Ebolavirus outbreak
Ebola outbreak 2026Viral haemorrhagic fever
30 known viruses
All RNA viruses
All zoonoses
All damage the microvasculature
Current outbreak, 30 - 50% infection mortality rate
Can kill anyone, including young healthy adults
? Less children infected
Where
https://africacdc.org/news-item/africa-cdc-calls-for-urgent-regional-coordination-meeting-following-ebola-virus-disease-outbreak-in-ituri-province-drc/
Spreading in densely populated urban areas
Central Africa, mostly Democratic Republic of Congo and now into Uganda.
Land border transmission risk, Travelers from DRC
Healthcare-associated transmission, (4 so far)
Insecurity and humanitarian challenges, healthcare facilities attacked
Lack of healthcare, lack of tests
Hundreds of suspected cases, (500+)
About 120 suspected deaths
Many more potentially
Could run for months or years.
When
First identified 1976
2014 to 2016, 28,610 cases, 11,308 deaths
17th outbreak in DRC
17th May 2026 (WHO)
https://www.ecdc.europa.eu/en/news-events/who-declares-ebola-outbreak-democratic-republic-congo-public-health-emergency?utm_source=chatgpt.com
Declared a Public Health Emergency of International Concern.
First case probably 24 April.
https://www.telegraph.co.uk/world-news/2026/05/19/how-world-failed-to-stop-deadliest-ebola-strain/
What
Not the classic Zaire strain of Ebola
Bundibugyo ebolavirus strain
Previously relatively rare
No licensed vaccines
No proven targeted antiviral treatments
How
Zoonotic spillover (only endemic in Africa)
Direct contact with the bodily fluids, contaminated materials/surfaces, dead bodies
Funerals, super-spreader events.
Lack of PPE HAIs
Virus found in tissues, body fluids, in salvia (100% of cases), on the skin
Prevention
Stop bush meat
Early detection, prompt isolation and care, contact tracing, infection prevention and control, community engagement, safe burials.
Incubation period
https://emedicine.medscape.com/article/216288-overview?_gl=1*i6h1oa*_gcl_au*MTEzODcyNjM2MS4xNzcyMDM2Mjg2LjE1MzE2ODQyMzAuMTc3OTA5MDg3Mi4xNzc5MDkwODg3
3 to 8 days, longer in secondary cases (up to 3 weeks)
Onset of clinical symptoms is sudden
First
Severe headache (50-74%)
Arthralgias or myalgias (50-79%)
Fever with or without chills (95%)
Anorexia (45%)
Asthenia, (profound lack of strength / energy (85-95%)
Then
Gastrointestinal symptoms and abdominal pain (65%)
GI bleeds
Nausea and vomiting (68-73%)
Diarrhea (85%)
Mucous membrane involvement, conjunctivitis (45%)
Swallowing difficulties (57%)
Bleeding from mucous membranes and puncture sites (40-50%)
Rash, (15%)
Eventually
Tachypnoea, hypotension, shock, anuria, and coma
Survivors
Earlier antibody production,
Stronger T-cell responses
Lower viral loads than fatal cases.
Some fatal cases show measurable antibodies before death, while others show very weak or absent antibody responses.
Recovery often requires months
Management
Supportive
Nutrition
Hydration IVIs, electrolytes
Haemodynamic support
Oxygen support
Treatment of secondary infections.
Risk to Europe and the
ECDC / CDC continues to monitor this outbreak
Imported cases remain possible
Surveillance is important
Rapid identification and isolation essential
Delayed detection is a risk Receive SMS online on sms24.me
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