San Francisco Chronicle

Ebola spreads to major city; vaccines a concern

- By Carley Petesch and Cara Anna

DAKAR, Senegal— The second-largest Ebola outbreak in history has spread to a major city in eastern Congo, as health experts worry whether the stock of an experiment­al vaccine will stand up to the demands of an epidemic with no end in sight.

Butembo, with more than 1 million residents, is now reporting cases of the deadly hemorrhagi­c fever. That complicate­s Ebola containmen­t work already challenged by rebel attacks elsewhere that have made tracking the virus almost impossible in some isolated villages.

“We are very concerned by the epidemiolo­gical situation in the Butembo area,” said John Johnson, project coordinato­r with Doctors Without Borders in the city. New cases are increasing quickly in the eastern suburbs and outlying, isolated districts, the medical charity said.

The outbreak declared on Aug. 1 is now second only to the devastatin­g West Africa outbreak that killed more than 11,300 people a few years ago. There are currently 471 Ebola cases, of which 423 are confirmed, including 225 confirmed deaths, Congo’s health ministry said late Thursday.

Without the teams that have vaccinated more than 41,000 people so far, this outbreak could have already seen more than 10,000 Ebola cases, the health ministry said .

This is by far the largest deployment of the promising but still experiment­al Ebola vaccine, which is owned by Merck. The company keeps a stockpile of 300,000 doses, and preparing them takes months.

“We are extremely concerned about the size of the vaccine stockpile,” WHO’s emergencie­s director, Dr. Peter Salama, told the STAT media outlet in an interview this week, saying 300,000 doses is not sufficient as urban Ebola outbreaks become more common. Carley Petesch and Cara Anna are Associated Press writers.

 ?? John Wessels / AFP / Getty Images ?? Health workers treat an unconfirme­d Ebola patient in Butembo, a city with more than 1 million people.
John Wessels / AFP / Getty Images Health workers treat an unconfirme­d Ebola patient in Butembo, a city with more than 1 million people.

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