USA TODAY US Edition

Hand-washing enforced amid Ebola

- Doug Stanglin

Congolese authoritie­s said Thursday that soldiers and police will begin enforcing hand-washing and fever checks after the World Health Organizati­on declared a global health emergency over the long-simmering Ebola outbreak in the Democratic Republic of Congo.

Dr. Aruna Abedi, coordinato­r of the outbreak response at Congo’s health ministry, said soldiers and police will “force” people to take the key steps to help contain the disease that has killed more than 1,600 people since August.

“It’s not possible that someone refuses to wash their hands and have their temperatur­e checked at a very critical moment in this outbreak,” Abedi told reporters in Goma, the city of more than 2 million where a first Ebola case was announced this week. The major regional crossroads is on the Rwanda border and has an internatio­nal airport.

The Ebola outbreak is the seconddead­liest in history, WHO said. More than 30 new cases are being reported each month in northeast Congo, which is largely a regional war zone.

The epicenter is the city of Beni,

where 46% of all new cases have been reported in the past three weeks, according to the WHO emergency committee. It was the fourth meeting of the committee since the outbreak was declared on Aug. 1, 2018.

The committee reported 2,512 confirmed or probable current cases, including 136 health workers affected, and 40 deaths.

This is the fifth global emergency declaratio­n in history. Emergencie­s also were declared for the devastatin­g 2014-16 Ebola outbreak in West Africa that killed more than 11,000 people, the emergence of Zika in the Americas, the swine flu pandemic and polio.

Ebola is a highly contagious virus that spreads through direct contact with body fluids. It kills about 50% of those infected, many of them by bleeding internally and externally. There is no cure or specific treatment approved for market, although some vaccines have showed promise.

The pastor who brought Ebola to Goma used several fake names to conceal his identity on his way to the city, Congolese officials said. WHO said that the man had died and that health workers were trying to track down dozens of his contacts, including those who had traveled on the same bus.

WHO’s emergency committee said the challenges in combating the outbreak included gaining community acceptance of the threat. It warned against wholesale shutdown of border crossings that it said could cause economic distress and stifle cooperatio­n.

Dr. Joanne Liu, president of Doctors Without Borders, said she hoped the emergency designatio­n would prompt a radical reset of Ebola response.

“The reality check is that a year into the epidemic, it’s still not under control,” she said. “We cannot keep doing the same thing and expect different results.”

 ?? JEROME DELAY/AP ?? A nurse vaccinates a child against Ebola last week in Beni, Democratic Republic of Congo.
JEROME DELAY/AP A nurse vaccinates a child against Ebola last week in Beni, Democratic Republic of Congo.

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