Ebola crisis ‘to take six months to control

Standard

The outbreak of Ebola in West Africa will take at least six months to bring under control, the medical charity Medecins Sans Frontieres (MSF) says.

Speaking in Geneva, MSF President Joanne Lui called for strengthened international co-ordination led by the World Health Organization (WHO).

Earlier, WHO said the scale of the outbreak appeared to be “vastly underestimated”.

It said that “extraordinary measures” were needed.

The epidemic began in Guinea in February and has since spread to Liberia, Sierra Leone and Nigeria.

So far, 1,069 people have died.

Ms Lui said that controlling the outbreak in Liberia – which has recorded more than 300 deaths – was vital to containing the epidemic.

“If we don’t stabilise Liberia, we will never stabilise the region,” she said.

Health systems in West Africa are being severely strained by the Ebola outbreak
“In terms of timeline, we’re not talking in terms of weeks, we’re talking in terms of months. We need a commitment for months, at least I would say six months, and I’m being, I would say, very optimistic.”

Ms Lui also called for more action from the international community, led by WHO – the UN’s health agency.

“All governments must act. It must be done now if we want to contain this epidemic,” she said.

“WHO needs to take leadership and bring some strong elements into the field at all operational levels. It’s already started but it needs to happen at all levels.”

Ebola is transmitted by direct contact with the body fluids of a person who is infected.

Initial flu-like symptoms can lead to external haemorrhaging from areas such as eyes and gums, and internal bleeding which can lead to organ failure.

The WHO recently said that the risk of transmission of Ebola during air travel remained low, as the disease is not airborne.

As a consequence, Kenya Airways has rejected pressure to suspend its flights to the Ebola-hit states of West Africa.

Kenyan media response to continued flights to West Africa

Mutuma Mathiu in The Daily Nation describes the move as “reckless” while The Star says the airline is “holding on to its lucrative West African routes as if they were the only business on its portfolio”.

“The government needs to get serious. An Ebola outbreakā€¦ would result in serious long term-damage” to the national brand, it continues.

The Standard notes that while it makes business sense for Kenya Airways to take advantage of West African destinations, the “economic escapade could be costly. The safety of Kenyans supersedes any profits and must come first.”

However, George Bodo in Kenya’s Business Daily recalls the carrier’s ailing share prices. “In calling on Kenya Airways to suspend nearly half of its high-margin flights, someone should, ideally, be ready with some form of compensation. Otherwise, its stock price will continue being more vulnerable in the coming weeks.”

The WHO said in a statement that its staff had seen evidence that the number of reported cases and deaths did not reflect the scale of the crisis.

WHO spokesman Gregory Hartl said that experts going house-to-house in Kenema, Sierra Leone, in search of infected people were discovering more cases.

“We have seen with the opening of new treatment centres, many more Ebola patients come forward, and so this has given rise to the belief that there are probably a lot of patients out there that we haven’t traced or contacted yet,” he said.

He said that an 80-bed treatment centre that recently opened in Liberia’s capital Monrovia filled up immediately and that the next day, dozens more people turned up to be treated.

Tarnue Karbbar, of the aid group Plan International in northern Liberia, said medical teams were not able to document all the cases erupting.

He said many of the sick were being hidden at home by relatives, and many victims were buried before teams could get to the area.

The outbreak is also affecting the Youth Olympic Games about to start in China. The International Olympic Committee (IOC) has ruled that athletes from Ebola-hit countries will not be allowed to compete in combat sports or in the pool, and Sierra Leone and Nigeria have withdrawn from the Games.

Symptoms include high fever, bleeding and central nervous system damage
Fatality rate can reach 90% – but the current outbreak is about 55%
Incubation period is two to 21 days
There is no vaccine or cure
Supportive care such as rehydrating patients who have diarrhoea and vomiting can help recovery
Fruit bats are considered to be virus’ natural host

Patient quarantined with Ebola-like symptoms in Canada.

Standard

A patient back from Nigeria who showed symptoms of fever and flu — possible signs of Ebola — was put in isolation in a Toronto-area hospital, Canadian health officials said.

Nigeria is one of several countries in West Africa that has had confirmed cases of Ebola, in the world’s largest ever outbreak of the deadly hemorrhagic fever that has seen 961 deaths and nearly 1,800 people infected since the beginning of the year.

The unnamed male patient was being treated at the William Osler Health System’s Brampton Civic Hospital in a suburb of Toronto.

“As a precautionary measure, Osler put in heightened infection control measures in the emergency department including isolating the patient,” the hospital said in a statement, released late on Friday.

Hospital doctors “are working closely” with public health officials “to confirm a diagnosis.”

In addition to quarantining the patient, the hospital said it enacted other strict precautionary measures.

“To date, there are no confirmed cases of Ebola in Ontario and the risk to Ontarians remains very low,” said Graham Pollett, the province’s Interim Chief Medical Officer of Health.

He also said that Ontario’s health care system “is prepared to respond should an individual arrive with symptoms that could suggest a disease, such as Ebola.”

He cautioned that initial Ebola symptoms “are similar to many more common diseases,” adding that health care providers “have been advised to be on heightened alert for Ebola cases.”

Another senior Ontario health official, Eric Hoskins, said in a statement that with the “experience and lessons learned from the SARS epidemic, our hospitals have sophisticated infection control systems and procedures … and are fully equipped to deal with any potential cases of Ebola.”

The worst affected countries so far have been Sierra Leone, Liberia and Guinea, but Nigeria has also had nine confirmed cases of Ebola so far.

Nigerian President Goodluck Jonathan on Friday declared a national emergency several hours after the World Health Organization called the epidemic a global health crisis.