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Uganda Medical Workers
Flee From New-Type
Ebola Patients

By John Thawite
Sunday Vision online - Uganda
12-3-7

Medical workers in Bundibugyo District have fled their workplaces in fear of contracting the deadly Ebola virus. Elias Byamungu, the Chief Administrative Officer, on Friday (30 Nov 2007) said medical workers had abandoned patients in health units for fear of being infected. "The health workers are terribly afraid," he said. Byamungu put the death toll at 28.
 
Health authorities, however, last night (1 Dec 2007) put the toll at 18, up from 16 registered by Thursday (29 Nov 2007). "We have had 2 more deaths in the last 24 hours, and the disease continues to spread," Dr. Sam Zaramba, the Director General of Health Services, told Reuters. He said World Health Organisation (WHO) officials had teamed up with local experts to draw up a strategy to contain the outbreak. More than 50 people are also infected.
 
District health officials said 5 new cases were admitted to Bundibugyo Hospital yesterday (1 Dec 2007). "We have set up isolation wards where all those who have been diagnosed with Ebola have been quarantined and are being monitored closely," Zaramba said.
 
The 1st victim died in August 2007, but the cause of death was referred to as a "mysterious illness." Until Wednesday (28 Nov 2007) when the health ministry and the WHO confirmed it as being Ebola, the disease, which has ravaged 14 villages in the district, was being described as "mysterious and strange." Zaramba said the illness was confirmed as being Ebola following tests at the Centers for Disease Control and Prevention in Atlanta, US.
 
Speaking on the phone, Byamungu said among the infected are 3 medical workers, including a doctor whom he identified only as Ssesanga, who he said was critically ill. He said the disease started in Kikyo Parish, Kasitu Sub-county and later spread to Ngamba Parish, Bundibugyo Town Council and Bubukwanga Sub-county. The 1st death occurred after a group of residents of Kikyo feasted on a goat in August 2007.
 
"There were accusations and counter-accusations of witchcraft. Some people were even arrested until we discovered that the problem was medical," Byamungu said. He expressed fear that the disease could be incubating in the neighbouring districts of Kabarole and Kasese, where infected people could have travelled. Residents of Kabarole are in a state of panic, with many avoiding handshakes or being in crowed places. Taxi drivers plying the Fort Portal-Bundibugyo route said they were taking extra precautions. "We are not overloading our vehicles so as to reduce body contact among passengers. We also do not accept to transport visibly ill people," said one driver.
 
Ebola is spread through contact with the body fluids of infected persons. This is the 2nd major Ebola outbreak in Uganda. The last one occurred in 2000 in Bunyoro and in the north, killing over 140 people. 
 
http://www.sundayvision.co.ug/detail.php?mainNewsCat
egoryId=7&newsCategoryId=123&newsId=600030
 
 
News24.com 12-3-7
 
The Ebola outbreak that has killed 18 people in western Uganda appears to be spreading, officials said on Sunday (2 Dec 2007), as authorities examined a sample taken from a dead patient in the south of the country. Government officials told AFP that the disease, which flared in September (2007), had spread to 3 new zones in the impoverished Bundibugyo district near the border with the Democratic Republic of Congo.
 
Virologists were meanwhile examining a sample taken from a suspected victim who died overnight in the Mbarara region, 160 km southeast of the affected district. Health officials said several dozen medics and support staff had fled Bundibugyo when their co-workers became infected with the virus in an outbreak that has already killed 18 people and infected 61.
 
Virologists were also investigating an isolated patient in the neighboring Port Portale district as well as the fatality in Mbarara. "There are fears that the disease has spread," said a top health ministry official who requested to remain unnamed. "We are waiting for the results from the samples," he said of the 2 cases that have spread panic in the east African nation. The disease, which is fatal in 90 percent of cases, is spread by contact with body fluids, primarily blood.
 
Meanwhile, epidemiologists and virologists are in Bundibugyo district to try to trace backwards the source of the virus as part of a campaign to avoid future outbreaks. Authorities say the outbreak was an unknown strain, after analysis was done on tissue samples at the laboratories of the Atlanta-based Centers for Disease Control and Prevention. Known Ebola sub-types usually attack capillaries and blood vessel linings, draining the body of blood through openings, leaving the patient to die in shock, doctors say. But the new Uganda subtype, which provokes high fever, kills victims without much loss of blood.
 
http://www.news24.com/News24/Africa/News/0,,2-11-1447_2231444,00.html
 
____
 
Communicated by ProMED-mail
 
More information about this new epidemic of Ebola fever is unfolding. The 1st case dates back to August 2007 and has been associated circumstantially with feasting on goat meat. Hemorrhage is not a prominent feature of the disease. The outbreak in the Bundibugyo District is extending and now involves at least 14 villages. The death toll now stands at 18, and the number of cases is now 61. An as yet unconfirmed case has appeared at a location 160 km to the south. The epidemic situation is fluid, and new cases may begin to appear outside the Bundibugyo District.  - Mod.CP
 
An interactive map of the Bundibugyo region of Western Uganda can be accessed at:  
http://www.maplandia.com/uganda/bundibugyo/.
 
Patricia A. Doyle DVM, PhD 
 
Bus Admin, Tropical Agricultural Economics
Univ of West Indies
 
Please visit my "Emerging Diseases" message board at:
http://www.emergingdisease.org/phpbb/index.php
Also my new website:
http://drpdoyle.tripod.com/
Zhan le Devlesa tai sastimasa
Go with God and in Good Health
 
 
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