Cayman Prepares for Ebola
- The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission. The first Ebola virus disease (EVD) outbreaks occurred in remote villages in Central Africa in the 1970s, near tropical rainforests, but the most recent outbreak in West Africa has involved major urban as well as rural areas.
- The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks.
- Early supportive care with rehydration and symptomatic treatment improves survival rates.
- There is as yet no licensed treatment proven to neutralise the virus but a range of blood, immunological and drug therapies are under development.
- There are currently no licensed Ebola vaccines but two potential candidates are undergoing evaluation.
- The incubation period, which is, the time interval from infection with the virus to onset of symptoms is 2 to 21 days.
- Humans are not infectious until they develop symptoms.
- First symptoms are the sudden onset of fever fatigue, muscle pain, headache and sore throat. This is followed by vomiting, diarrhoea, rash, symptoms of impaired kidney and liver function, and in some cases, both internal and external bleeding (e.g. oozing from the gums, blood in the stools). Laboratory findings include low white blood cell and platelet counts and elevated liver enzymes.
Published October 19, 2014
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