Ebola Virus Disease : History, Transmission & Pathogenesis

Ebola, a virus which acquires its name from the Ebola River (located in Zaire, Africa), first emerged in September 1976, when it erupted simultaneously in 55 villages near the headwaters of the river. It seemed to come out of nowhere, and resulted in the deaths of nine out of every ten victims. Although it originated over 20 years

* The Sudan Ebolavirus was the second species of Ebola emerging simultaneously with the Zaire virus. It was believed to have originated amongst cotton factory workers in Nzara, Sudan. The most recent outbreak occurred in May 2004 in Yambio County, Sudan. The average fatality rates for SEBOV were 54% in 1976, 68% in 1979, and 53% in 2000 and 2001.

In late 2013, Ebola virus disease (EVD), a deadly and lethal disease, remerged in West Africa spreading to various countries in the region. In humans, the disease is spread through contact with infected bodily fluids leading to haemorrhagic fever (World Health Organization [WHO], 2015). Originating in 1976 in equatorial Africa, past outbreaks with a few hundred cases had been contained within rural, forested areas in Uganda and Congo (Piot, 2012). In 2014, a total of 20, 206 cases and 7,905 deaths were reported to have occurred in up to eight countries worldwide. Of all cases and deaths resulting from the disease, 99.8% occurred in three neighbouring West African countries - Liberia, Sierra Leone and Guinea (WHO, 2014). With a case fatality rate from about 50% to 90%, and the absence of preventative or curative therapies, the Ebola epidemic has led to overall global alarm and further elucidated existing global health disparities that perpetuated the epidemic with these West African countries.

In 2014, Ebola hemorrhagic fever caused an outbreak in West Africa that officially ended in 2016. The Centers for Disease Control and Prevention (CDC) says, “Ebola is a rare and deadly disease caused by infection with one of the Ebola virus species” (“Ebola (Ebola Virus Disease)”). Ebola is caused when a person is in contact with an infected person’s blood or other body fluids. Prevention of contracting the disease include, not touching the dead body of an infected person, not touching body fluids of an infected person, avoiding places infected people are being treated, not touching bats or nonhuman primates

First discovered in the 1970’s, the ebola virus was contained to West Africa (“About Ebola Virus Disease”). Villagers’ diets consisted primarily of the resources readily available. Among these resources were fruit, vegetables, and animals, namely monkeys. Monkeys carried the ebola virus, and when people ate them, without proper cleaning and cooking techniques, they became infected. Ebola, formally known as Zaire Ebola Virus, is transmitted through bodily fluids like saliva, blood, semen, breast milk, mucus, sweat, tears, feces and urine. ("Ebola in West Africa."). Since it was introduced to a third world country, where hygiene is not regarded as important as survival. Without education, protection and segregated sewage, the virus began to spread. In days people were dying after spreading the virus to those closest to them (Waterman). The bodies, though dead, were still harboring the virus and

Although Ebola caught the world’s attention during the 1995 outbreak in Zaire, the first outbreak occurred in 1976. As the chart below displays, 71% of the people infected died as a result of Ebola during this first outbreak (Bulletin of the World Health Organization, 56 (2): 247-270, 1978). With the current outbreak, this ratio has dramatically decreased as a result of scientific research leading to early detection, but the current infected population is more than 20 times the amount of any previous outbreak and this number continues to grow as no vaccine exists to prevent the disease.

Ebola was first discovered in 1976 near the Ebola River which is now the Democratic Republic of the Congo. There are five identified ebola virus species: Ebola virus (Zaire ebolavirus); Sudan virus (Sudan ebolavirus); Taï Forest virus (Taï Forest ebolavirus); and the Bundibugyo virus (Bundibugyo ebolavirus). The fifth, Reston virus (Reston ebolavirus), causes disease in nonhuman primates. There have been ebola outbreaks in Africa starting in 1976 and lasting until 2016. These outbreaks have occurred as a result of human to human contact with bodily fluids which happens mostly during funerals of the deceased and population migration between countries. Patterns between outbreaks could potentially

Ebola was first recognized in 1976 as the cause of outbreaks of disease in the Democratic Republic of the Congo (then known as Zaire) and in Sudan. About three hundred people in each of the two nations were infected with the virus, resulting in a mortality rate of 88% in Zaire, and 53% in Sudan (Bulletin of the WHO 1978). The disease as it was discovered spread through direct contact of unmans to humans, and then thought, from non-human primates to humans. The epidemic was a result of unsafe and unsanitary hospital practices, and non-sterilized medical equipment. The disease was then contained, however sporadic outbreaks of the Zaire and Sudan Ebola subtypes have risen in the Democratic Republic of the Congo, Gabon, Uganda, and Sudan; one of the latest outbreaks was in the Democratic Republic of the Congo in September of 2007.

The first two Ebola outbreaks were in 1976, in the countries of Zaire and western Sudan. These were large outbreaks, resulting in more than 550 cases and 340 deaths. In 1979, Ebola mysteriously appeared in

Ebola Virus is a serious transmitted disease by both humans and animals. The disease first appeared in 1976 in 2 simultaneous outbreaks, one in Nzara, Sudan, and the other in Yambuku, Democratic Republic of Congo. The latter occurred in a village near the Ebola River, from which the virus received its name. Ebola Virus is a member of the negative stranded RNA viruses known as filoviruses. There are currently, five different strains of the Ebola Virus including, Zaire (EBOV), Sudan (SUDV), Bundibuguyo (BDBV), Taï Forest (TAFV) and Reston (RESTV). Each of the strains of the virus are very closely related including Reston which only effects animals. Yet, Ebola Zaire is the most highly virulent subtype, often leading to death. All of the different types of the virus are extremely dangerous and often cause death if untreated.

Ebola is the global killer and communicable disease of the world with 69 % case fatality rate, whereas only Zaire strain virus has 90% case fatality rate. It attacks Guinea, Liberia, Sierra Leone, especially the west African’s region as

The Ebola virus was first discovered in 1976 near the Ebola River, in what is now the Democratic Republic of Congo, and is now currently found in many African countries. The first EVD outbreaks occurred in small, remote villages in Central Africa near rainforests, but the recent 2014 outbreak began in West Africa, involving more urban areas than before. The most severely affected countries include Guinea, Liberia, and Sierra Leone, largely due to the fact that they lack strong health and sanitation systems. The Zaire, Bundibugyo, and Sudan species, previously mentioned, have been associated with the outbreaks in Africa. The recent 2014 outbreak belongs to the Zaire species.

The only way to impede the virus was to quarantine the villages that were infected. The number of out breaks decreased in 1977 with only one reported case and in 1979, 34 cases with 22 deaths (2). The virus seemed to be in submission for over a decade with no further cases reported until 1994 (2). The Country of Democratic Republic of Congo reported approximately 52 cases that year with 31 deaths (2). In 1995 there were over 300 case documented (2). The cases then seemed to decrease to less than 100 per year until 2000. In 2000, the country of Uganda experienced a High level of Ebola Virus outbreak with over 400 confirmed cases reported with this out break there was 224 deaths (2). The cases again became few until 2003 when 178 contracted the virus in the Congo over 85% died (2). 2007 was the next large outbreak in Democratic Republic of Congo and Uganda with over 400 cases reported however less than 75% of those cases resulting in death (2). From 2008-2013 there were

The first outbreaks of Ebola occurred in Africa between 1st September and 24th October 1976, there were 318 cases of the disease in northern Zaire. The outbreaks were centred in the Bumba Zone of the equator and most of these cases were recorded within a radius of 70km from Yambuku .There were a total of 280 deaths and only 38 serologically confirmed survivors.

The Ebola Haemorrahagic Fever, or Ebola for short, was first recognized as a virus in 1967. The first breakout that caused the Ebola virus to be recognized was in Zaire with 318 people infected and 280 killed. There are five subtypes of the Ebola virus, but only four of them affect humans. There are the Ebola-Zaire, Ebola-Sudan, Ebola-Ivory Coast and the Ebola-Bundibugyo. The fifth one, the Ebola-Reston, only affects nonhuman primates. The Ebola-Zaire was recognized on August 26, 1976 with a 44 year old schoolteacher as the first reported case. The Ebola-Sudan virus was also recognized in 1976 and was thought to be that same as Ebola-Zaire and it is thought to have broken out in a cotton factory in the Sudan. The Ebola-Ivory Coast was