The Scotsman

Trial vaccine sent to Congo as new Ebola outbreak reaches city

- By SALEH MWANAMILON­GO

Congo’s Ebola outbreak has spread to a city, 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 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 Organisati­on reported. 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 Equate ur province in the north- east of the country. 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 suspectedE­bola 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 Organisati­on 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 Ad ha no mG hebr eyes us, 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 organisati­ons to stem the outbreak and treat Ebola patients in isolation wards. The vaccine, from USbased 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.

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