Thursday 30 October 2014

The Ebola Outbreak

Hello! It's been a while since my last post due the business of my summer, however, I'm hoping to turn over a new leaf and achieve some semblance of the ability to manage my time better and start posting more frequently. I'm aiming for my posts to go back to considering the background of occurring events or developments on the news so to hopefully gather better understanding and knowledge on a variety of day-to-day topics. There has certainly been a foray of possibilities: from the actions of extremists, the Ebola epidemic to the Israeli-Palestinian conflict in the international community and UK news from the rise of Ukip, Tory defections and its attempts to knuckle down on immigration and tackle it (no doubt its surge towards the far-right is for the good of Britain and not for the hope of increasing popularity), to drug use laws. The news, usually remarking on death, disease, terrorism, protesters, failing governments, is never the most cheery of outlets, and certainly can't be taken in without some critique, however, it is still appealing for those interested and wanting to know and understand what is going on in our crazy world. And for my posts, there are endless possibilities in store.

Moving to one of the 'cheerless' topics, the Ebola outbreak is an important one to consider. My post today briefly describes it, the disease's symptoms and what you can do to help if you're feeling charitable. This has been a terrible outbreak and its consequences severe; with its fatality rate of 60-70%, it has been extremely dangerous for those in the countries of West Africa where the outbreak has occured. It is, of course, important to realize that this has started almost a year ago and, while I do not wish to be the cynic, the media seemed to have only picked up on this issue recently once the virus had spread to a few aid workers from outside of West Africa. Whether this is due to race, to aid awareness of the very unlikely possibility of a pandemic crisis, or because people getting infected with Ebola outside of West Africa make for good, panic headlines, I cannot be sure. Regardless, this is a serious, ongoing issue, and the effects have been devastating on those who have been made victims to the virus.

The reason that the current Ebola outbreak has been making headlines is due to the recent imported cases and two locally acquired cases in healthcare workers reported in the United States. Secondary infections of medical workers have also occurred in Spain and one case identified in Mali.  However, this outbreak has been going on for almost a year in West African countries that have had a reported case fatality rate of about 71 percent. It began in Guinea in December 2013 and spread to Liberia and Sierra Leone, with a small outbreak additionally in Nigeria and one case occurred in Senegal. Now the largest epidemic in history, the World Health Organization reported that there have been a total of 12,008 suspected cases and 5,078 deaths, however, this is believed to understated figures. WHO have also warned that could be as many as 10,000 new cases every week by December 2014. Most recently, The Democratic Republic of the Congo (DRC) has now reported cases of Ebola; however, these cases are not related to the ongoing outbreak of Ebola in West Africa.

At the moment, Ebola is considered a viral disease that has yet to have any licensed treatments or vaccines. When a person is infected with the Ebola virus, their developing symptoms will include: fever, headache, joint and muscle pain, sore throat and intense muscle weakness. These symptoms would be followed by vomiting, diarrhoea, a rash and bleeding both internal and external which can be seen in the gums, eyes, nose and in stool. Patients tend to die from dehydration and multiple organ failure. These symptoms will occur suddenly between two and twenty-one days after becoming infected. It is absolutely necessary that any one experiencing these symptoms within twenty-one days of coming back from Guinea, Liberia or Sierra Leone should stay at home and telephone 111 or 999 and explain your circumstances so necessary arrangements can take place to determine the cause of the illness.  This is followed by vomiting, diarrhoea, a rash and bleeding - both internal and external - which can be seen in the gums, eyes, nose and in the stools.

When people begin to experience the symptoms, it is then that they become infectious to others. People become infected with the Ebola virus when they come into contact with the blood, body fluids or organs of an infected person. The majority of people that are infected are when giving care to other infected people, either by directly touching the patient’s body or by cleaning up body fluids (stools, urine or vomit) that carry infectious blood. Consequently, hospital workers, laboratory workers and family members are at greatest risk.

While there is currently no licensed treatment or vaccine for Ebola virus disease, there are potential new vaccines and drug therapies are being developed and tested. Patients at the moment infected with Ebola are placed in isolation where their blood oxygen levels and blood pressure are maintained at the right level and their body organs supported. ZMapp is an experimental treatment that can be tried; a product that is a combination of three different antibodies that bind to the protein of the Ebola virus. However, it has not yet been tested in humans for safety or effectiveness. 

One of the ways that you can help with the prevention of the spread of the deadly vis currently devastating the lives of people in West Africa, donate to the Ebola Crisis Appeal at Act!onaid whose teams are currently helping 271,000 people fight the disease which can pay for cleaning and disinfectant materials for families, buy personal protective equipment for volunteers and training the community on how to keep themselves safe and stop the spread of Ebola. Donations to help raise funds of these materials can also be made at Red Cross, International Medical Corps UK, Christian Aid and many more charities tackling the outbreak and contain it.  

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