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Emerg Infect Dis. 2010 Jul;16(7):1087-92. doi: 10.3201/eid1607.091525.

Ebola hemorrhagic fever associated with novel virus strain, Uganda, 2007-2008.

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  • 1Ministry of Heath, Kampala, Uganda. j_wamala@yahoo.com

Abstract

During August 2007-February 2008, the novel Bundibugyo ebolavirus species was identified during an outbreak of Ebola viral hemorrhagic fever in Bundibugyo district, western Uganda. To characterize the outbreak as a requisite for determining response, we instituted a case-series investigation. We identified 192 suspected cases, of which 42 (22%) were laboratory positive for the novel species; 74 (38%) were probable, and 77 (40%) were negative. Laboratory confirmation lagged behind outbreak verification by 3 months. Bundibugyo ebolavirus was less fatal (case-fatality rate 34%) than Ebola viruses that had caused previous outbreaks in the region, and most transmission was associated with handling of dead persons without appropriate protection (adjusted odds ratio 3.83, 95% confidence interval 1.78-8.23). Our study highlights the need for maintaining a high index of suspicion for viral hemorrhagic fevers among healthcare workers, building local capacity for laboratory confirmation of viral hemorrhagic fevers, and institutionalizing standard precautions.

PMID:
20587179
[PubMed - indexed for MEDLINE]
PMCID:
PMC3321896
Free PMC Article
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