Friday, September 19, 2014

Ebola: What You Need to Know

In recent weeks, we have seen many reports on the Ebola epidemic.  Mostly, this has been due to the fact that American aid workers were infected and brought back to the US for treatment. What seemed like something that only happened in a remote area was suddenly thrust into Atlanta’s own CDC/Emory Hospital.  This left many of us wondering whether or not we should be concerned for our own safety.
Here are a few things that are important to know. The first Ebola virus was discovered in 1976 near the Ebola River in what is now the Democratic Republic of the Congo. Since then, outbreaks of Ebola among humans have appeared sporadically in Africa.  Ebola viruses are now found in several African countries.  Ebola is one of numerous Viral Hemorrhagic Fevers. It is a severe, often fatal disease in humans and nonhuman primates (such as monkeys, gorillas, and chimpanzees).

Symptoms

  • Fever (greater than 101.5°F)
  • Severe headache
  • Muscle pain
  • Diarrhea
  • Vomiting
  • Abdominal (stomach) pain
Symptoms may appear anywhere from 2 to 21 days after exposure to Ebola virus, although 8-10 days is most common.

Some who become sick with Ebola are able to recover. Others, who die, usually have not developed a significant immune response to the virus. We don’t yet know why this is.

Transmission

Although it is not certain, it is believed that the first patient becomes infected through contact with an infected animal.

Once in humans, the virus can be spread in several ways. This is through direct contact (through broken skin or mucous membranes) with: 
  • a sick person's blood or body fluids (urine, saliva, feces, vomit, and semen)
  • objects (such as needles) that have been contaminated with infected body fluids
  • infected animals

Who is at risk?

  • Healthcare workers
    This is when hospital staff are not wearing appropriate protective equipment, such as masks, gowns, and gloves. Instruments must be properly sterilized and stored.

  • Family and friends in close contact with Ebola patients
    This is because they may come in contact with infected blood or body fluids.

  • Romantic partners of an infected or otherwise high individual risk 


Demographics

  • All cases of human illness or death have occurred in Africa (with the exception of several laboratory contamination cases: one in England and two in Russia)
  • No cases have been reported in the United States
  • In 2014, two U.S. healthcare workers who were infected with Ebola virus in Liberia were transported to a hospital in the United States.

Past Ebola Outbreaks

Past Ebola outbreaks have occurred in the following countries:
  • Democratic Republic of the Congo (DRC)
  • Gabon
  • South Sudan
  • Ivory Coast
  • Uganda
  • Republic of the Congo (ROC)
  • South Africa

Current Ebola Outbreak in West Africa

The current (2014) Ebola outbreak is occurring in the following West African countries:
  • Guinea
  • Liberia
  • Sierra Leone
  • Nigeria

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