Deadly Ebola Virus Spreads to Liberia and Mali
April 4, 2014 in Guinea, Liberia, Mali, Senegal, Sierra Leone
The first cases of the Ebola virus have been confirmed in Liberia, after spreading from neighboring Guinea, where the deadly virus has already killed eighty-four people. Meanwhile in Mali, officials are on high alert after three suspected cases were reported near the border area with Guinea.
Fears Virus Has Spread to Mali
Officials in Mali on Thursday indicated that they had detected three suspected victims of the Ebola virus, the deadly disease that has killed 84 people in Guinea. Speaking to reporters in Bamako, Mali’s Health Minister Ousmane Kone stated that “three suspected cases of hemorrhagic fever have been detected in the country. Samples have been taken and sent abroad for analysis.” The Health Minister added that pending results from the US Centers for Disease Control and Prevention, where the samples were sent, the patients were isolated and were receiving appropriate medication. A statement issued by the government has indicated that the patients’ condition was currently improving and that the results of the tests will be made public as soon as they are known.
Ebola Outbreak Confirmed in Liberia
Seven new patients has brought the total suspected Ebola cases in Liberia to fourteen. Since reporting its first case of the hemorrhagic fever last month, six people have died, however officials in Liberia indicated Thursday that the first suspected Ebola case is now thought to be unconnected to the ongoing epidemic in neighboring Guinea, noting that the case may have originated separately within its borders.
According to Liberia’s chief medical officer Bernice Dahn, “we have a case in Tapeta where a hunter who has not had any contact with anyone coming from Guinea got sick,” adding “he was rushed to the hospital and died 30 minutes later. He never had any interaction with someone suspected to be a carrier of the virus and he has never gone to Guinea. This is an isolated case.” If confirmed, the case in the eastern town of Tapeta would mark a worrying development in the fight against Ebola, as cases so far have been attributed to people returning with the infection from neighboring Guinea, where 84 people have died. Tapeta, a small town in the eastern country of Nimba, is located 400 kilometers (250 miles) from the epicenter of the Ebola outbreak in southern Guinea. It is also at least a five-hour drive and much further from the border than other suspected cases.
Of the six deaths, two were laboratory-confirmed Ebola cases – a woman who died in hospital in the northern county of Lofa and her sister who visited her. The sister was allowed to return home to Monrovia before being hospitalized in the nearby Firestone Hospital. Local authorities had isolated her and were monitoring her, her family and others with whom she may have had contact however Mr Dahn has since indicated that “…after being confirmed Ebola virus positive, the lady died this morning.” He added that “we are now keeping surveillance on 44 people who have been in contact with the cases reported.” The fruit bat, which is thought to be the host of the highly contagious Ebola virus, is a delicacy in the region that straddles Guinea, Liberia and Sierra Leone, with experts suspecting huntsmen to be the source of the outbreak.
Guinea Outbreak
The outbreak in Guinea had initially centered in the country’s remote south-eastern Forest Region of Nzerekore, where it took officials six weeks to identify the disease, effectively allowing it to spread over the borders and into the more populous regions of the country. The first symptoms experienced were of a feverish sickness and they were observed on February 9. The mysterious disease claimed at least 23 lives, out of a total of 36, before officials were able to identify it. Since then, the outbreak has continued to spread, with officials confirming last week that it had spread to the capital, Conakry, which is a sprawling city of two million.
On Sunday, Guinea’s Health Ministry indicated that the country was now dealing with 122 “suspicious cases” of viral hemorrhagic fever, including at least 80 deaths. However not all of the cases have been confirmed as the Ebola virus. Medical Charity Medecins Sans Frontieres (MSF) has since stated that the Ebola outbreak in Guinea is “unprecedented,” adding that the spread of the disease across the country made it very difficult to control. Guinea is now facing a battle to contain the outbreak after cases were reported in areas that are hundreds of kilometers apart.
Regional Concern
Over the past weekend, there has been a growing concern that the outbreak of the deadly virus may spread throughout West Africa. According to Tarik Jasarevic, spokesman for the WHO, up to 400 people are identified as potential Ebola contacts in Guinea, Sierra Leone and Liberia.
Fears of the virus spreading further into West Africa prompted officials in Senegal to close the country’s normally busy border with Guinea. Senegal’s Health Minister Awa Maria Coll-Seck confirmed Monday that the government had decided to close its border with Guinea after receiving confirmation that the virus had reached the country’s capital city Conakry. According to Ms Coll-Seck, Senegal has also “…closed all weekly markets, known as luma, in the south. And we’re having some discussions with religious leaders regarding big religious events.”
Officials in Sierra Leone also reported last week some suspected cases of the Ebola virus however these have not yet been confirmed.
The Ebola virus, which is one of the world’s most virulent diseases, was first discovered in the Democratic Republic of Congo (DRC) in 1976. The DRC has since had eight outbreaks of the disease, with the most recent epidemic, which occurred in the DRC between May and November 2012, infecting 62 people and leaving 34 dead. Although there have been previous outbreaks amongst humans in Uganda, the Republic of Congo and Gabon, the disease had never before been detected in people in West Africa. There have also been fears that the disease could one day be used in a biological weapons attack as, according to researches, the virus multiplies quickly, overwhelming the immune system’s ability to fight the infection.
If all cases in Guinea, Sierra Leone, Mali and Liberia are confirmed to be Ebola, this outbreak would be the most deadly epidemic since 187 people died in Luebo, in the Congo’s Kasai Orientale province in 2007.
According to the World Health Organization (WHO), to date, no treatment or vaccine is available for Ebola, which kills between 25 and 90 percent of those who fall sick, depending on the strain of the virus. The Zaire strain of Ebola, which has a 90 percent death rate, is the one that has been detected in Guinea.
