Wednesday, 13 August 2014

Standard Operating Procedure On the Deadly Ebola Virus.



BASIC INFORMATION YOU NEED TO KNOW ABOUT THE EBOLA VIRUS



a.      What is Ebola hemorrhagic fever?
Ebola Hemorrhagic Fever (Ebola HF) is a deadly virus in humans and nonhuman primates (monkeys, gorillas, and chimpanzees) that has appeared sporadically since its initial recognition in 1976. Approximately 1850 cases are known since then. The mortality rate is estimated at 90% of infected persons. The virus has no vaccine or treatment as at today.  It is highly contagious.

b.      Where is Ebola virus found in nature?
The exact origin, locations, and natural habitat (known as the "natural reservoir") of Ebola virus remain unknown. However, on the basis of available evidence and the nature of similar viruses, researchers believe that the virus is zoonotic (animal-borne) and is normally maintained in an animal host that is native to the African continent.

c.      Where do cases of Ebola hemorrhagic fever occur?
Confirmed cases of Ebola HF have been reported in the Democratic Republic of the Congo, Gabon, Sudan, the Ivory Coast, Uganda, the Republic of the Congo and now in Nigeria.

d.      How is Ebola virus spread?
People can be exposed to Ebola virus from direct contact with the blood and/or secretions of an infected person. Thus, the virus is often spread through families and friends because they come in close contact with such secretions when caring for infected persons. People can also be exposed to Ebola virus through contact with objects, such as needles, that have been contaminated with infected secretions.

During outbreaks the disease is frequently spread within clinics and hospitals. The risk for airborne transmission is low. It seems unlikely that Ebola virus would be transmitted to other passengers during an air flight.

f.        What is the incubation period or Exposure?
Once infected, the Ebola virus takes 2 to 21days of exposure.

g.      What are the symptoms of Ebola hemorrhagic fever?
The onset of illness is abrupt and is characterized by fever, headache, joint and muscle aches, sore throat, and weakness, followed by diarrhea,

vomiting, and stomach pain. A rash, red eyes, hiccups and internal and external bleeding may be seen in some patients.

i.        How is Ebola hemorrhagic fever diagnosed?
In the beginning of an outbreak the diagnosis are made on clinical ground. Laboratory tests can only be made in a qualified laboratory or sent to highly specialized unit.

2.       Are there ways this deadly Virus (Ebola) be Prevented?
As the primary mode of person-to-person transmission is contact with contaminated blood, secretions or body fluids, any person who has had close physical contact with patients should be kept under strict surveillance, i.e. body temperature checks twice a day, with immediate hospitalization and strict isolation recommended in case of the onset of fever.

Hospital personnel who come into close contact with patients or contaminated materials without barrier nursing attire must be considered as contacts and followed up accordingly.

As with other infectious illnesses, one of the most important preventive practices is careful and frequent hand washing. Cleaning your hands often, using soap and water (or waterless alcohol-based hand rubs when soap is not available and hands are not visibly soiled with blood or body fluids), removes potentially infectious materials from your skin and helps prevent disease transmission.  Sanitizing machines have been provided in our receptions and other locations in the office; please endeavour to use them frequently.
 
Avoid contact with dead animals, especially primates.

Do not wash hands in the same bucket as others who have touched the dead bodies.

Avoid places of mass gathering, at least temporarily.

Do not eat “bush meat” (wild animals or bats including primates, sold for consumption as food in local markets).



3.       Conclusion
In conclusion, there is extremely low risk for the business traveler to get Ebola hemorrhagic fever. For transmission of the virus very close contact with people who have developed the illness is needed. Outbreaks are normally limited to a certain geographical area where medical staff and family members are at special risk. There is virtually no risk for transmission in aircrafts, busses, airports offices etc.

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