The eighth case, announced Sunday by Kenyan Health Ministry director-general Patrick Amoth, is a 49-year-old person in quarantine who attended to the first patient. That patient, a 40-year-old Kenyan man, died two days after arriving from the Democratic Republic of Congo via Uganda on October 3. As of Sunday, up to 128 contacts, including health workers, remained in quarantine. Dr Amoth said those quarantined are being tested after developing symptoms, and six other patients are stable after receiving treatment.
Three close relatives of the first patient and three health workers have tested positive. The outbreak in DRC, caused by the rare Bundibugyo virus for which there is no approved vaccine or treatment, has spread to an eighth province. “We see pockets of Ebola generally going down, but unfortunately geographically it’s spreading out,” World Health Organization regional director Mohamed Yakub Janabi told the Associated Press in an interview in Beni, eastern Congo. He said health officials are working to convince infected people to seek medical help, noting that some deaths occur in the community outside health centres.
Epidemiologist Serge Ngalebato said health workers in the north-eastern Wamba health zone have introduced periodic home visits because people are too afraid to go to hospital. Initial resistance to containment efforts gave way to greater community cooperation over time. “Ebola is a community disease. If the community does not cooperate, it will be very difficult,” he said, adding that most cases in his zone are around mining areas with constant population movement.
Tanzania has tightened border screenings, introduced mandatory health declarations and 21-day monitoring for travellers from high-risk countries. Kenya has strengthened screening measures, designated a gate at Nairobi’s main airport for flights from 10 affected countries, and set up an emergency hotline. The Ituri province in eastern Congo remains the epicentre with almost three quarters of confirmed cases. From Monday, neighbouring North Kivu province will ban entry from Ituri, limit vehicle passengers and suspend large public gatherings, Congo’s state news agency ACP reported.