Ebola is one Of those dangers where it simply names its name, it is fearful: a virus that kills about half of those infected and floods through body fluids is very complicated.
This means that the best, perhaps the only way of limiting the outbreak, for example, who is currently damaging the Democratic Republic of Congo, is to observe the obsessive tract of infected people by controlling their social circles and their movements and limiting their exposure to other people in some weeks in time However, in the Democratic Republic of Congo, isolation is so difficult that Robert Redfil, director of disease control and prevention centers last week, suggested an alarming opportunity. In his opinion, the current Ebola epidemic could be uncontrollable, and he – for the first time since the first virus identification in 1976 – could become more and more established among the population.
So far, 329 confirmed and possible cases of Ebola infection have made it the biggest outbreak in the history of the nation, and there is still no slowdown. Military group conflicts in the Democratic Republic of Congo, North Kivu Province, which are at the epicenter of the outbreak, have shaken the efforts of healthcare workers to track the virus-trafficked people. A massive effort to vaccinate more than 25,000 people at the highest risk has reduced the transmission speed, but has not yet caused a flood. In the period from 31 October to 6 November, 29 new cases were reported to the DRC, including three healthcare workers.
Now neighboring Uganda is tied to a virus to cross the 545-mile border it shares with the DRC. The border is porous and seriously sold, and a large number of local farmers, traders, merchants and refugees are constantly moving around the area. The Mid-Term Check Point in the region receives 5,000 people, with the fastest rising market day to 20,000 twice a week.
On Wednesday, the country began to immunize frontal health workers with an experimental vaccine, which produced good results in the outbreak of a previous illness. The Ministry of Health in Uganda has announced that 2,100 vaccine doses are available to doctors and nurses working in five border areas. In the existing hospitals in these areas, there are four specialist Ebola treatment units with staff in standby to manage all suspected cases. "The risk of cross-border transmission was assessed as very high at national level," said Jane Ruth Aceng, Ugandan Minister of Health, last week at a press conference. "Therefore, it is necessary to protect our health workers."
Since the onset of the outbreak in the DRC, anyone crossing Uganda is subject to health checks at official checkpoints – a series of questions and contactless infrared thermometers pointing to the head that read body temperature such as a highway patrol radar pistol Fever is one of the first red flags for Ebola infection . The process is not understandable; symptoms can appear up to three weeks, and many other tropical diseases in this part of Africa can also lead to rising temperatures.
The abundance of precautionary measures results from an unstable situation in the Democratic Republic of Congo. Ebola is never dispersed in the war zone, so in many ways the current situation is unique and unprecedented. But, as more changes have led to ballooning populations in the African continent, billions of dollars in Chinese investment in infrastructure, urban-wildlife interconnections, some infectious disease doctors consider long-term changes in the form of Ebola outbreaks. "It is cruel ironic that better paths and improved interconnectivity also facilitate sickness travel, especially when public health systems are still lagging behind," says Nahid Bhadelia, MD, Specialist Pathogens Unit Medical Director at the Boston Medical Center, who worked on 2014 outbreak in the front lines of Sierra Leone.
For decades, the natural catastrophe, most often reminiscent of Ebola outbreaks, was an earthquake. One could fall into an isolated rural area, and healthcare workers could quickly converge to treat infected people and cleanse the disease. But when illness affects more people in a populated area or in a conflict zone, it's much easier to lose people's attention. Knowing how big an outbreak becomes impossible. If the disease jumps in Uganda, says Bhadia, it will not be just a new epicenter, it will be another example of how Ebola changes.
As Uganda is already giving considerable resources, international public health experts are more concerned about the expansion of Ebola in areas controlled by insurgency with insurgent groups. "We can not afford to get into the red security areas we do not have access to," says Mike Ryan, Deputy Director General of the World Health Organization's Emergency Preparation and Response. "Ebola uses cracks, the more we can keep it in the open, the better."
Rija has shown cautious optimism about the fact that the outbreak begins to push the corner. He has returned from the month that coordinates the WHO health response in North Kivu. Earth teams have finally got a handle on what has been the second wave of driving the wave of epidemic that has been marking Ben in the city since mid-September. "It's almost completely transmitted to healthcare facilities," says Ryan.
In each outbreak, some people get a virus in a hospital or clinic. But over the past few weeks, health workers have been aware of the extent to which Ebola has spread to Ben's network of more than 300 healthcare facilities, many of whom do not have patient data. Even if workers are vaccinated with close friends and family victims, it seems that new cases will appear in uncontrolled air. Last week Washington Post reported that between 60% and 80% of newly confirmed cases had no known epidemiological link with previous cases. Ryan argues that over the past few weeks, the tremendous pressure to completely re-qualify investigators has been heavily influenced by changes. "Now we have linked 93 per cent of new cases to known transmission chains," he says. Surveillance teams have also started taking pills to record contacts and vaccinations. By clicking on this information in the geographical locations of the new cases, they begin to create models to understand where the virus is likely to spread.
"The fear that this thing becomes endemic is real and rational, but we must also consider it to be the worst scenario," says Ryan. "We still have plenty of opportunities to put this virus back into the box, we just have to be behind people who are at risk with their lives in the front line and effortlessly in the next three to six weeks. This will be a long move, but I do not think we should still be should try to increase the white flag. "
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11/12/18 2:00 pm EST Editor's Note: This story has been updated to remove the language that suggests that Ebola patients can spread this disease before the onset of symptoms. It was incorrect and WIRED regretted the mistake.