Wellness

Ebola Quarantines End In Mali, Country Could Soon Be Ebola-Free

Malian President Ibrahim Keita attends the Summit of ECOWAS Heads of state and government in Abuja on December 15, 2014. Heads of states and government of ECOWAS are meeting in Abuja to discuss the on-going fight against the deadly Ebola virus disease that is ravaging the region, as well as the political and security situation in the region. AFP PHOTO/PIUS UTOMI EKPEI        (Photo credit should read PIUS UTOMI EKPEI/AFP/Getty Images)
Malian President Ibrahim Keita attends the Summit of ECOWAS Heads of state and government in Abuja on December 15, 2014. Heads of states and government of ECOWAS are meeting in Abuja to discuss the on-going fight against the deadly Ebola virus disease that is ravaging the region, as well as the political and security situation in the region. AFP PHOTO/PIUS UTOMI EKPEI (Photo credit should read PIUS UTOMI EKPEI/AFP/Getty Images)

BAMAKO, Dec 16 (Reuters) - Mali has released from quarantine the last 13 people being monitored for Ebola, and the country could be declared free of the virus next month if no further cases are recorded, the World Health Organization said on Tuesday.

Mali has recorded six deaths from Ebola, which, according to the latest WHO data published on Monday, has killed some 6,841 people in neighboring Guinea, Sierra Leone and Liberia in the worst epidemic of the viral haemorrhagic fever.

Mali's last infected patient recovered and left hospital last week, while the remaining individuals who came in contact with an infected person finished a mandatory 21-day quarantine at midnight on Monday.

"There is no more contact-tracing. No sick person is being treated, and there is no suspected case of Ebola," Abdoulaye Cisse, a spokesman for the WHO told Reuters.

At one point the West African nation had been monitoring over 300 contact cases. If no new Ebola infections are recorded, Mali will be declared free of the disease on Jan. 18, the U.N. health agency said.

Mali's prime minister's office said in a statement that authorities will now keep focus around Ebola awareness and prevention efforts.

Mali became the sixth West African country to record a case of Ebola when a two-year-old girl from Guinea died in October. It was close to being declared Ebola free in November before a second wave of infections. (Reporting by Tiemoko Diallo; Writing by Bate Felix; Editing by Joe Bavier and Robin Pomeroy)

1
Ebola is highly infectious and even being in the same room as someone with the disease can put you at risk
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Not as far as we know. Ebola isn't contagious until symptoms begin, and it spreads through direct contact with the bodily fluids of patients. It is not, from what we know of the science so far, an airborne virus. So contact with the patient's sweat, blood, vomit, feces or semen could cause infection, and the body remains infectious after death. Much of the spread in west Africa has been attributed to the initial distrust of medical staff, leaving many to be treated at home by loved ones, poorly equipped medics catching the disease from patients, and the traditional burial rites involving manually washing of the dead body. From what we know already, you can't catch it from the air, you can't catch it from food, you can't catch it from water.
2
Cancelling all flights from west Africa would stop the spread of Ebola
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This actually has pretty serious implications. British Airways suspended its four-times-weekly flights to Liberia and Sierra Leone until the end of March, the only direct flight to the region from the UK. In practice, anyone can just change planes somewhere else and get to Britain from Europe, north Africa, or the Middle East. And aid agencies say that flight cancellations are hampering efforts to get the disease under control, they rely on commercial flights to get to the infected regions. Liberia's information minister, Lewis Brown, told the Telegraph this week that BA was putting more people in danger. "We need as many airlines coming in to this region as possible, because the cost of bringing in supplies and aid workers is becoming prohibitive," he told the Telegraph. "There just aren't enough seats on the planes. I can understand BA's initial reaction back in August, but they must remember this is a global fight now, not just a west African one, and we can't just be shut out." Christopher Stokes, director of MSF in Brussels, agreed: “Airlines have shut down many flights and the unintended consequence has been to slow and hamper the relief effort, paradoxically increasing the risk of this epidemic spreading across countries in west Africa first, then potentially elsewhere. We have to stop Ebola at source and this means we have to be able to go there.”
3
Temperature screening at airports is an effective way to stop those who have the disease from travelling
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The screening process is pretty porous, especially when individuals want to subvert it. Wake up on the morning of your flight, feel a bit hot, and you definitely don't want to be sent to an isolation booth for days and have to miss your flight. Take an ibuprofen and you can lower your temperature enough to get past the scanners. And if you suspect you have Ebola, you might be desperate to leave, seeing how much better the treatment success has been in western nations. And experts have warned that you cannot expect people to be honest about who they have had contact with. Thomas Eric Duncan, the Ebola victim who died in Texas, told officials he had not been in contact with anyone with the disease, but had in fact visited someone in the late stages of the virus, though he said he believed it was malaria. The extra screening that the US implemented since his death probably wouldn't have singled out Duncan when he arrived from hard-hit Liberia last month, because he had no symptoms while travelling.
4
Border staff should stop people coming in to the country who are at risk
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They're not doctors, and it's a monumental task to train 23,500 people who work for the UK Border Agency how to correctly diagnose a complex disease, and spot it in the millions of people who come through British transport hubs. Public Health England has provided UK Border Force with advice on the assessment of an unwell patient on entry to UK, but they can't be expected to check everyone.
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Screening at British airports should be implemented to stop unwell people coming in from affected areas
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As mentioned before, the UK, especially London, is a major transport hub. Unlike the US, most of those coming from west Africa will have crossed through Europe, so infected people could be coming from practically anywhere, not just flights directly from those countries. This would require the UK to screen every returning traveller, as people could return to the UK from an affected country through any port of entry. This would be huge numbers of low risk people, at vast, vast expense.