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Thread: A new (2020) African Ebola outbreak

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    UK Avalon Founder Bill Ryan's Avatar
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    Default A new (2020) African Ebola outbreak

    What happens with Ebola is that when a human outbreak is handled, it just fades back into the natural environment, seeming to have disappeared. (It's still not fully known which animals it resides in when it's not infecting people.)

    But then, maybe years later, it comes back. There's now a cluster of new cases in the Democratic Republic of Congo.

    And a note about the article below: it's not good that the latest outbreak is in a city of a million people (Mbandaka). Usually, it breaks out in a small rural village, and then spreads fairly slowly while medical teams gather their resources. An outbreak in a large African city (as happened in Lagos, Nigeria, in 2014, where it spread to from its jungle village source) is a potential healthcare nightmare.
    New Ebola outbreak kills dozens in Democratic Republic of Congo

    21 August, 2020


    A new outbreak of the deadly Ebola virus has infected 100 people as of Friday, and killed 43 of them in a western province of the Democratic Republic of Congo. The rapid spread of the virus has health officials concerned.

    The World Health Organization says Democratic Republic of Congo’s 11th Ebola virus disease outbreak was announced on June 1 after a cluster of cases was detected in Mbandaka, a city of 1 million people on the River Congo, according to Reuters.

    The new outbreak started just a few weeks or so before DRC ended its worst Ebola epidemic ever recorded, in eastern North Kivu and Ituri provinces. The genetically distinct Ebola outbreak killed more than 2,200 people over two years and is not connected to the current outbreak.

    Genetic sequence analysis by the DRC's National Institute of Biomedical Research (INRB) found that the new virus circulating in the Équateur Province in western DRC is different from the one which has infected more than 3,400 people in the eastern part of the country.

    Ebola workers in eastern DR Congo bore the brunt of militia attacks that hampered efforts to roll back the disease

    This new virus is also different genetically from the virus that hit this same region in 2018. An investigation is ongoing to determine the source of the new outbreak, but it is likely that it originated from an animal source, according to a statement from WHO.

    This most recent outbreak is of great concern to health officials due to the steady increase in cases over the last few weeks. There is an increased chance of an uncontrolled epidemic, reports The Hill.

    The Équateur Province

    Équateur Province, is located in a remote area north and east of The DRC's capital, Kinshasa. It is one of the 21 new provinces of the Democratic Republic of the Congo created in the 2015 repartitioning. The province consists of eight administrative subdivisions, one of which is the provincial capital, Mbandaka, and seven of which are territories.

    Mbandaka is located near the confluence of the Congo and Ruki rivers. It is the capital of Équateur Province.

    The outbreak has spread to 11 health zones in the province, the WHO said, with cases spread across about 180 miles of jungle, making impacted villages difficult to reach. And despite ongoing efforts to educate communities in proper health practices, there remain issues with reaching full adherence of the population to some response operations (such as reporting community deaths, testing and safe and dignified burial, admission to an Ebola treatment center, or vaccination).

    Perhaps the most difficult problem facing health workers is reaching the remote villages in the forests where cases have occurred, further hampering the investigation and fueling the outbreak. DR Congo's equatorial forests are a natural reservoir for the Ebola virus, which was discovered near the Ebola River in 1976. The Ebola is the headstream of the Mongala River, a tributary of the Congo River, the second longest river in Africa
    Last edited by Bill Ryan; 22nd August 2020 at 19:50.

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    Australia Avalon Member Craig's Avatar
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    Default Re: A new (2020) African Ebola outbreak

    Oh good lord........

    The year is 3687 the world is in a much better place then ever before,

    A history class is about to start, on the 3D holographic screens available directly to each student are a period of years for study

    2017
    2018
    2019
    2021
    2022
    2023

    An inquisitive student at the back of the classroom presses the button that allows her to talk with her teacher 2500 miles away,

    "Miss, where is 2020?"

    silence then a soft frail voice

    "Ah, you see we never, ever, mention 2020, we can never go back there, you see there were lots and lots of unpleasantness..."

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    Avalon Member palehorse's Avatar
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    Default Re: A new (2020) African Ebola outbreak

    Thanks, just bookmarked this thread, important to keep an eye on this thing, specially now countries are starting to open their borders, it could turn into a real hell if Ebola start spread again.
    --
    A chaos to the sense, a Kosmos to the reason.

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    Default Re: A new (2020) African Ebola outbreak

    This guy speculates a lot but I like him anyway.

    Dr Umar Johnson: AIDS and EBOLA share the same origin
    http://www.bing.com/videos/search?q=...8&&FORM=VDRVSR

    https://www.youtube.com/watch?v=Ue728zjX3ak

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    Romania Avalon Member EFO's Avatar
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    Default Re: A new (2020) African Ebola outbreak

    A little Ebola here some polio there...
    Straight from WHO:
    Circulating vaccine-derived poliovirus type 2 – Sudan
    Quote On 9 August 2020, the Federal Ministry of Health, Sudan notified WHO of the detection of a circulating vaccine-derived poliovirus type 2 (cVDPV2) in the country. According to the notification, the virus is genetically-linked with Chad (sequencing results showed 12 to 19 nucleotide changes). Two Acute Flaccid Paralysis (AFP) cases were notified. The first case, a child of 48 months, had onset of paralysis on 7 March 2020 and was from Sulbi city of Kas locality in South Darfur state. The state is in the west of the country, bordering Central African Republic, South Sudan and close to the border with Chad. The second case, a child of 36 months, had onset of paralysis on 1 April 2020 and was from Shari city of AI Gedarif locality in Gedarif state in the east, close to the border with Eritrea and Ethiopia. Both children received the their last bOPV ( type 1 & 3) dose in 2019. Initial investigation indicates these cases are linked to cVDPV2s from the CHA-NDJ-1 emergence group which was first detected in October 2019 and is currently circulating in Chad and Cameroon. Eleven additional suspected cases have also been confirmed as cVDPV2 and field investigation reports are being consolidated. These cases are in the following states – Red Sea, West Darfur, East Darfur, White Nile, River Nile and Gezira. Hence, between 9 August and 26 August 2020, there have been a total of 13 cVDPV2 cases reported. Additionally, three cVDPV2-positive environmental samples from Soba, Elgoz and Hawasha sites from Khartoum were detected (samples collected on 29 March 2020). Sequencing of viruses isolated in Sudan so far reflects that the viruses are related with viruses reported earlier in neighboring Chad from where there were multiple separate introductions into Sudan from Chad. There is local circulation in Sudan and continued sharing of transmission with Chad.

    Public health response
    Following the detection of cVDPV2 in the country, the following response activities are being planned and/or implemented:

    The Acting Federal Minister of Health declared a cVDPV2 outbreak in Sudan to the Cabinet within eight hours on Day Zero of outbreak (9 August 2020);
    The Ministry of Health, supported by Global Polio Eradication Initiative (GPEI) partners, implemented a full field investigation, and started implementation of polio outbreak preparedness and response plan from Day Zero;
    A national task force for outbreak response with representation from WHO and UNICEF has been established, Federal Epidemiological Team finalized Terms of Reference and composition of National Technical Committee for cVDPV2 outbreak control and convened first meeting on 9 August 2020;
    Undersecretary of Health is chairing the steering committee for outbreak response, and the first meeting was convened on 9 August 2020;
    Federal Epidemiological Team advised state epidemiological managers of South Darfur and Al Gedarif and other states with cases to activate the state’s emergency committee and start implementation of polio outbreak preparedness and response plan;
    Response is coordinated with other departments such as health promotion and health emergencies; and cross-border coordination with neighbouring countries is being initiated.
    WHO risk assessment
    WHO assesses the risk of further international spread of cVDPV2 across central Africa and the Horn of Africa to be high. With large-scale population movements with other areas of central Africa and the Horn of Africa. A more thorough region-wide risk assessment is being conducted by the polio program. Across the African continent, 172 type 2 cases in 14 countries have been reported in 2020.

    WHO advice
    It is important that all countries, in particular those with frequent travel and contacts with polio-affected countries and areas, strengthen surveillance for Acuter Flaccid Paralysis in order to rapidly detect any new virus importation and to facilitate a rapid response. Countries, territories and areas should also maintain uniformly high routine immunization coverage at the district level to minimize the consequences of any new virus introduction.

    WHO’s International Travel and Health recommends that all travelers to polio-affected areas be fully vaccinated against polio. Residents (and visitors for more than 4 weeks) from polio-affected areas should receive an additional dose of OPV or inactivated polio vaccine (IPV) within 4 weeks to 12 months of travel.

    As per the advice of an Emergency Committee convened under the International Health Regulations (2005), efforts to limit the international spread of poliovirus remains a Public Health Emergency of International Concern (PHEIC). Countries affected by poliovirus transmission are subject to Temporary Recommendations. To comply with the Temporary Recommendations issued under the PHEIC, any country infected by poliovirus should declare the outbreak as a national public health emergency and consider vaccination of all international travelers who live or visited the country for four weeks or longer. Countries infected by cVDPV2 should encourage residents and long-term visitors to receive a dose of IPV four weeks to 12 months prior to international travel.

    For more information:
    Global Polio Eradication Initiative
    WHO/UNICEF estimates of national routine immunization
    Global Polio Eradication Initiative Polio free countries
    GPEI Public health emergency status
    International travel and health
    Vaccine-derived polioviruses
    Standard operating procedures - responding to a poliovirus event or outbreak
    Does it count WHO's behind all these?
    "Your planet is forbidden for an open visit - extremely aggressive social environment,despite almost perfect climatic conditions.Almost 4 billion violent deaths for the last 5000 years and about 15000 major military conflicts in the same period."

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