Ebola Outbreak: Not Due to Witchcraft

Here is the most recent WHO update on the Ebola outbreak in Uganda; as of November 28 there were 6 confirmed and 1 probable case (case numbers have been adjusted from those previously reported due to testing coming back negative from several patients). There have been 4 deaths. 

One of the key challenges with managing the outbreak has been the belief in some communities that deaths have been due to witchcraft and not Ebola. This reminds me of a poster I saw in a clinic in rural Kenya back in 2001: 

http://ihm.nlm.nih.gov/images/C02494

In many traditional African cultures disease is seen as having a supernatural origin or component, and  witchcraft is believed to play a major role in disease acquisition. Such beliefs can compromise disease prevention efforts. Traditional beliefs wherein HIV is considered to be spread via witchcraft have been associated with higher risk sexual activity (such as not wearing condoms), for example. 

At an herbal medicine shop, South Africa (author's photo)

The WHO report notes working with local religious leaders and traditional healers to facilitate good infection control practices that will help halt the spread of Ebola. Understanding how disease is perceived by a given community and close integration with local health leaders is critical in addressing any health issue, especially one as deadly as Ebola. 

Update on Ebola Outbreak in Uganda




wikipedia.org

 
Here is an update from the WHO on the Ebola outbreak in Uganda; as of November 23rd there have been 10 cases with 5 deaths in Luweero and Kampala. What is worrisome about this outbreak is that the disease made it as far as the capitol city. Although this current outbreak appears to be contained, this is a good reminder that a disease that emerges in a remote jungle today can spread to anywhere in the world in a very short period of time.

New Ebola Outbreak in Uganda

Ebola Virus (www.CDC.gov) 

Here is a link to an ABC news article reporting on a new outbreak of Ebola hemorrhagic fever occurring near the capital in Uganda;  per report this outbreak is not epidemiologically linked to the outbreak of Ebola that occurred over the summer. This outbreak serves as another reminder of the unintended consequences of globalization, as the disease has been linked to increased human activity in forests.