Date: Sep 14, 2012

By Ismael Kasooha

Following an outbreak of Ebola in Kibaale more than two months ago, the district is slowly returning to normalcy, but not the first family which lost 14 members.

Alice Isoke 26, one of the survivors in the Isoke family said she has been left with the responsibility of caring for 14 children orphaned by Ebola among them a two-month old baby. Her 64-year-old father Mzee Isoke and most adults in the family succumbed to the deadly disease.

“We lost all the bread winners in our family and now the entire family depends on me, yet I have no clear source of income,” Isoke said on Wednesday. She said they are in dire need of assistance from the government or any other relief agencies. Isoke who had also contracted Ebola was fortunate enough to recover when treated. She said she is overwhelmed by the needs of the large family.

She said the children under her care cannot go to school because they are being taunted. She said rumours had gone round that family had received money from MTN and other organizations and that they were well off which was hindering them from getting support.

"People say that I have received a lot of money from MTN and other organizations but we have got nothing at all," said Isoke.

Isoke also said the family had some outstanding medical bills at St. Ambrose health centre in Kagadi town.

[snip]

 

[Giuseppe]

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

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

[Source: World Health Organization, Regional Office for the Africa, full page: (LINK). Edited.]

End of Ebola outbreak in Uganda

4 October 2012



The Ministry of Health (MoH), Uganda has declared today, the end of the Ebola haemorrhagic fever (EHF) outbreak in Kibaale district.

The last case was confirmed on 3 August 2012 and was discharged from the hospital on 24 August 2012. This is double the maximum incubation period (21 days) for Ebola as recommended by WHO.

In the outbreak, a total of 24 probable and confirmed cases were recorded, of which 11 were laboratory confirmed by the Uganda Virus Research Institute (UVRI) in Entebbe. A total of 17 deaths were reported in this outbreak.

National and District Ebola Task Forces were coordinated by the MoH to respond to the outbreak. MoH worked closely with WHO and other agencies which included the African Field Epidemiology Network (AFENET), EMESCO Foundation (a local NGO), Infectious Diseases Institute (IDI), Uganda Red Cross Society (URCS), M?decins Sans Fronti?res (MSF), the United Nations Children's Fund (UNICEF), US Centers for Disease Control and prevention (CDC), US Agency for International Development (USAID). WHO also coordinated with the Global Outbreak Alert and Response Network (GOARN) to support the response operations.

The response activities carried out during the outbreak included enhanced surveillance for early case detection and contact tracing, reinforcement of infection prevention and control including case management in isolation facilities using barrier nursing and conducting supervised safe burials, reinforcement of standard precautions in health care settings and enhancing communication interventions at the national and community levels.

A team led by CDC conducted ecological studies in Kibaale district to try and understand the likely source and route of transmission of the virus. Samples from bats, primates and livestock were collected to study the possible source of the Ebola virus and putative initial human infection from wildlife.

The Ebola response teams have continued to educate the community on prevention, detection of and early reporting of any suspected cases in future. Health workers in the district have been trained on prevention of health care associated infections.

WHO does not recommend that any travel or trade restrictions be applied to the Uganda with respect to this event.



General information on Ebola subtypes

There are five identified subtypes of Ebola virus. The subtypes have been named after the location where they were been first detected in EHF outbreaks. Three subtypes of the five have been associated with large EHF outbreaks in Africa. Ebola-Zaire, Ebola-Sudan and Ebola-Bundibugyo. EHF is a febrile haemorrhagic illness which causes death in 25-90% of all cases. The Ebola Reston species, found in the Philippines, can infect humans, but no illness or death in humans has been reported to date.
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