Fast-growing Ebola outbreak in DRC surges to second-largest on record

See all topics Връзката е копирана! Следвайте <стр class= " paragraph-elevate inline-placeholder vossi-paragraph_elevate " data-uri= " cms.cnn.com/_components/paragraph/instances/cms7p7iqc000x28pf3t4a4a00@published " data-editable= " текст " data-component-name= " параграф " data-article-gutter= " true " > The ongoing Ebola outbreak in the Democratic Republic of Congo has quickly grown into the second-largest on record, with cases taking just weeks to reach levels that had taken years in previous outbreaks.

<стр class= " paragraph-elevate inline-placeholder vossi-paragraph_elevate " data-uri= " cms.cnn.com/_components/paragraph/instances/cms7p836z00033b6rr2wg2ons@published " data-editable= " текст " data-component-name= " параграф " data-article-gutter= " true " > There have been at least 3,553 confirmed cases since this outbreak was identified in mid-May, according to data published Friday by the World Health Organization. Най-малко 1558 души са починали.

<стр class= " paragraph-elevate inline-placeholder vossi-paragraph_elevate " data-uri= " cms.cnn.com/_components/paragraph/instances/cms7p837000043b6r30papaxq@published " data-editable= " текст " data-component-name= " параграф " data-article-gutter= " true " > In just over two months, cases in this outbreak have surpassed the total number reported in another historic Ebola outbreak in the DRC that lasted nearly two years, from August 2018 to June 2020.

<стр class= " paragraph-elevate inline-placeholder vossi-paragraph_elevate " data-uri= " cms.cnn.com/_components/paragraph/instances/cms7p837000053b6roz6sqdlg@published " data-editable= " текст " data-component-name= " параграф " data-article-gutter= " true " > The first 1,000 cases in this outbreak were reported within the first 40 days of response activation, according to the US Centers for Disease Control and Prevention, but it took nearly six times as long — about 235 days — to reach more than 1,000 cases during the 2018 outbreak.

<стр class= " paragraph-elevate inline-placeholder vossi-paragraph_elevate " data-uri= " cms.cnn.com/_components/paragraph/instances/cms7p837000063b6rbjoxraio@published " data-editable= " текст " data-component-name= " параграф " data-article-gutter= " true " > Now, the only larger Ebola outbreak is the 2014-16 outbreak in West Africa, which ended with more than 28,600 reported cases and 11,325 deaths.

Предизвикателни обстоятелства

<стр class= " paragraph-elevate inline-placeholder vossi-paragraph_elevate " data-uri= " cms.cnn.com/_components/paragraph/instances/cms7p837000083b6r0luikmxl@published " data-editable= " текст " data-component-name= " параграф " data-article-gutter= " true " > The current outbreak presents a challenging set of circumstances: it is driven by the rare Bundibugyo strain of the virus, for which vaccines and treatments are not readily available, and active conflict in the region is hindering the ability of response teams to reach affected communities.

<стр class= " paragraph-elevate inline-placeholder vossi-paragraph_elevate " data-uri= " cms.cnn.com/_components/paragraph/instances/cms7p837000093b6rt3f79qpq@published " data-editable= " текст " data-component-name= " параграф " data-article-gutter= " true " > “Despite the progress we have made, the outbreak in DRC is continuing to outpace the response, ” WHO Director-General Dr. Tedros Adhanom Ghebreyesus said this month . “Intense transmission in the province of Ituri remains our biggest concern. ”

<стр class= " paragraph-elevate inline-placeholder vossi-paragraph_elevate " data-uri= " cms.cnn.com/_components/paragraph/instances/cms7p8370000a3b6r1day5aqo@published " data-editable= " текст " data-component-name= " параграф " data-article-gutter= " true " > About two-thirds of the deaths are happening among people who never received care in a health facility, which can drive community transmission due to exposures that may occur with unsafe handling of bodies.

<стр class= " paragraph-elevate inline-placeholder vossi-paragraph_elevate " data-uri= " cms.cnn.com/_components/paragraph/instances/cms7p8370000b3b6rvyl1lkt3@published " data-editable= " текст " data-component-name= " параграф " data-article-gutter= " true " > Смята се, че всеки доказан случай в градска зона има 40 евентуални контакта; с към 3400 случая в ДРК, описът за следене на контакти би трябвало да включва към 135 000 души, с които екипите за реагиране при зараза да проследят.

<стр class= " paragraph-elevate inline-placeholder vossi-paragraph_elevate " data-uri= " cms.cnn.com/_components/paragraph/instances/cms7p8370000c3b6rorntzibc@published " data-editable= " текст " data-component-name= " параграф " data-article-gutter= " true " > But only about 1 in 8 — fewer than 18,000 people — have been identified for that list, Dr. Jean Kaseya, director general of the Africa CDC, said at a briefing Thursday. Повече от 80% от новите случаи се откриват при хора, които не са били разпознати посредством следене на контакти.

<стр class= " paragraph-elevate inline-placeholder vossi-paragraph_elevate " data-uri= " cms.cnn.com/_components/paragraph/instances/cms7p8370000d3b6rlzmvz1s2@published " data-editable= " текст " data-component-name= " параграф " data-article-gutter= " true " > „ Ако не овладеем този знак, няма да спрем това огнище “, сподели Касея.

<стр class= " paragraph-elevate inline-placeholder vossi-paragraph_elevate " data-uri= " cms.cnn.com/_components/paragraph/instances/cms7p8370000e3b6rjimu8i6s@published " data-editable= " текст " data-component-name= " параграф " data-article-gutter= " true " > “I’m not in a position to tell you that we have total control of this outbreak today, because for me to say that, for me to confirm that we achieved the peak and we can start to think about when, maybe, we can stop this outbreak, we need to ensure that all new cases are coming from the contact list. We need to ensure that all deaths are coming from confirmed cases that we have isolated or admitted, ” he said. „ Това не е по този начин. “

<стр class= " paragraph-elevate inline-placeholder vossi-paragraph_elevate " data-uri= " cms.cnn.com/_components/paragraph/instances/cms7p8370000f3b6rr9hikrbj@published " data-editable= " текст " data-component-name= " параграф " data-article-gutter= " true " > От 3553 доказани случая, по-голямата част са докладвани в провинция Итури в североизточния ъгъл на страната. Това е богата на запаси област с доходоносни златни мини и търговски пътища, което подтиква високата подвижност на популацията и трансграничното придвижване. Освен това е дом на повече от милион разселени хора и въоръжени групи, създавайки необятно публикувана неустановеност.

<стр class= " paragraph-elevate inline-placeholder vossi-paragraph_elevate " data-uri= " cms.cnn.com/_components/paragraph/instances/cms7p8370000g3b6rn3fat75b@published " data-editable= " текст " data-component-name= " параграф " data-article-gutter= " true " > Двадесет случая, свързани с актуалната зараза, са докладвани в Уганда и един във Франция, множеството от които са импортирани от ДРК.

<стр class= " paragraph-elevate inline-placeholder vossi-paragraph_elevate " data-uri= " cms.cnn.com/_components/paragraph/instances/cms7p8370000h3b6rfdh3rw6g@published " data-editable= " текст " data-component-name= " параграф " data-article-gutter= " true " > Във вторник здравните чиновници в Уганда оповестиха, че страната е „ публично свободна от ебола “.

<стр class= " paragraph-elevate inline-placeholder vossi-paragraph_elevate " data-uri= " cms.cnn.com/_components/paragraph/instances/cms7p8370000i3b6rcph2vzgr@published " data-editable= " текст " data-component-name= " параграф " data-article-gutter= " true " > “The declaration follows the successful completion of all outbreak response measures and confirms that there has been no further transmission of the virus, ” according to a release from Uganda’s Ministry of Health.

<стр class= " paragraph-elevate inline-placeholder vossi-paragraph_elevate " data-uri= " cms.cnn.com/_components/paragraph/instances/cms7p8370000j3b6rwfl6i0zd@published " data-editable= " текст " data-component-name= " параграф " data-article-gutter= " true " > WHO requires 42 days of enhanced surveillance before the end of an outbreak can be declared, and the organization has not marked this milestone for Uganda.

Проучване в действително време

<стр class= " paragraph-elevate inline-placeholder vossi-paragraph_elevate " data-uri= " cms.cnn.com/_components/paragraph/instances/cms7p8370000l3b6rt4qm8mxm@published " data-editable= " текст " data-component-name= " параграф " data-article-gutter= " true " > Тъй като епидемията продължава да се разраства в ДРК, изпитванията за ваксини и лекувания са в ход.

<стр class= " paragraph-elevate inline-placeholder vossi-paragraph_elevate " data-uri= " cms.cnn.com/_components/paragraph/instances/cms7p8371000m3b6rq32a4gpz@published " data-editable= " текст " data-component-name= " параграф " data-article-gutter= " true " > A vaccine targeting the Bundibugyo strain, developed by the University of Oxford in collaboration with the Serum Institute of India, is the first to reach the clinical trial stage, and the first dose was administered last week. Използва същата технология като имунизацията на Оксфордския университет/AstraZeneca за Covid-19.

<стр class= " paragraph-elevate inline-placeholder vossi-paragraph_elevate " data-uri= " cms.cnn.com/_components/paragraph/instances/cms7p8371000n3b6rq93b080h@published " data-editable= " текст " data-component-name= " параграф " data-article-gutter= " true " > And a trial of two antiviral therapies – a monoclonal antibody (MBP134) and remdesivir — has been enrolling patients in the DRC for about a month, with at least 41 patients participating so far.

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