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Monday, November 19, 2012

Ebola Claims Another Life


Five people in Uganda have so far died from the latest outbreak of Ebola after another patient succumbed to the virus yesterday.
The latest victim, a 29-year-old woman, died at Bombo Hospital, near Luweero, where she was admitted on Tuesday last week.
Halima Nakimbugwe is said to have contracted the disease while nursing her husband, a boda-boda rider, who was the first person to die in the most recent outbreak in the country, in Luweero District, 70kms from the Capital – Kampala.
Ministry of Health spokesperson Rukia Nakamatte, said Nakimbugwe died yesterday afternoon at Bombo Hospital, where results of the tests carried out confirmed that she had contracted Ebola.
Two other people confirmed to have been infected with the virus have been admitted to Mulago Hospital. Another 12 suspected to have been infected with the virus are also admitted to Mulago, while six are at Bombo Hospital.
“The number of confirmed Ebola patients remains the two admitted to Mulago Hospital, while the number of contacts has risen from 34 to 40. These are being monitored both in Kampala and Bombo,” Ms Nakamatte said.
Another suspect from Mbarara was also admitted to Mulago yesterday after he presented signs of the Ebola fever. His blood samples have been taken for tests and results are expected soon. http://www.redpepper.co.ug/?p=2378

Sunday, November 18, 2012

Emergence two new for bird flu Menoufia

The Director of the Directorate of Veterinary Medicine Menoufia, Sunday afternoon, the discovery بؤرتين two new bird flu house all of the success of Mohammed Jibril, Ali Hassan Eid بأشمون.explained Director of the Directorate of Veterinary Medicine, has been taken it samples from birds for analysis through campaigns organized by the Directorate villages and centers of the province, and the samples were the result positively infection, and it is currently being executed and buried health through with clearing houses, and take a sample of her contacts analyzed to make sure the illness or not. http://gate.ahram.org.eg/NewsContent/5/35/273553/%D9%85%D8%AD%D8%A7%D9%81%D8%B8%D8%A7%D8%AA/%D8%A3%D8%AE%D8%A8%D8%A7%D8%B1-%D9%88%D8%AA%D9%82%D8%A7%D8%B1%D9%8A%D8%B1/%D8%B8%D9%87%D9%88%D8%B1-%D8%A8%D8%A4%D8%B1%D8%AA%D9%8A%D9%86-%D8%AC%D8%AF%D9%8A%D8%AF%D8%AA%D9%8A%D9%86-%D9%84%D9%85%D8%B1%D8%B6-%D8%A5%D9%86%D9%81%D9%84%D9%88%D9%86%D8%B2%D8%A7-%D8%A7%D9%84%D8%B7%D9%8A%D9%88%D8%B1-%D8%A8%D8%A7%D9%84%D9%85%D9%86%D9%88%D9%81%D9%8A%D8%A9.aspx

Two more Ebola cases confirmed

Nurses prepare an isolation facility at Nyimbwa Health Centre in Luweero District recently.

Nurses prepare an isolation facility at Nyimbwa Health Centre in Luweero District recently

 Sunday, November 18  2012 at  02:00

Panic reported at the different health centres in Luweero, with several patients reportedly abandoning health facilities, while medical personnel claim they have not received protective gear.
Blood samples sent to the Uganda Virus Research Institute, Entebbe by Luweero District medical department have confirmed two more Ebola positive patients, bringing the number to four, including the two who passed away last week.

The Luweero District Health Officer, Mr Joseph Okware, said blood samples for a patient admitted to Bombo Army General Hospital on Monday, have tested positive with Ebola Sudan strain and another patient who was in close contact with one of the victims and is now admitted to Mulago National Referral Hospital, has also been confirmed Ebola positive.
We are also sending more blood samples for five people whom we suspect came in contact with some of the victims. We also have a confirmation that the woman who had crossed to Jinja yet she is a key contact person has been intercepted by the medical teams,” Dr Okware said.
Panic has been reported at the different health centres in Luweero, with several patients reportedly abandoning the health units while the medical personnel claim they have not received protective gear.
“It would be very important that the lives of the health workers are also secure because our units have not closed,” a nurse at Bamunanika Health Centre III who did not want her names mentioned, said.
However, Dr Okware said while the main focus was on the facilities at Bombo Military Hospital, Kasana Health Centre IV and Nyimbwa Health Centre, the other units, would also be taken care of.
“We are still receiving some of the protective gear,” Mr Oware said. Meanwhile, the Isolation centre for suspected and confirmed Marburg virus patients at Mbarara Regional Referral Hospital has been reopened with one admission; two days after health officials announced its closure.
Sister Eugenia Namulindwa, the officer in-charge of the Isolation unit, said yesterday Mr Edward Mwesigye, 28, from Rugaaga Sub-county in Isingiro District was admitted on Friday. 
“He was bleeding from ears, vomiting blood and passing urine with blood. We took his blood samples for testing,” she said.  
http://www.monitor.co.ug/News/National/Two-more-Ebola-cases-confirmed/-/688334/1622794/-/12yj2ee/-/index.html

three deaths in Luwero District


The new outbreak of Ebola haemorrhagic fever which broke out in Uganda in mid-November has been three deaths in Luwero District, north of Kampala, said Saturday the World Health Organization (WHO) .
"Four cases, three deaths have been reported," says the Geneva-based organization said in a statement.
In addition, seven people who had close contact with these cases developed symptoms and were placed in isolation, says the WHO, under otherwise the figures have been provided by the Ministry of Health in Uganda.
Ugandan authorities, WHO and Médecins Sans Frontières (MSF) has sent a team to conduct a preliminary investigation on the new epidemic.
In connection with this new epidemic, WHO does not recommend any restrictions to travel or trade with Uganda.
No proven link with the epidemic of July
On 4 October, the Ugandan authorities had declared officially ended a previous Ebola outbreak, which was declared in July in the west and had killed 17 people.
Ugandan health officials said there was now no indication of a link between the two outbreaks. http://www.jeuneafrique.com/Article/DEPAFP20121118112550/oms-ouganda-msf-ebolanouvelle-epidemie-d-ebola-en-ouganda.html

Saturday, November 17, 2012

Uganda Ebola Outbreak Migrating: 2 New Deaths Reported in Luweero, 35 Miles from the Capital, Kampala


Uganda Ebola Outbreak Migrating: 2 New Deaths Reported in Luweero, 35 Miles from the Capital, Kampala

A new outbreak of the deadly ebola virus has hit Uganda once again.
Sources in the Uganda Health Ministry confirmed today that 2 more people had died from the uncurable disease, both from the same family, in the small town of Luweero, a mere 35 miles Northwest of the capital city, Kampala.
A third man has also died in Luweero last month, but no cultures were taken and the incident had not been reported properly to Ugandan Health Ministry Officials.... http://guardianlv.com/2012/11/uganda-ebola-outbreak-migrating-2-new-cases-reported-in-luweero-35-miles-from-the-capital-kampala/

Luweero Asks For UGX 716M to Fight Ebola Outbreak

Luweero local government have petitioned the ministry of Health and agencies for 716 million shillings to help fight the deadly Ebola Sudan Virus. http://ugandaradionetwork.com/a/story.php?s=47450

Declaration of H5N1 avian influenza in four districts

Thanh Hoa:

Updated at: 17:24 17/11/2012


(Inspector) - Vice Chairman Nguyen Duc Rights signed Decision No. 3726/QD- UBND on the declaration of the H5N1 avian influenza in poultry in villages Phuc Lai, Dinh Hoa commune, Yen Dinh District; village 2, Lien Loc and 8, Hoa Loc, Hau Loc district; Republic village of Great Compassion, sub-Dong Hoa district, the town of Nong Cong; rural villages, Van Thang Commune, Nong Cong; village 6 , Russian Thang, Nga Son district. 
The decision stated that from now slaughtering activities, transportation, consumption and processing of poultry, livestock veterinary back to normal operation in accordance with the Veterinary Ordinance and the provisions of law current. Thanh Hoa Provincial People's Committee asked the Director of Agriculture and Rural Development, Department of Animal Health, Chairman of the District: Yen Dinh, Hau Loc, Agriculture and Russia Son monitoring, management closely disease of livestock, especially poultry in the old service; strictly implement the sanitation disinfection, surveillance, detection, reporting, timely handling of cases of disease recurrence . http://www.thanhtra.com.vn/tabid/77/newsid/61276/temidclicked/34/seo/Cong-bo-het-dich-cum-gia-cam-H5N1-tai-4-huyen/Default.aspx

Fresh Ebola outbreak burdens health system



REPORT
from IRIN
PKAMPALA, 15 November 2012 (IRIN) - Uganda's Ministry of Health says a fresh outbreak of Ebola haemorrhagic fever - the second in the country this year - is straining an already over-stretched health system.
"An outbreak of this nature poses a serious financial and human resource challenge. Our resources have been strained since July. We need additional resources to handle the current outbreak. What we have at hand is not enough," Dennis Lwamafa, the acting director-general of health Services at the Ministry of Health, told IRIN.
"With the increasing epidemic outbreaks and their frequencies, we are further constrained... The costs to manage this outbreak cause a distortion... We had not planned for it."
As of 12 November, three people - all members of the same family - were suspected to have died from Ebola in Luwero District, 50km northwest of Kampala. Five people who had close contact with the deceased are also suspected to have contracted the disease; two of these are in an isolation unit at Mulago National Referral Hospital in the capital, Kampala, two in health centres in Luwero and one at Bombo Military Hospital, 30km north of the capital. The Ministry of Health has begun tracing people who may have had contact with the deceased and those infected.
On 15 November, Uganda's Daily Monitor newspaper reported the death of a man who had presented with symptoms characteristic of Ebola at a health centre in the northwestern district of Koboko.
Sudan strain
The outbreak comes less than two months after the country was declared Ebola-free following an outbreak in July that killed 17 people in the western district of Kibaale. The virus in Luwero is the same strain - Ebola Sudan - as the Kibaale outbreak, according to the Uganda Virus Research Institute (UVRI). The Sudan strain was responsible for an outbreak that infected more than 400 and killed some 220 people in Uganda in 2000 and one person in Luwero in May 2011.
The country is also battling an outbreak of Marburg - a viral haemorrhagic fever similar to Ebola - which has killed eight people in the southwest.
Ebola, which causes fever and bleeding from orifices, can cause death within days. There is no cure or vaccine for it, so efforts are concentrated on stopping its spread.
"We need more financial resources to put [in place] optimal response plans to contain this highly infectious disease," Lwamafa said. "We need doctors, nurses to manage isolation units, surveillance teams to list, monitor and track the contacts, laboratory technicians to take the specimens for testing, burial, mobilization teams and psychosocial support teams to handle trauma."
The UN World Health Organization (WHO) in Uganda has dispatched a team of experts to Luwero to help in surveillance, case management, health education, epidemiology, laboratory, infection control and psychosocial services, according to Miriam Nanyunja, WHO's adviser on disease prevention and control.
"The response is being mounted to effectively contain the outbreak," she told IRIN.
Christine Ondoa, Uganda's minister of health, has appealed to the public to remain calm, take precautions to prevent contracting the virus and avoid public gatherings in the affected district.  http://reliefweb.int/report/uganda/fresh-ebola-outbreak-burdens-health-system

Recent Ebola videos


Friday, November 16, 2012

Scores isolated after new Ebola outbreak in Uganda



KAMPALA, Uganda (AP) — Scores of Ugandans were isolated on Thursday to prevent the spread of a new outbreak of Ebola which has already killed three people.
Uganda has experienced increasingly regular outbreaks of deadly hemorrhagic fevers that have left health officials grappling for answers.
The new Ebola outbreak was confirmed Wednesday in a district 60 kilometers (40 miles) from the Ugandan capital, Kampala. The outbreak comes roughly a month after Uganda declared itself Ebola-free following an earlier outbreak in a remote district of western Uganda. Last month at least five people in a southwestern district of Uganda were killed by Marburg, a hemorrhagic fever similar to Ebola.
The latest Ebola outbreak, officials say, is of the Sudan strain of Ebola and not linked to the previous one, of the Congo variety, which killed at least 16 villagers in July and August in the western district of Kibaale. In addition to the three dead in the latest outbreak, up to 15 are being monitored for signs of the disease, officials said. They advised against panic after it was revealed that two possible Ebola patients had since checked into Kampala's main referral hospital.
"The Ministry of Health once again calls upon the public to stay calm as all possible measures are being undertaken to control the situation," Christine Ondoa, Uganda's minister of health, said.
Ebola is especially feared in Uganda, where multiple outbreaks have occurred over the years, and news of it can cause patients to flee hospitals to avoid infection. In 2000, in one of the world's worst Ebola outbreaks, the disease infected 425 Ugandans and killed more than half of them in the country's north. Another outbreak in 2007 killed 37 people in Bundibugyo, a remote district close to the Congolese border.
Ebola is highly infectious and kills quickly.
Denis Lwamafa, the director-general of health services in Uganda's Ministry of Health, suggested that there were more reported cases of Ebola in Uganda than other countries because "our diagnostic capability" has increased. But a World Health Organization official in Kampala said there were progressively more cases of Ebola because of an increase in "the interaction between man and the forests."
Investigators believe the first victim of Ebola in any outbreak acquires the disease after coming into contact with a "reservoir," an infected animal that is often a monkey.
"Whenever there is contact between man and the reservoir of Ebola then you get the first case," said Miriam Nanyunja of the World Health Organization.
Ebola was first reported in 1976 in Congo and is named for the river where it was recognized. There is no cure or vaccine for it. Ebola is "characterized by fever, headache, joint and muscle aches, sore throat, and weakness, followed by diarrhea, vomiting, and stomach pain. A rash, red eyes, hiccups and internal and external bleeding may be seen in some patients," according to a factsheet by the U.S.-based Centers for Disease Control and Prevention.
The virus can be transmitted through direct contact with the blood or secretions of an infected person, or objects that have been contaminated with infected secretions. During communal funerals, for example, when the bereaved come into contact with an Ebola victim, the virus can be contracted, officials said, warning against unnecessary contact with suspected cases of Ebola.
Nanyunja of WHO said Ugandans near the Ebola epicenter should practice what she called "social distancing," avoiding things such as handshakes and similar contact.  http://www.google.com/hostednews/ap/article/ALeqM5geepLywm5ASMnqwQl8W70SOAQ8Yw?docId=f81f2b7954154db3af6c36a54588fd86

NSW to Cull 50,000 Chickens Due to Bird Flu Hit in Hunter Valley


November 16, 2012 10:01 AM EST
Australia's woes with its farm animals raised for their meat appears to be unending. After 21,000 Australian sheep were culled in October in Pakistan over suspicions of bacterial contamination, another 50,000 chickens in New South Wales were quarantined this week by state authorities.
REUTERS/Scanpix Sweden
Bird flu attacked again in Bengal, India and it affected the birds in 13 villages of Nadia Tehatta I. According to the secretary of the ARD department, there are around 51,000 hens and ducks gathered within the affected area specifically around 3-km radius.  http://au.ibtimes.com/articles/405504/20121116/nsw-cull-50-000-chickens-due-bird.htm#.UKYsYYfpeDQ

3 more test positive to Ebola in Luweero




Publish Date: Nov 16, 2012


Three more residents of Nyimbwa in Luweero district have tested positive to the Ebola haemorrhagic fever.  
This brings the number of confirmed Ebola cases in the district since last month to six, three of whom have died.           
“The blood samples for three people which we sent yesterday have come out indicating they are also infected with Ebola,” Richard Kawenyera, the district Ebola surveillance officer, told Saturday Vision yesterday (Friday).           
Kawenyera did not divulge details about the patients saying he was too busy.           
But it is believed that they are related to the three members of the same family who died in Kakute sub-county, Sambu Parish, Nyimbwa sub-county...
http://www.newvision.co.ug/news/637350-3-more-test-positive-to-ebola-in-luweero.html

Growing concerns over 'in the air' transmission of Ebola


Canadian scientists have shown that the deadliest form of the ebola virus 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.

Start Quote

What we suspect is happening is large droplets - they can stay in the air, but not long, they don't go far. But they can be absorbed in the airway”
Dr Gary KobingerPublic Health Agency of Canada
Ebola viruses cause fatal haemorrhagic fevers in humans and many other species of non human primates.
Details of the research were published in the journal Scientific Reports.
According to the World Health Organization (WHO), the infection gets into humans through close contact with the blood, secretions, organs and other bodily fluids from a number of species including chimpanzees, gorillas and forest antelope.
The fruit bat has long been considered the natural reservoir of the infection. But a growing body of experimental evidence suggests that pigs, both wild and domestic, could be a hidden source of Ebola Zaire - the most deadly form of the virus.
Now, researchers from the Canadian Food Inspection Agency and the country's Public Health Agency have shown that pigs infected with this form of Ebola can pass the disease on to macaques without any direct contact between the species.
In their experiments, the pigs carrying the virus were housed in pens with the monkeys in close proximity but separated by a wire barrier. After eight days, some of the macaques were showing clinical signs typical of ebola and were euthanised.
One possibility is that the monkeys became infected by inhaling large aerosol droplets produced from the respiratory tracts of the pigs.
pigs could be a natural hostPigs could act as a host and amplify the Ebola virus
One of the scientists involved is Dr Gary Kobinger from the National Microbiology Laboratory at the Public Health Agency of Canada. He told BBC News this was the most likely route of the infection.
"What we suspect is happening is large droplets - they can stay in the air, but not long, they don't go far," he explained.
"But they can be absorbed in the airway and this is how the infection starts, and this is what we think, because we saw a lot of evidence in the lungs of the non-human primates that the virus got in that way."
The scientists say that their findings could explain why some pig farmers in the Philippines had antibodies in their system for the presence of a different version of the infection called Ebola Reston. The farmers had not been involved in slaughtering the pigs and had no known contact with contaminated tissues.
Dr Kobinger stresses that the transmission in the air is not similar to influenza or other infections. He points to the experience of most human outbreaks in Africa.
"The reality is that they are contained and they remain local, if it was really an airborne virus like influenza is it would spread all over the place, and that's not happening."
Hidden host
The authors believe that more work needs to be done to clarify the role of wild and domestic pigs in spreading the virus. There have been anecdotal accounts of pigs dying at the start of human outbreaks. Dr Kobinger believes that if pigs do play a part, it could help contain the virus.
"If they do play a role in human outbreaks it would be a very easy point to intervene" he said. "It would be easier to vaccinate pigs against Ebola than humans."
Ebola UgandaWorkers prepare to disinfect during a recent Ebola outbreak in Uganda
Other experts in the field were concerned about the idea that Ebola was susceptible to being transmitted by air even if the distance the virus could travel was limited. Dr Larry Zeitlin is the president of Mapp Biopharmaceuticals.
"It's an impressive study that not only raises questions about the reservoir of Ebola 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."
At present, an outbreak of ebola in Uganda has killed at least two people near the capital Kampala. Last month, Uganda declared itself Ebola-free after an earlier outbreak of the disease killed at least sixteen people in the west of the country.  http://www.bbc.co.uk/news/science-environment-20341423

Thursday, November 15, 2012

Ebola from Pigs to Monkeys



A deadly Ebola virus can spread from pigs to monkeys without direct contact, pointing to pig farms as a possible contributor to Ebola outbreaks.
By  | November 15, 2012
Although Ebola viruses can cause fatal disease in humans and other primates, pigs can carry the infections with few ill effects. Now, Canadian scientists have shown that apparently healthy pigs can pass the deadliest species of Ebola to monkeys, even without ever coming into contact with them.
The study, published today (November 15) inScientific Reports, marks the first time that the virus has spread between different species in a lab experiment, and suggests that pig farms could be facilitate such species-hopping in more natural conditions.
However, Gary Kobinger from the University of Manitoba, who led the study, cautioned that “we still don’t know if pigs are playing any role in the natural transmission or ecology of Ebola virus in Africa.”
“An epidemiological survey of wild and domestic pigs in sub-Saharan Africa is now necessary,” agreed Shigeru Morikawa from the National Institute of Infectious Diseases, Japan, who was not involved in the research.
Ebola has been found in gorillas, chimps, duikers (a small a  http://www.the-scientist.com/?articles.view/articleNo/33277/title/Ebola-from-Pigs-to-Monkeys/

Suspect Ebola fever in Luweero-40 monitored


Suspect Ebola fever in Luweero

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The suspected deadly Ebola fever has been detected in Nyimbwa sub-county in Luweero district and two members of the same family have died. 
This latest incidence happened in Sombwe Parish about 40km north of Kampala.  Joseph Okware, the Luwero District Health Officer Wednesday confirmed that the dead are members of the same family.
He said Gladys Namakula and Rehemah Najjemba of Kikyusa village died and were buried on 10th and 12th respectively.

Authorities said that the two are said to having got the virus from their brother who had been admitted to the hospital in October.
It is now about two months after the country was declared Ebola free by the World Health Organization (WHO).

Okware said the deceased blood samples were taken to Uganda Virus Research Institute and tested. He said that other members of the family have been admitted at Bombo Military Hospital.
 

He said that 40 other people who were in close contact with the deceased are being closely monitored by the surveillance team from WHO, and Ministry of Health among others.
 

Residents said one other family member identified only as Kabugo, a boda boda rider in Bombo town council died on November 7, after presenting with symptoms of Ebola like vomiting, high fever, vomiting blood, and severe chest pain.
The ministry of health said that the ministry has sent a technical team to do surveillance work on ground. http://www.independent.co.ug/news/news/6816?task=view

Uganda: new outbreak of Ebola, 2 dead


Une zone de quarantaine de l'hôpital Mulago de Kampala où une personne est morte du virus Ebola, le 31 juillet 2012 en Ouganda AFP/Archives Michele Sibilonihttp://translate.google.com/translate?sl=fr&tl=en&js=n&prev=_t&hl=en&ie=UTF-8&layout=2&eotf=1&u=http%3A%2F%2Fwww.slateafrique.com%2F91997%2Febola-alerte-rouge-en-ouganda

Brief on the Marburg (Ebola) Out Break: Posted 14/11/12

http://health.go.ug/docs/Brief.pdf

Ebola: Five admitted, 15 under surveillance



Five people suspected to have Ebola haemorrhagic fever have been admitted to different health facilities after it was established that they had been in close contact with the two people who were confirmed to have succumbed to the disease, following the latest outbreak in Luweero District, 50 kilometers from Kampala
Two of the suspects, an elderly woman and his son both related to the deceased, were Thursday admitted to the Mulago National Referral Hospital isolation facility where they are being closely monitored as they wait for results from their blood samples, expected on Friday.
Another person is admitted at Bombo Military Hospital in Luweero, while the other three are confined to their homes as an isolation centre is being set up at Nyimbwa Health Centre IV.
The Commissioner for National Disease Control and Prevention, Dr. Denis Lwamafa said 15 people in Nyimbwa sub-county, Luweero, who are suspected to have come in contact with the fatalities are now under surveillance.
“This is a fresh outbreak. There is no epidemiological link between the outbreaks in Kibaale, western Uganda and the one in Luweero,” Dr Lwamafa said while responding to concerns on the possibility that the country could have been immaturely declared Ebola-free.
Uganda was declared Ebola free on October 4th after observing a 42 day post Ebola surveillance period.
Laboratory investigations done at the Uganda Virus Research Institute in Entebbe have confirmed that two people, all from one family in Sambwe Parish in Nyimbwa Sub-county, Luweero District, were among the first three fatalities of the Sudan strain virus that has been reported in the area.
The Minister for Health Dr. Christine Ondoa confirmed the outbreak Thursday.
This is the second epidemic in the country this year. The first one claimed 11 lives.
Travel Ban
The World Health Organisation, however, says that there is no travel ban on Uganda yet, with an exception of the affected areas. As a result, the minister told journalists, Uganda’s borders remain open both for people coming in and leaving the country.
She however said the government cannot regulate or stop other countries that may ban Ugandans from entering their countries.
Below is the Minister’s statement in full:
Ministry Of Health
15th November 2012
PRESS STATEMENT
EBOLA OUTBREAK IN LUWEERO DISTRICT
KAMPALA - The Ministry of Health would like to inform the general public that another Viral Hemorrhagic fever, Ebola, has broken out in the country. This follows confirmation from the laboratory investigations done at the Uganda Virus Research Institute in Entebbe that two people, all from one family in Kakute sub-county, Sambu parish in Nyimbwa sub-county, Luweero district, had died of Ebola, the Sudan strain.
A total of three people have since the onset of the outbreak died in Luweero district located in the central part of the country. The first case, a boda boda rider, died on October 25th after presenting with signs of high fever and bleeding from some body parts. However, no samples were taken from this case as it was not reported to the health facility.
The second death occurred on November 10th 2012 at Nyimbwa Health Center IV. This was 25-year-old woman who had had nursed the boda boda rider. She too, presented with signs and symptoms of Ebola. The third case, also from the same family occurred on October 12 at Nyimbwa Health Center.
A number of suspects have already been identified and attended to appropriately. Currently, there are five suspects closely being monitored by our surveillance team. One is admitted at Bombo Military Hospital, two at Mulago National Referral Hospital Isolation facility while three are still in the communities. Those admitted have an epidemiological link with the index family and nursed the earlier two who were confirmed to have died of the disease.
The Ministry of Health and its partners have to this effect moved fast and beefed up all the necessary measures to control the spread of this highly contagious disease. 
A team of experts from the Ministry, World Health Organisation, MSF, AFENET are already on ground to support the response plan.
• A national taskforce coordinated by the Ministry of Heath has now refocused its attention to the Luweero epidemic since the Marburg situation in western Uganda is fully under control.
• Plans are underway to create an isolation facility at Nyimbwa Health Center IV or Bombo Military Hospital.
• The Luweero district taskforce has been reactivated and is developing a response plan
Active and sustained tracing and listing of all possible contacts that were exposed to the suspected and confirmed cases are in high gear. So far, a number of contacts have been recorded and are closely being monitored.
• The isolation facility at Mulago National Referral Hospital has already been reopened and has admitted two suspect cases.
The necessary drug supplies and logistics for case management have been mobilized. The National Medical Stores have been requested to send the necessary logistics.
MSF is already on the ground to evaluate and mobilise the necessary requirements for setting up an appropriate isolation centre at Nyimbwa health center IV or Bombo Military Hospital
• The Ministry has already dispatched Personal Protective Equipment (PPEs) and body Bags to Luweero district
• Collection of samples from suspect and probable cases has already commenced. Last evening, two samples from taken from suspect cases admitted at Mulago National Referral Hospital
With the above measures, the Ministry of Health is confident that the outbreak will be effectively controlled and there should be no panic among the population.
Ebola is a highly infectious disease, which presents with high grade fever and bleeding tendencies. It is very infectious, kills in a short time but can easily be prevented. The signs and symptoms of the disease include 
• fever,
• vomiting,
• diarrhoea,
• abdominal pain,
• headache,
• measles-like rash,
• red eyes, and sometimes with bleeding from body openings.
It can be spread through direct physical contact with body fluids like saliva, blood, stool, vomit, urine and sweat from an infected person and soiled linen used by a patient. It can also be spread through using skin piercing instruments that have been used by an infected person. Likewise, a person can get it by getting in touch with a dead body of a person who has died of the disease.
The Ministry of Health urges the public, especially in Luweero and the neighbouring districts to take the following measures to avert the spread of the disease. 
• Report and immediately take any suspected patient to a nearby health unit
• Avoid direct contact with body fluids of a person suffering from Ebola by using protective materials like gloves and masks
• Disinfect the bedding and clothing of an infected person
• Persons who have died of Ebola must be handled with strong protective wear and buried immediately, avoid feasting and funerals
• Avoid eating dead animals especially monkeys
• Avoid public gathering especially in the affected district
• Burial of suspicious community deaths should be done under close supervision of district health workers
• Report all suspicious deaths to the health workers
The Ministry of Health once again calls upon the public to stay calm as all possible measures are being undertaken to control the situation. The country will be kept informed further on the outcome of the health emergency.
Hon. Dr. Christine Ondoa
Minister of Health
http://www.monitor.co.ug/News/National/Ebola---Five-admitted--15-under-surveillance/-/688334/1620726/-/item/3/-/dxaqej/-/index.html


Ebola outbreak in Uganda again


The Ministry of Health in Uganda on Thursday that an outbreak of the virus Ebola has killed three people in the central and after five weeks of the announcement of free the country from the deadly virus. was an outbreak similar to the virus in the Kibaale western country since four months have claimed the lives of 17 people.

 said in a statement Ministry of Health, "the ministry moved quickly and took all necessary measures to control the disease highly infectious, has been published relief teams already to control the disease." said Health Minister Cristina Oondoa told reporters that the first victim is the driver motorcycle fever hemorrhagic severe, died on 25 last October, but has not been verified his case immediately.

added Oondoa the nurse "25 years", which was responsible care of him died on 10 November as man died last from the same family the day before. had been transported all the hospital is located just 60 kilometers meters north of the capital. minister said "laboratory tests at the Institute of Virus in Uganda concluded that they all died from infected with Ebola strain of Sudan. 

subject five cases suspected bird flu disease to monitoring by the monitoring team. " After emergency measures with the assistance of WHO and the Center of America for Disease Control Ministry of Health announced that Uganda Ebola disease-free on the fourth of October last, after months of panic in the western areas of the country after reporting dozens of cases.

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