Hospital nurse in Uganda dies in country's first Ebola outbreak in 2 years

Los Angeles Times

30-01-2025

KAMPALA, Uganda — A nurse in Uganda has died of Ebola in the first recorded fatality since the country's last outbreak of the disease ended in early 2023, a health official said.
The 32-year-old man was an employee of Mulago Hospital, the main referral facility in the capital, Kampala, Diana Atwine, permanent secretary of the health ministry, told reporters Thursday.
After developing a fever, he was treated at several locations in Uganda before multiple lab tests confirmed he had been suffering from Ebola. The man died on Wednesday and the Sudan strain of Ebola was confirmed following postmortem tests, Atwine said.
At least 44 contacts of the victim have been identified, including 30 health workers and patients at Mulago Hospital, according to Uganda's Ministry of Health.
The health authorities are 'in full control of the situation,' Atwine said, while also urging Ugandans to report any suspected cases.
Tracing contacts is key to stemming the spread of Ebola, and there are no approved vaccines for the Sudan strain of Ebola. Uganda's last outbreak, discovered in September 2022, killed at least 55 people before it was declared over in January 2023.
Confirmation of Ebola in Uganda is the latest in a trend of outbreaks of viral hemorrhagic fevers in east Africa. Tanzania declared an outbreak of the Ebola-like Marburg disease this month; in December, Rwanda announced that its outbreak of Marburg was over.
The World Health Organization will send an initial allocation of $1 million from a contingency fund to support Uganda's response, Tedros Adhanom Ghebreyesus, the WHO director-general, said in a brief statement posted on the social platform X.
'A full scale response is being initiated by the government and partners,' the statement said.
Kampala's outbreak could prove difficult to respond to, because the city has a highly mobile population of about 4 million. The nurse who died had sought treatment at a hospital just outside Kampala and later traveled to Mbale, in the country's east, where he was admitted in a public hospital. Health authorities said the man also sought the services of a traditional healer.
Emmanuel Batiibwe, a physician who helped lead Uganda's efforts to stop the country's 2022 outbreak, told the Associated Press that he expected a swift response in tracing all possible Ebola contacts in Kampala and elsewhere.
'Our reaction should be swift, decisive and well-coordinated,' he said, speaking of lessons learned from the 2022 outbreak, whose epicenter was a town in central Uganda. 'We have the means of responding quickly now.'
Ebola, which is spread by contact with bodily fluids of an infected person or contaminated materials, manifests as a deadly hemorrhagic fever. Symptoms include fever, vomiting, diarrhea, muscle pain and at times internal and external bleeding.
Scientists don't know the natural reservoir of Ebola, but they suspect the first person infected in an outbreak acquired the virus through contact with an infected animal or eating its raw meat. Ugandan officials are investigating the source of the current outbreak.
Uganda has had multiple Ebola outbreaks, including one in 2000 that killed hundreds. The 2014 to 2016 Ebola outbreak in West Africa killed more than 11,000 people, the disease's largest death toll.
Ebola was discovered in 1976 in two simultaneous outbreaks in South Sudan and Congo, where it occurred in a village near the Ebola River, after which the disease is named.
Muhumuza writes for the Associated Press.