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Entries in ebola outbreak 2014 (2)

Wednesday
Aug132014

Ebola Virus - Major Issues Coming to Light on Containment

Source: CDC Ebola Virus

While I took some downtime for my birthday major things were going on in the world that I missed. One of these events surrounds some major developments regarding the containment of Ebloa or the lack there of.

Though current reports still suggest that the current Ebola Virus is not airborne, it is highly contagious requiring close contact to infected persons, bodies and other objects that have been contaminated with another infected persons bodily fluids.

With this being the case – the current Ebola Virus Epidemic IS spreading out of control and unchecked in parts of West Africa. The most significant development that came to light on August 11, 2014 is that WHO Confirms that patients in fact ARE being turned away from overflowing and taxed medical facilities.  

With this situation remaining unchecked, it will only be a matter of time before he virus spreads to other parts of Africa, the Mid-East, and potentially to Europe and the U.S.

More. Far more needs to be done as a global community to control the spread of infection.

Here is a brief excerpt from the WHO Report on Barriers to rapid containment of the Ebola Outbreak:

Lack of capacity makes infection control difficult

This lack of capacity makes standard containment measures, such as early detection and isolation of cases, contact tracing and monitoring, and rigorous procedures for infection control, difficult to implement. Though no vaccine and no proven curative treatment exist, implementation of these measures has successfully brought previous Ebola outbreaks under control.

The recent surge in the number of cases has stretched all capacities to the breaking point. Supplies of personal protective equipment and disinfectants are inadequate. The outbreak continues to outstrip diagnostic capacity, delaying the confirmation or exclusion of cases and impeding contact tracing.

Diagnostic capacity is especially important as the early symptoms of Ebola virus disease mimic those of many other diseases commonly seen in this region, including malaria, typhoid fever, and Lassa fever.

Some treatment facilities are overflowing; all beds are occupied and patients are being turned away. Many facilities lack reliable supplies of electricity and running water. Aid organizations, including Médecins Sans Frontières (Doctors without Borders), which has provided the mainstay of clinical care, are exhausted.

If controls are not put in place soon (and it may be to late already) - the potential for a global crisis increases rapidly.

Saturday
Aug092014

Ebola Virus - Why Has It Spread So Far, So Fast? 

Source: CDC - Ebola Virus

The Ebola outbreak in the West African Countries of Guinea, Liberia, Nigeria, and Sierra Leone has so far caused Suspected Case Deaths: 961, with Suspected and Confirmed Case Count: 1779 as of this writing.

The spread of the virus has grown "out of control" and this state will likely remain this way for the next few weeks. Global Government agencies such as the CDC and NGO's alike are responding to stem the spread of the ebola virus. Though, several agencies are reporting that the current ebola virus is spreading beyond current efforts to contain it.

Why is it spreading so far so fast?

Part of the reason why ebola virus has spread so far so quickly has more to do with the cultural customs and beliefs in the areas where the ebola virus has occurred.

  • First, is the distrust of western doctors and medicine. This is not so in every instance, but does play at least some role. 
  • Another, as with the American citizen that travelled to Nigeria, after he became infected after his wife died of the disease, is a complete denial that they are infected. With an incubation period lasting as long as 21 days, some people are in denial they have become infected.
  • Another reason is the mishandling of the dead. As with many other places in the world, people have customs and rituals dealing with the treatment of the dead. In this case, some family members clean the body for burial without the use of proper protective clothing. If I am not mistaken, it is also proper practice to burn everything, including the dead that are infected with ebola.
  • Lastly, and perhaps the biggest contributing factor is having infected people "break" quarantine efforts. They either leave, or as in some cases have family members "break" them out of the facility.

Granted, these are not the ONLY factors in why the ebola virus is spreading, but do present unique challenges to stem the spread of the disease further.

As you probably know by now, this is the worst Ebola virus outbreak in history, and is also the first outbreak to occur in West Africa. This may also be considered another potential contributing factor in that the ebola virus had not directly occurred in this region of Africa in the past.

I recently wrote another article about Ebola Virus Facts and Information on my corporate blog. It is an excellent resource to share and includes information from the CDC, and WHO.

Since then the CDC has also shared an Ebola Virus Infographic that is good to have a look at.