LIFESCI 3C03 Lecture 2: Ebola Summary

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Ebola - a viral disease
Significance
Ebola is on of the most lethal known diseases - it's also relatively new and an active focus of research
recent Ebola outbreaks in Africa highlight some of the challenges of protecting public health during times of fear
and mourning in communities
Ebolavirus
fruit bats are though to be the natural host
the virus targets liver, immune and endothelial cells
infected cells produce a protein that disrupts cell adhesion
can also infect non-human primates
Symptoms
symptoms appear 2-21 days after infection
early symptoms include ever, fatigue, muscle pain, headache and sore throat
later symptoms include vomiting, diarrhea, rash, kidney and liver failure and bleeding
Ebola's Spread
human infections occur through close contact with blood, organs or bodily fluids from infected animals, fruit bats
of non-human primates found sick or dead in the rainforest
Ebola needs a host cell to survive
it can survive outside of the body with a cell
human-to-human transmission occurs through direct contact with blood, organs or bodily fluids from infected
individuals, or with contaminated surfaces
people are infectious as long as their blood contains the virus
Prevention
reduce the risk of wildlife-to-human and human-to-human transmission
promptly identify and isolate people who may have been exposed
promptly bury the deceased
maintain good personal hygiene and a clean environment
an experimental vaccine is showing positive results
Ebola Treatment
there's no approved treatment for Ebola
scientists are evaluating different approaches, including blood, immune and drug therapies
supportive care, including rehydration, improves survival
the average mortality rate is approx. 50% but the rate varies by strain and can be as high as 90%
Central Africa, 1976
doctors reported a case of hemorrhagic fever in Yambuku, a small village near the Ebola river in what was then
Zaire - now known as Democratic Republic of Congo
the patient had received malaria treatment at a local hospital - one week later, several people who were treated
at the hospital or had close contact with the patient showed similar symptoms
of the hospital's 17 health care workers, 11 died from the disease
the virus ultimately killed 280 people -only 38 infected individuals survived
A New Virus
doctors in Zaire sent vials of infected blood to a lab in Belgium, where scientists discovered a lasso-shaped virus
resembling Marburg
Marburg is also a hemorrhagic fever virus
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Document Summary

A new virus there"s no approved treatment for ebola scientists are evaluating different approaches, including blood, immune and drug therapies supportive care, including rehydration, improves survival the average mortality rate is approx. 50% but the rate varies by strain and can be as high as 90% doctors reported a case of hemorrhagic fever in yambuku, a small village near the ebola river in what was then. Ta forest ebolavirus - not as serious as first two. Bundibugyo ebolavirus - not as serious as first two. Reston ebolavirus - does not sicken humans, primates infected first. Bombali ebola virus - unknown effects in humans. There have been 35 ebola outbreaks prior to 2014, 1644 people have died from ebola between 2014-2016, there were 11,000+ ebola deaths. Risking their lives to save others health care workers are up to 32 times more likely to be infected with ebola than people in the general population (who)

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