Ebola epidemic in West Africa ‘out of control’ – CNN

(CNN) — The deadly Ebola virus outbreak in West Africa has hit “unprecedented” proportions, according to relief workers on the ground.

“The epidemic is out of control,” Dr. Bart Janssens, director of operations for Doctors Without Borders, said in a statement.

There have been 567 cases and 350 deaths since the epidemic began in March, according to the latest World Health Organization figures.

In April, CNN Chief Medical Correspondent Dr. Sanjay Gupta traveled to Conakry, Guinea, to report on what was being done to treat patients and contain the outbreak.

“It took only moments to feel the impact of what was happening here,” Gupta wrote after landing in Conakry. “There is a lot we know about Ebola, and it scares us almost as much as what we don’t know.”

Ebola outbreaks usually are confined to remote areas, making it easier to contain. But this outbreak is different; patients have been identified in 60 locations in Guinea, Sierra Leone and Liberia.

Officials believe the wide footprint of this outbreak is partly because of the close proximity between the jungle where the virus was first identified and cities such as Conakry. The capital in Guinea has a population of 2 million and an international airport.

A Guinea-Bissau customs official watches arrivals from Conakry, the capital of Guinea, on Tuesday, April 8. Conakry is being ravaged by an Ebola virus epidemic, and Guinea-Bissau officials are concerned about a possible case inside their borders. A Guinea-Bissau customs official watches arrivals from Conakry, the capital of Guinea, on Tuesday, April 8. Conakry is being ravaged by an Ebola virus epidemic, and Guinea-Bissau officials are concerned about a possible case inside their borders.
Guinea-Bissau nurse Egidia Almeida scans a Guinean citizen coming from Conakry on April 8. Dozens of people have died from an Ebola outbreak in coastal West Africa, aid workers reported.Guinea-Bissau nurse Egidia Almeida scans a Guinean citizen coming from Conakry on April 8. Dozens of people have died from an Ebola outbreak in coastal West Africa, aid workers reported.
A scientist separates blood cells from plasma cells to isolate any Ebola RNA in order to test for the virus at the European Mobile Laboratory in Gueckedou, Guinea, near the borders of Sierra Leone and Liberia, on Thursday, April 3. Ebola is one of the world's deadliest viruses, causing a hemorrhagic fever that kills up to 90% of those infected. It spreads in the blood and shuts down the immune system, causing high fever, headache and muscle pain, often accompanied by bleeding.A scientist separates blood cells from plasma cells to isolate any Ebola RNA in order to test for the virus at the European Mobile Laboratory in Gueckedou, Guinea, near the borders of Sierra Leone and Liberia, on Thursday, April 3. Ebola is one of the world’s deadliest viruses, causing a hemorrhagic fever that kills up to 90% of those infected. It spreads in the blood and shuts down the immune system, causing high fever, headache and muscle pain, often accompanied by bleeding.
Members of the medical aid organization Medecins sans Frontieres carry a dead body in Gueckedou on Friday, April 1. Members of the medical aid organization Medecins sans Frontieres carry a dead body in Gueckedou on Friday, April 1.
Gloves and boots used by medical personnel dry in the sun April 1 outside a center for Ebola victims in Gueckedou. Gloves and boots used by medical personnel dry in the sun April 1 outside a center for Ebola victims in Gueckedou.
A health specialist works Monday, March 31, in a tent laboratory set up at a Medecins sans Frontieres facility in southern Guinea.A health specialist works Monday, March 31, in a tent laboratory set up at a Medecins sans Frontieres facility in southern Guinea.
Health specialists work March 31 at an isolation ward for patients at the facility in southern Guinea.Health specialists work March 31 at an isolation ward for patients at the facility in southern Guinea.
Workers associated with Medecins sans Frontieres prepare isolation and treatment areas Friday, March 28, in Guinea. Workers associated with Medecins sans Frontieres prepare isolation and treatment areas Friday, March 28, in Guinea.

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Photos: Ebola outbreak in West AfricaPhotos: Ebola outbreak in West Africa

People are traveling without realizing they’re carrying the deadly virus. It can take between two and 21 days after exposure for someone to feel sick.

Ebola outbreak not under control

Inside an Ebola isolation ward in Guinea

Ebola is a violent killer. The symptoms, at first, mimic the flu: headache, fever, fatigue. What comes next sounds like something out of a horror movie: significant diarrhea and vomiting, while the virus shuts off the blood’s ability to clot.

As a result, patients often suffer internal and external hemorrhaging. Many die in an average of 10 days.

“There are at least five different strains of Ebola, and in past outbreaks, this virus — the Zaire strain — has killed as many as nine out of 10 people it infects,” Gutpa wrote. “Men and women, young and old. Ebola does not discriminate.”

Doctors Without Borders, also known as Médecins Sans Frontières, is the only aid organization treating people affected by the virus. Since March, they have sent more than 300 staff members and 40 tons of equipment and supplies to the region to help fight the epidemic.

Still, they warn, it’s not enough.

“Despite the human resources and equipment deployed by MSF in the three affected countries, we are no longer able to send teams to the new outbreak sites.”

The good news is that Ebola isn’t as easily spread as one may think. A patient isn’t contagious — meaning they can’t spread the virus to other people — until they are already showing symptoms.

Health officials have urged residents to alert MSF or local physicians at the first sign of flulike symptoms. While there is no cure or vaccine to treat Ebola, MSF has proved it doesn’t have to be a death sentence if it’s treated early.

Serious protective measures

Inside isolation treatment areas, doctors focus on keeping the patients hydrated with IV drips and other liquid nutrients.

Gupta describes the scene at an isolation ward in Guinea:

Going into the isolation ward, Gupta says, meant stopping in a separate tent beforehand to gear up.

Healthcare workers dressed in scrubs and thick white rubber boots. They slipped on blue latex gloves, then a thick yellow impermeable suit, followed by a mask, then a white hood with another mask built into it. A pair of large clear goggles went over the hood, and then a large white apron.

Not a single part of his skin was exposed, Gupta remembers.

“It has to be this way for these doctors and nurses who knowingly expose themselves to Ebola … but you have to wonder what goes through the minds of the patients, seeing these rubber-clad aliens looming in front of them.”

Early treatment seems to be helping save lives. During this outbreak, instead of the typical 10% survival rate, about 40% of patients have pulled through.

MSF says they’ll continue to isolate and treat Ebola patients in West Africa with the resources they have available, but they urge a “massive deployment” by regional governments and aid agencies to help stop the epidemic.

World Health Organization officials say they’re planning high-level meetings for the Minister of Health in the subregion July 2-3 to discuss the deployment of additional resources and experts to the area.

The outbreak will be considered contained after 42 days — twice the incubation period — with no new Ebola cases.

READ: Get the fast facts on Ebola

READ: We’re aliens in Ebola’s world

READ: What is Ebola and why does it kill?



Ebola epidemic in West Africa ‘out of control’ – CNN

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