Wednesday, 3 December 2014

EBOLA VIRUS DISEASE

1.It is an animal borne virus disease of humans and other mammals caused by Ebola viruses and starts sign and symptoms starts between 2 days to 3 weeks after contacting the virus and characterized by fever,sore throat,muscle pain and head ache,followed by vomiting,diarrhea,and rash and usually with decreased function of liver and kidneys.At the same time some one may start bleeding internally or externally.Most of cases have a high risk of deaths from 20% to 90% of infected with Ebola.This is due to hypo tension/low blood pressure due to fluid loss and follows from 6 to 16 days after the symptoms appear.

2.The name of Ebola originates from the river Ebola in the Congo and the first time the disease was appeared in 1976,and the patient was a school teacher who was touring along the Ebola river.Just few days before he was identified with what became known as the Ebola virus.This was the beginning of a virus which has an average rate of mortality of 83 percent.Up to 2013 WHO recorded a total of 2000 Ebola cases in 24 out breaks,all of them in Africa,thus may be known as home of Ebola viral disease.It also says known as a green monkey fever, hemorrhagic fever.which is extremely unpleasant disease,almost fatal and for which there is no vaccine or specific/licensed treatment.

3.Ebola put breaks commonly occur in central and west Africa,it was first seen about 4 decades ago,during out breaks occurred in Sudan,Nzara and yambukku in  democratic republic of Congo.It also occurred in countries out side Africa,including Philippine and one case of human Ebola virus was recovered in united kingdom,In 1989,1990 and 1996 the virus was detected in mammals in the Philippines in monkeys all over the globe,leading to 3 cases viral infection among humans,and in the same 3 years monkeys introduced virus in USA causing 4 cases of human infection.

4.Ebola infects human beings through close contact with the body fluids and secretions of infected animals or humans.According to world health organisation,fruit Bats are the most common host of virus,causing to other animals infected with virus are non human mammals,like monkey,forest anti lops.It is also noticed that large Ebola out breaks occur often in west and central Africa due to hunting and eating meat from wild animals always infected with virus by local people.People can directly also infected via exposure to objects or areas that have been contaminated with body fluids of infected,like used syringe needles or improperly sterilized medical equipment used during an out break.Even those who have recovered from disease can still pass the virus,as per WHO there have been cases where men have been cured from the  EVD can still pass virus through their semen up to 7 weeks as temporary carriers.There is no cure yet to combat medicine/vaccine Ebola virus disease.In the past out breaks Evd killed around 25% to 90% of number in infected persons.

5.Symptoms of Ebola virus disease are difficult to diagnose as those are like malaria,typhoid fever,cholera and other viral hemorrhagic fevers.Timely treatment of Ebola is a challenge due to difficulty to diagnose.The early stages of disease/infection says several laboratory tests are required to find out Ebola virus and acquiring these samples for these tests is hazardous and to be conducted under maximum precautions to avoid get infection to health work providers.During the recent out breaks in 2014,Dr.Oman khan who was the in charge of the main Ebola treatment in Kenena sierra
was infected with virus and died of disease.

6.Prevention.If an animal is suspected to be infected by the virus,the best and first method is to quarantine that entire group of animals.The infected animal must be slaughtered and its body should be destroyed/burred deeply with 5% cresol solution.Persons with infected virus should be quarantined.Health workers and family must wear protective clothing when they visit patient. Continuous use of infection control measures in the health care centers and other areas where the patient is kept.Same measures are to be taken at air port.Proper investigation of the passengers ,especially coming from African countries.All passengers travelling to other countries via airways from Ebola affected countries must fill a check list health form. Travelers address records will be maintained so as to track them easily if any symptoms are detected.Compulsory self reporting by passengers at the immigration check.Air port officials customs and immigration sections must keep tight monitoring.Help desks are set up at air ports and ports to deal with travelers showing any potential Ebola symptoms.Immediate action to be taken after detection.Air port authorities are in touch with doctors.There are 2-3 reports of Indian passengers coming from the affected countries carrying the virus infection with them but,in the proper screening reported negative results.

Let us ourselves take precautions like maintaining a high degree of hygiene,sanitation and cleanliness all the time,visiting the doctor if we detect any symptoms and increasing awareness among the people about the disease

pm kutty.

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