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Tanzania is being charged in case of suspected Ebola cases, WHO warns



  South Sudan Health Ministry staff posing in protective suits during an Ebola training session conducted by the World Health Organization (WHO).
Click to enlarge / South Sudan Health Ministry staff are wearing protective suits during a World Health Organization (WHO) training exercise on Ebola.

The United Republic of Tanzania is undesirable for several reports of suspected Ebola cases in the country, with reports difficult since September 1

0, the World Health Organization said in an unusual statement on Saturday.

To date, the WHO has stated that its disease surveillance programs have collected informal reports of at least four cases of suspected Ebola virus in Tanzania, including one death, and the unidentified number of quarantined contacts in "various sites in the country."

The official word of the Tanzanian authorities is that there are no Eb ola cases in the country and that there are "no suspected cases reported." However, WHO says Tanzanian officials were difficult to share case information and they did not say what made people sick if it was not for Ebola

"[T] date, clinical data, test results, possible contacts and potential laboratory tests performed for differential diagnosis of these patients, no have been reported to the WHO. This information is needed by the WHO to be able to fully assess the potential risk posed by this event, "the organization said in a statement.

Schematic cases

The WHO first became aware of the situation on September 10, when Reports have emerged that a person suspected of contracting the Ebola virus died in Dar es Salaam, Tanzania's largest city, according to an Associated Press report that saw WHO internal documents that the patient was a 34-year-old doctor who died at September 8, after returning from Uganda, where she visited h Equal institutions research mission. Initial reports to WHO also suggested that unidentified number of people who had contact with the doctor were kept in quarantine for various unspecified locations in Tanzania.

Uganda, which borders Tanzania and the Democratic Republic of the Congo, has no outbreak of Ebola. However, the DRC erupts in an epidemic and a small number of cases have spread to Uganda from those affected by the Northern Eastern DRC Province. The outbreak there began in August 2018 and has fallen over 3,000, killing over 2000. This is the second largest outbreak of Ebola.

WHO immediately requested information on the death of a doctor in Tanzania. The following day, September 11, the organization received an informal report through its monitoring system that the doctor tested positive for Ebola and that there was another suspected case of Ebola in Mwanza, a northern port city of Lake Victoria.

WHO informal reports suggested that the case in Mwanza ended with a negative Ebola test, but additional reports of another suspected case came to the 27-year-old in Dar es Salaam on September 12.

Expensive details

until Tanzanian officials provide the WHO with any information in any of the cases. On September 16, Tanzanian health officials formally declared to the WHO that they would not do additional tests at WHO-sanctioned laboratories to confirm the absence of Ebola, despite strong recommendations from WHO experts to do such tests. The 18th country officially announced that it was free of Ebola.

The very next day, September 19, the WHO presented another informal report that contact from the original case – a 34-year-old doctor who died – had become ill and was hospitalized. However, Tanzanian officials deny Ebola and even suspected cases.

"The limited available official information from the Tanzanian authorities is a challenge to assess the risk posed by this event," the WHO said in a statement.

The organization notes that Tanzania has an Ebola preparedness program and response plan. However, in recent outbreaks simulations, experts identified "areas for improvement".

In view of the public health risk, the WHO carried out a risk assessment, taking into account the results as follows: EVD reported in this country and that the alleged case has traveled extensively within the United Republic of Tanzania, the risk is estimated to be very high at national level. The risk at regional level is considered high due to potential cross-border travel and significant population movement, as well as potential unknown transmission circuits. Global risk was considered low.

Without further information, the WHO currently recommends against any restrictions on travel or trade.

Tourism is a significant and expanding part of Tanzania's economy. The country is home to a rich array of wildlife, numerous parks and protected areas, several UNESCO World Heritage Sites, as well as Mount Kilimanjaro, Africa's highest mountain.


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