Health

Ebola: Profile of a killer

Sunday, September 01, 2019

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PARIS, France (AFP) — The Ebola epidemic which has claimed more than 2,000 lives in the Democratic Republic of Congo (DRC), according to a new toll released Friday, is the second-deadliest on record.

Here are some facts about the virus, which has killed around 15,000 people in a known history of 43 years.

Origins

Ebola haemorrhagic fever was first identified in 1976 after Belgian-led scientists probed a string of unexplained deaths in northern DRC, then known as Zaire.

The disease was named after a river nearby.

The virus that causes Ebola is believed to reside in bats, which do not themselves fall ill but can pass it on.

Chimpanzees, gorillas, monkeys, forest antelope and porcupines can become infected, and humans who kill and eat these animals can catch the virus through them. Infected humans, in turn, contaminate other people through contact with their body fluids.

Five viral strains have been identified: Zaire, Sudan, Bundibugyo, Reston and Tai Forest.

Fever, bleeding

The symptoms are severe: high fever and muscle pain followed by vomiting and diarrhoea, skin eruptions, kidney and liver failure, internal and external bleeding.

The average fatality rate is around 50 per cent, the World Health Organization (WHO) says.

Ebola is difficult to contain, especially in urban environments.

People who are infected do not become contagious until symptoms appear, which is after an incubation period of between two and 21 days.

Patients and people who have been in contact with them are routinely isolated.

Medical personnel have to be meticulously protected with disposable full-body plastic suits, masks, goggles, gloves and disinfecting sprays.

Worst epidemic

The worst Ebola epidemic started in December 2013 in southern Guinea and spread to the neighbouring West African countries of Liberia and Sierra Leone.

It claimed the lives of more than 11,300 people from the nearly 29,000 registered cases, according to WHO. It declared the epidemic over in March 2016.

More than 99 per cent of victims were in Liberia, Guinea and Sierra Leone, although cases occurred elsewhere through international travel, sparking panic.

Current outbreak

The current epidemic was declared on August 1, 2018 in eastern DRC's North Kivu province, on the border with Uganda, and spread to neighbouring Ituri and South Kivu.

Since then it has claimed 2,006 lives, out of nearly 2,900 confirmed cases, according to figures released on Friday by the country's health officials.

The WHO on July 18 declared the outbreak a “public health emergency of international concern” a rare designation only used for the gravest epidemics.

It is the tenth outbreak in the country, and the second worst in Africa.

Search for

At present there is no licensed drug to prevent or treat Ebola although a range of experimental drugs are in development.

After last August's outbreak, health authorities in DRC began issuing the rVSV-Zebov vaccine on a large scale for the first time.

Developed by the US pharma group Merck, the vaccine is unlicensed but has been shown to be safe and effective, and the WHO has called for its deployment to be expanded.

So far nearly 200,000 people have been vaccinated in DRC.

Uganda said in early August it had started a trial of another experimental vaccine, the MVA-BN, developed by Johnson&Johnson.


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