ebola outbreakthe deadly

Ebola Outbreak-The deadly Epidemic

By Saman Aftab

The Ebola outbreak in DRC is not getting the required traction from the world despite being categorized as the fastest growing infection so far recorded by the World Health Organization (WHO). Before diving deep into the threats posed by this disease, it is imperative to provide the readers with an overview of this viral infection.

An Overview of Ebola Outbreak

The Bundibugyo virus, one of the Orthoebolavirus species is responsible for causing severe Ebola disease known as Bundibugyo virus disease (BVD). It is a zoonotic disease, with fruit bats suspected to be the natural reservoir.  With the close contact of a human to the blood or secretions of infected wildlife (including bats or non-human primates), the human gets the infection. Consequently, the infection spreads from one human to other through direct contact with the blood, bodily secretions, and organs of the infected ones. The viral infection can also spread through close contact with the surfaces and materials contaminated with the bodily secretions of the infected individuals. Very similar to the Corona virus, the spread of this infection is particularly high in health-care settings having inadequate sterilization measures in place. Moreover, a direct contact with the infected deceased individuals during their burial can contribute to its spread as well.

Incubation period and Clinical symptoms

The incubation period for BVD ranges from 2 to 21 days, and infected individuals are not infectious until symptom onset. Fever, fatigue, muscle pain, headache, and sore throat may represent as the early symptoms of this disease. But the non-specific nature of these symptoms often makes the diagnosis difficult resulting in delayed detection. Without early detection, the symptoms of this disease aggravate leading to gastrointestinal symptoms and organ dysfunction. In some cases, haemorrhagic manifestations may also occur in the infected individuals.

Diagnosis and Treatment

In the absence of confirmatory tests such as Polymerase Chain Reaction (PCR) or antigen- or antibody-based assays in the laboratory, it becomes a challenge for the health care professionals to differentiate BVD from other endemic febrile illnesses such as malaria. Outbreak control depends on early detection, isolation and care, contact tracing, safe burials and strong community engagement. Since there are no approved vaccines or specific treatments available for BVD, the current mortality rate of 44% to 46% for this disease poses a great threat to the affected communities.

Current situation of Ebola outbreak

Ebola, which spreads through contact with bodily fluids and causes a hemorrhagic fever, has killed more than 15,000 people in Africa over the past 50 years. As per the reports of international media outlets, the Ebola outbreak in DR Congo has spread to sixth province as death toll passes 2,100 with 4665 confirmed Ebola cases. The World Health Organization has already warned about its pace- the Ebola epidemic, already the deadliest in the country’s history, is spreading faster than any previous Ebola outbreak. Until now, five Congolese provinces had recorded cases: Ituri, which borders Uganda and South Sudan, North Kivu and South Kivu, Haut-Uélé and Tshopo. The risk of cross-border spread of this infection primarily to Uganda and South Sudan is very high. To make things worse, the response to contain this virus in the DRC is hampered by stretched health services, insufficient clean water and safe toilets. Some of the provinces where Ebola is present are densely populated and have only a weak government presence and largely lacking health infrastructure. North Kivu and South Kivu are also split by the front lines between the Congolese army and the anti-government armed group M23, backed by Rwanda, which has seized vast swathes of territory. This makes the conflict-ridden territory extremely prone to viral spread.

Should we be worried?

According to WHO official statement, the organization hopes to reverse the spread of this deadly virus in DRC within a span of three months with proper medical intervention. However, the pace with which it is spreading within DRC and bordering areas, it is quintessential to take some preventive measures. Since the globalization of the world was primarily responsible for Covid-19 pandemic, it is essential to have preparedness in advance. The healthcare authorities should establish proper communication channel with their counterparts in DRC to have real time data in hand. Similarly, a stock of screening kits should be maintained in the repository.

In our airports and seaports, no preventive measures are in place for the screening of any such disease. To put things into perspective, our agencies working in the airports handle body search of persons and their belongings with no protective gears. They do not even wear any mask while dealing with international flights. Most of the time, those passengers who present with clinical symptoms of disease like coughing, flu or fever tend to wear no mask. This puts the fellow passengers and the airport authorities at risk of many diseases. Therefore, the government should take proper measures in this regard. The seaport and airport personnel should be trained to wear masks and protective gear while handling the flights coming from DRC directly or indirectly. Proper screening booths should be installed having health care professionals equipped with medical kits and personal protective gear. There should be proper sanitization within the airports and seaports vicinities. All these measures will put us in a better position to prevent many contagious diseases beforehand. Prevention should be the top most priority of our health care system only then we can envisage a healthy future. In the end, let us hope the viral infection in DRC subsides before getting out of control.

 

 

 

 

 

 

 

 

 

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Hakan Fidan compares mutual-defence provision with NATO Article 5 The most significant international description of the agreement’s collective-defence provision has come from Turkish Foreign Minister Hakan Fidan. Fidan said the provision is technically comparable to NATO’s Article 5, under which an attack against one member is treated as an attack against all. The comparison does not mean that the Makkah framework has NATO’s integrated command structure or institutional architecture. The practical response to any attack would be determined according to the circumstances. Fidan said a ministerial committee would be established and a general secretariat based in Saudi Arabia would oversee the framework, with further operational details to be developed. He also indicated that Türkiye wants the framework to expand, identifying Egypt as a potential future member. The prospect of expansion is potentially significant because it could transform a trilateral arrangement into a wider regional security mechanism. OIC welcomes agreement as an ‘important strategic step’ The Organisation of Islamic Cooperation has welcomed the agreement, with Secretary General Hissein Brahim Taha expressing strong support and describing the pact as an “important strategic step” reflecting the commitment of Pakistan, Saudi Arabia and Türkiye to strengthening cooperation. The OIC response gives the agreement significance beyond the three signatories and places it within the wider context of cooperation among Muslim-majority countries. The development comes at a time when several regional states are reassessing existing security arrangements and seeking greater strategic autonomy. Saudi Arabia: strengthening security without abandoning existing partnerships Riyadh has emphasised that the new defence framework does not replace its existing security arrangements. Saudi Deputy Minister for Public Diplomacy Rayed Krimly said the agreement does not supersede or replace existing bilateral or multilateral agreements involving the three countries. The position reflects Saudi Arabia’s broader foreign-policy strategy of strategic diversification. The Kingdom continues to maintain a major relationship with the United States while simultaneously deepening strategic, economic and defence ties with Türkiye, Pakistan, China and other powers. The Makkah pact therefore appears less a replacement for existing alliances than an additional layer of regional deterrence. Chatham House: Türkiye pursuing strategic ‘hedging’ The Makkah agreement has also given renewed significance to earlier analysis by Chatham House. Tim Chattell of the International Security Programme at Chatham House examined the prospect of a Turkish strategic arrangement with Saudi Arabia and Pakistan before the trilateral agreement was signed. He argued that such cooperation formed part of Ankara’s wider strategy of “hedging” — developing alternative strategic partnerships while retaining its NATO commitments. Chattell also identified potential synergy between the three countries, particularly because Türkiye and Pakistan possess complementary defence capabilities while Saudi Arabia has significant financial resources that could support defence cooperation and industrial development. What had previously been examined as an emerging strategic alignment has now become a formal defence commitment. Atlantic Council: a ‘double deterrence tool’ The Atlantic Council has also examined the evolving Saudi-Pakistan security relationship. Analyst Eleonora Ardemagni described the Saudi-Pakistan defence pact as a “double deterrence tool”, arguing that the relationship reflected both immediate security concerns and Saudi Arabia’s longer-term drive towards greater defence autonomy. Her analysis highlighted military training, capacity building, defence-industry cooperation, technology transfer and potential co-production as important elements of the emerging partnership. The inclusion of Türkiye adds another major military and defence-industrial dimension to that relationship. A strategic triangle of complementary power The significance of the Makkah pact lies partly in the capabilities each country brings to the partnership. Saudi Arabia contributes enormous economic and energy influence, strategic geography and financial resources. Türkiye contributes a major conventional military, NATO experience and an increasingly sophisticated indigenous defence industry. Pakistan contributes one of the region’s largest and most experienced armed forces, longstanding military cooperation with Saudi Arabia and Türkiye, and a nuclear deterrent. The three-way combination therefore creates a strategic partnership in which each member contributes capabilities that complement

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