Race to contain disease

Kinshasa preparing defences as Ebola spreads towards bustling port city in Congo.

KINSHASA: Congo’s fight to rein in a deadly Ebola outbreak has authorities crossing the border to buy up available thermometers, a World Health Organization official said as the health ministry announced that confirmed cases had reached 31, including nine deaths.

The spread of the often lethal hemorrhagic fever to a provincial capital of 1.2 million people has health officials scrambling to monitor for Ebola at busy ports in the capital, Kinshasa, which is downstream from the infected city of Mbandaka on the Congo River.

Mbandaka is one of three health zones with confirmed Ebola cases, complicating efforts to find and monitor hundreds of people who have been in contact with those infected.

Two of the zones are rural and remote, with few roads or other infrastructure.

In Kinshasa, travellers streamed off boats at ports on the Congo River and ran a gauntlet of health officials watching for signs of infection.

“We want to ensure that ports and airports are effectively protected,” WHO’s Congo representative Allarangar Yakouide said.

“We have already taken all the thermometers that are in Kinshasa and there are even colleagues who are going to Brazzaville to buy more.”

The Republic of Congo’s capital is across the river from Kinshasa, a city of 10 million.

A wave of panic briefly hit Kinshasa on Wednesday after rumours spread that an Ebola case had been admitted to the Kinshasa General Hospital.

Yakouide denied it, saying no cases had been confirmed in the capital and warned against spreading false reports which “could create panic and undermine the effectiveness of the response to the Ebola outbreak”.

As of Thursday, Congo’s health ministry reported 31 confirmed Ebola cases, 13 probable cases and eight suspected cases.

It said suspected and probable cases are removed from the totals if the tests come back negative, explaining the fluctuating figures.

This is Congo’s ninth Ebola outbreak since 1976, when the disease was first identified. The virus has twice made it to Kinshasa but was effectively contained.

Some residents of the capital expressed confidence that the outbreak would not reach their city from the rural villages or Mbandaka, which is an hour’s flight from Kinshasa but several days’ journey by barge.

“The doctors have already gone down to the site to see what’s going on, so how is this disease going to happen here in Kinshasa?” asked Georgette Boluka, a market vendor at one of Kinshasa’s ports.

Concerns remained, however, after the aid group Medecins Sans Frontieres (MSF) said two infected patients who fled from a treatment centre in Mbandaka later died on Wednesday.

“Forced hospitalisation is not the solution to this epidemic” and instead more community engagement is needed to prevent the virus’ spread, said MSF’s emergency coordinator, Henry Gray.

The WHO emergencies chief, Dr Peter Salama, warned that “the next few weeks will really tell if this outbreak is going to expand to urban areas or if we’re going to be able to keep it under control”. — AP

I assure you, we have already taken all the thermometers that are in Kinshasa. Allarangar Yakouide