A senior health official says he is in “panic mode” because of an Ebola outbreak linked to 88 suspected deaths, which the World Health Organisation (WHO) has declared a “public health emergency of international concern”.

The Africa Centres for Disease Control and Prevention (Africa CDC) said 336 suspected Ebola cases have been recorded, mostly in the Democratic Republic of Congo (DRC), but also two in Uganda.

Africa CDC director-general, Dr Jean Kaseya, told Sky News the fatality rate is higher with this strain of the virus, for which there is no approved vaccine.

“Currently, I’m on panic mode because people are dying. I don’t have medicines. I don’t have [a] vaccine to support countries,” he said.

In Uganda’s capital, Kampala, two apparently unrelated laboratory-confirmed cases, including one death, were reported on Friday and Saturday, from people travelling from the DRC, the WHO said.

The Ugandan health ministry said the cases were “imported” from the DRC and the body of the patient who died in Kampala was later taken back to the DRC.

The WHO said the focus of the outbreak is in the remote Ituri province of the country across at least three health zones, including Bunia, Rwampara and Mongbwalu.

What is Ebola and what are the symptoms?

Ebola is a virus that can develop into a full-blown disease known as ebola haemorrhagic fever (ebola HF) or ebola viral disease (EVD), which in some patients leads to massive internal and external bleeding.

The virus is highly contagious and spreads through bodily fluids, including blood, vomit and semen.

It can also be caught from infected animals or during burial ceremonies in which mourners come into contact with dead victims.

Ebola often starts with a rapidly developing fever, intense weakness, muscle pain, headaches and a sore throat.

This is followed by vomiting, diarrhoea, a rash, kidney and liver problems and bleeding. In some patients, death can be very painful, as the disease destroys connective tissue and also attacks skin and internal organs.

The time from infection through to the appearance of symptoms is between two and 21 days.

Ebola can cause severe and often fatal illness, with an average fatality rate of 50%, although fatality rates in past outbreaks have varied from 25% to 90% of people who contract the full-blown disease.

Dr Kaseya also told Sky News: “We have some candidate vaccine[s], some candidate medicines… We hope that we can have something in the next coming weeks.

“Western countries, they don’t understand that when Africa is affected, they are also at risk because people are flying every day.”

The WHO has said the outbreak does not meet the criteria of a pandemic emergency, like COVID-19, and advised against the closure of international borders.

But Africa CDC has raised concerns about the risk of further spread of the disease due to the proximity of affected areas to neighbouring Uganda and South Sudan.

The agency also warned of an “active community transmission” as health workers raced to intensify screening and contact tracing to contain the disease.

Ambulances are parked outside a hospital in Bunia, Democratic Republic of Congo. Pic: AP
Image:
Ambulances are parked outside a hospital in Bunia, Democratic Republic of Congo. Pic: AP

Congolese Health Minister Samuel-Roger Kamba said the suspected initial case in the current outbreak is a nurse who died at a hospital in Bunia, the capital of Ituri province, in April.

Via a translator, he said: “People in the community said it was witchcraft or things like that… We realised that the first person fell ill in late April and died on April 24th in Bunia, and the body was repatriated to the Mongwalu health zone.

“It was the return of this body to the Mongwalu health zone, which is a mining area with a large population, that caused the Ebola outbreak to escalate.”

A woman sanitises her hands in front of Kibuli Muslim Hospital in Kampala, Uganda. Pic: AP
Image:
A woman sanitises her hands in front of Kibuli Muslim Hospital in Kampala, Uganda. Pic: AP

Africa CDC said ongoing attacks by Islamic State-backed militants are restricting surveillance and rapid response operations in Ituri.

DRC has experienced 17 Ebola outbreaks since the disease was first identified in the country in 1976.

One of the deadliest outbreaks, between 2018 and 2020 in eastern Congo, killed more than 2,000 people.

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The country’s eastern regions are also facing ongoing violence involving armed groups, including the M23 rebel movement and the Islamic State-linked Allied Democratic Force, complicating efforts to contain the disease.

Dr Gabriel Nsakala, a public health professor involved in previous Ebola responses in DRC, said the country had extensive experience dealing with outbreaks but warned rapid action would be essential.

“In terms of training, people already know what they can do,” he said. “Now, the expertise and equipment need to be delivered quickly.”



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