outbreak

Russian authorities quarantine hospital, monitor 200 contacts after suspected pneumonic plague death in Siberia.

President Donald Trump says the United States is ready to help Russia with a suspected pneumonic plague outbreak.

“We are looking at it very strongly. We just heard about it,” Trump said, adding that he had not spoken to Russian President Vladimir Putin about it but is prepared to offer US support.

“It’s a disease we used to be able to control,” Trump said. “Even with great advancement, the germs have really become relatively stronger than they were, and things that used to work on pneumonia don’t work anymore … anyone that has that kind of problem, we will help.”

The World Health Organization (WHO) said based on unofficial information it has received, the “public health risk to the general population appears to be low”.

Earlier on Monday, US Secretary of State Marco Rubio downplayed the danger as well. “I don’t think it’s cause for alarm, but it is cause for focus and a cause to just keep an eye on it,” Rubio said.

Russian authorities have quarantined a hospital and are tracing the contacts of an employee at a plague research institute in the remote Siberian region of Irkutsk who died of a suspected pneumonic plague infection. Local media identified the employee as 28-year-old laboratory technician Darya Shipilova.

Official details about the incident have been limited, and Russian media reports say authorities in Irkutsk have placed nearly 200 people under medical observation.

On Sunday, Russia’s official TASS news agency reported that the country’s consumer protection agency, Rospotrebnadzor, said an employee at the Irkutsk Anti-Plague Research Institute of Siberia and the Far East was diagnosed with “pneumonia of unknown aetiology” or origin. The agency also said it had expanded sample testing from the patient and found no microorganisms associated with her work.

On Saturday, the governor of neighbouring Buryatia region said in a post on his Telegram channel that a woman in Irkutsk had “died, maybe of the plague”.

In a statement to Al Jazeera, a US State Department official said: “We encourage Russian authorities to share accurate information quickly and openly.”

Pneumonic plague is caused by the bacterium Yersinia pestis, usually found in small mammals and their fleas. According to the WHO, the plague is highly infectious and can be fatal if not treated early.

The plague ⁠comes in three forms affecting different parts of the body. Pneumonic plague, an infection of the lungs, triggers the patient to cough out infectious airborne droplets.

If identified quickly, antibiotics can treat the disease. Left untreated, it can be fatal in one to six days.

Burning of a Ebola-hit transit camp sends 19,000 fleeing, illustrating the difficulties of controlling epidemic.

The Democratic Republic of Congo’s Ebola outbreak has now killed more than 4,000 people, according to government data, making it the worst epidemic in the country’s history.

Figures released on Friday showed that the death toll has risen to 4,018, and confirmed cases had ⁠reached 8,300 across seven provinces, as the government continues to struggle to contain the outbreak.

Weak infrastructure, the remoteness of the region in eastern DRC, and ongoing conflict with armed groups near the borders with South Sudan, Uganda, and Rwanda have hindered efforts to respond to cases quickly and effectively.

The United Nations reported on Friday that an Ebola-hit camp housing a transit centre for infected patients was burned by soldiers earlier this week as they were looking for weapons on the outskirts of Bunia, capital city of Ituri Province, which is at the epicentre of the outbreak.

The incident forced 19,000 people to flee the camp.

“The enormous challenge of halting the spread of Ebola in the Democratic Republic of the Congo (DRC) just became even harder after a key transit centre for patients requiring treatment burned down in Ituri province,” the UN said.

People’s mistrust and anger towards health workers and authorities have also contributed to the obstacles the government faces in its efforts to contain the outbreak.

A senior ‌member of DRC’s governing Union for Democracy and Social Progress (UDPS) party was beaten to death days ago after taking part ⁠in a radio programme to raise awareness about the epidemic.

The attack on Marie-Celestin Karondwa, a local official with UDPS, took place last Sunday at his home in Butembo, an Ebola hotspot in the eastern North Kivu province. His house was set on fire afterwards, and he died at hospital from his injuries.

The World Health Organization has warned that the epidemic is “far from over” and on track to surpass the regional 2014-2016 West Africa Ebola outbreak, which killed more than 11,000 people, primarily in Guinea, Liberia, and Sierra Leone.

Caused by the Bundibugyo strain of Ebola, the current epidemic became the largest and deadliest in the DRC after surpassing the 2018-2020 epidemic.

Several treatments and vaccines are being trialled against Bundibugyo, but currently, there is no approved vaccine or treatment.

The current outbreak, which is the DRC’s 17th, has spread rapidly since it was officially declared on May 15.

More than ⁠2,000 patients have recovered from the Ebola epidemic so far. The Africa Centres for Disease Control and Prevention said in its latest news conference that the number of confirmed cases is falling, although that could be attributed to insecurity and challenges in getting communities to cooperate in some of the hotspots.

Fatalities reached 3,901 across the DRC as health workers battle community anger and a vaccine-resistant strain.

The Democratic Republic of the Congo (DRC) has recorded over 8,000 cases of Ebola, including almost 4,000 deaths, amid the worst outbreak in the country’s history, according to government data.

The latest report, published on Monday by the DRC’s public health institute, put the number of cases at 8,067 ⁠⁠and deaths at ⁠⁠3,901, representing a fatality rate of 48.4 percent.

People’s mistrust and anger towards government policies have become a major obstacle in limiting the outbreak since it was officially declared on May 15. A senior ‌‌member of the ruling UDPS party was beaten to death after raising awareness about the epidemic on radio, a party representative said on Monday. The ⁠⁠killing happened on Sunday in Butembo in North Kivu province, which has become a hotspot in the ongoing Ebola outbreak.

The number of cases has levelled off after a rapid increase, according to the African Union’s health agency, Africa CDC, though it still considers the outbreak “not under control”.

Several treatments and vaccines are being trialled against the Bundibugyo strain of the Ebola virus, for which there is no approved vaccine or treatment.

The current outbreak, which is the DRC’s 17th, has spread rapidly. Experts say that weak health infrastructure, the region’s remoteness and ongoing conflict near the DRC’s borders with South Sudan, Uganda and Rwanda have damaged efforts to respond to cases quickly and effectively.

Those issues have also hindered the government’s efforts to fight the outbreak, increasing public mistrust and anger towards its suggested prevention measures.

Marie-Celestin ⁠⁠Karondwa, acting president of the UDPS party’s federal executive committee in Butembo, was attacked by local residents after appearing on a radio show where he discussed Ebola prevention measures, according to the Congolese health authorities.

In their latest case report, authorities highlighted a “low capacity” to treat cases at health centres in Ituri province and described a “complete shortage” of stocks of an experimental vaccine against the Bundibugyo strain in the northeastern province of Tshopo, where cases have been recorded.

The World Health Organization has said the outbreak is “far from over” and on track to surpass the regional 2014-2016 West Africa Ebola outbreak. It killed more than 11,000 people, primarily in Guinea, Liberia and Sierra Leone.

The United States announced last week that it was releasing a further $267 million to help fight Ebola. It is hoping for pledges from other countries to meet a target of $2 billion to fight the disease, mainly found in the DRC.

Health workers struggle as new Ebola cases are found in border regions of South Ubangi and Haut-Uele.

The Ebola virus caused by the Bundibugyo strain has spread to two new health zones in the Democratic Republic of the Congo, according to the World Health Organization (WHO).

New cases were found in Bulu in South Ubangi governorate on the border with the Central African Republic and Dungu in Haut-Uele province on the border with South Sudan, the WHO said on Friday.

The additional cases bring the number of health zones affected to 63 across seven provinces as authorities struggle to control the outbreak.

As of September 23, the Democratic Republic of the Congo, or DRC, has reported 7,890 confirmed cases and 3,799 deaths, according to the WHO. That means that almost half the people who contracted the infection have died.

WHO Director-General Tedros Adhanom Ghebreyesus said conflict and population displacement were making it more difficult for health workers to reach ‌‌affected communities and trace people who may have been exposed to the virus.

“It’s very difficult to see Ebola in isolation because even our response to Ebola is affected by the conflict, because there is displacement and there is an access problem to some areas,” Tedros said.

The Bundibugyo strain is difficult to treat because there are no approved vaccines, Tedros said, adding that the WHO is accelerating clinical trials of vaccines and treatments.

Contact tracing falling short

Meanwhile, health workers looking for people who may have been exposed to the Bundibugyo strain are falling short of their targets.

According to Dr Jean Kaseya, the director-general of the Africa Centres for Disease Control and Prevention (Africa CDC), the more than 7,000 confirmed cases should translate to about 420,000 contacts.

“But currently, we have just 30,000 people in the contact list,” Kaseya said.

“When the outbreak is at community level, we cannot talk about control,” he added.

Ituri province in northeastern DRC continues to be the epicentre of the outbreak, accounting for 6,032 confirmed cases since the start of the epidemic in May, including 868 new confirmed cases reported in the last 21 days.

North Kivu is the second most affected province, with 1,480 new cases, including 567 reported in the last 21 days. The province now accounts for around a third of newly confirmed cases and deaths, the WHO said in a report on Sunday.

Nearly 60 percent of people diagnosed in North Kivu died, significantly higher than the national average of 48 percent, the data show.

Medical staff say patients are avoiding health facilities until it is too late.

“Patients think that if they arrive at the hospital, they will be immediately sent to the treatment centre to die,” said Dr Michel Paluku Mukuloli, who works at a hospital in North Kivu’s Butembo.

That complicates efforts to identify cases and start treatment before the disease reaches its most dangerous stages.

North Kivu was the epicentre of three previous Ebola outbreaks, including one in 2018-2020, which until this year was the DRC’s largest and deadliest. Those outbreaks, however, were caused by a different type of Ebola virus, known as the Zaire strain.

Much less is known about the Bundibugyo strain. But responders say in the early stages of infection, patients often experience milder symptoms easily mistaken for more common diseases such as malaria and typhoid fever.