Monday, August 25, 2014

A Tale of Two Africas

As West African countries try to battle Ebola, countries such as Uganda provide a model for improved detection and prevention

By Betsy McKay, Nicholas Bariyo and Drew Hinshaw

The Wall Street Journal - Aug. 22, 2014

In 2000, the deadly Ebola virus struck Uganda. And like the current outbreak in West Africa, now the largest in history, Uganda was completely unprepared.  Combating it in a remote northern district under siege from a rebel insurgency, Ugandan health authorities failed to stem an initial outbreak. Frightened residents—many displaced by militants and living in congested camps—hid their ill relatives, infecting themselves as they wiped away the sweat and blood of the sick or as they prepared infectious bodies for burial. Patients fled hospitals, spreading the disease. Health-care workers ran away too.  Uganda defeated the epidemic several months later, but by then, 425 people contracted Ebola, and more than half of them had died. It was the largest Ebola outbreak on record—until this year.  Today, Uganda has a different Ebola story to tell. The East African nation has had four more occurrences with the disease, but none has proved as deadly as the first in 2000. Authorities from the nation's president to village leaders exhort Ugandans to be on the lookout for people with symptoms. Health officials screen airline passengers and have stockpiled hospitals with supplies. Teams of veterinarians test wildlife for viruses like Ebola that can infect humans. Uganda has even sent doctors to West Africa to train medical staff there during the outbreak.

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