Ebola is one of those scriptures where the only mention of his name is frightened: the virus that kills around half of those who is infected and gets passed through body fluids, is clearly difficult to include. Due to its long period of incubation, people who look healthy can spread the fatal disease for weeks before the symptoms appear.
That means that the best way, perhaps only, to include a case like the one that spoils the Democratic Republic of the Congo is by obsessive tracking of infected individuals – monitoring their social and & # 39 ; your movements, and restrict their exposure to others for weeks in time. But inclusion proves so difficult in the DRC last week, which suggested Robert Redfield, director of the Centers for Disease Control and Prevention, a scary possibility. The current epidemic of Ebola could be beyond control, he said, and perhaps-for the first time since the death virus was first identified in 1976 – becoming steadily in the population.
The 329 positive and likely cases of Ebola infection have been reported so far have become the largest cause in the history of the nation, with no further signs of slowing down. Conflict militia groups in the North Kivu State of the DRC, epicenter in the case, have strived for scrambled health workers to track the movements of people who are exposed to the virus. Huge effort to vaccinate more than 25,000 people at the highest risk has slowed down transfer rates but have not yet come to fill in. Between October 31 and 6 November, 29 new cases were reported in the DRC, including three health workers.
Now, Uganda is adjacent to the virus to cross the 545 mile boundary that is shared with DRC. The border is dangerous and tradesome, with a large number of local farmers, traders, traders and refugees constantly moving through the area. A checkpoint in the region receives an average of 5,000 people on an average day, with the busiest ones increasing to 20,000 twice a week on market days.
On Wednesday, the country started immunization of frontline health workers with an experimental vaccine that produced good results in previous cases. The Uganda Ministry of Health stated that it had 2,100 doses available to doctors and nurses working in five border areas. In hospitals in these regions, four Ebola special units have also been built, with staff on foot to control any suspected cases. "The risk of cross border transfer was assessed at a very high level at a national level," said Jane Uganda Health Minister Jane Ruth Aceng at a press conference last week. "So, the need to protect our health workers."
Since the start of the DRC case, anyone who crosses to Uganda has been the subject of health screening in official checkpoints – a series of questions and infrared thermometers that do not connect with them & # 39 ; go to the side of the head that reads the temperatures of the body as the patrol of the radar gunhead. Fever is one of the first red banners for Ebola infection. The process is not a barrier; Symptoms can take up to three weeks to appear, and many other tropical diseases in that part of Africa can also cause increasing temperatures.
The abundance of notice is derived from the unstable situation in the DRC. Ebola has never broken out in a war zone, so in many ways the current situation is unique and unlike. But as more changes have swept across African continental-balloon populations, billions of dollars Chinese infrastructure investments, the increase of urban-wild interfaces-some doctors infectious disease see a permanent change to the shape of Ebola cases. "It's cruel irony that better ways and better connectivity also make it easier for travel conditions, especially when public health systems are still behind, "said Nahid Bhadelia, director of the University's National Infectious Disease Laboratory, who was working on the frontline of the cases in 2014 in Sierra Leone.
Over decades, the disaster was the natural disaster that most Ebola was similar to. One would hit a rural, isolated area, and health workers could quickly combine to treat infected people and seal the disease. But when the disease is hit in more populous areas or in a conflict zone, it is much easier to lose a track of people. Know how big the case becomes impossible. If the disease rises to Uganda, said Bhadelia, it will not be lightly new, it will be another example of the Ebola change profile.
With Uganda already devoting considerable resources to that possibility, international public health experts are more concerned about Ebola extending further to areas controlled by conflicts of rebel groups. "We can not afford her to get deep in the red safety zones where we do not have access," said Mike Ryan, Assistant Director General of Preparation and Emergency Response at the World Health Organization. "Ebola takes advantage of the cracks, so the more we can keep it open, best."
Having arrived at Sunday at his home in Ireland, where he had just returned from a month co-ordinating the WHO's health response in North Kivu, Ryan expressed careful optimism that the causes began to turn a corner. Finally, teams on the ground have been treated on what was driving the second wave of the epidemic's pressure, which was upstream in the city of Beni starting mid September. "It's almost totally transmitted within healthcare facilities," said Ryan.
In all cases, some people hold the virus in a hospital or clinic. But health workers have only realized the extent to which Ebola spreads through the Beni network of more than 300 healthcare facilities, many of which keep poor patient records. Even as workers vaccinated friends and close families of victims, new cases would seem to be like thin air. Last week of Washington Post between 60 and 80 percent of confirmed cases are new without any known epidemiological contact with previous cases. Ryan says that huge efforts in recent weeks to investigate completely to case researchers have had a big impact on changing that. "We have now linked 93 per cent of new cases to known transfer chains," he said. Surveillance teams have also started using tablets to register contacts and vaccinations. By placing that information over the geographical locations of new incoming cases, they start to build models to understand where the virus is likely to spread next.
"The fears of this thing become endemic in real and logical, but we also need to see that as a worst situation," said Ryan. "We have enough opportunities to put this virus back in the box, but we need to go behind the people who lift their lives on the front line and endeavor to & # 39: hard for the next three to six weeks. It will be dead long, but I do not think we should be raising the white flag again. "
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