Tag Archives: Ebola

CDC issues a warning on Ebola-like virus in Iowa

CDC graph How deadly is Ebola-like virus

Important Takeaways:

  • An Iowa resident has died after contracting a frightening viral disease, similar to Ebola, that leaves victims bleeding from their eyeballs.
  • The patient had returned to the U.S. from West Africa earlier this month bringing the disease known as Lassa Fever, rarely seen in the U.S., back with them, health officials said.
  • The person was not sick while traveling meaning the risk to fellow airline passengers is ‘extremely low,’ officials with the U.S. Centers for Disease Control and Prevention said.
  • Patients are not believed to be infectious before symptoms occur and the virus is not spread by casual contact.
  • The patient, who has not been identified publicly, was placed in isolation in hospital at the University of Iowa Health Care Medical Center in Iowa City.
  • On Monday, testing by the Nebraska Laboratory Response Network revealed the patient had died from Lassa Fever.
  • If the results are confirmed, the Iowa case would be the ninth known case of Lassa Fever since 1969 in travelers returning to the U.S. from areas where the disease is found.
  • The CDC is now assisting Iowa health officials to identify people who had been in contact with the patient after symptoms began. Those identified as being in close contact will be monitored for three weeks.
  • Lassa Fever, which is caused by the Lassa virus, is a relatively common disease in West Africa, with between 100,000 and 300,000 cases diagnosed every year with around 5,000 deaths.

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No evidence that Ivory Coast patient had Ebola, says WHO

(Reuters) -New testing has found no evidence that the woman in Ivory Coast who tested positive earlier this month for Ebola actually had the virus, the World Health Organization (WHO) said on Tuesday.

“WHO considers that the patient did not have Ebola virus disease and further analysis on the cause of her illness is ongoing,” it said in a statement.

The positive result was found by a lab in Ivory Coast but subsequent testing in France came back negative, WHO said.

The initial test led Ivory Coast on Aug. 14 to declare its first Ebola outbreak in over 25 years. The woman had travelled to Ivory Coast’s commercial capital Abidjan from northern Guinea, hundreds of kilometers (miles) away.

More than 140 of the woman’s contact were listed in Guinea and Ivory Coast but none of them developed symptoms or tested positive, WHO said.

Ebola typically kills about half of those it infects, although vaccines and new treatments have proven highly effective in reducing fatality rates.

(Reporting by Aaron Ross; Editing by Leslie Adler and Sandra Maler)

Measles surging as COVID-19 curbs disrupt vaccinations

By Kate Kelland

LONDON (Reuters) – Measles surged to infect almost 870,000 people across the world in 2019, the worst figures in almost a quarter of a century as vaccination levels fell below critical levels, a report said on Thursday.

Millions of children are at risk of the disease again this year as restrictions imposed to contain the COVID-19 pandemic further disrupt immunization programs, the report co-led by the World Health Organization (WHO) said.

Measles is one of the most contagious known diseases – more so than COVID-19, Ebola, tuberculosis or flu.

More than 207,000 people died of it last year alone, the report found. With immunization coverage below the critical 95% needed for community protection, infections rose in all WHO regions last year to the worst levels since 1996, it said.

“These data send a clear message that we are failing to protect children from measles in every region of the world,” the WHO’s Director-General, Tedros Adhanom Ghebreyesus, said in a statement.

The surge in fatal cases means global measles deaths have risen nearly 50% since 2016.

The report, co-led by the United States Centers for Disease Control and Prevention (CDC), cited a collective failure to fully immunize children on time with two doses of measles vaccine as the main driver of the deadly increases.

Looking ahead to 2020, the report warned that disruptions to vaccination due to the COVID-19 pandemic have crippled efforts to curb measles outbreaks.

As of this month, more than 94 million people were at risk of missing measles vaccinations due to paused immunization campaigns in 26 countries, it said.

“COVID-19 has resulted in dangerous declines in immunization coverage,” Seth Berkley, chief executive of the GAVI global vaccine alliance, said.

He described the “alarming” measles report was “a warning that, with the COVID-19 pandemic occupying health systems across the world, we cannot afford to take our eye off the ball.”

After steady downward progress from 2010 to 2016, measles cases began rising again from 2017. The report said there were a total of 869,770 measles cases, with 207,500 deaths, in 2019.

WHO and the UN children’s fund UNICEF urged governments last week to act now to prevent epidemics of measles, polio and other infectious diseases.

(Reporting by Kate Kelland, editing by Andrew Heavens)

‘Fragile’ Africa prepares for high risk of coronavirus spread

By Juliette Jabkhiro and Kate Kelland

DAKAR/LONDON (Reuters) – An isolation ward stands ready at a hospital in Khartoum, Sudan. Laboratories in Senegal and Madagascar have the testing equipment they need. Passengers arriving at airports in Gambia, Cameroon and Guinea are being screened for fever and other viral symptoms.

Africa’s Centres for Disease Control and Prevention says it has activated its emergency operation centre in the face of what global health officials say is a high risk the coronavirus disease epidemic that began in China will spread to its borders.

On a poor continent where healthcare capacity is limited, early detection of any outbreak will be crucial.

The fear is great that a spreading epidemic of coronavirus infections will be hard to contain in countries where health systems are already overburdened with cases of Ebola, measles, malaria and other deadly infectious diseases.

“The key point is to limit transmission from affected countries and the second point is to ensure that we have the capacity to isolate and also to provide appropriate treatment to people that may be infected,” said Michel Yao, emergency operations program manager at the World Health Organization’s regional office for Africa in Brazzaville, Congo.

The Democratic Republic of Congo is barring its citizens from flying to China. Burkina Faso has asked Chinese citizens to delay travelling to Burkina, and is warning that they face quarantine if they do. Kenya, Tanzania and Rwanda have all suspended flights to China.

“What we are emphasising to all countries is that they should at least have early detection,” Yao said.

“We know how fragile the health system is on the African continent and these systems are already overwhelmed by many ongoing disease outbreaks, so for us it is critical to detect earlier to that we can prevent the spread.”

John Nkengasong, Africa’s CDC director, told a briefing in the Ethiopian capital Addis Ababa this week that the activation of the emergency operation centre would create a single incident system to manage the outbreak across the continent.

The Africa CDC will also hold a training workshop in Senegal for 15 African countries on laboratory diagnosis, he said.

The continent has more than doubled the number of laboratories now equipped to diagnose the viral infection, this week adding facilities in Ghana, Madagascar and Nigeria and to established testing labs in South Africa and Sierra Leone.

“By the end of the week we expect that an additional 24 countries (in Africa) will receive the reagents needed to conduct the tests and will have the test running,” a spokeswoman for the WHO’s Africa Region told Reuters.

(Additional reporting by Giulia Paravicini in Addis Ababa, Benoit Nyemba in Kinshasa, Thiam Ndiaga in Ouagadougou, Josiane Kouagheu in Douala, Pap Saine in Banjul and Saliou Samb in Conakry. Writing and reporting by Kate Kelland; Editing by Pravin Char)

Fatal attacks on Congo clinics risk resurgence of Ebola epidemic

By Fiston Mahamba

GOMA, Democratic Republic of Congo (Reuters) – International organizations warned on Friday of a potential resurgence of Ebola in Congo after deadly militia attacks on health centers forced aid groups to suspend operations and withdraw staff from the epidemic’s last strongholds.

Mai Mai militia fighters killed four people and injured several others at two Ebola centers on Thursday in the worst yet of violence hampering efforts to tame the outbreak in eastern Democratic Republic of Congo (DRC).

The world’s second biggest Ebola epidemic on record has killed over 2,200 people since mid-2018, but new infections slowed in recent months.

“Ebola was retreating and now it is likely to resurge,” World Health Organization (WHO) spokesman Christian Lindmeier told a news briefing in Geneva. WHO has relocated 173 staff while the U.N. children’s agency UNICEF has evacuated 20 staff.

After Thursday’s fatal raids on health centers in Mangina and Byakoto, a screening center was also attacked overnight in the town of Oicha, Congolese health authorities said.

Mai Mai fighters and local residents have attacked health facilities sometimes because they believe Ebola does not exist and in other cases because of resentment that they have not benefited from the influx of donor funding.

The International Federation of the Red Cross (IFRC) halted operations in the towns of Mangina, Beni and Butembo.

“We’ve had to put all Ebola activities on hold in high-risk areas,” said Corrie Butler, spokeswoman for the IFRC in Congo, saying the attacks had been in areas with most Ebola cases.

At least 1,500 Red Cross staff and volunteers are involved in Ebola work in east Congo, she said, most in areas where activities are now suspended due to violence.

The World Food Programme (WFP), another U.N. agency which provides food to those around infected people and at risk of Ebola, said its activities had also been interrupted due to insecurity.

Congolese health authorities said they had evacuated 13 staff and other transfers were underway.

The Alliance for International Medical Action (ALIMA) charity said activities at its treatment centers in Mambasa and Katwa towns were not suspended but it was monitoring the security situation closely.

Thursday’s attacks followed raids on communities by suspected Islamist rebels believed to have killed at least 100 people in the past month, according to U.N. figures.

At least four people also died this week during protests at the perceived failure of the army and U.N. peacekeepers to protect civilians from the Islamist Allied Democratic Forces (ADF)

(Reporting from Fiston Mahamba in Goma, Stephanie Nebehay in Geneva, Anna Pujol-Mazzini in Dakar; Writing by Anna Pujol-Mazzini; Editing by Alessandra Prentice and Andrew Cawthorne)

IOM suspends some Ebola screening after three aid workers killed in South Sudan

IOM suspends some Ebola screening after three aid workers killed in South Sudan
By Denis Dumo

JUBA (Reuters) – The U.N. migration agency has suspended some screening services for Ebola after three of its aid workers were killed in South Sudan, the latest deadly incident involving relief staff in the violence-ridden country.

In a statement, the International Organization for Migration said the workers – two men and one woman – were hit by crossfire during clashes between rival armed groups in the country’s central Equatoria region.

It said the IOM had stopped screening for Ebola at five border points between South Sudan, Uganda and Democratic Republic of Congo, where an ongoing outbreak of the haemorraghic fever has killed thousands of people.

The dead woman’s four-year-old son was abducted along with another local female IOM volunteer during the armed clash, the IOM said. Two other male volunteers were injured, including one who is recovering from a gunshot wound.

Humanitarian workers are often targeted by rebels operating in South Sudan, which has been in the grip of war that first broke out in late 2013 between soldiers allied to President Salva Kiir and those of his former deputy Riek Machar. Last year, 10 aid workers went missing in Yei, in the same region.

“We …reiterate that humanitarians and civilians are not and should never be subjected to such heinous acts of violence – we are not a target,” IOM Director General António Vitorino said.

It was not clear who was behind the latest fighting.

In the past, government forces have clashed in the region with fighters from the rebel National Salvation Front, led by renegade former General Thomas Cirillo Swaka, who is not a party to a peace deal signed last year by Kiir and Machar.

Lul Ruai Koang, the government’s military spokesman, said that on the day of the attack Cirillo’s fighters had targeted a government position, and that one soldier was killed along with nine from Cirillo’s side.

“If they (National Salvation Front) went and killed the aid workers, this is what I do not know. But the attack on our defense positions didn’t involve any humanitarian workers,” Koang said.

The National Salvation Front was not immediately reachable to comment on the killings.

(Reporting by Denis Dumo with additional reporting and writing by George Obulutsa in Nairobi; Editing by Mark Heinrich)

Fourth Ebola case found in Congo city, raising fears of faster spread

FILE PHOTO: Congolese health workers prepare to administer ebola vaccination to residents at a centre in Goma, Democratic Republic of Congo, August 1, 2019. REUTERS/Djaffer Sabiti

GOMA, Democratic Republic of Congo (Reuters) – A fourth case of Ebola has been confirmed in the eastern Congo city of Goma, the government said late on Thursday, raising fears of an acceleration in infections close to the border with Rwanda.

The new case is the wife of a miner who died of the virus earlier this week and who only sought treatment more than a week after starting to show symptoms, authorities said.

“This time … the individual concerned spent time with his family and spent time [being] very symptomatic within the community. So we did expect further cases and we are seeing further cases,” said Margaret Harris, a spokeswoman for the World Health Organization (WHO).

One of the couple’s daughters has also tested positive for Ebola though the government said on Friday two others were negative in preliminary checks. More than 200 people who came into contact with the man have been tracked and 160 of them vaccinated.

An outbreak on Ebola has killed more than 1,800 people in other parts of Democratic Republic of Congo since it was declared one year ago, making it the second-worst on record. Two people have died in Uganda, which also borders Congo, but no registered cases have occurred in Rwanda.

Fears the disease was gaining a foothold in Goma, a city of 1 million people, had subsided after its first case emerged in July but was not immediately followed by more. The new cases confirmed this week were not linked to that first case, authorities said.

BORDER TOWN

Nestled in hilly country at the foot of an active volcano, Goma lies just 7 km (4.5 miles) from Rwanda’s main border town of Gisenyi.

On Thursday, Rwanda briefly shut its border crossings with Congo around the city, after the new cases emerged.

Increased health screenings caused traffic slowdowns at the border, Rwandan Health Minister Diane Gashumba said, hours after Congolese traders had reported it shut. About 45,000 people a day go through the main border post, an immigration official said.

In July, the outbreak was declared an international health emergency by the WHO, but the body said there should be no trade or travel restrictions.

“When you close borders… two things happen: first you get panic, people see this as a signal to start panicking,” Harris told reporters in Geneva.

“Secondly, people who do have symptoms go underground. Because they don’t want to be seen and they do want to continue their daily lives, and so we are even less likely to detect where this virus is moving,” she added.

(Reporting by Fiston Mahamba in Goma, Anna Pujol-Mazzini in Dakar and Stephanie Nebehay in Geneva; editing by Alison Williams, Larry King and Andrew Heavens)

Rwanda seals Congo border after third Ebola case in Goma

Congolese customs agents gather at the gate barriers at the border crossing point with Rwanda following its closure over ebola threat in Goma, eastern Democratic Republic of Congo, August 1, 2019. REUTERS/Djaffer Sabiti

By Djaffar Al Katanty and Fiston Mahamba

GOMA, Democratic Republic of Congo (Reuters) – Rwandan authorities closed the border with the Ebola-hit Congolese city of Goma on Thursday for everyone other than Congolese citizens leaving Rwanda, as a third case was confirmed in Goma.

The daughter of an Ebola patient in the east Congo city has contracted the virus, Congolese officials confirmed, the third case in a metropolis of at least 1 million people that neighbors Rwanda.

Rwandan state minister for the Foreign Affairs Ministry, Olivier Nduhungirehe, told Reuters by phone that the border had been shut but declined to give further details. Congo deplored the decision.

Confirmation of the third case in Goma increased fears the virus could take root in the densely populated city, which lies more than 350 km (220 miles) south of where the outbreak was first detected.

The second patient died after he sought treatment too late and was already bleeding, authorities said on Wednesday.

The outbreak in Congo has killed more than 1,800 people over the past year and become the second-worst on record.

“The tests on a suspected case at the Goma Ebola treatment center came out positive for the Ebola virus. Investigations are still under way around this … case,” Dr Aaron Aruna Abedi, who coordinates the Ebola response for Congo’s health ministry, told Reuters on the phone.

MSF spokeswoman Jinane Saad said contacts of a patient in Goma were currently being tested.

“DEPLORE THIS DECISION”

Nestled in hilly country at the foot of an active volcano, Goma lies just 7 km (4.5 miles) from Rwanda’s main border town of Gisenyi.

Some 45,000 people go through the main border post between Goma and Gisenyi, according to an immigration official, and many worried of the closure’s impact on their businesses.

After the first Ebola case in Goma was confirmed in mid-July, the World Health Organization (WHO) declared the outbreak an international health emergency. It was earlier reluctant to do so, partly out of fear countries bordering Congo might shut their frontiers.

“By closing the border like this, they deprive a lot of people of their earnings today. Most of the women here cross into Rwanda to find food for us in Goma,” Lucien Kalusha, a Congolese hairdresser who crosses every day to work in Rwanda, told Reuters.

Another, smaller border post near Goma was unusually quiet, as traders and vehicles had left after the closure was announced.

When declaring the emergency, WHO director-general Tedros Adhanom Ghebreyesus said explicitly that no country should close borders or impose any travel or trade restrictions.

“On a unilateral decision by the Rwandan authorities, Rwandan citizens cannot leave for Goma,” the Congolese presidency statement said.

“The Congolese authorities deplore this decision, which runs counter to the advice of the WHO (World Health Organization).”

WHO spokeswoman Nyka Alexander said the agency was “following up with Rwandan officials for clarification”.

The first Ebola case to hit Goma is not linked to the second or third, authorities say.

(Additional reporting by Stanys Bujakera in Kinshasa, Clement Uwiringiyimana in Kigali and Anna Pujol Mazzini in Dakar; Writing by Tim Cocks; Editing by Hugh Lawson and Alison Williams)

Family sent back to DR Congo after two die of Ebola in Uganda

A health worker checks the temperature of a woman as she crosses the Mpondwe border point separating Uganda and the Democratic Republic of Congo as part of the ebola screening at the computerised Mpondwe Health Screening Facility in Mpondwe, Uganda June 13, 2019. REUTERS/Newton Nabwaya

By Elias Biryabarema

KAMPALA (Reuters) – Authorities repatriated the relatives of two people who died of Ebola in Uganda back to the Democratic Republic of Congo on Thursday, including a 3-year-old boy confirmed to be suffering from the disease, the Ugandan health minister said.

The cases marked the first time the virus has crossed an international border since the current outbreak began in Congo last August. The epidemic has already killed 1,390 people in eastern Congo.

The family sent home on Thursday had crossed from Congo to Uganda earlier this week and sought treatment when a 5-year-old boy became unwell. He died of Ebola on Tuesday. His 50-year-old grandmother, who was accompanying them, died of the disease on Wednesday, the ministry said.

They were the first confirmed deaths in Uganda in the current Ebola outbreak.

The dead boy’s father, mother, 3-year-old brother and their 6-month-old baby, along with the family’s maid, were all repatriated, the minister’s statement said.

The 3-year-old has been confirmed to be infected with Ebola. His 23-year-old Ugandan father has displayed symptoms but tested negative, Ugandan authorities said.

“Uganda remains in Ebola response mode to follow up the 27 contacts (of the family),” the statement said.

Three other suspected Ebola cases not related to the family remain in isolation, the ministry said.

The viral disease spreads through contact with bodily fluids, causing hemorrhagic fever with severe vomiting, diarrhea and bleeding.

UGANDA PRECAUTIONS

Authorities in neighboring Uganda and South Sudan have been on high alert in case the disease spreads.

On Thursday, Uganda banned public gatherings in the Kasese district where the family crossed the border. Residents are also taking precautions, local journalist Ronald Kule told Reuters.

“They are a little alarmed now and they realize that the risk of catching Ebola is now real,” he said.

“Hand washing facilities have been put in place, with washing materials like JIK (bleach) and soap. There’s no shaking of hands, people just wave at each other.”

At the border, health workers checked lines of people and isolate one child with a raised temperature, a Reuters journalist said.

Uganda has already vaccinated many frontline health workers and is relatively well prepared to contain the virus.

The World Health Organization (WHO) sent 3,500 doses of a Merck experimental vaccine to Uganda this week, following 4,700 initial doses.

Dr. Mike Ryan, head of WHO’s emergencies program, said that he expected Uganda to approve the use of experimental therapeutic drug treatments, to be shipped “in coming days”.

Monitoring and vaccination had been stepped up, but there had been “no panic reaction” so far to the cases there.

The WHO has said it will reconvene an emergency committee on Friday to decide whether the outbreak is an international public health emergency and how to manage it.

Authorities have struggled to contain the disease partly because health workers have been attacked nearly 200 times this year in conflict-hit eastern Congo, the epicenter of the outbreak.

(Reporting by Elias Biryabarema; Writing by Omar Mohammed and Katharine Houreld; Editing by Angus MacSwan)

East Congo villagers kill Ebola health worker, loot clinic

FILE PHOTO: An Ebola survivor a two-year-old confirmed Ebola patient inside a treatment centre in Beni, Democratic Republic of Congo, March 31, 2019. REUTERS/Baz Ratner/File Photo

GOMA, Democratic Republic of Congo (Reuters) – A mob in eastern Congo killed an Ebola health worker and looted a clinic, the Health Ministry said on Tuesday, underscoring a breakdown in public trust that is hampering efforts to contain the deadly virus.

Attacks on treatment centers by armed groups and mistrust among residents who view the disease as a conspiracy have become major impediments to containing Democratic Republic of Congo’s worst-ever Ebola outbreak.

The hemorrhagic fever has so far killed 1,281 people, according to the latest ministry figures, and shows no signs of slowing its spread, with dozens of new cases a week.

The ministry said that on Saturday residents of the village of Vusahiro, in the Mabalako district, “rose up and attacked the local Ebola response team, made up of village residents who were trained to carry out certain response activities”.

A hygienist from the infection prevention and control team died of his injuries when he was transferred to hospital, it said.

Responders, healthcare workers, and community members are increasingly subjected to threats from armed groups in hotspots such as Katwa and Butembo, the World Health Organization says, complicating efforts to contain Ebola.

U.N. officials say that stopping targeted attacks on health workers requires untangling deep-rooted political problems in eastern Congo. Dialogue has led to a recent reduction in large-scale attacks on health workers, WHO emergencies chief Mike Ryan told reporters in Geneva on Tuesday.

Still, an uphill battle remains. Between January and early May, there were 42 attacks on health facilities, with 85 workers either injured or killed, according to WHO figures from May 3.

Health workers have been attacked six times in the last eight days, WHO Director-General Tedros Adhanom Ghebreyesus told the closing session of the annual World Health Assembly in Geneva on Tuesday.

“These attacks demonstrate that the ongoing Ebola outbreak is more than a health crisis,” he said. “Ending it takes a coordinated and strengthened effort across the U.N. system…with strong leadership from the government.”

(Reporting by Fiston Mahamba in Goma, additional reporting by Stephanie Nebehay and Tom Miles in Geneva; Writing by Tim Cocks and Edward McAllister; Editing by Mark Heinrich)