
This farmer's family reported seven suspected Ebola cases following direct contact with wildlife.
UPDATE ON EBOLA IN KIBAALE DISTRICT | ||
PRESS 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.. http://www.mediacentre.go.ug/details.php?catId=3&item=1777 |
Ebola in Uganda
29 July 2012
The Ministry of Health (MoH) of Uganda has notified WHO of an outbreak of Ebola haemorrhagic fever in Kibaale district in the western part of the country.
A total of 20 cases, including 14 deaths have been reported since the beginning of July 2012.
The index case was identified in a family from Nyanswiga village, Nyamarunda sub-county of Kibaale district, where nine of the deaths were recorded.
The deceased include a clinical officer who attended to a patient, and her four month-old child. Nine of the 14 deaths have occurred in a single household.
Laboratory confirmation was done by the Uganda Virus Research Institute in Entebbe.
Currently, two patients are hospitalized and are in stable condition.
The first is a 38 year-old female who attended to her sister, the clinical officer who died. She was admitted to the hospital on 26 July 2012.
The second is a 30 year-old female who participated in conducting the burial of the index case. She was admitted to the hospital on 23 July 2012.
Both cases were admitted to hospital with fever, vomiting, diarrhoea and abdominal pain. Neither of the cases has so far shown bleeding, a symptom that often appears in viral haemorrhagic fever patients.
The MoH is working with stakeholders and partners to control the outbreak.
Response plans at the national and district levels are being finalised.
A national task force coordinated by the MoH has been re-activated at the MOH headquarters and holds daily meetings. In Kibaale a district task force has been formed to better coordinate field response. The neighbouring districts have been put on high alert about the outbreak and to step up surveillance.
A team of experts from MoH, WHO and Centers for Disease Control and Prevention (CDC) is in Kibaale to support the response operations. All possible contacts that were exposed to the suspected and confirmed cases since 6 July 2012 are being identified for active follow up. The necessary supplies and logistics required for supportive management of patients are being mobilized.
Kibaale hospital has established a temporary isolation ward for suspected, probable and confirmed cases. Médecins Sans Frontières (MSF), Holland, has mobilized necessary requirements for setting up isolation centre at the hospital. The MoH and Mulago Hospital have mobilized some staff to manage the isolation centre but more are urgently needed.
The MoH has advised the public to take measures to avert the spread of the disease and to report any suspected patient to the nearest health unit.
WHO does not recommend that any travel or trade restrictions are applied to Uganda.
Twenty-four new cases of EV-71 have been reported by executive health centres in Battambang province for the month of July alone, with three of the patients in a serious condition requiring hospitalisation, health officials said yesterday.
Meas Maisak, chief of Sampov Loun district health centre and deputy chief of Sampov executive district health office, said that 24 children between one and 10 years of age, had symptoms of EV-71 in Sampov Loun, Phnom Phrek and Kam Rieng districts.
Previously, the Ministry of Health and World Health Organization have said that recorded EV-71 fatalities and cases have emerged from south and central Cambodia.
“They have rashes and blisters on arms, legs and mouth, with a high fever, but none of them have died,” Maisak said.
“We are paying much attention to them,” he said. However, he added that three of them were in serious condition, with fevers between 38 degrees and 40 degrees, and were sent to Kantha Bopha Children’s Hospital in Siem Reap last week.
“[The other cases] have been quarantined, but some returned home after getting treatment, because we do not have enough space for them [at the executive health centre],” Maisak said.
Chea Kimnieng, health officer at Sampov executive district health office, said that people are aware of the disease in the wake of a public announcement.
“We urge parents to hurry to send their children to health centres when they suspect the disease,” he said.
WHO country director Pieter Van Maaren told the Post this week that while EV-71 has been known since 1969, testing for the virus had not occurred in Cambodia before the recent unexplained child deaths.
As investigations continue, the case fatality ratio – currently 56 deaths out of a now 85 case tally – will drop as more non-fatal cases are recorded, Van Maaren said.While the official describes symptoms that could be hand-foot-mouth disease, I notice that no one uses the term—perhaps because Dr. Beat Richner does not concur with the diagnosis offered by WHO. http://crofsblogs.typepad.com/h5n1/2012/07/cambodia-more-cases-of-ev71-reported-in-battambang.html