Announcement

**Laidback Al** · July 29, 2012, 01:38 AM

Re: Uganda: Ebola Sudan identified in 14 deaths including Healthcare worker in Kibaale out of 20 total suspected cases

General Location of Ebola Outbreak in Uganda

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aunPenh; mso-bidi-theme-font:minor-bidi; mso-bidi-language:AR-SA;} </style> <![endif]--> According to post #6, the family members all came from Nyansigwa village in Nyamarunda sub-county which is an administrative subunit of Kibaale District. The specific locations of the village or the sub-county do not seem to be available on online map servers. Over the past decade, Uganda has seen an explosion in the expansion of local government administrative units (link) and it appears the internet has not kept up with these local geographic/political changes in Uganda.

. . . There are now over 100 districts. Most districts are named after their main commercial and administrative towns. Each district is divided into sub-districts, counties, sub-counties, parishes and villages. . .

http://en.wikipedia.org/wiki/Uganda

Based on the map below from the official site of the Kibaale district (http://www.kibaale.go.ug/ -- note, site has been hacked), the most likely area of Nyansigwa village (parrish?) is some where near the Kagadi sub-county where the HCW worker died. The first map below presents an apparently outdated map of the sub-counties in the Kibaale district, with Kagadi sub-county circled in red. The second map places the Kibaale District in a more general geographic context within Uganda political boundaries (base map from Wikipedia).

**Ronan Kelly** · July 29, 2012, 05:50 AM

Re: Uganda: Ebola Sudan identified in 14 deaths including Healthcare worker in Kibaale out of 20 total suspected cases

Other Patients Run Away From Hospital For Fear Of Ebola
First published: 20120729 4:58:37 AM EST

Ultimate Media

Patients suffering from other ailments seeking treatment from health centres in Kibaale district have run away for fear of contracting Ebola fever from suspected Ebola patients.
...
The District Health officer, Dan Kyamanywa has however assured the public to continue visiting health facilities because the suspected Ebola patients have been isolated.

Ugpulse.com

http://www.ugpulse.com/uganda-news/health/other-patients-run-away-from-hospital-for-fear-of-ebola/26491.aspx

**Ronan Kelly** · July 29, 2012, 06:16 AM

Re: Uganda: Ebola Sudan identified in 14 deaths including Healthcare worker in Kibaale out of 20 total suspected cases

Information Bulletin n? 1
28 July 2012
This bulletin is being issued for information only and reflects the current situation and details available at this time. The International Federation of Red Cross and Red Crescent Societies (IFRC) is not seeking funding or other assistance from donors for this operation.

...

The situation
A deadly outbreak of Ebola has been confirmed in Kibaale Western Uganda by the Ministry of Health of Uganda. So far, 20 cases have been reported, 13 people are reported dead, 3 cases have been admitted to Kagadi hospital and 3 patients confirmed still in the village (about 200 km from the capital Kampala). Kibaale district, in which the cases have been conformed, has a total population of about 646,700 people.
According to the World Health organization (WHO), there is no treatment and no vaccine against Ebola, which is transmitted by close personal contact and, depending on the strain, kills up to 90 percent of those who contract the virus. WHO has also stated that the origin of the outbreak had not yet been confirmed, but 18 of the 20 cases are understood to be linked to one family.

Red Cross and Red Crescent action
The government of Uganda is coordinating needs assessments and response efforts aimed at containing the outbreak. According to WHO, "(a) team of experts from the government, WHO and CDC (U.S. Centers for Disease Control) are in the field and following up on all suspected cases and those who got into contact with patients."
Uganda Red Cross has been asked by the Ministry of Health to prepare for support to case tracking, social mobilization and community awareness. Uganda Red Cross has mobilized volunteers and staff who are now standing ready for deployment as soon as the modalities for engagement have been confirmed. Uganda Red Cross will need support from the Federation and from other Movement partners in order to fully engage in the situation.
A DREF is anticipated in the coming days and a Federation team composed of a medical doctor and a Disaster Management specialist is being dispatched from Nairobi to support Uganda Red Cross efforts.

Contact information
For further information specifically related to this operation please contact:
?
In Uganda: Michael Nataka, Secretary General, Uganda Red Cross Society, Kampala, Uganda; Phone: +256 41 258 701 Email: natakam@redcrossug.org;
? IFRC Regional Representation: Charlie Musoka, Operations Delegate; phone +254 20 2835 000, mobile: +254 (0) 786546032; fax: +254 20 271 2777; email charlie.musoka@ifrc.org
?
IFRC Zone: Daniel Bolanos, Disaster Management Coordinator, Africa; phone: +254 (0)731 067 489; email: daniel.bolanos@ifrc.org
?
IFRC Geneva: Christine South, Operations Support; phone: +41.22.730.45 29; email: christine.south@ifrc.org
For Resource Mobilization and Pledges:
?
IFRC Regional Representation: Douglas Masika, Senior Resource Mobilization Officer; phone: +254 20 283 5000; email:douglas.masika@ifrc.org
For Performance and Accountability (planning, monitoring, evaluation and reporting)
?
IFRC Zone: Robert Ondrusek, PMER/QA Delegate, Africa phone: +254 731 067277; email: robert.ondrusek@ifrc.org
How we work
All IFRC assistance seeks to adhere to the Code of Conduct for the International Red Cross and Red Crescent Movement and Non-Governmental Organizations (NGOs) in Disaster Relief and the Humanitarian Charter and Minimum Standards in Disaster Response (Sphere) in delivering assistance to the most vulnerable.
The IFRC?s vision is to inspire, encourage, facilitate and promote at all times all forms of humanitarian activities by National Societies, with a view to preventing and alleviating human suffering, and thereby contributing to the maintenance and promotion of human dignity and peace in the world.
The IFRC?s work is guided by Strategy 2020 which puts forward three strategic aims:
1
. Save lives, protect livelihoods, and strengthen recovery from disaster and crises.
2.
Enable healthy and safe living.
3.
Promote social inclusion and a culture of non-violence and peace.

http://reliefweb.int/sites/reliefweb.int/files/resources/MIBUG20120728.pdf

**sharon sanders** · July 29, 2012, 07:25 AM

Re: Uganda: Ebola Sudan identified in 13-17 deaths including Healthcare worker in Kibaale out of 20 total suspected cases

I have changed the title to reflect the different death counts. It seems there are 2 reliable organizations that report 13 or 14 deaths as well as a local media report that mentions 17.

**Treyfish** · July 29, 2012, 09:40 AM

Re: Uganda: Ebola Sudan identified in 13-17 deaths including Healthcare worker in Kibaale out of 20 total suspected cases

EBOLA HEMORRHAGIC FEVER - UGANDA (02): (KIBAALE)
************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

Date: Sat 28 Jul 2012Source: Reuters US [edited]http://www.reuters.com/article/2012/07/28/us-uganda-ebola-idUSBRE86R0JM20120728Ebola outbreak in Uganda kills 13: official-----------------------------------KAMPALA: An outbreak of the deadly Ebola virus has killed 13 people in Uganda and efforts are under way to contain the hemorrhagic fever, the World Health Organisation (WHO) said on Saturday. There is no treatment and no vaccine against Ebola, which is transmitted by close personal contact and, depending on the strain, kills up to 90 percent of those who contract the virus.Joaquim Saweka, WHO's representative in Uganda, said that although suspected Ebola infections emerged in early July in Kibale district, about 170 km (100 miles) west of the capital Kampala, the outbreak was not confirmed until Friday (27 Jul 2012). "There is a total of 20 people suspected to have contracted Ebola and 13 of them have died," Saweka said. "A team of experts from the government, WHO and CDC (U.S. Centers for Disease Control) are in the field and following up on all suspected cases and those who got into contact with patients." Saweka said the origin of the outbreak had not yet been confirmed, but 18 of the 20 cases are understood to be linked to one family.Kibale is near the Democratic Republic of Congo (DRC) where the virus emerged in 1976, taking its name from the Ebola River. The symptoms include sudden onset of fever, intense weakness, muscle pain, headache and sore throat, followed by vomiting, diarrhea, rashes, impaired kidney and liver function and both internal and external bleeding. Ebola was last reported in Uganda in May last year when it killed a 12-year-old girl. The country's most devastating outbreak was in 2000 when 425 people were infected, more than half of whom died.(By Elias Biryabarema)--Communicated by:ProMEd-mail rapporteur Mary Marshall[Previously the number of fatalities has been reported variously as 13 or 14. The only new information in this report is the statement that: "18 of the 20 cases are understood to be linked to one family". Further information is awaited. - Mod.CP</PRE>

**Treyfish** · July 29, 2012, 09:42 AM

Re: Uganda: Ebola Sudan identified in 13-17 deaths including Healthcare worker in Kibaale out of 20 total suspected cases

Uganda Ebola outbreak: patients flee hospital amid contagion fears

Ebola outbreak in Uganda claims at least 14 lives as health officials battle to stem spread of deadly virusTerrified patients fled from a hospital in western Uganda as soon as news broke that a mysterious illness that killed at least 14 people in the region was Ebola, one of the world's most virulent diseases.
Ignatius Besisira, a member of parliament for Buyaga East County in the Kibaale district, said people had at first believed the unexplained deaths were related to witchcraft. "Immediately, when there was confirmation that it was Ebola ? patients ran out of Kagadi hospital (where some of the victims had died)," he told the Guardian. "Even the medical officers are very, very frightened," he said...

http://www.guardian.co.uk/world/2012...?newsfeed=true

**Treyfish** · July 29, 2012, 09:44 AM

Re: Uganda: Ebola Sudan identified in 13-17 deaths including Healthcare worker in Kibaale out of 20 total suspected cases

13 die out of a deadly disease in Uganda

http://www.youtube.com/watch?v=Lhg7FgpxFbE

**Treyfish** · July 29, 2012, 09:47 AM

Re: Uganda: Ebola Sudan identified in 13-17 deaths including Healthcare worker in Kibaale out of 20 total suspected cases

Ebola Outbreak Kills 13 In Kibaale

..The clinical officer at Kagadi Hospital, Claire Muhumuza also died of the same symptoms after attending to some of the deceased
The health ministry says emergency measures are in place to deal with the outbreak, which began in late June but has only just been confirmed as Ebola.
Officials say most are linked to one family, who may have contracted the virus while attending a funeral.
Another suspected infection, at Kampala?s Mulago hospital, is also being investigated by doctors, says the BBC?s Catherine Byaruhanga in the capital...

http://redpepper.co.ug/welcome/?p=41588

**Ronan Kelly** · July 29, 2012, 02:25 PM

Re: Uganda: Ebola Sudan identified in 13-17 deaths including Healthcare worker in Kibaale out of 20 total suspected cases

Ebola in Uganda
29 July 2012 - The Ministry of Health (MoH) of Uganda has notified WHO of an outbreak of Ebola haemorrhagic fever in Kibaale district in the western part of the country.

A total of 20 cases, including 14 deaths have been reported since the beginning of July 2012. The index case was identified in a family from Nyanswiga village, Nyamarunda sub-county of Kibaale district, where nine of the deaths were recorded. The deceased include a clinical officer who attended to a patient, and her four month-old child. Nine of the 14 deaths have occurred in a single household.

Laboratory confirmation was done by the Uganda Virus Research Institute in Entebbe.

Currently, two patients are hospitalized and are in stable condition. The first is a 38 year-old female who attended to her sister, the clinical officer who died. She was admitted to the hospital on 26 July 2012. The second is a 30 year-old female who participated in conducting the burial of the index case. She was admitted to the hospital on 23 July 2012. Both cases were admitted to hospital with fever, vomiting, diarrhoea and abdominal pain. Neither of the cases has so far shown bleeding, a symptom that often appears in viral haemorrhagic fever patients.

The MoH is working with stakeholders and partners to control the outbreak. Response plans at the national and district levels are being finalised. A national task force coordinated by the MoH has been re-activated at the MOH headquarters and holds daily meetings. In Kibaale a district task force has been formed to better coordinate field response. The neighbouring districts have been put on high alert about the outbreak and to step up surveillance.

A team of experts from MoH, WHO and Centers for Disease Control and Prevention (CDC) is in Kibaale to support the response operations. All possible contacts that were exposed to the suspected and confirmed cases since 6 July 2012 are being identified for active follow up. The necessary supplies and logistics required for supportive management of patients are being mobilized.

Kibaale hospital has established a temporary isolation ward for suspected, probable and confirmed cases. M?decins Sans Fronti?res (MSF), Holland, has mobilized necessary requirements for setting up isolation centre at the hospital. The MoH and Mulago Hospital have mobilized some staff to manage the isolation centre but more are urgently needed.

The MoH has advised the public to take measures to avert the spread of the disease and to report any suspected patient to the nearest health unit.

WHO does not recommend that any travel or trade restrictions are applied to Uganda.

404

http://www.who.int/csr/don/2012_07_29/en/index.html

Erreur 404

**Treyfish** · July 29, 2012, 03:07 PM

Re: Uganda: Ebola Sudan identified in 13-17 deaths including Healthcare worker in Kibaale out of 20 total suspected cases

Ugandan officials face Ebola outbreak

By the CNN Wire Staff
updated 3:48 PM EDT, Sun July 29, 2012

STORY HIGHLIGHTS

Patients did not show some typical symptoms, the health minister says
The lethal Ebola virus left at least 14 people dead in western Uganda this month
The cases have emerged in Kibaale, a district in midwestern Uganda
The Ebola virus is considered a highly infectious disease spread through direct contact

(CNN) -- Ugandan authorities did not initially detect an Ebola outbreak because patients weren't showing typical symptoms of the lethal virus, the nation's health minister told CNN Sunday.
Patients had fevers and were vomiting, but did not show other typical symptoms like hemorrhaging, Health Minister Dr. Christine Ondoa said.
....
Officials are trying to determine the extent of the outbreak, CDC spokesman Tom Skinner said Sunday.
About five people from the Atlanta-based centers were expected to join a group of CDC staffers who are permanently based in Uganda, Skinner said.
"These outbreaks have a tendency to sort of stamp themselves out, if you will, if we can get in and sort of stop the chain of transmission," he said.

Ondoa described the Ebola-Sudan strain detected as "mild" compared to other types of Ebola, noting that victims' lives can be saved with intervention....

A

http://www.cnn.com/2012/07/29/world/...rus/index.html

**Treyfish** · July 29, 2012, 03:19 PM

Re: Uganda: Ebola Sudan identified in 13-17 deaths including Healthcare worker in Kibaale out of 20 total suspected cases

Anxiety as Ebola returns

Sunday, 29 July 2012 20:41
Written by SADAB KITATTA KAAYA

The death toll stands at 14 so far PHOTO: CC BY 2.0

Family of 12 wiped out; death toll at 14 in Kibaale district

Medical authorities in the western district of Kibaale were today investigating more suspected cases of Ebola, as haemorrhagic fever returned, causing anxiety around the country.

Unofficial sources at Kagadi hospital, the main health facility in Kibaale, said more suspected cases were being investigated, but officials would not comment by press time.
By Saturday six people had been admitted with the disease.

Ebola manifests as a haemorrhagic fever, is highly infectious and kills quickly. Signs and symptoms of the disease include fever, vomiting, diarrhoea, abdominal pain, headache, measles-like rash, red eyes, and – sometimes – with bleeding from body openings. People in the district, in Bunyoro sub-region, have been troubled by the mysterious illness, until last Saturday when health authorities confirmed it was Ebola haemorrhagic fever.

By press time, 14 people were known to have died from the fever, including an entire family of 12, in Nyanswiga village, Nyamarunda sub-county. In a statement, Dr Denis Lwamafa, Commissioner National Disease Control in the ministry of Health, said the fever had been confirmed after tests at the Uganda Virus Research Institute in Entebbe.

Lwamafa said the first case was reported on July 6. The dead include a clinical officer and her four-month-old baby, who passed away at Mulago hospital. Yesterday the permanent secretary in the ministry of Health, Dr Asuman Lukwago, sought to assure the country that authorities were doing everything to keep the situation under control.

Speaking on the Kampala-based Radio One, Lukwago said with mass movement of people, as has happened with Congolese refugees who have fled to Uganda because of fighting in their country, diseases can break out. He, however, said authorities were monitoring the situation in western Uganda, while people who recently visited Kibaale would be assisted once they reported to medical authorities.

Twelve of the dead belonged to the family of Yostus Isoke of Nyanswiga village, Nyamarunda sub-county. They include Isoke himself; his five children – Byaruhanga Isoke, Fred Isoke, Roggers Byaruhanga, Doreen Nantongo and an unidentified son. Also among the dead is Lovinsa Kabwimukya, 42, a sub county councilor for people with disabilities in Nyamarunda sub-county council.

The family at first complained of being bewitched and at one stage resorted to visiting witch-doctors. One of the victims is reported to have died in a shrine. Because of the deaths, many people have abandoned the bereaved families for fear of losing lives. Dr Joseph Wamala, a senior epidemiologist in the ministry of health, identified the type of Ebola reported in Kibaale district as Sudan Ebola, which is less deadily than Ebola Zaire.

Other types of Ebola are Ebola Zaire, Ebola Cote d’Ivore, Ebola Bundibugyo and Ebola Reston Ebola can be spread through direct physical contact with body fluids like saliva, blood, stool, vomit, urine and sweat from an infected person and soiled linen used by a patient. One can get it from contact with the body of a person who has died of the disease.
This is the third time a major Ebola outbreak is reported in Uganda in 12 years. In 2000, Ebola killed 224 people, including a prominent physician fighting it, Dr Matthew Lukwiya. In 2007, Ebola struck again, in Bundibugyo district; this time it claimed at least 38 people; they included Dr Jonah Kule and two other medical workers.
Precautionary measures

Dr Lwamafa urged the public to take precautionary measures to avert the spread of the disease. “We have set up a national emergency taskforce to contain the disease from spreading far and wide” Dr Lwamafa said.
He warns against unnecessary contact with suspected people especially during communal funerals and parties. As part of the precautionary measures, he said the ministry of Health has started active and sustained tracing and listing of people that may have been exposed to suspected and confirmed cases since July 6, 2012.

Precautionary measures to contain Ebola
• Report and immediately take any suspected patient to a nearby health unit
• Avoid direct contact with body fluids of a person suffering from Ebola by using protective materials like gloves and masks
• Disinfect the bedding and clothing of an infected person
• Persons who have died of Ebola must be handled with strong protective wear and buried immediately, avoid feasting and funerals
• Avoid eating dead animals especially monkeys
• Avoid public gathering especially in the affected district
• Burial of suspicious community deaths should be done under close supervision of district health workers
• Report all suspicious deaths to the health workers

http://www.observer.ug/index.php?option=com_content&view=article&id=20104 :anxiety-as-ebola-returns&catid=34:news&Itemid=114

**Treyfish** · July 29, 2012, 03:21 PM

Re: Uganda: Ebola Sudan identified in 13-17 deaths including Healthcare worker in Kibaale out of 20 total suspected cases

Other patients run away from hospital for fear of Ebola

..Patients suffering from other ailments seeking treatment from health centres in Kibaale district have run away for fear of contracting Ebola fever from suspected Ebola patients.

Kibaale district is under attack from a strange disease which government has confirmed as Ebola and has killed close to 20 people, majority of whom are from Nyanswiga village in Nyamarunda Sub County.

The victims suffer from diarrhea, vomiting, and stomach ache and at the time of their death, blood ooze from the nose and mouth...

http://www.ugpulse.com/uganda-news/health/other-patients-run-away-from-hospital-for-fear-of-ebola/26491.aspx

**Treyfish** · July 29, 2012, 03:22 PM

Re: Uganda: Ebola Sudan identified in 13-17 deaths including Healthcare worker in Kibaale out of 20 total suspected cases

Deadly Ebola wipes out family of 12 in Kibaale

By Sharon Tibenda
30<SUP>th</SUP> July 2012:
An outbreak of the Ebola virus has killed 14 people in western Uganda this month, health ministry officials said, ending weeks of speculation about an unknown illness that had many people fleeing their homes.
Ugandan officials and a World Health Organisation representative told a news conference in Kampala on Saturday last week that there was “an outbreak of Ebola” in Uganda.
“Laboratory investigations done at the Uganda Virus Research Institute have confirmed that the strange disease reported in Kibaale district is indeed Ebola hemorrhagic fever,” the Ugandan government and WHO said in joint statement.
Officials urged Ugandans to be calm, saying a national emergency taskforce has been set up to contain the disease. In recent weeks, residents of Kibaale had been troubled by what seemed like a mysterious illness. Health officials spent weeks conducting laboratory tests that were at first inconclusive.
Joaquim Saweka, WHO’s representative in Uganda, said the origin of the outbreak had not yet been confirmed. “…A team of experts from the government, WHO and CDC (US Centre for Disease Control) are in the field and following up on all suspected cases and those who got into contact with patients,” he said.
Officials told reporters in Kampala that of the 14 people who have died so far, twelve were from the same family. A total of twenty people have now been confirmed to have Ebola, which causes haemorrhagic fever and internal bleeding...

http://www.ugandacorrespondent.com/articles/2012/07/deadly-ebola-wipes-out-family-of-12-kibaale/

**Treyfish** · July 29, 2012, 03:25 PM

Re: Uganda: Ebola Sudan identified in 13-17 deaths including Healthcare worker in Kibaale out of 20 total suspected cases

Deadly Ebola Virus Outbreak Confirmed in Uganda

http://www.youtube.com/watch?v=YEW14vab7sQ

Ebola Claims 14

http://www.youtube.com/watch?v=b7btZQn11As

**alert** · July 29, 2012, 04:14 PM

Re: Uganda: Ebola Sudan identified in 13-17 deaths including Healthcare worker in Kibaale out of 20 total suspected cases

We seem to have some kind of reporting error. Post #38 indicates that someone died at "Mulago Hospital" in Kampala with Ebola-like symptoms. Post #41 indicates that the four-month-old son of the HCW died at Mulago Hospital. I find it difficult to believe that that infant is the case taken to Kampala after his mother died, especially since we don't yet know where that case supposedly came from.

Are there two Mulago Hospitals? Did the US embassy report mistake the Mulago Hospital in Kibaale for the one in Kampala? Or was there one fatailty in each?

Or is one of these reports using the name of the wrong hospital?

Announcement

Uganda: Ebola Sudan identified in 17 deaths, all monitoring completed, outbreak declared over

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