Credit @UNMILNews
#15,806
Up until 2014 conventional wisdom held that Ebola incapacitated patients too quickly, and was far too deadly, to spark a major sustained epidemic. After all, for nearly 40 years all known outbreaks had occurred in remote central African villages, and had died out relatively quickly.
But times change, and better roads and transit opportunities have opened up remote areas of Africa, allowing people to travel faster and farther, thereby increasing the potential for spread.
Ebola also appeared for the first time in far more urbanized Western Africa and within months had spread across three nations - Sierra Leone, Guinea, and Liberia - infecting tens of thousands of people. Hundreds of healthcare workers were infected, and died, and suddenly the world outside of Africa was on watch for imported cases of the disease.
The persistence of the Ebola virus, detected in some organs and bodily fluids (i.e. semen, breast milk, etc.), among some survivors more than a year after their recovery (see ECDC On Ebola Persistence & Rapid Risk Assessment) has been an ongoing and evolving story.The West African Ebola outbreak would drag on for nearly two years, and claim more than 11,000 lives. Since then, Ebola has remained centered primarily in the DRC for the past 5 years.
Three days ago, in WHO Statement & Risk Assessment On New Ebola Outbreak In The DRC, we saw the first reported cases since last summer, and since the first victim was the spouse of a recovered Ebola case, concerns have once again been raised.
On Friday, Crof at Crofsblog reported on yet another Ebola outbreak, this time in Guinea. Today the WHO emailed, and published, the following statement on the first recurrence of Ebola in Guinea since the last epidemic ended in 2016.
New Ebola outbreak declared in Guinea
14 February 2021
Brazzaville/Conakry – Health authorities in Guinea today declared an outbreak of Ebola in the rural community of Gouéké in N’Zerekore prefecture after three Ebola cases were confirmed by the national laboratory, marking the first time the disease has been reported in the country since an outbreak ended in 2016.
Initial investigations found that a nurse from the local health facility died on the 28 January 2021.
Following her burial, six people who attended the funeral reported Ebola-like symptoms and two of them have died, while the other four have been hospitalized.
Guinea was one of the three most-affected countries in the 2014–2016 West Africa Ebola outbreak which was the largest since the virus was first discovered in 1976.
“It’s a huge concern to see the resurgence of Ebola in Guinea, a country which has already suffered so much from the disease. However, banking on the expertise and experience built during the previous outbreak, health teams in Guinea are on the move to quickly trace the path of the virus and curb further infections,” said Dr Matshidiso Moeti, the World Health Organization (WHO) Regional Director for Africa. “WHO is supporting the authorities to set up testing, contact-tracing and treatment structures and to bring the overall response to full speed.”
During the West African outbreak, WHO and partners supported Guinea to build up its capacity to respond to Ebola and the country has developed crucial expertise. Guinean health workersplayed a key role in supporting the Democratic Republic of the Congo (DRC) with its recent outbreaks, with teams of vaccinators helping to train health workers in the DRC.
WHO staff are already on the ground. In addition to surveillance they will help with ramping up infection prevention and control of health facilities and other key locations and reaching out to communities to ensure they take a key role in the response. WHO is also supporting the country to procure the Ebola vaccine which has proven instrumental in controlling outbreaks in the DRC.
Samples of the confirmed cases have been sent to the Institut Pasteur in Senegal for a full genome sequencing to identify the strain of the Ebola virus.
With the epicentre of the current outbreak in a border area, WHO is already working with health authorities in Liberia and Sierra Leone to beef up community surveillance of cases in their border districts as well as strengthening their capacity to test for cases and conduct surveillance in health facilities. WHO is reaching out to Cote d’Ivoire, Mali, Senegal and other countries at risk in the sub-region.
During the West Africa Ebola outbreak there were 28 000 cases, including 11 000 deaths. The outbreak started in Guinea and then moved across land borders to Sierra Leone and Liberia.
