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 Uganda Ebola outbreak: patients flee hospital amid contagion 
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Post Uganda Ebola outbreak: patients flee hospital amid contagion
Terrified patients fled from a hospital in western Uganda as soon as news broke that a mysterious illness that killed at least 14 people in the region was Ebola, one of the world's most virulent diseases.

Ignatius Besisira, a member of parliament for Buyaga East County in the Kibaale district, said people had at first believed the unexplained deaths were related to witchcraft. "Immediately, when there was confirmation that it was Ebola … patients ran out of Kagadi hospital (where some of the victims had died)," he told the Guardian. "Even the medical officers are very, very frightened," he said.

Government officials and a World Health Organisation representative confirmed the Ebola outbreak at a news conference in Kampala on Saturday. "Laboratory investigations done at the Uganda Virus Research Institute ... have confirmed that the strange disease reported in Kibaale is indeed Ebola haemorrhagic fever," they said in a joint statement.

Health officials said at least 20 people had been infected and of those 14 had died. :candle

There is no treatment or vaccine against Ebola, which is transmitted by close personal contact and, depending on the strain, can kill up to 90% of those who contract the virus.

snip

Read more here: http://www.guardian.co.uk/world/2012/jul/29/ebola-uganda-outbreak-patients-flee?newsfeed=true

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Sun Jul 29, 2012 6:37 am
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Post Re: Uganda Ebola outbreak: patients flee hospital amid conta
What I don't like about this is that not only are patients fleeing the hospital, and sick people are afraid to go to the hospital for fear they will get it, people who live in the affected community are leaving and going to other areas, thus increasing chances for it to spread to other areas of the country, or even to another country, though that is less likely. Treyfish has been posting a lot on this over at GLP. The CDC is over there as well as WHO (in Uganda that is, not over at GLP lol.)

The origin of the outbreak had not yet been confirmed, but 18 of the 20 cases are understood to be linked to one family.

Question: Where does it come from, one case out of the blue, then others get it; it is very contagious (though so far not airborne, thank God!) But where does it hide? Where is that original source?

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Sun Jul 29, 2012 2:24 pm
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Post Re: Uganda Ebola outbreak: patients flee hospital amid conta
Here's what I've found on sources and reservoirs for ebola:

Traces of EBOV (a variant of ebola) were detected in the carcasses of gorillas and chimpanzees during outbreaks in 2001 and 2003, which later became the source of human infections. However, the high lethality from infection in these species makes them unlikely as a natural reservoir.[30]

Bats are considered the most likely candidate. (as a reservoir) [32] Bats were known to reside in the cotton factory in which the index cases for the 1976 and 1979 outbreaks were employed, and they have also been implicated in Marburg virus infections in 1975 and 1980.

Bats drop partially eaten fruits and pulp, then terrestrial mammals such as gorillas and duikers feed on these fallen fruits. This chain of events forms a possible indirect means of transmission from the natural host to animal populations, which have led to research towards viral shedding in the saliva of bats.

The absence of clinical signs in these bats is characteristic of a reservoir species.

Infectious ebolaviruses have not yet been isolated from any nonhuman animal.

Transmission between natural reservoirs and humans are rare, and outbreaks are usually traceable to a single index case where an individual has handled the carcass of gorilla, chimpanzee, or duiker.[37] The virus then spreads person-to-person, especially within families, hospitals, and during some mortuary rituals where contact among individuals becomes more likely.[38]

http://en.wikipedia.org/wiki/Ebola_virus_disease

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Sun Jul 29, 2012 2:34 pm
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Post Re: Uganda Ebola outbreak: patients flee hospital amid conta
Ebola outbreak suspected among Uganda prisoners
From David McKenzie, CNN

updated 4:54 PM EDT, Thu August 2, 2012

Kagadi, Uganda (CNN) -- The hospital at the center of an Ebola outbreak in Uganda is now dealing with 30 suspected cases, including five from Kibaale prison, Dr. Dan Kyamanywa said Thursday.

Three patients at Kagadi hospital have been confirmed as having the virus, said Kyamanywa, a district health officer.

Doctors are now testing the suspected cases urgently so they can separate confirmed cases from those who do not have the disease, Doctors Without Borders said.

Suspected cases are still trickling into the hospital, Kyamanywa said.

At least 16 people have died in the current outbreak.

The five prisoners have been showing Ebola-like symptoms of vomiting, diarrhea and fever, the doctor said.

"We do expect the number of suspected cases to increase," he said. "It's important to break transmission and reduce the number of contacts that suspected cases have."

There is a fear that the outbreak will spread to the capital, but it is unlikely, he said.

Many patients fled Kagadi hospital when Ebola was confirmed, he said, and the hospital is struggling to respond to all the call-outs to suspected cases.

snip

Read more here: http://www.cnn.com/2012/08/02/health/uganda-ebola-virus/index.html?hpt=hp_t1

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Thu Aug 02, 2012 3:42 pm
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Post Re: Uganda Ebola outbreak: patients flee hospital amid conta
Updates from Promed-mail:

As of Mon 3 Sep 2012, there have been no new confirmed cases of Ebola virus disease reported in Kibaale district, Uganda since 3 Aug 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 Aug 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.

However:

Medical officials in Kibaale district have registered 2 new suspected Ebola virus disease cases. A 24-year-old woman and her 4-year child were admitted to Kagadi Hospital isolation ward on Sunday [2 Sep 2012] afternoon with clinical symptoms similar to those of Ebola disease. "They are admitted in an isolation ward at the hospital. They have received medication and they are stable,"

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Mon Sep 10, 2012 5:58 am
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Post Re: Uganda Ebola outbreak: patients flee hospital amid conta
Ebola in the Congo:

8/10/2012
A total of 5 suspected cases of Ebola haemorrhagic fever have been detected in Isiro, chief town of the district of Haut Uele, Orientale Province (north eastern Democratic Republic of Congo [DRC)], said Jean-Marc Madindi, provincial medical inspector of the Eastern Province, on Sun 12 Aug 2012. "Another case where death ensued, was notified in Dungu, ...

An outbreak of Ebola haemorrhagic fever (VHF) has emerged since last July [2012], 200 km [124 miles] from Kampala in Uganda, killing 14 people on 20 confirmed cases. Given the proximity between the Eastern Province and the eastern part of Uganda, and the intense traffic between the 2 countries, humanitarian actors [doctors?] in DRC have taken preventive measures to deal with this epidemic.

8/21/2012
Ebola outbreak in Democratic Republic of Congo (DRC) - update
-------------------------------------------------------------
As of Mon 20 Aug 2012, a total of 15 (13 probable and 2 confirmed) cases with 10 deaths have been reported in Province Orientale in Eastern DRC. The reported cases and deaths have occurred in 3 health zones as follows: 12 cases and 8 deaths in Isiro, including 3 health care workers who have died; 2 cases and one death in Pawa; and one fatal case in Dungu.

The Congolese Ministry of Health has convened a National Task Force and is working with several partners including WHO, UNICEF, Medecins sans Frontieres (MSF) Suisse, MSF Belgique, and the United States Centres for Disease Control and Prevention (CDC). Similar Task Forces have been established at provincial and district levels to oversee and guide the response.

8/31/2012
Ebola [virus disease] outbreak in Democratic Republic of Congo - update
----------------------------------------------------------------------
The Ministry of Health (MoH) of the Democratic Republic of Congo (DRC) continues to work with partners to control the outbreak of Ebola [virus disease]. As of 3 Sep 2012, a total of 28 (8 confirmed, 6 probable, and 14 suspected) cases including 14 deaths had been reported from Haut-Uele district in Province Orientale. The reported cases and deaths have occurred in 2 health zones -- 18 cases, including 11 deaths in Isiro and 10 cases, including 3 deaths in Viadana. The fatal cases in Isiro include 3 health-care workers.

9/6/2012
Ebola [virus disease] outbreak in Democratic Republic of Congo - update
----------------------------------------------------------------------
The Ministry of Health (MoH) of the Democratic Republic of Congo (DRC) continues to work with partners to control the outbreak of Ebola [virus disease]. As of 3 Sep 2012, a total of 28 (8 confirmed, 6 probable, and 14 suspected) cases including 14 deaths had been reported from Haut-Uele district in Province Orientale. The reported cases and deaths have occurred in 2 health zones -- 18 cases, including 11 deaths in Isiro and 10 cases, including 3 deaths in Viadana. The fatal cases in Isiro include 3 health-care workers.

All alerts have been investigated and so far [ebolavirus] has not been reported from outside Isiro and Viadana health zones.

http://www.promedmail.org/

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Mon Sep 10, 2012 6:06 am
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Post Re: Uganda Ebola outbreak: patients flee hospital amid conta
The outbreak is deemed "over" in Uganda, but still ongoing in the DRC (Congo)

from ProMed Mail

Oct. 2 re: Democratic Republic of Congo:

An outbreak of Ebola virus disease in the Democratic Republic of Congo (DRC) may have killed up to 36 people, out of 81 suspected cases, according to a new death toll released by the Health Ministry on Monday [1 Oct 2012]. The Ministry said that 20 confirmed cases have been recorded, as well as 32 likely and 29 suspected as of Sat 29 Sep 2012.

They said that among the 36 deaths, 10 were confirmed to have been a direct result of the killer virus. They also said that the number of people under observation had risen to 216 since the outbreak was first reported in mid-August [2012] in the eastern Orientale province of the DRC. The vast majority of cases were reported in and around the town of Isiro.

DR Congo has recorded 8 outbreaks of Ebola, one of the world's most virulent diseases, since the virus was first reported near a river that gave it its name in 1976.

**********************
Oct. 5 - re: Uganda

End of Ebola outbreak in Uganda
-------------------------------
The Ministry of Health (MoH), Uganda has declared today [4 Oct 2012], the end of the Ebola haemorrhagic fever (EHF) [Ebola virus disease] outbreak in Kibaale district. The last case was confirmed on 3 Aug 2012 and was discharged from the hospital on 24 Aug 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.

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Sat Oct 06, 2012 7:29 am
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Post Re: Uganda Ebola outbreak: patients flee hospital amid conta
We just had a massive ecoli outbrek in our beef up here in Canda, worst one in Canadian History they say...

When I get some time I will try and find some links, pretty nasty, sure makes me happy to know that my family is safe due to my freezer order :clap

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Sat Oct 06, 2012 2:06 pm
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Post Re: Uganda Ebola outbreak: patients flee hospital amid conta
L2L wrote:
We just had a massive e-coli outbreak in our beef up here in Canada, worst one in Canadian History they say...

When I get some time I will try and find some links, pretty nasty, sure makes me happy to know that my family is safe due to my freezer order :clap


Well thank god you know E-coli and Cryptosporidium Can make you Very very Sick L2L I've been very sick with my I.B.S. acting up lately too.

We are getting Sun bows here today from chem-trails I feel sooo tired.

So sick, so tired, so weak, so fed up with pain, pain and even more pain.

I hate this life. :censor :gah

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Sat Oct 06, 2012 2:48 pm
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Post Re: Uganda Ebola outbreak: patients flee hospital amid conta
DR of the Congo is still finding cases per ProMed Mail. Though they believe the peak of the outbreak is over, there are still isolated cases. The worst hit are health care workers, especially before strict precautions were put in place, including Doctors Without Borders. One problem is that the sick don't want to go to the hospital thus infecting others.

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Thu Oct 18, 2012 8:24 am
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 Re: Uganda Ebola outbreak: patients flee hospital amid conta
WARNING: species to species transmission of ebola through the air!!

EBOLAVIRUS AEROSOL TRANSMISSION, PIG TO PRIMATE
***********************************************
A ProMED-mail post
http://www.promedmail.org

Canadian scientists have shown that the deadliest form of Ebolavirus could be transmitted by air between species.

In experiments, they demonstrated that the virus was transmitted from pigs to monkeys without any direct contact between them. The researchers say they believe that limited airborne transmission might be contributing to the spread of the disease in some parts of Africa. They are concerned that pigs might be a natural host for the lethal infection. Details of the research were published in the journal Scientific Reports [Hana M Weingartl et al. Transmission of Ebola virus from pigs to non-human primates. Scientific Reports 2, Article number 811, doi:10.1038/srep00811; http://www.nature.com/srep/2012/121115/ ... 00811.html].

Researchers from the Canadian Food Inspection Agency and the country's Public Health Agency have shown that pigs infected with this form of Ebola virus can pass the disease on to macaques without any direct contact between the species.

Quote:
Dr Larry Zeitlin is the president of Mapp Biopharmaceuticals. "It's an impressive study that not only raises questions about the reservoir of Ebolavirus in the wild but, more importantly, elevates concerns about Ebola as a public health threat," he told BBC News. "The thought of airborne transmission is pretty frightening."


Details at link above.

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Sat Nov 17, 2012 6:30 pm
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Post Re: Uganda Ebola outbreak: patients flee hospital amid conta
The outbreak in Uganda had been declared "over" but new cases are now showing up again.

EBOLA VIRUS DISEASE - UGANDA (27): (LUWEERO) FAMILY DEATHS
**********************************************************
A ProMED-mail post
http://www.promedmail.org

At least 3 people are confirmed to have died from Ebola virus disease since last month [October 2012], the Health Ministry has said. All of the 3 victims were members of the same family in Kakute sub-county, Sambu Parish, [and?] Nyimbwa sub-county[?].

snip

The acting director general of health services, Dr Dennis Lwamafa, said health experts were also tracing at least 15 suspected cases in different parts of the country. This current Ebola virus disease outbreak comes barely 2 months after the country was declared Ebola virus-free. The Health Ministry has dispatched a team of experts to assess the situation in Luweero, and plans are under way to create isolation centres at Nyimbywa Health Centre IV and Bombo Hospital.

Dr Miriam Nanyunja, the WHO disease prevention and control advisor, said a team of health experts had arrived to boost efforts to contain the epidemic.

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Sat Nov 17, 2012 6:33 pm
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Post Re: Uganda Ebola outbreak: patients flee hospital amid conta
EBOLA VIRUS DISEASE - DEMOCRATIC REPUBLIC OF CONGO (22): (ORIENTALE) WHO

Ebola outbreak in Democratic Republic of Congo - update
-------------------------------------------------------
As of Wed 24 Oct 2012, 52 cases (35 laboratory confirmed, 17 probable) with Ebola haemorrhagic fever [Ebola virus disease] have been reported in the Democratic Republic of Congo (DRC). Of these, 25 have been fatal (12 confirmed, 13 probable).

The cases are reported from Isiro and Viadana health zones in Haut-Uele district in Orientale Province.

The Ministry of Health (MoH) continues to work with local health authorities and international partners in active surveillance, tracing of contacts of probable and confirmed cases, infection prevention and control in health care settings, management of patients in health care facilities, logistics, social mobilization, provision of psychosocial support and conducting anthropological analysis to support the control of the outbreak.

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Sat Nov 17, 2012 6:38 pm
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