7/29/2014

Ebola Outbreak: New Fears About Ebola Spread Beyond Africa

http://world.einnews.com/article/216018953/PBJRVqcjWaYhGmRT


Doctor who contracted Ebola in grave condition

DAKAR, Senegal—No one knows for sure just how many people Patrick Sawyer came into contact with the day he boarded a flight in Liberia, had a stopover in Ghana, changed planes in Togo, and then arrived in Nigeria, where authorities say he died days later from Ebola, one of the deadliest diseases known to man.
Now health workers are scrambling to trace those who may have been exposed to Sawyer across West Africa, including flight attendants and fellow passengers.
Health experts say it is unlikely he could have infected others with the virus that can cause victims to bleed from the eyes, mouth and ears. Still, unsettling questions remain: How could a man whose sister recently died from Ebola manage to board a plane leaving the country? And worse: Could Ebola become the latest disease to be spread by international air travel?
Sawyer’s death on Friday has led to tighter screening of airline passengers in West Africa, where an unprecedented outbreak that emerged in March has killed more than 670 people in Guinea, Sierra Leone and Liberia. But some health authorities expressed little confidence in such precautions.
“The best thing would be if people did not travel when they were sick, but the problem is people won’t say when they’re sick. They will lie in order to travel, so it is doubtful travel recommendations would have a big impact,” said Dr. David Heymann, professor of infectious diseases at the London School of Hygiene and Tropical Medicine.
“The important thing is for countries to be prepared when they get patients infected with Ebola, that they are isolated, family members are told what to do and health workers take the right steps.”
The World Health Organization is awaiting laboratory confirmation after Nigerian health authorities said Sawyer tested positive for Ebola, WHO spokesman Gregory Hartl said. The WHO has not recommended any travel restrictions since the outbreak came to light.
“We would have to consider any travel recommendations very carefully, but the best way to stop this outbreak is to put the necessary measures in place at the source of infection,” Hartl said. Closing borders “might help, but it won’t be exhaustive or foolproof.”
The mere prospect of Ebola in Africa’s most populous nation has Nigerians on edge.
In Nigeria’s capital, Abuja, Alex Akinwale, a 35-year-old entrepreneur, said he is particularly concerned about taking the bus, which is the only affordable way to travel.
“It’s actually making me very nervous. If I had my own car, I would be safer,” he said. “The doctors are on strike, and that means they are not prepared for it. For now I’m trying to be very careful.”
It’s an unprecedented public health scenario: Since 1976, when the virus was first discovered, Ebola outbreaks were limited to remote corners of Congo and Uganda, far from urban centers, and stayed within the borders of a single country. This time, cases first emerged in Guinea, and before long hundreds of others were stricken in Liberia and Sierra Leone.
Those are some of the poorest countries in the world, with few doctors and nurses to treat sick patients let alone determine who is well enough to travel. In Sawyer’s case, it appears nothing was done to question him until he fell sick on his second flight with Asky Airlines. An airline spokesman would not comment on what precautions were being taken in the aftermath of Sawyer’s journey.
Liberian Assistant Health Minister Tolbert Nyenswah told The Associated Press last week that there had been no screening at Liberia’s Monrovia airport. That changed quickly over the weekend, when President Ellen Johnson Sirleaf said a new policy on inspecting and testing all outgoing and incoming passengers will be strictly observed. She also announced that some borders were being closed and communities with large numbers of Ebola cases would be quarantined.
International travelers departing from the capitals of Sierra Leone and Guinea are also being checked for signs of fever, airport officials said. Buckets of chlorine are also on hand at Sierra Leone’s airport in Freetown for disinfection, authorities said.
Still, detecting Ebola in departing passengers might be tricky, since its initial symptoms are similar to many other diseases, including malaria and typhoid fever.
“It will be very difficult now to contain this outbreak because it’s spread,” Heymann said. “The chance to stop it quickly was months ago before it crossed borders … but this can still be stopped if there is good hospital infection control, contact tracing and collaboration between countries.”
Nigerian authorities so far have identified 59 people who came into contact with Sawyer and have tested 20, said Lagos State Health Commissioner Jide Idris. Among them were officials from ECOWAS, a West African governing body, airline employees, health workers and the Nigerian ambassador to Liberia, he said. He said there have been no new cases of the disease.

Doctor Who Contracted Ebola in Grave Condition

FORT WORTH, Texas—An American doctor who contracted the Ebola virus felt a deep calling to work in Liberia and was exhausted after months of treating patients with the deadly disease.
Kent Brantly’s mother, Jan Brantly, says her 33-year-old son’s “heart is in Africa.” She says he comes from a long line of physicians and missionaries.
The director of maternal-child health at JPS Health Network where Brantly completed his residency just months before heading to West Africa has been in touch by phone and email.
Dr. David Mcray says Brantly had been working for months when he contracted the disease. Mcray says Brantly has told him he is “terrified.”
Mcray says Brantly’s prognosis is grave. The doctor is suffering fever, headache and abdominal pain in an isolation unit for Ebola patients on the outskirts of Liberia’s capital.