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Ebola Outbreak

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The Ebola outbreak in the Democratic Republic of the Congo (DRC) just got worse. In what the World Health Organization’s top response official is calling a “game changer” event, one case has now been confirmed in Mbandaka—a city of 1.2 million people about 150 kilometers from the rural rainforest area where the other confirmed Ebola cases have been found.

The country has been grappling with 44 reported cases, three of which have been confirmed. Another 20 of these cases have been categorized as probable, and 21 are suspected. At least 23 of these individuals have died, according to the latest WHO figures.

The Geneva-based Gavi, The Vaccine Alliance, a public-private partnership that has purchased 300,000 doses of the experimental Ebola vaccine …show more content…

They are also trying to identify all the people who may have been in direct contact with someone who is infected, so they can start inoculating them with the experimental Merck vaccine as early as this weekend. That shot consists of Ebola surface proteins spliced to a live virus that causes the livestock disease vesicular stomatitis.

Seth Berkley, an infectious disease epidemiologist and the chief executive of Gavi, spoke with Scientific American about the latest developments in the outbreak, and about the vaccine response plans.

[An edited transcript of the interview follows:]

What’s the current situation on the ground in the DRC, now that there is at least one case in an urban …show more content…

Luckily there are good transport and portable transfer tools to do that. It can be used for a couple of weeks at normal, refrigerated settings on the field—but that’s a challenge, too, [because electricity can be unreliable]. Getting teams together who will ensure there is informed consent is a challenge as well.

The vaccine only works against one of the most common strains of the Ebola virus—the one apparently circulating in the DRC. Is there concern about this strain mutating in a way that would render the vaccine unhelpful, and are there any genome-sequencing efforts ongoing in real time to track the viral changes?

Right now people are trying to figure out what is going on there. I don’t think any real-time genome sequencing is going on right now, and you have to understand this is one of the most isolated places on Earth—which means things have to be delivered by helicopter and boat.

Are you preemptively sending vaccine doses to neighboring

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