Ebola is a From those plains where only their names are feared to be mentioned: the virus, which is transmitted from body fluids and kills about half of the contaminants, is a difficult thing to find. Because of the long incubation period, healthy-looking people can emit a fatal disease several weeks before the onset of symptoms.
This is currently the best, perhaps just way, of the emergence of an outbreak, such as the Democratic Republic of the Congo, by obsessively monitoring infected individuals, monitoring their social environment and movements, and limiting their exposure to other people for weeks. time. However, last week in the DRC proves to be such a challenging disease. The Director of the Center for Disease Control and Prevention, Robert Redfield, argued that there was an alarming possibility. The current Ebola pandemic may be beyond control, he said, and for the first time since the introduction of the deadly virus in 1976, it can become permanently established in the population.
So far, 329 cases of confirmed and probable cases of Ebola infection have become the largest epidemic in the country's history and have not yet shown signs of slowing down. Clashing militias in North Kivu Province, the epicenter of DRC's outbreak, confused the health workers' attempts to monitor the movement of people exposed to the virus. A major effort to vaccinate more than 25,000 people at the highest risk has slowed down transmission rates, but has not yet influenced the tide. Between October 31 and November 6, 29 new cases were reported in the DRC, including three health workers.
Now neighboring Uganda comes alive to cross the 545-mile border that the virus shares with the DRC. The border is exposed to human trafficking in a porous and dense manner; There are many local farmers, merchants, merchants and refugees in the region. A checkpoint in the region receives about 5,000 people a day, and the busiest ones fall to 20,000 twice a week on Sundays.
On Wednesday, the country began to immunize the frontline healthcare workers with an experimental vaccine that gave good results in a previous outbreak. Uganda Ministry of Health, doctors and nurses working in the five border regions for the vaccination of 2,100 doses are available, he said. In these hospitals, four special Ebola treatment units have been built, with personnel pending to manage suspicious cases. "The risk of cross-border contamination has been assessed at a very high level at the national level," Uganda Health Minister Jane Ruth Aceng said at a press conference last week. ”Therefore, we need to protect our health workers.“
Since the outbreak of the DRC, any person in Uganda has undergone health screening at official checkpoints – a series of questions and non-contact infrared thermometer radar guns targeting the side of the head that reads body temperatures, such as a highway patrol. Fever is one of the first red flags for an Ebola infection. The process is not perfect; It may take up to three weeks for the symptoms to occur and many other tropical diseases in this part of Africa may cause elevated temperatures.
The abundance of attention is due to the unstable state in the DRC. Ebola has never been broken up in a war zone, so in many cases the current situation is unique and unprecedented. However, as the larger changes are being driven towards the African continent; some infectious disease doctors have permanently altered the shape of Ebola epidemics – ballooning populations, billions of dollars in Chinese infrastructure investment, and urban-wilderness growth. Geride Better roads and better connectivity of people, especially when public health systems are still behind, are cruel irony that makes the disease easier to progress, ın says Nahid Bhadelia, director of the Boston Institute of National Emerging Infectious Infectious Diseases. She worked at the forefront of the 2014 epidemic in Sierra Leone.
For many decades, the Ebola epidemics were the most natural disaster. Someone would be shot in an isolated, rural area, and health workers could quickly converge to treat infected people and close the disease. But when the disease occurs in more crowded areas or in the conflict zone, it is much easier to lose track of people. It becomes impossible to know how big the epidemic is. If the disease jumps to Uganda, Bhadelia says, this will not only be a new epicenter, but another example of the changing profile of Ebola.
With Uganda 's substantial allocation of resources to these resources, international public health experts are more interested in Ebola, which is now expanding into areas controlled by the clash of rebel groups. Yardım We don't have the ability to go deep in the red security zones that don't have access, ına said Mike Ryan, Deputy Director of Emergency Preparedness and Response at the World Health Organization. ”Ebola exploits cracks, so we can better keep it open, better.“
He met on Sunday at his home in Ireland, where he returned back less than a month before the WHO coordinated the health response in North Kivu, and he expressed cautious optimism that the epidemic has turned into a corner. The on-site teams started in mid-September and could continue the second edition of the epidemic in the city of Beni. ”It's almost completely infectious in healthcare facilities, R says Ryan.
In every outbreak, some people catch the virus in a hospital or clinic. In the past few weeks, however, healthcare workers have spread Ebola's network of more than 300 healthcare facilities through the network of Beni. Even if the workers overcame the close friends and families of the victims, new cases may appear in seemingly thin weather. Last week Washington Post They reported that 60 to 80 percent of newly confirmed cases were not known epidemiologically. Ryan, with a major driving force over the past few weeks, says the investigative inspectors have had a huge impact on changing it. Or Now we've connected 93 percent of new cases to known transmission chains, “he says. Surveillance teams also began using tablets to record contacts and vaccines. By layering this information over the geographic locations of the new cases, they are beginning to build models to understand where the virus will spread again.
Em Those who are afraid of this thing becoming endemic are real and rational, but at the same time, we should see it as the worst-case scenario, şey says Ryan. Üç We still have a lot of opportunities to put this virus in the box, we just have to go behind the people who put their lives at risk on the front line and push it for the next three to six weeks. It's gonna be a long walk, but I don't think we need to lift the white flag yet. "
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