From the symptoms of a common cold to bleeding out the ears and eyes: What happens when you are infected with the Ebola virus?
You have a temperature and no appetite. Your head is aching and you're throat is sore.
It
may appear as though a common cold is lurking, but unbeknownst to you
the vicious Ebola virus has started to attack your immune system.
The
virus destroys the same cells as those targeted by HIV, though the
Ebola infection is more aggressive, wiping out the building blocks of
the body's immune system.
It
has an incubation period - that is the time from infection to when the
first symptoms present themselves - of between two and 21 days,
increasing the risk of the highly-infectious illness spreading.
As soon as a victim starts to suffer
the sudden onset of the disease, the fever, crippling headache and
muscle pain, they are already contagious.
The virus is transmitted through close contact with the blood, secretions, organs or other bodily fluids of infected animals.
Once
a human is infected, the disease can spread quickly within a community,
with health workers and family members of victims at particular risk.
The
current outbreak rampaging through West Africa, began in a small
village in Guinea and since February it has claimed 672 lives, leaving
another 1,200 people infected.
It has spread into neighbouring Sierra Leone and Liberia.
This is now the most prolific Ebola outbreak since the disease was first discovered in 1976.
The
fact the virus mimics the symptoms of a common cold in its early
stages, is the very aspect that makes the disease so difficult to
diagnose.
Within a few days, the early symptoms give way to the next stage of the virus.
Disseminated
intravascular coagulation causes clots and hemorrhaging, with clots in
the liver, spleen, brain and other internal organs.
The virus pierces veins and capillaries, forcing the blood vessels to bleed into the surrounding tissue.
A patient will suffer aches all over the body, chronic abdominal pain, vomiting and diarrhoea.
A rash then appears on the torso, quickly spreading to the limbs and head.
Within
a few days tipping point is reached - the moment at which some lucky
patients will recover, while others will develop the fatal phase,
haemorrhaging fever.
The
body's immune system turns on itself. Tiny blood vessels burst, causing
patients to spontaneously bleed from their eyes, mouths, ears, and
other orifices.
Internally bleeding is likely in the gastrointestinal tract and other internal organs.
The
whites of a patient's eyes will turn red and blood spots appear in
vomit and diarrhoea, as large blood blisters develop under the skin.
For
those who succumb to the disease, death is usually the result of
multiple organ failure, haemorrhaging or shock and typically occurs
between eight and 17 days after a person first falls ill.
For
those who survive, they must be regularly tested, to ensure the virus
is no longer present within their bodily fluids, before it is safe to be
discharged from hospital.
The virus can also be sexually transmitted for up to 40 days after a man has recovered.
There
is currently no vaccine to protect against the Ebola virus. And in the
absence of a specific treatment plan or drug to tackle the disease, it
poses a real risk.
The highly-infectious disease is spread through
contact with a victim's blood, secretions, organs and other bodily
fluids. Pictured are villagers in Kikwit, Zaire during an outbreak in
August 1995
Liberian health workers wearing protective
clothing carry the body of a woman who died of the Ebola virus away from
an isolation unit in Foya, Lofa County for burial
ARE YOU AT RISK OF CATCHING THE INCURABLE, DEADLY DISEASE?
What is Ebola virus disease?
Ebola
is a severe, often fatal illness, with a death rate of up to 90 per
cent.The illness affects humans as well as primates, including monkeys,
gorillas and chimpanzees.
How do people become infected with the virus?
Ebola is transmitted through close contact with the blood, secretions, organs or other bodily fluids of infected animals.
In
Africa infection in humans has happened as a result of contact with
chimpanzees, gorillas, fruit bats, monkeys, forest antelope and
porcupines found ill or dead in the rainforest.
Once
a person becomes infected, the virus can spread through contact with a
sufferer's blood, urine, saliva, stools and semen. A person can also
become infected if broken skin comes into contact with a victim's soiled
clothing, bed linen or used needles.
Men
who have recovered from the disease, can still spread the virus to
their partner through their semen for seven weeks after recovery.
Who is most at risk?
Those at risk during an outbreak include:
- health workers
- family members or others in close contact with infected people
- mourners with direct contact with the bodies of deceased victims
- hunters in contact with dead animals
What are the typical signs and symptoms?
Sudden
onset of fever, intense weakness, muscle pain, headache and sore
throat. That is followed by vomiting, diarrhoea, rash, impaired kidney
and liver function and internal and external bleeding.
The incubation period is between two and 21 days. A person will become contagious once they start to show symptoms.
When should you seek medical care?
If
a person is in an area affected by the outbreak, or has been in contact
with a person known or suspected to have Ebola, they should seek
medical help immediately.
What is the treatment?
Severely ill patients require intensive supportive care. They need intravenous fluids to rehydrate them.
But there is currently no specific treatment for the disease. Some patients will recover with the appropriate care.
Can Ebola be prevented?
Currently there is no licensed vaccine for Ebola. Several are being tested but are not available for clinical use.
Is it safe to travel to affected areas?
The
World Health Organisation reviews the public health situation
regularly, and recommends travel or trade restrictions if necessary. The
risk of infection for travellers is very low since person-to-person
transmission results from direct contact with bodily fluids of victims.
Source: World Health Organisation
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