Ebola outbreak in West Africa out of control - Doctors without Borders

The Ebola virus epidemic in Guinea, Sierra Leone and Liberia is "out of control," the medical charity Doctors without Borders said Monday as the World Health Organization works to enhance its response.


According to CBC, There have been 350 deaths since the epidemic began in Guinea’s capital, Conakry, according to the WHO. The outbreak began in early December 2013 in Guinea, the European Centres for Disease Control and Prevention says. It is the deadliest outbreak since Ebola first emerged in 1976.

"The epidemic is out of control," said Bart Janssens, director of operations with Doctors without Borders. "With the appearance of new sites in Guinea, Sierra Leone and Liberia, there is a real risk of it spreading to other areas."

In terms of number of cases and deaths, this is the biggest outbreak of Ebola, said Marc Poncine, emergency co-ordinator for Doctors without Borders in Conakry. Poncine has also been at the centre of the epidemic in a rainforest region on the border of Sierra Leone and Liberia.

The epidemic is also unprecedented in its geographical distribution, the aid agency said.
Poncine said several factors are complicating efforts to control the current outbreak:
  • Part of the population doesn’t believe that Ebola exists as a contagious illness caused by a virus, so patients aren’t coming to treatment centres.
  • People have more confidence in traditional practitioners than the health system, which means health officials have trouble stopping the spread of the virus.
  • The highest risk of infection occurs when a person dies. At funerals, people prepare the corpse and mourners also touch the body, which increases the risk of contamination.
"We are very stretched, that’s for sure," said Poncine. "Patients can be cured."

Dr. Tim Jagatic of Windsor, Ont., is a general practitioner and volunteer with Doctors without Borders who was in Conakry from the end of March to mid-April, when he helped to treat the first small wave of patients.

"We were seeing good outcomes with these patients; there is a 90 per cent mortality attached with the Ebola virus, the Zaire strain, and in my personal experience we were seeing about a 50 per cent mortality rate," Jagatic said.

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