FrontPageAfrica (Monrovia)

1 April 2014

West Africa: Ebola Border Threats - Senegal Shuts Down, Will Others Follow?

In West Africa, the Ebola virus has been deadly, killing at least 110 people. The World Health Organization says the current outbreak is among the ... ( Resource: West Africa's Ebola Outbreak Most Challenging Ever

Monrovia — The decision by Senegal to shut down its borders with Guinea on Saturday in a bid to try to prevent the spread of the Ebola virus is raising concerns in other West African nations that the crisis could push others to follow suit.

Although Guinea has taken exception to the move by Senegal, some health experts are not ruling out the move as a key step to curtailing the spread of the disease. A spokesman for the Guinean government said it had not received any official notification of Senegal's decision and that the extent of the epidemic is being exaggerated and only 19 cases of Ebola have officially been confirmed by laboratory tests. We've taken strict measures to stop this epidemic and there is no reason to panic," Damantang Albert Camara told Reuters.

Guinean authorities say the disease is suspected of killing 70 people in what would be the deadliest outbreak in seven years. The discovery of 11 people suspected to have died of Ebola in Sierra Leone and Liberia in recent days has stirred concern that one of the most lethal infectious diseases known to man could spread in a poor corner of West Africa, where health systems are ill-equipped to cope. Liberia has confirmed two patients have tested positive for the deadly Ebola virus, which is already believed to have killed at least 70 people in neighboring Guinea.

The decision by Senegal was followed by confirmation from Liberia Sunday that two tests sent to France for examination have confirmed the existence of the virus in Liberia. Dr. Walter Gwenigale, Minister of Health confirmed to FrontPageAfrica Sunday that one patient was married to a Guinean man and had returned ill from a recent trip there. She died in Lofa County. The second patient is the sister of the dead woman. Gwenigale said the woman is alive and has been isolated in a medical centre outside of Monrovia, declining to give further details "because we don't want to cause panic".

Last week, health authorities in Guinea confirmed that dozens of victims of hemorrhagic fever in the country's southern region had tested positive for Ebola. Cases have also been confirmed in the capital, Conakry. Senegal's Interior Ministry said it had closed the land border with Guinea in the southern region of Kolda and the southeastern region of Kedougou. "The governors of these regions have taken all the necessary steps to implement this decision," it said in a statement published by the official APS state news agency.

A spokesman for Guinea's government said it had not received any official notification of Senegal's decision. The extent of the epidemic is being exaggerated and only 19 cases of Ebola have officially been confirmed by laboratory tests, he added. "We've taken strict measures to stop this epidemic and there is no reason to panic," Damantang Albert Camara told Reuters.

Senegal announced on Friday it would introduce sanitary checks on flights between Dakar and the Guinean capital Conakry, where eight cases of Ebola have been confirmed, including one death. West African foreign ministers said at a conference in Ivory Coast this week the Ebola outbreak posed a "threat to regional security". If the 70 deaths to date are all confirmed as Ebola, it would be the most deadly epidemic since 187 people died in Luebo, in Congo's Kasai Orientale province, in 2007.

"STRICT HYGIENE MEASURES"

The vast majority of the cases in Guinea has been detected in the country's remote southeast, near the border with Sierra Leone and Liberia. It took authorities nearly six weeks to identify it as Ebola, allowing the virus to spread.

The arrival of the disease this week in the capital Conakry, where hundreds of thousands of people live tightly packed in rambling shanties, marked a sharp increase in the population at risk compared with the sparsely populated villages of the forested interior. Sakoba Keita, head of the prevention division of Guinea's Health Ministry, said there was no cause for alarm in Conakry as the spread of Ebola could be tackled by simple sanitary steps such as regular hand washing and the quarantine of victims.

"There have been delays in applying certain measures in our health system," Keita told a news conference, noting six medical staff were among those killed by the disease. "From today, strict hygiene measures will be observed in our hospitals."

There is no vaccine and no known cure for Ebola, which initially induces fever, headaches, muscle pain and weakness. In its most acute phase, Ebola causes vomiting, diarrhea and external bleeding that carry the virus outside victims' bodies and threaten to infect anyone who touches them.

Ebola has killed more than 1,500 people since it was first recorded in 1976 in what is now the Democratic Republic of Congo, but this is the first fatal outbreak in West Africa. Guinea is deploying a mobile laboratory to the southern region of Gueckedou to speed up identification of the disease and to test samples from Sierra Leone and Liberia.

No treatment or vaccine is available for Ebola, a highly infectious and virulent disease which can cause uncontrollable bleeding. The Zaire strain detected in Guinea, first recorded 38 years ago in what is now the Democratic Republic of Congo, has a 90 percent death rate. It can be transmitted to humans from wild animals, and between humans through direct contact with blood, bodily fluids or the unprotected handling of contaminated corpses.

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