EBOLA Ebola Hits Urban City of 1 Million in Congo

2Trish

Veteran Member
Not good, hitting an urban area is much more worrisome then the rural areas.

https://www.msn.com/en-us/news/worl...in-congo/ar-AAxoRNh?OCID=ansmsnnews11&ffid=gz

Ebola spreads to city, entering 3 health zones in Congo
By SALEH MWANAMILONGO and CARLEY PETESCH 2 hrs ago


© Aurelie Marrier d'Unienville/AP Photo A "Stop Ebola" banner hangs in Freetown, Sierra Leone in 2016. An Ebola vaccine was tested in 2015 during the outbreak that killed more than 11,300 people in West Africa from 2014 to 2016.
KINSHASA, Congo — Congo's Ebola outbreak has spread to a city, the capital of the northwestern Equateur province, a worrying shift as the risk of infection is more easily passed on in densely populated urban areas.
Two suspected cases of hemorrhagic fever were reported in the Wangata health zones, which includes Mbandaka, a city of nearly 1.2 million people about 150 kilometers (93 miles) from Bikoro, the rural area where the outbreak was announced last week, said Congo Health Minister Oly Ilunga.
One sample proved positive for the deadly Ebola virus, he said. This brings to three the number of confirmed Ebola cases. A total of 44 cases have now been reported, including 23 deaths, the World Health Organization reports. Among those are three confirmed, 20 probable and 21 suspected cases.

"We are entering a new phase of the Ebola outbreak that is now affecting three health zones, including an urban health zone," he said, adding he is worried because Mbandaka is densely populated and at the crossroads of Equateur province. Ebola is spread by contact with the bodily fluids of people exhibiting symptoms.
"Since the announcement of the alert in Mbandaka, our epidemiologists are working in the field with community relays to identify people who have been in contact with suspected cases," he said.
He said the lists of those exposed to suspected Ebola cases would receive, for the first time in Congo, a new component of response to an Ebola outbreak: vaccinations. Health experts are already tracing 500 contacts, he said.
The World Health Organization sent 5,400 doses of the experimental Ebola vaccine to Congo on Wednesday, according to the health minister. WHO has said it will send thousands more in the coming days, as needed.
Before this announcement, all confirmed Ebola cases were reported in the Bikoro health zone, where health facilities are limited and affected areas are difficult to reach.
"This is a concerning development, but we now have better tools than ever before to combat Ebola," said Tedros Adhanom Ghebreyesus, WHO Director-General. "WHO and our partners are taking decisive action to stop further spread of the virus."
WHO said it has deployed 30 experts for surveillance in Mbandaka. WHO is also working with Medecins Sans Frontieres and other organizations to stem the outbreak and treat Ebola patients in isolation wards.
The vaccine, from U.S.-based pharmaceutical firm Merck, is unlicensed but has been shown to be highly effective against Ebola. It was tested in Guinea in 2015 during the outbreak that killed more than 11,300 people in West Africa from 2014 to 2016.
This is the ninth Ebola outbreak in Congo since 1976. While none has been connected to the one in West Africa, the experimental vaccine is thought to be effective against the Zaire strain of Ebola found in Congo.
WHO said it will use the "ring vaccination" method. It involves vaccinating voluntary contacts, contacts of those contacts and health care and other front-line workers.
Petesch reported from Dakar, Senegal.
 

Publius

TB Fanatic
This is what I was talking about on the other thread, this has the potential to spread like wild fire. Knowing how they do things in that part of the world like open air markets it could end up infecting 500 people in one day and four or five times that afterwards.
 

Dennis Olson

Chief Curmudgeon
_______________
I’m hopeful. Remember the ONE BILLION AFFIKANS that intend to immigrate to the US in the next FIVE YEARS? Maybe this will thin ‘em out some...
 

Old Gray Mare

TB Fanatic
I’m hopeful. Remember the ONE BILLION AFFIKANS that intend to immigrate to the US in the next FIVE YEARS? Maybe this will thin ‘em out some...
It's not the ones coming 5 years from now, it's the visitors from Mbandaka fleeing the plague that flew in last month, this month and are still coming and possibly infected.
 

Bubble Head

Has No Life - Lives on TB
This will definitely thin a lot of people out. I don't feel President Trump will have the same caviler attitude as O when it comes to travel restrictions from effected areas. Zero was salivating at the prospects of spreading it to the United States and did have some success.
 

Faroe

Un-spun
Could be just the thing to close down everyone's borders. I expect the Europeans will be less inclined to allow migrant boats to land on Italian shores if the ships possibly carry Ebola.

Bleeding out of your eyeballs kinda takes the shine off all of that glorious diversity.
 

2Trish

Veteran Member
Two other cities are being closely watched, Kinshasa (2.6 million), Kisangni (600,00+).


The Democratic Republic of Congo (DRC) reported 42 cases of the Ebola virus disease (EVD) in the ongoing outbreak, Jessica Ilunga, spokeswoman for the country’s Ministry of Public Health said on Tuesday.
The DRC ministry of health publicly declared the beginning of the EVD epidemic on May 8.

The World Health Organisation (WHO) in a press statement on Monday said that April 4 through May 13, a total of 39 Ebola virus disease cases had been reported in DRC, including 19 deaths.
“The latest numbers until May 13, 2018 are: 42 cases, including 2 confirmed; 21 probable and 19 suspected.
“Majority of the cases are in the health zone of Bikoro; others are reported in the health zones of Iboko and Wangata,” Mrs Ilunga said.
The spokeswoman added that all people with confirmed or suspected EVD would be moved to the Ebola treatment centres as soon as the facilities were ready.
Mrs Ilunga stated that a key feature of the government’s response to the current Ebola outbreak would be vaccination.
The WHO is expected to send 4,000 doses of Ebola vaccine to DRC in the near future.
This will be the first time that DRC includes vaccination in its national EVD response plan.
The spokeswoman noted that government was trying to prevent the spread of EVD by carrying out screening tests at the airports and other entry points to Mbandaka, capital of the Equateur Province.



The Ebola-hit Bikoro, Iboko, and Wangata health zones are located in the Equateur province.
“In order to prevent the spread of the virus to the neighbouring urban centres, the ministry has set up surveillance checks at all entry points of the city of Mbandaka.
Now our health agents monitor the temperature of all people travelling to and from Mbandaka by air, sea and land.
Furthermore, the ministry is working with health authorities in other urban centres near Mbandaka, including Kinshasa and Kisangani, to prepare contingency plans in these cities as well,” Ilunga said.
This is the DRC’s ninth EVD outbreak since the virus was discovered in the country in 1976.
 

Blacknarwhal

Let's Go Brandon!
It's not the ones coming 5 years from now, it's the visitors from Mbandaka fleeing the plague that flew in last month, this month and are still coming and possibly infected.

It's bad enough they were found in Mbandaka. It's only worse that there may be others who WEREN'T found in Mbandaka, that went on to Kinshasa or Johannesburg or hopped a flight to Paris.
 

Doomer Doug

TB Fanatic
Here is more info.

the link is here.

https://www.theorganicprepper.com/ebola-urban-explosive-increase/

by Daisy Luther

Ebola is back, and in a “new phase.” The deadly hemorrhagic fever is no longer confined to the remote regions of the Congo. On Wednesday, a man was diagnosed in Mbandaka, a city with a population of nearly 1.2 million people in Equateur Province, which is in the northwestern part of the Democratic Republic of Congo.

Ebola has gone urban.

And that means the real crisis is just beginning.
The World Health Organization is worried.

Now Ebola is back in the Congo, and this new outbreak has the World Health Organization very concerned. Initially, the outbreak was in a remote area and the health officials were attempting to “ring-fence” with vaccinations. But now that it has reached the populous Mbandaka, that plan is no longer viable. The other issue is that Mbandaka is a major transportation hub, with routes to the capital city of Kinshasa.

The health ministry reports that 44 cases of Ebola have now been reported, from which 23 people have died. But this case that has been diagnosed in an urban area could change everything.

“The arrival of Ebola in an urban area is very concerning and WHO and partners are working together to rapidly scale up the search for all contacts of the confirmed case in the Mbandaka area,” said Dr. Matshidiso Moeti, WHO Regional Director for Africa. (source)

Peter Salama of the World Health Organization is more candid.

“This is a major development in the outbreak,” he told the BBC. “We have urban Ebola, which is a very different animal from rural Ebola. The potential for an explosive increase in cases is now there.”

Mr Salama, the WHO’s Deputy Director-General of Emergency Preparedness and Response, said Mbandaka’s location on the Congo river, widely used for transportation, raised the prospect of Ebola spreading to surrounding countries such as Congo-Brazzaville and the Central African Republic as well as downstream to Kinshasa, a city of 10 million people.

“This puts a whole different lens on this outbreak and gives us increased urgency to move very quickly into Mbandaka to stop this new first sign of transmission,” he said. (source)

The virus may have gotten to the city when people who had gone to the funeral of an Ebola victim nearby traveled to Mbandaka before realizing one of them was infected.
A quick recap of the outbreak of 2014

Everyone remembers the Ebola outbreak of 2014. It ripped through West Africa for two years, killing over 11,000 people and sickening nearly 30,000. But the reason WE remember it in the United States is that it crept into our country. Shortly after the CDC warned us to prepare for a potential Ebola pandemic, the first case was diagnosed in Dallas, Texas, when a man from West Africa visited the hospital on two occasions, having been turned away the first time as just having “the flu.” The original patient died, and two nurses caring for him caught the potentially deadly virus.

It is honestly shocking that more people didn’t become ill, as one nurse traveled on a plane while sick, and in another incident, a doctor in New York City who had volunteered in Guinea was also diagnosed. All in all, eleven people in the United States were treated for Ebola (that we know of, anyway) and it certainly wasn’t because of the expert handling of the near-crisis. It was pure luck.

There were all sorts of mismanagement. Everything from not requiring a quarantine of travelers returning from the affected area to housing 11 potential cases in a hotel to a ship from Liberia with sick passengers being allowed to dock in New Orleans to the near-disastrous handling of contaminated samples in Dallas, it is an absolute miracle that there was no major outbreak in the US. Will we get this lucky twice?
Should we be worried now?

At this point, we have no reason to be overly concerned if we are not in the DRC, however, it pays to be watchful and prepared. The last time around, it made it to the United States and it was nearly impossible to get supplies by the time it was diagnosed here.

From a preparedness point of view, if an outbreak occurs, social isolation is the number one way to prevent becoming ill. The death rate for someone who contracts Ebola is 50%. Ebola is the potential pandemic that really keeps me up at night. It’s scary stuff. This article explains how a localized outbreak can turn into a pandemic.

Smart people will check their supplies to be certain they’re prepared for the possibility of hunkering down for a couple of months or more, that they have personal protective equipment on hand. To learn more about preparing for a pandemic, read this article and get this book. Remember that when the official government warning goes out, it’s going to be too late to acquire the things you need.
 

ShadowMan

Designated Grumpy Old Fart
You folks do realize that is this a "practice run" for disease infiltration and global spread. It's not an IF scenario, but rather a WHEN!! IT's going to happen sooner or later one of these bugs is going to mutate into a super duper strain and then cut loose. So Here's hoping you have all your BIO-Hazard gear ready. Your isolation protocols established and you're paying attention to what's going on in all for corners of the globe.

If one of these potentially pandemic plagues breaks out it will take less than a week to circle the globe and only God knows how long to run its course and eventually burn out. That's just the reality of this threat....

Stock up now with the proper kit and be ready for all hell to break loose!
 

Publius

TB Fanatic
You folks do realize that is this a "practice run" for disease infiltration and global spread. It's not an IF scenario, but rather a WHEN!! IT's going to happen sooner or later one of these bugs is going to mutate into a super duper strain and then cut loose. So Here's hoping you have all your BIO-Hazard gear ready. Your isolation protocols established and you're paying attention to what's going on in all for corners of the globe.

If one of these potentially pandemic plagues breaks out it will take less than a week to circle the globe and only God knows how long to run its course and eventually burn out. That's just the reality of this threat....

Stock up now with the proper kit and be ready for all hell to break loose!



Many of the members here can hunker down and not leave their home for at lest 6 months and some for a year or more.
 

Texican

Live Free & Die Free.... God Freedom Country....
If not controlled in Africa cities (probably unlikely), this could become a pandemic that circles the globe....

Isolation is the best preventive....

Stay - get out of the cities if it makes it to America....

The American medical system can not handle a full blown or even minor ebola pandemic....

Once ebola is loose, if you have to go to a city wear masks, gloves, tyvek suits and carry disinfecting materials....

It will spread to first to the middle east, then to europe, then to india, china, russia and then to the Americas....

will be interesting....

Texican....
 

summerthyme

Administrator
_______________
Could be just the thing to close down everyone's borders. I expect the Europeans will be less inclined to allow migrant boats to land on Italian shores if the ships possibly carry Ebola.

Bleeding out of your eyeballs kinda takes the shine off all of that glorious diversity.

Yes, because it shut everything down, including not allowing anyone into the US from affected places the last time, right?

Granted, we have (thank GOD!) a different president this time, but there are still too many liberal activist Federal Judges in place who will rule that it's "not fair" to keep disease ridden people away from Americans... we ALL should have an equal opportunity to die horrifically, doncha know!!

Summerthyme
 

imaginative

keep your eye on the ball
Yes, because it shut everything down, including not allowing anyone into the US from affected places the last time, right?

Granted, we have (thank GOD!) a different president this time, but there are still too many liberal activist Federal Judges in place who will rule that it's "not fair" to keep disease ridden people away from Americans... we ALL should have an equal opportunity to die horrifically, doncha know!!

Summerthyme

obama-ebola.jpg
 
Yes, because it shut everything down, including not allowing anyone into the US from affected places the last time, right?

Granted, we have (thank GOD!) a different president this time, but there are still too many liberal activist Federal Judges in place who will rule that it's "not fair" to keep disease ridden people away from Americans... we ALL should have an equal opportunity to die horrifically, doncha know!!

Summerthyme

Could we insert a Muslim gene into it, pretty please?
 

dstraito

TB Fanatic
You folks do realize that is this a "practice run" for disease infiltration and global spread. It's not an IF scenario, but rather a WHEN!! IT's going to happen sooner or later one of these bugs is going to mutate into a super duper strain and then cut loose. So Here's hoping you have all your BIO-Hazard gear ready. Your isolation protocols established and you're paying attention to what's going on in all for corners of the globe.

If one of these potentially pandemic plagues breaks out it will take less than a week to circle the globe and only God knows how long to run its course and eventually burn out. That's just the reality of this threat....

Stock up now with the proper kit and be ready for all hell to break loose!

I am surprised there has not been a bio attack in the US before this. I'd start looking very carefully at arrivals
 

2Trish

Veteran Member
We've all talk about this before and it's just a reminder that all it takes is for one person to get on plane maybe in search of better medical attention or someone not even realizing they are contagious for this to spread this like wild fire.
 
Remember a sci-fi story, they could take DNA from a crime scene and craft a virus that would infect only that person, making them obviously and horribly sick, but not kill them. Spray it over the city and wait for the victim(perp) to show up in a hospital.
 

TxGal

Day by day
We just got back from Costco after getting new tires on the car. While waiting, we shopped and picked up a few needed items, nothing major, just killing time.

Like DoomerDoug, an Ebola pandemic is the one scenario that can keep me up at night. I can easily see this exploding into a major situation in the DRC and making its way here via an infected passenger on a flight. After reading this, I dearly wished we'd done a major stock up trip while there.
 

AlfaMan

Has No Life - Lives on TB
I remember a CDC graphic showing how a pandemic (at the time Avian flu) with an index case out of Africa could spread worldwide. Based on that algorithm they used, it took 113 days to become endemic worldwide. 113 days....

One mutation of Ebola into a more virulent strain and the world grinds to a halt. Population of the world goes back to medieval levels, or less. This time Ebola could really mutate (with the gene pool present in the larger cities) and make a mess of things.
 

Doomer Doug

TB Fanatic
I don't see the current strain of Ebola with its bodily fluid contact vector as a credible global pandemic disease. The airborne version of the Black Death bacteria from Madagascar is much more credible as a global pandemic causer. It is spread by sneezing and coughing.

Until Ebola mutates into an airborne spread vector, it is still difficult to catch. We don't wash corpses here in the USA, like they do in Africa. We don't come into close contact with blood, feces or other bodily fluids here in the USA. The Dallas cause confirms exactly how hard the Ebola virus really is to catch.

I think Ebola, if/when it starts to spread in Africa will devastate each country in appears in. Global air travel will be shut down when cases start happening in first world countries. Obama is gone. Trump is in charge. The economic damage from such a border closing will be significant, but I'm just not seeing Trump letting people fly into the USA from Africa once we start getting confirmed cases here in CONUS. The other thing is when/if we start to get cases of Ebola here in CONUS, the cases will be from black people mostly, and will, mostly, be concentrated in the third world cesspools many of our major cities have become.

And yeah, the bulk of the American people won't really give a $%%% if a bunch of people in Brooklyn, or Queens New York City start getting Ebola and dying.

My money is on Madagascar's Black Death bacteria.
 

L.A.B.

Goodness before greatness.
I recall talking with the other three members of the family at that time about the basic common sense protocols that would be required to avoid the last run of this disease if it should have happened to go wild and urban via air travel or other... Let’s just say that two of those three individuals, (under age 21 at the time), could not have endured the lack of social interfacing required to endure beyond an outbreak.

Of those three people, one was crying, the other locked in a deep denial frown, and mama was going PTSD attempting to sugar coat the potential severity in lieu of our modern medicine in CONUS. All the acting up while going through a discussion on basic protocols. Nothing more extreme than self isolation, unplugging from society for a 30 day heads up IF it hit our shores in great numbers within two weeks.
 
I recall talking with the other three members of the family at that time about the basic common sense protocols that would be required to avoid the last run of this disease if it should have happened to go wild and urban via air travel or other... Let’s just say that two of those three individuals, (under age 21 at the time), could not have endured the lack of social interfacing required to endure beyond an outbreak.

Of those three people, one was crying, the other locked in a deep denial frown, and mama was going PTSD attempting to sugar coat the potential severity in lieu of our modern medicine in CONUS. All the acting up while going through a discussion on basic protocols. Nothing more extreme than self isolation, unplugging from society for a 30 day heads up IF it hit our shores in great numbers within two weeks.

My wife is convinced that our superior modern medical system will overcome any type of pandemic, and people are so much smarter about cleanliness nowadays. We won’t have any drug shortages, (are we still short of saline?) there are plenty of ventilators to go around, and our unicorn herd is still shitting skittles and farting rainbows.
Fortunately, my SIL is a 40 year nurse.
 

Melodi

Disaster Cat
The problem with this disease is that if the last round is anything to do on; while not technically "airborne" like the flu - aka you can't just breath the same air as a patient and become ill; it is likely more contagious (or has morphed to be more contagious) than just having to get down and "dirty" cleaning up vomit and other body fluids from a patient without a level four hazmat suit.

That is because there is some evidence that we chatted about here last time that droplets from sneezing, coughing, projectile vomiting etc may stay in the air for certain periods of time and people who are unprotected and come near them (but not directly touching the body of the fluids) MAY be at risk for infection.

That combined with the cavalier attitude of the hospital in Texas that just "decided" that nurses didn't really need the expensive "hazmat suits" and even told the one nurse she was "cleared to travel" because they didn't want to admit the possibility (and legal liability) of admitting they hadn't required the proper suits (and if I recall correctly without looking it up, the CDC even played along at least for awhile) does not give me comfort that just trying to "quaratine people" from certain countries would prevent anything happening in the US or Europe.

Sure it will help and it should have been put in place much faster the last time, but policing every single person on every single flight, ferry and cargo ship is nearly impossible (ditto diplomats); usually it isn't the sick person boarding a plane direction from Africa that is the problem (because properly done that can be screened for) it is the person who may not even know they are exposed, who flies first to Italy, then to London and on to New York (perhaps on a diplomatic passport or perhaps they are a European or American contractor) that you can be the real danger.

In a severe emergency, shutting down all airlines as was done after 9/11 might work for a couple of days, but honestly, it is hard to see that happening unless things were already so bad it really didn't matter.

True border shutdowns are nearly impossible in this day and age; the germs can jump borders too, all it takes is one contact or sometimes even another host animal to do it
 

Doomer Doug

TB Fanatic
Ebola is spreading in the Congo, and the death rate is going up. I think the faith they are placing in an untried vaccine is dangerous. It shows how desperate the WHO really is.

The link is here.

https://apnews.com/c1c7913f8ff64763af551af62aeadd68

Congo to begin vaccinating against Ebola on Monday
By SALEH MWANAMILONGO
Today




KINSHASA, Congo (AP) — Congo will begin administering an experimental Ebola vaccine Monday in Mbandaka, the northwestern city of 1.2 million where the deadly disease has infected some residents, Congo’s health minister announced.

“The vaccination campaign begins tomorrow, Monday, in Mbandaka, capital of the province. It will target, first, the health staff, the contacts of the sick and the contacts of the contacts,” Minister of Health Oly Ilunga told The Associated Press Sunday.

The death toll of the current Ebola outbreak has risen to 26.

Initially, the campaign will target 600 people, mainly medical staff, contacts of suspected cases, and those who have been in contact with the contacts, said Ilunga. Officials are working urgently to prevent the disease from spreading beyond Mbandaka, which lies on the Congo River, a busy traffic corridor, and is an hour’s flight from the capital.

More than 4,000 doses are already in Congo and more are on the way, according to officials. The vaccine is still in the test stages, but it was effective in the West Africa outbreak a few years ago.

A major challenge will be keeping the vaccines cold in this vast, impoverished, tropical country where infrastructure is poor.

Four new cases have been confirmed as Ebola, said the health ministry in a statement released early Sunday. A total of 46 cases of hemorrhagic fever have been reported, including 21 confirmed cases of Ebola, 21 probable and four suspected.

Congo President Joseph Kabila and his Cabinet agreed Saturday to increase funds for the Ebola emergency to more than $4 million. The Cabinet also endorsed the decision to provide free health care in the affected areas and to provide special care to all Ebola victims and their relatives.

The spread of Ebola from a rural area to Mbandaka has raised alarm as Ebola can spread more quickly in urban centers. The fever can cause severe internal bleeding that is often fatal.

The risk of Ebola spreading within Congo is “very high” and the disease could also move into nine neighboring countries, the World Health Organization has warned. The WHO, however, stopped short of declaring the outbreak a global health emergency. WHO said there should not be restrictions to international travel or trade.

While Congo has contained several Ebola outbreaks in the past, all of them were based in remote rural areas. The virus has twice made it to Kinshasa, Congo’s capital of 10 million people, but was effectively contained.

The outbreak was declared more than a week ago in Congo’s remote northwest and its spread has some Congolese worried.

“Even if it’s not happening here yet, I have to reduce contact with people. May God protect us in any case,” Grace Ekofo, a 23-year-old student in Kinshasa, told AP.

Schools in Mbandaka are implementing preventive measures by instructing students not to greet each other by shaking hands or kissing, said teacher Jean Mopono, 53.

“We pray that this epidemic does not take place here,” Mopono said.

The WHO appears to be moving swiftly to contain this latest epidemic, experts said. The health organization was accused of bungling its response to the earlier West Africa outbreak —the biggest Ebola outbreak in history which resulted in more than 11,000 deaths.

There is “strong reason to believe this situation can be brought under control,” said Robert Steffen, who chaired the WHO expert meeting last week. But without a vigorous response, “the situation is likely to deteriorate significantly,” he said.

This is Congo’s ninth Ebola outbreak since 1976, when the disease was first identified. The virus is initially transmitted to people from wild animals, including bats and monkeys. It is spread via contact with bodily fluids of those infected.

There is no specific treatment for Ebola. Symptoms include fever, vomiting, diarrhea, muscle pain and at times internal and external bleeding. The virus can be fatal in up to 90 percent of cases, depending on the strain.

___

Follow Africa news at https://twitter.com/AP_Africa


https://apnews.com/c1c7913f8ff64763af551af62aeadd68
 
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