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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The first one being observed every year on October 27 is to continue marking their protest and agitation against illegal and forcible occupation of their territory by India on this day in 1947 after its last Dogra ruler Maharaja Hari Singh, one of as many as 565 princely states, had an Instrument of Accession signed in Delhi, had opted to join India in accordance with the provisions of the Sub-Continent Partition Plan against the wishes and aspirations of the valley residents. Following this ugliest development, India had airlifted its security forces into the occupied territory. Since August 05, 2019, India has accelerated its efforts for consolidating its control over its Illegally Occupied Jammu and Kashmir (IIOJK) through a series of political, legal, and administrative measures. The Indian Government was also making attempts, which are a great source of concern for everybody, to engineer demographic changes in its occupied territory through the issuance of forged domicile certificates to non-Kashmiris, mainly Hindus, changing the land ownership laws, and electoral delimitation measures which were designed to arbitrarily alter the region’s demographic and political landscape. There were reports that in pursuance of Indian PM Narendra Modi’s devilish intentions of promoting Hindutva more than 350,000 fake and forged domicile certificates have been issued to non-Kashmiris (Hindus) enabling them to settle in the occupying territory since August 05, 2029. These measures, quite obviously, were a crude attempt to dilute the identity of the indigenous Kashmiri population, undermining their political representation, and creating irreversible changes to the disputed territory in flagrant violation of all international laws and the Fourth Geneva Convention. The years following August 5, 2019, have also witnessed a worsening and quite alarming human rights situation in IIOJK. Reports of arbitrary detentions, extrajudicial killings, enforced disappearances, custodial torture, women’s rapes, restrictions on freedom of expression and peaceful assembly, and systematic curbs on media freedom continue to surface and emerge frequently. Observance of another Youm-e-Istehsal on August 05, 2026 as such is not only a painful and tragic commemoration of August 05, 2019 events but also a reminder of the ongoing challenges being faced by the Kashmiris but will also highlight the urgent and dire need for the international community to take cognizance of the situation in IIOJK and exert pressure on India to respect international law and human rights and firmly support the efforts aiming at achieving a just and peaceful resolution of the Jammu and Kashmir dispute. Observance of the Youm-e-Istehsal by the government and the people of Pakistan is also a renewed commitment of Pakistan to continue extending political, diplomatic and moral support to the Kashmiris until they are enabled to exercise their inalienable right of self-determination in accordance with the UN Security Council resolutions. Kashmiris all over the world earnestly believe that their observance of the darkest days on August 5 and October 27 besides other protests and rallies in occupied territory and elsewhere will sooner or later awake the sleeping conscience of the international community and they will be getting their birth right of self-determination in accordance with UN Security Council resolutions and they will be free to either stay with India or join Pakistan. They are hopeful that this will happen but are unable to say surely as to when this is going to happen.

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