What is the Ebola situation currently like? People are dying in their own pool of blood, urine, feces and vomit. Too weak to move away, too weak to stand up. They need help eating, drinking and taking medications also. Some of them have lost their parents, children, relatives and friends. (as documented by healthcare experts stationed in West Africa) This is the situation in Sierra Leone, one of the worst hit areas of the Ebola virus disease. This year was the biggest Ebola outbreak in history. It started in Guinea at the end of 2013 and slowly spread and was declared an outbreak by 8th August this year. It has claimed the lives of over 6000 people, mostly in Guinea, Liberia and Sierra Leone. Where did the virus originate from? The virus first appeared in 1976 in a village near the Ebola River in the Democratic Republic of Congo, where it had claimed the lives of more than 200 people. It is believed that the virus is carried via fruit 24
bats, as they are able to spread the virus
without being affected. Other animals such as chimpanzees, gorillas and monkeys are also affected. The spread from animals to humans is believed to involve the direct contact between infected animals and humans. In West Africa, wild animals such as fruit bats are hunted for food and bush meat. How long does it take for symptoms to appear? The virus can take between 2 to 21 days to incubate, which is the time for symptoms to appear. The flu-like symptoms include; fever, muscle pain, headaches, vomiting, diarrhea, rash and bruising or bleeding without an injury. If not managed well, people with Ebola virus disease may die from blood loss and internal bleeding. Can anyone survive Ebola? Ebola is a survivable disease with adequate care and up-to-par health facilities. The two main reasons for the epidemic in
JANUARY 2015
Besides inadequate healthcare facilities,
people stayed home and refrained to visit hospitals due to the phobia or fear of being mistreated by healthcare workers. Do we have to be worried in Tanzania? It is unlikely for the virus to be an epidemic in Tanzania, and as extra precaution the Ministry of Health and Social Welfare is doing checkups of all people coming in to the country. Also, healthcare workers at Muhimbili National Hospital are aware of the disease and tents are set up in the event of an Ebola case. Tanzania has good rapport and cooperation from USAID , WHO and CDC who train and set guidelines for infection control. People travelling out of the country and especially to West Africa have to take necessary precautions. What precautions one must take? Precautions for avoiding the transmission of Ebola Virus involve avoiding infected
people, their body fluids and the corpses
of those who die from the disease. Avoid items touched by Ebola patients, and wash hands often. Also avoid contact with wild animals like monkeys and bats and refrain from eating the meat of these animals. Why has the virus not spread to other parts of Africa? Ebola has been contained mostly in West Africa due to the exceptional work done by courageous healthcare workers. It is great to see the aid sent by various organizations and nations as well as the selflessness of numerous healthcare workers in preventing the spread of this disease. The situation in Sierra Leone is still bad, but overall its much better than it was a couple of months ago.
HEALTH
West Africa was how the infected patients
were treated by healthcare workers and the poor overloaded healthcare facilities in these countries. The survival rate for people with Ebola Virus Disease in the United States is 80%.
Dr. Sajjad Sherally Fazel is an intern
pursuing his Doctor of Pharmacy degree at Manipal College of Pharmaceutical Sciences, Manipal University, India. He is a Tanzanian and currently conducting research on the awareness of healthcare workers towards Ebola Virus Disease. Contact: sajjadfazel@hotmail.com