Ebola Hemorrhagic Fever Anderson Coates Michael Mastropole Discovery • Three initial outbreaks • 1976 in Sudan – E. Sudan • 1976 in the Democratic Republic of the Congo – E. Zaire • 1979 in Sudan – E. Sudan – Outbreak occurred in the same factory as first outbreak Virus Strains • 5 different strains – E. Sudan – E. Zaire – E. Ivory Coast • Only one confirmed case – E. Reston • Non pathogenic to humans – E. Bundibugyo Ebola virus • Member of Filoviridae – Pleomorphic • RNA virus • Genome has seven open reading frames – Code for structural proteins, glycoproteins, nucleoproteins, and polymerase Transmission • Through blood to blood contact •Undersupplied and undertrained healthcare staff •Reusing needles and bloody gloves in hospitals Natural Reservoir • Currently unknown • Sub-Saharan Africa non-human primate population • Possibly local bat population Symptoms (Days 1-10) • Replication period • Inside the body’s monocytes, macrophages, and dendritic cells • No visible symptoms, but contagious Symptoms (Days 11-14) • Body recognizes infection and responds • fever, headache, muscle pain, conjunctivitis, and abdominal pain • Virus attaches to blood vessel walls Symptoms (Days 15-19) • Virus attacks connective tissue • Blood pools under skin • nausea, blood in vomit and diarrhea, and hemorrhaging from the mouth, nose, and other body openings • Hypovolemic shock causing death Ebola Documentary Trailer • http://www.youtube.com/watch?v=A0n5dLiBJ L8 Sources • (2009). ViralZone. Retrieved Apr. 9, 2010, from Swiss Institute of Bioinformatics, Switzlerland. Web site: http://www.expasy.ch/viralzone/all_by_species/23.html. • (2009). Questions and Answers about Ebola Hemorrhagic Fever. Retrieved Apr. 8, 2010, from Centers for Disease Control and Prevention, Atlanta,GA. Web site: http://www.cdc.gov/ncidod/dvrd/Spb/mnpages/dispages/ebola/qa. htm. • (2010). Syndromic Surveillance as an Early Warning System for Biological Attacks. Retrieved Apr. 8, 2010, from Medscape CME. Web site: http://cme.medscape.com/viewarticle/456526_11.