Ebola outbreak in Congo enters 'new phase' as it spreads to large city Spread of Ebola to large city in Democratic Republic of Congo a 'very concerning' turn, health officials say Correction: Congo-Ebola Story Congo confirms first urban Ebola case, raising possibility of 'explosive increase in cases' Congo reports first urban case of Ebola. Here's what that means for the outbreak

Ebola outbreak in Congo enters 'new phase' as it spreads to large city

An Ebola outbreak in the Democratic Republic of Congo has entered a "new phase" after the first urban case was confirmed in the city of Mbandaka.

Ebola outbreak in Congo enters 'new phase' as it spreads to large city By Euan McKirdy and Meera Senthilingam, CNN Updated 2223 GMT (0623 HKT) May 17, 2018 Chat with us in Facebook Messenger. Replay More Videos ... Downstream from Mbandaka is the country's capital, Kinshasa, which is home to roughly 10 million people. We’re certainly not trying to cause any panic in the national or international community,” Salama said.

Mbandaka sits on the Congo River, a highway for the movement of people and goods to the capital, Kinshasa, and a border with a neighbor to the west, the Republic of Congo. Villages beyond Bikoro have so far been reached only by motorbike. The aid organization said 514 people believed to have been in contact with infected people are being monitored. The Ebola outbreak in DR Congo has spread from the countryside into a city, prompting fears that the disease will be increasingly hard to control.

Ebola is thought to be spread over long distances by fruit bats and is often transmitted to humans via contaminated bushmeat. Indeed, there is a highly promising vaccine candidate , which will quite likely be deployed in this outbreak. Depending on the need, we may be preparing for a longer term,” said CDC epidemiologist Pierre Rollin, an Ebola expert who was in West Africa during the 2014 epidemic.

Spread of Ebola to large city in Democratic Republic of Congo a 'very concerning' turn, health officials say

The current Ebola outbreak in the Democratic Republic of Congo has spread from rural areas to an urban city of nearly 1.2 million people.

Find out what's happening in the world as it unfolds. MUST WATCH The death of Ebola? A new suspected case of Ebola was reported Tuesday in Wangata, one of the three health zones of Mbandaka, the capital of Equateur province. Mbandaka, a city of almost 1.2 million, is in a busy travel corridor in Congo’s northwest Equateur province and is upstream from the capital, Kinshasa, a city of about 10 million.

For the moment, the World Health Organization rates the risk of Ebola’s spreading to neighboring states as moderate and the risk of international transmission as low, Dr. In one hopeful sign, Dr. WHO said it is deploying about 30 more experts to the city.  Ebola vaccine Those exposed will for the first time in Congo receive Ebola vaccinations, the health minister said. Health Minister Oly Ilunga Kalenga confirmed a case in Mbandaka, a city of a million about 130km (80 miles) from where the first cases were confirmed.

It can also be introduced into the human population through close contact with the blood, organs or other bodily fluids of infected animals. A mass vaccination campaign, which is generally intended to provide herd or population immunity, is not feasible at this time. The densely populated port city of Mbandaka lies on the eastern bank of the Congo River, Africa’s second-longest after the Nile.

Correction: Congo-Ebola Story

JUST WATCHED Questions and answers about Ebola Replay More Videos ... Ebola virus disease, which most commonly affects people and nonhuman primates such as monkeys, gorillas and chimpanzees, is caused by one of five Ebola viruses. By Thursday night, there was one confirmed case of Ebola and three suspected cases in Wangata. The aid organization said 514 people believed to have been in contact with infected people are being monitored.

Salama said. Salama said, the two suspected cases in Mbandaka involve brothers believed to have contracted the virus at a funeral ceremony in Bikoro. WHO has sent 4,000 doses of the vaccine to Congo and said it will dispatch thousands more in the coming days as needed. The city is a major transportation hub with routes to the capital Kinshasa. Electricity supplies in Congo are unreliable. These can include chimpanzees, gorillas, monkeys, antelope and porcupines.

Congo confirms first urban Ebola case, raising possibility of 'explosive increase in cases'

Oly Ilunga Kalenga, said Wednesday. On average, about 50% of people who become ill with Ebola die. It's the first time in the region's ongoing outbreak that a case has been detected in an urban health zone, with all other cases reported in remote, rural areas of Equateur province. Those exposed will for the first time in Congo receive Ebola vaccinations, the health minister said. WATCH: Trump delivers remarks at U.S.

So health officials say the infection was probably part of the same transmission chain as the earlier cases in the outbreak, and not evidence of a different chain that had been developing undetected. This is a concerning development, but we now have better tools than ever before to combat Ebola," Tedros Adhanom Ghebreyesus, WHO director-general, said of the new urban case. At least 44 people are thought to have been infected with ebola and 23 deaths are being investigated.

Congo reports first urban case of Ebola. Here's what that means for the outbreak

Congo's latest Ebola outbreak has spread to a city of more than 1 million people, a worrying shift as the deadly virus risks traveling more easily in densely populated areas.

The spread of the virus from rural areas into a city has raised fears it could quickly spread and become harder to control. The first human outbreaks of Ebola occurred in 1976, one in the north of what is now Congo and in the region that is now South Sudan. As of Thursday night, a total of 45 cases of hemorrhagic fever had been recorded in the Democratic Republic of Congo since the outbreak was announced on May 8.

NewsHour Productions LLC. Around 60 international health experts have been deployed to Congo, and 40 more are due in a matter of days, Dr. That would pose a far more complex challenge in controlling the outbreak. The vaccine has been shown to be highly effective against Ebola. Ebola is a serious infectious illness that causes internal bleeding and often proves fatal. Those of its residents who can afford to pay for electricity only get it for three to four hours a day, otherwise people use generators or solar panels.

Fears of Larger Contagion as Ebola Spreads to Major Congo City

The arrival of the disease in Mbandaka, a bustling port city, is “a game changer,” a World Health Organization official said.

A total of 45 cases of hemorrhagic fever have now been reported, including 25 deaths, the health ministry said Thursday. Humans can be infected by other humans if they come in contact with body fluids from an infected person or contaminated objects from infected persons. That number includes 14 confirmed cases of Ebola, 21 probable cases and 10 suspected cases. WHO has said it will use the “ring vaccination” method.

The medical charity Doctors Without Borders has opened treatment centers in Bikoro, a small town close to the starting point of the outbreak, and in Mbandaka. A version of this article appears in print on , on Page A 4 of the New York edition with the headline: Ebola Virus Now Touches A Congo City, Raising Fears . The virus is initially transmitted to people from wild animals, including bats and monkeys.  There is no specific treatment for Ebola.

The First Urban Case of Ebola in the Congo Is a 'Game Changer'

Fourteen cases have been confirmed with laboratory tests. Humans can also be exposed to the virus, for example, by butchering infected animals. The health ministry said it had received 5,400 doses of Ebola vaccine Wednesday morning. This is the ninth Ebola outbreak in Congo since 1976, when the disease was first identified. Twenty-three people have died in the current outbreak, which started in remote rural areas of Equateur Province, in the northwestern region of the Democratic Republic of Congo, in early April.

Order Reprints | Today’s Paper | Subscribe Related Coverage Ebola Erupts Again in Africa, Only Now There’s a Vaccine May 11, 2018 Image Congo, U.N. Symptoms include fever, vomiting, diarrhea, muscle pain and at times internal and external bleeding. Why is the spread to a city such a worry? But even they do not have a regular electricity supply and have to rely on generators. Ebola is Back. At MedPage Today, we are committed to ensuring that individuals with disabilities can access all of the content offered by MedPage Today through our website and other properties.

"Major, major game-changer": Ebola spreads to Congo city of more than 1M people

"Urban Ebola can result in an exponential increase in cases in a way that rural Ebola struggles to do," said Dr. Peter Salama

CNN's Jennifer Hauser contributed to this report. The latest Ebola case in the Democratic Republic of Congo comes amid an outbreak of violence that has spread rapidly in the country's restive Kasai region. There is no specific treatment for Ebola. Peter Salama, the agency’s deputy director general and head of its emergency response program. That operation provides the basis for a vaccination campaign targeting front-line responders and those exposed to the disease.

CBS Interactive Inc. Mapping the West Africa Ebola outbreak What is being done to contain the outbreak? For water, Mbandaka's residents use wells or the river. Rossi A. If you are having trouble accessing www.medpagetoday.com, MedPageToday's mobile apps, please email [email protected] for assistance. The WHO was accused of responding slowly in 2014, and the organization has taken pains to ensure it is acting more quickly — and seen as doing so – this time.

Spread Of Ebola In Congo A 'Game Changer'

The violence has forced families to flee their homes. Symptoms include fever, vomiting, diarrhea, muscle pain and at times internal and external bleeding. Fifteen people are now in isolation and receiving treatment. “The challenge will be to stop rapid, explosive expansion of the outbreak in Mbandaka,” Dr. The goal is to encircle the outbreak. KINSHASA, Congo -- Congo's Ebola outbreak has spread to a crossroads city of more than 1 million people in a troubling turn.

So far only three of the 44 cases have been confirmed as Ebola and involve people who are still alive, the WHO says. Many people also use the river as a toilet, meaning there is a high risk of diseases, not just Ebola, spreading. This harkens back to the 2014-16 West African Ebola outbreak in which almost 29,000 persons were infected resulting in more than 11,000 deaths. This is a major development in the outbreak," said the WHO's Deputy Director-General of Emergency Preparedness and Response. "We have urban Ebola, which is a very different animal from rural Ebola.

DR Congo Ebola outbreak spreads to Mbandaka city

At least 44 people are thought to have been infected and 23 deaths are being investigated.

Petesch reported from Dakar, Senegal. Salama said. “That becomes the No. The World Health Organization shipped 4,000 doses of a newly developed Ebola vaccine to Kinshasa on Wednesday, and vaccination could start on Monday, Dr. It marks the first time the vast, impoverished country has encountered the lethal virus in an urban area.  "This is a major, major game-changer in the outbreak," Dr. This material may not be published, broadcast, rewritten, or redistributed.

Passenger boats used to operate along the river to Kinshasa but these are no longer working. The WHO as well as the local and regional authorities' response to the current outbreak has been swift and meaningful, a far cry from the allegation of " egregious failure " in 2014. Ebola is much harder to contain in urban areas, so this development compounds the risk of contagion. Its early symptoms are not obvious, and the worst effects may take weeks to show.

Ebola is Back. Will We Do Better This Time?

Count on old-fashioned epidemiology and infection control, not experimental vaccine

The outbreak is the Democratic Republic of Congo’s ninth since the discovery of the virus in 1976; previous outbreaks were easily contained in remote rural areas. International agencies are sending protective equipment for health workers, body bags to enable safe burials, chlorine-spraying equipment, water treatment kits and medicines. Three cases are confirmed, 20 are probable and 21 are suspected, according to WHO.

Isolation and rudimentary Ebola case management facilities had been set up in Mbandaka to cope with cases, Mr Salama said. What about travel restrictions? The Democratic Republic of the Congo is no stranger to Ebola. What now? The international response to the current Congo outbreak has been substantial and is expected to grow in size and urgency after the announcement of a confirmed urban case. More doses of vaccine are expected to be shipped out, a WHO spokesman said earlier in the week.

Alarm grows as Ebola is confirmed in Congo city of 1.2 million

"This is a major development in the outbreak," said the WHO's Deputy Director-General of Emergency Preparedness and Response. "We have urban Ebola, which is a very different animal from rural Ebola. The potential for an explosive increase in cases is now there."

But the infection area has no airports that can handle large planes. Mbandaka, a city of almost 1.2 million people, is in a busy travel corridor in Congo's northwest Equateur province and is upstream from the capital, Kinshasa, a city of about 10 million. Into the wild with Thomas D. The disease may have been brought there, he said, by two or three people who had attended the funeral of an Ebola victim in Bikoro to the south of Mbandaka before travelling to the city.

The adage, "a case anywhere is a risk everywhere ," certainly applies to Ebola. Previously, confirmed cases had been limited to a remote area more than 100 miles south of Mbandaka, in the rain forest of Congo’s Equateur province. Persistent rain and lack of roads has hampered the effort to contain the outbreak. JUST WATCHED The death of Ebola? Yahoo!-ABC News Network | © 2018 ABC News Internet Ventures.

Educate your inbox. Salama said, adding that “urban ebola is a very different animal to rural ebola.” Ebola’s presence in Mbandaka poses a risk beyond the city’s own population. Mbandaka is accessible only by small aircraft and Bikoro only by helicopter. It is an hour's plane ride from Kinshasa or a four- to seven-day trip by river barge. Copyright © 2018 CBS Interactive Inc. On Wednesday more than 4,000 doses of an experimental vaccine sent by the WHO arrived in Kinshasa with another batch expected soon.