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How to Stop the Spread of Ebola?

Ebola virus disease (EVD; also Ebola hemorrhagic fever, or EHF), or simply Ebola, is a disease of humans and other primates caused by ebolaviruses. The Ebola virus causes an acute, serious illness which is often fatal if untreated. Ebola virus disease (EVD) first appeared in 1976 in 2 simultaneous outbreaks, one in Nzara, Sudan, and the other in Yambuku, Democratic Republic of Congo. The latter occurred in a village near the Ebola River, from which the disease takes its name. The current outbreak in west Africa, (first cases notified in March 2014), is the largest and most complex Ebola outbreak since the Ebola virus was first discovered in 1976. There have been more cases and deaths in this outbreak than all others combined. It has also spread between countries starting in Guinea then spreading across land borders to Sierra Leone and Liberia, by air (1 traveller only) to Nigeria, and by land (1 traveller) to Senegal. Ebola virus disease (EVD), formerly known as Ebola hemorrhagic fever, is a severe, often fatal illness in humans. The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission. The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks.
The various medical agencies have identified the methods needed to be implemented for stopping the spread of Ebola, however , the most pertinent and requisite necessity is the awareness of instructions on managing the dieses and making available the required materials to fight the outbreak. The US Centers for Disease Control (CDC) recommend that the protective gear leaves no skin exposed. These measures are also recommended for those who may handle objects contaminated by an infected person's body fluids. In 2014, the CDC began recommending that medical personnel receive training on the proper suit-up and removal of personal protective equipment (PPE) in addition, a designated person, appropriately trained in biosafety, should be watching each step of these procedures to ensure they are done correctly. The infected person should be in barrier-isolation from other people. All equipment, medical waste, patient waste and surfaces that may have come into contact with body fluids need to be disinfected. During the 2014 outbreak, kits were put together to help families treat Ebola disease in their homes, which include protective clothing as well as chlorine powder and other cleaning supplies. Education of those who provide care in these techniques, and the provision of such barrier-separation supplies should be a priority. Transportation crews are instructed to follow a certain isolation procedure should anyone exhibit symptoms resembling EVD. As of August 2014, the WHO does not consider travel bans to be useful in decreasing spread of the disease. In October 2014, the CDC defined four risk levels used to determine the level of 21-day monitoring for symptoms and restrictions on public activities. The recommended methodology for successful control of outbreak is by ensuring social awareness and community engagement. Outbreak control is exercised by applying a package of interventions, namely case management, surveillance and contact tracing, a good laboratory service, safe burials and social mobilisation. Early supportive care with rehydration, symptomatic treatment improves survival. There is as yet no licensed treatment proven to neutralise the virus but a range of blood, immunological and drug therapies are under development. There are currently no licensed Ebola vaccines but potential candidates are undergoing evaluation.

References: 1. Viral hemorrhagic fevers. Boca Raton: CRC Press, Taylor & Francis Group. p. 444 2. "2014 Ebola Virus Disease (EVD) outbreak in West Africa". WHO. 21 April 2014. Retrieved 3 August 2014. 3. "Recommendations for Breastfeeding/Infant Feeding in the Context of Ebola". cdc.gov. 19 September 2014. Retrieved 26 October 2014. 4. "Guidance for Safe Handling of Human Remains of Ebola Patients in U. S. Hospitals and Mortuaries". Retrieved 10 October 2014. 5. "Ebola Viral Disease Outbreak — West Africa, 2014". CDC. 27 June 2014. Retrieved 26 June 2014. 6. "Ebola Response Roadmap Situation Report Update". World Health Organization. 25 October 2014. Retrieved 26 October 2014. 7. "CDC urges all US residents to avoid nonessential travel to Liberia, Guinea and Sierra Leone because of an unprecedented outbreak of Ebola.". CDC. 31 July 2014. Retrieved 2 August 2014. 8. "Outbreak of Ebola in Guinea, Liberia and Sierra Leone". CDC. 4 August 2014. Retrieved 5 August 2014.

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