Ebola Virus: Avoid Contacts With Public Objects Listed Here- Obasi. D. C. Chinedu

The Latest outbreak of the Ebola Virys Disease(EVD) in west africa, especially Nigeria, has called for a lot of concern, and I am concerned to point out a couple of less noted areas which poses a high transmission risk of the disease.

We all should note that Ebola Can be Spread to Others only after Symptoms Begins, Symptoms can appear from 2 to 21 days after exposure.

You can’t get ebola through
• Air
• Water
• Food

Symptoms of Ebola typically include
*.Fever (greater than 38.6°C or 101.5°F)
*.Severe headache
*.Muscle pain
*.Weakness
*.Diarrhea
*.Vomiting
*.Abdominal (stomach) pain
*.Lack of appetite

Some patients may experience
*.Rash
*.Red eyes
*.Hiccups
*.Cough
*.Sore throat
*.Chest pain
*.Difficulty breathing
*.Difficulty swallowing
*.Unexplained bleeding inside and outside of the body

According to the US Centre for Disease control, Some patients who become sick with Ebola are able to recover. We do not yet fully understand why. However, patients who die usually have not developed a significant immune response to the virus at the time of death.

PREVENTIONS:
Because we still do not know exactly how people are infected with Ebola, few primary prevention measures have been established and no vaccine exists.

When cases of the disease do appear, risk of transmission is increased within healthcare settings, hospitals, clinis. Therefore, healthcare workers must be able to recognize a case of Ebola and be ready to use practical viral hemorrhagic fever isolation precautions or barrier nursing techniques.

They should also have the capability to request diagnostic tests or prepare samples for shipping and testing elsewhere.

Barrier nursing techniques include:
*.wearing of protective clothing (such as masks, gloves, gowns, and goggles)
*.using infection-control measures (such as complete equipment sterilization and routine use of disinfectant)
*.isolating patients with Ebola from contact with unprotected persons.

The aim of all of these techniques is to avoid contact with the blood or secretions of an infected patient. If a patient with Ebola dies, direct contact with the body of the deceased patient should be avoided.

IMPORTANT FOR TRAVELLERS
If you must travel to an area with known Ebola cases, make sure to do the following:
*.Practice careful hygiene. Avoid contact with blood and body fluids.
*.Do not handle items that may have come in contact with an infected person’s blood or body fluids.
*.Avoid funeral or burial rituals that require handling the body of someone who has died from Ebola.
*.Avoid contact with animals and raw meat.
*.Avoid hospitals where Ebola patients are being treated. The U.S. embassy or consulate is often able to provide advice on facilities.
*.After you return, monitor your health for 21 days and seek medical care immediately if you develop symptoms of Ebola.

HANDLING ITEMS:
Particularly, I, Obasi Chinedu, is more concerned about the handling of public instruments by Ebola patients.
*.Do not handle items that may have come in contact with an infected person’s blood or body fluids.

These instruments includes, but not limited to, handles of ATM doors, public vehicles Doors, public utilities, pay phones, handles of Bank doors, currency notes, market items, goods and commodities for sale, since patients might have picked and dropped them during negotiations in a busy market and many other unlisted items, which has a high possibility of being contacted with sweats of the patients/carriers.

• Most importantly, all travellers are advised to move on Long Sleeves, with a hand gloves on, exposing no part of their body,with exception of their faces.

DIAGNOSIS
Diagnosing Ebola HF in an individual who has been infected for only a few days is difficult, because the early symptoms, such as red eyes and a skin rash, are nonspecific to ebolavirus infection and are seen often in patients with more commonly occurring diseases.

However, if a person has the early symptomsof Ebola HF and there is reason to believe that Ebola HF should be considered, the patient should be isolated and public health professionals notified.

TREATMENT
Ebola does not have a known, proven treatment. Standard treatment for Ebola HF is still limited to treating the symptoms as they appear and supportive care. This consists of
*.balancing the patient’s fluids and electrolytes
*.maintaining their oxygen status and blood pressure
*.treating them for any complicating infections

Timely treatment of Ebola HF is important but challenging because the disease is difficult to diagnose clinically in the early stages of infection. Because early symptoms, such as headache and fever, are nonspecific to ebolaviruses, cases of Ebola HF may be initially misdiagnosed.

However, if a person has the early symptomsof Ebola HF and there is reason to believe that Ebola HF should be considered, the patient should be isolated and public health professionals notified. Supportive therapy can continue with proper protective clothing until samples from the patient are tested to confirm infection.

At this time, the Centre of Disease Control and Prevention, CDC, United States, and its partners at points of entry are not screening passengers traveling from the affected countries. It is important to note that Ebola is not contagious until symptoms appear, and that transmission is through direct contact of bodily fluids of an infected, symptomatic person or exposure to objects like needles that have been contaminated with infected secretions.

God Bless University Of Nigeria, UNN
God Bless Nigeria
God Bless Africa!

Obasi. D. C. Chinedu
Medical Aspirant
University Of Nigeria, Nsukka(UNN).

VNTI Publications

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