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GOMA, Democratic Republic of Congo (Reuters) - Four people have
tested positive for Ebola in eastern Democratic Republic of
Congo just days after another outbreak that killed 33 people in
the northwest was declared over, the health ministry said on
Wednesday.

Twenty people have already died from hemorrhagic fevers in and
around Mangina, a densely populated town about 30 km (18 miles)
southwest of the city of Beni and 100 km from the Ugandan
border, the ministry said in its statement, without saying when
the deaths occurred.

A team of 12 experts from Congo’s health ministry will arrive in
Beni on Thursday to set up a mobile lab, the ministry said. The
World Health Organization has started moving staff and supplies
to the area, WHO chief Tedros Adhanom Ghebreyesus said.

They head to a region where deep security problems could
complicate efforts to contain the virus. About 1,000 civilians
have been killed by armed groups and government soldiers around
Beni since 2014, and the wider region of North Kivu holds over 1
million displaced people.

“This is an active conflict zone. The major barrier will be
safely accessing the affected population,” Peter Salama, WHO
Deputy Director-General of emergency preparedness and response,
said in a statement.

Jeremy Konyndyk, an aid expert at the Center for Global
Development, said other recent Ebola outbreaks had fortunately
been in relatively safe and stable areas.

“North Kivu is a different story, which makes me a little
nervous,” he said.

The area also has strong trade with neighboring Rwanda and
Uganda, raising the risk of the virus moving internationally.

Julie Hall, chief of staff at the International Federation of
the Red Cross, said the Ebola response in North Kivu would be a
“highly complex” operation.

The ministry said no evidence linked this outbreak with the last
one, which began in April and occurred over 2,500 km (1,553
miles) away in northwestern Congo.

BATS AND BODY FLUIDS
This is the central African country’s 10th outbreak since 1976,
when the virus was discovered near the eponymous Ebola river in
the north. That is more than twice as many as any other country.

Ebola is believed to be spread over long distances by bats and
can turn up in bush meat sold at food markets throughout Congo.
Once present in humans, it causes hemorrhagic fever, vomiting
and diarrhea and is spread through direct contact with body
fluids.

An outbreak concentrated in the West African countries of Sierra
Leone, Liberia and Guinea killed at least 11,300 people between
2013 and 2016.

Congolese and international health officials were credited with
responding rapidly to the last outbreak, including by deploying
an experimental vaccine manufactured by Merck, one of several
vaccines being developed against Ebola.

But the Merck vaccine is designed to be used against the Zaire
strain of Ebola, and there has been no confirmation of the
strain in the latest outbreak, with the WHO calling it only
“presumptive Ebola”.

A WHO spokesman declined to comment on possible vaccine use.

Aside from the vaccine, the key factors in halting the previous
outbreak appeared to be aggressive tracing of potential patients
and the speed of the response.

The WHO said the fact that it already had staff and equipment in
place would give it a head start against the new outbreak.

“Ebola is a constant threat in DRC. What adds to our confidence
in the country’s ability to respond is the transparency they
have displayed once again,” WHO head Tedros said.

“We will fight this one as we did the last.”

https://www.reuters.com/article/us-health-ebola/congo-declares- new-ebola-outbreak-in-eastern-province-idUSKBN1KM59B
 

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