Captain Satish Pillai, incident manager for CDC’s Ebola response, said during a May 18 briefing that the CDC is working to transport all seven Americans to facilities in Germany where they will continue to receive care and be evaluated. He said the individual with the confirmed case was “exposed as part of their work in DRC” but would not provide additional details about how the person was exposed.
Pillai said the CDC is working closely with health officials in DRC and Uganda to support them in containing the outbreak, including by providing technical experts on Ebola both in person and remotely. The U.S. government has issued health notices for DRC and Uganda, informing Americans who might be traveling to that region about the ongoing outbreak and advising them to purchase travel insurance, avoid contact with symptomatic people, and avoid visiting health care facilities for non-emergencies, since infected patients might be there. The advice also includes avoiding contact with animals and any raw meat.
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The latest outbreak began with reports to WHO in early May of unexplained deaths, including among health care workers, in Ituri Province in DRC. In just over a week, lab tests confirmed the Bundibugyo strain of Ebola, which has a lower mortality rate of 30% to 50% than Zaire but still causes similarly serious and sometimes fatal disease. Because Zaire has been more common, several antiviral and monoclonal antibody therapies are available to treat it, but none currently target Bundibugyo, making control of the latest infections more challenging. "This is only the third time this Bundibugyo strain is causing an outbreak in recorded history," says Gonzalez. "So the vaccines that were developed before, the specific therapeutics that were developed before, and the testing capacity we developed before for Zaire don't work for this strain."
Since January, drastic cuts in funding—especially to programs like USAID, which has played a large role in supporting international efforts to address public health threats—have also impacted health care in the region. Pillai said the CDC has 25 people in the office the agency maintains in DRC, and that number “hasn’t substantially changed. Anything the country office and the ministry [of health] are requesting for support, we will be providing remotely as well as in the field,” he said.
So far, there are no cases of Ebola reported in the U.S. “The risk to the U.S. remains low,” Pillai said.
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