Why Ebola is so dangerous
6 minute read
The
Ebola outbreak in West Africa is the world's deadliest to date and the
World Health Organization has declared an international health emergency
as more than 1,000 people have died of the virus in Guinea, Liberia,
Sierra Leone and Nigeria this year.
What is Ebola?
Ebola is a viral illness of which the initial symptoms can
include a sudden fever, intense weakness, muscle pain and a sore throat,
according to the World Health Organization (WHO).
And that is just the beginning: subsequent stages are vomiting,
diarrhoea and - in some cases - both internal and external bleeding.
The current outbreak is the deadliest since Ebola was discovered in 1976
It then spreads between humans by direct contact with infected blood, bodily fluids or organs, or indirectly through contact with contaminated environments. Even funerals of Ebola victims can be a risk, if mourners have direct contact with the body of the deceased.
Healthcare workers are at risk if they treat patients without taking the right precautions to avoid infection. People are infectious as long as their blood and secretions contain the virus - in some cases, up to seven weeks after they recover.
World Health Organization guidance on Ebola
In pictures: Battling Ebola in West Africa
A man who flew from Liberia to Lagos in July was quarantined on his arrival and later died of Ebola - the first case in Nigeria. One of the nurses who treated him and an official who came into direct contact with him have since died.
The medical charity Medecins Sans Frontieres (MSF) says the outbreak is "unprecedented" in the way the cases were scattered in multiple locations across Guinea, hundreds of kilometres apart, and says it is a "race against time" to check people who come into contact with sick people.
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Hugging is a normal part of religious worship in Liberia and Sierra Leone, and across the region the ritual preparation of bodies for burial involves washing, touching and kissing. Those with the highest status in society are often charged with washing and preparing the body. For a woman this can include braiding the hair, and for a man shaving the head.
MSF has been trying to make people aware of how their treatment of dead relatives might pose a risk to themselves. It is a very difficult message to get across.
All previous outbreaks were much smaller and occurred in places where Ebola was already known - in Uganda and the DR Congo for example. In those places the education message about avoiding contact has had years to enter the collective consciousness. In West Africa, there simply has not been the time for the necessary cultural shift.
See The virus detective who discovered Ebola
The WHO also warns against consuming raw bushmeat and any contact with infected bats or monkeys and apes. Fruit bats in particular are considered a delicacy in the area of Guinea where the outbreak started.
In March, Liberia's health minister advised people to stop having sex, in addition to existing advice not to shake hands or kiss. The WHO says men can still transmit the virus through their semen for up to seven weeks after recovering from Ebola.
Fighting the fear and stigmatisation surrounding Ebola is one of the greatest challenges health workers face.
But health workers themselves are becoming scared of treating patient, and are demanding better protective clothing when exposed to patients.
Ebola has already claimed the lives of dozens of doctors and nurses in the Ebola-hit region, including Sierra Leone's only virologist and Ebola expert, Sheik Umar Khan.
This has put a further strain on the health services of these West African states, which have long faced a shortage of doctors and hospitals.
Patients with Ebola frequently become dehydrated. They should drink solutions containing electrolytes or receive intravenous fluids.
MSF says this outbreak comes from the deadliest and most aggressive strain of the virus.
The current outbreak is killing between 50% and 60% of people infected.
It is not known which factors allow some people to recover while most succumb.
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