By Meg Carter, ChildFund Sponsorship Communication Specialist
Ebola, a deadly and extremely painful virus, has broken out in western Africa. We asked Meg, who worked in Uganda during a previous outbreak, to share her impressions of Ebola and how it’s spread.
In Guinea’s Forest Region, where the world’s latest Ebola outbreak began, a bat is considered a delicacy — unless it’s your totem animal. If your family name is Guemou, Gbilimou, Gamamou, Balamou or Kolamou, you won’t eat bats, dogs or snakes.
You’ll also be at slightly less risk of contracting Ebola. Researchers believe that one in three West African bats carries Ebola antibodies. Even animals with no sign of illness can infect humans through blood or body fluids.
Every Ebola outbreak begins with a single animal-to-human transmission, then spreads from human to human through direct contact with blood, saliva, perspiration, urine, feces, organs, even semen. After an incubation period of two to 21 days, those infected pass Ebola on — often to family members and health care workers.
In Guinea, doctors initially mistook Ebola for Lassa, another viral hemorrhagic fever that accounts for about one in seven hospital admissions across Guinea, Liberia and Sierra Leone. Hospitals there often lack laboratories equipped to distinguish one virus from another.
Rats excrete the Lassa virus in their urine. It disperses during the daily sweeping of dirt floors, and then humans inhale it. Lassa, like malaria, requires vector control. Ebola’s transmission, on the other hand, plays into religion and culture; greetings, hospitality, caring for the sick, personal hygiene and funeral preparations all can cause its transmission.
I lived in Uganda in 2007 when a new strain of Ebola surfaced on its border with the Democratic Republic of the Congo. Guinea’s virus is also a new strain, very closely related to the type from the DRC. Back in 2007, an infected doctor seeking treatment in Uganda’s capital brought Ebola to Kampala. This March, an infected doctor brought Ebola to Guinea’s capital, Conakry.
In 2007, Uganda threatened to close Entebbe International Airport. Now, Senegal has closed its land border with Guinea, The Gambia cancelled flights into Conakry, and other passengers must undergo health screening at arrival and departure. Saudi Arabia has even suspended visas for the haj, meaning that Guineans and Liberians won’t be among the pilgrims to Mecca this October. Muslims save money for decades to make pilgrimages on behalf of their families. Upon return, they bless all who shake their hands.
Ebola twists, knots and adorns itself in filaments. It is one of the most lethal pathogens on earth, and the U.S. has classified it under bioterrorism. There’s no vaccine, cure or treatment. If your immune system can’t fight it off, the virus bores holes in your blood vessels. Ebola kills most of its human hosts. Since it’s rare for Guineans and Liberians to ever touch a microscope or see germs, many still attribute sudden death caused by Ebola to sorcery.
No child should have to watch her mother die alone, touched only by doctors encased in protective armor. No father should suffer the agony of having infected his child. And those who recover don’t deserve stigma. Please help us counter fear with education and hygiene interventions.
Reporting from ChildFund Uganda
An outbreak of the Ebola virus, which has claimed the lives of at least 16 people in Uganda since late July, now appears to be under control, according to the World Health Organization.
Although the epicenter of the outbreak is in the Kibaale district, more than 230 suspected cases have been identified and are being monitored by the Ministry of Health. Although the bulk of these cases are in Kibaale and surrounding districts, a few are reported in three districts where ChildFund has operations: Kiboga, Amuria and Kampala. To date, there are no Ebola cases involving children and families in ChildFund’s program areas.
ChildFund Uganda, which has been monitoring the situation since the onset, mounted a response plan in Kiboga, which is closest to the epicenter. All other ChildFund programs are on alert, with preparedness plans in place, should the situation change.
Ebola hemorrhagic fever is a deadly disease caused by the Ebola virus first identified in Africa in the mid-1970s. The Centers for Disease Control and Prevention reports that the incubation period for Ebola ranges from 2 to 21 days. The onset of illness is abrupt and is characterized by fever, headache, joint and muscle aches, sore throat, and weakness, followed by diarrhea, vomiting, and stomach pain. A rash, red eyes, hiccups and internal and external bleeding may be seen in some patients. Up to 90 percent of people who are infected with Ebola die from it, according to the National Institutes of Health.
ChildFund is collaborating with Uganda’s Ministry of Health in all of its preparedness and response activities that include
Since the first cases were reported, Uganda’s Ministry of Health has helped the Kiboga district set up a surveillance and response team to quickly identify and isolate cases of the disease. The Ministry of Health is also providing continuous medical education sessions on Ebola for the Kiboga hospital staff.
Although the outbreak appears to be now traced to its source and contained, ChildFund Uganda remains on alert.