შანსი ყოველთვის არის, ებოლავირუსის შტამზეა დამოკიდებული, ზაირის ებოლავირუსიტ გამოწვეული ლეტალობა 89 %-ზე მაღალია...
http://emedicine.medscape.com/article/2162...iew#aw2aab6b2b5Prognosis
The overall prognosis for patients with Ebola virus infection is poor. However, those who survive for 2 weeks often make a slow recovery.
With the exception of the Reston strain, Ebola virus is associated with very high morbidity and mortality among patients who present with clinical illness, though these vary according to the causative species. The most highly lethal Ebolavirus species is Zaire ebolavirus, which has been reported to have a mortality rate as high as 89%. Sudan ebolavirus also has high reported mortality, ranging from 41% to 65%.
პ.ს. ეს კიდე ეპიდემიოლოგია, გადათარგმნა მეზარება...
http://emedicine.medscape.com/article/216288-overview#a0156Epidemiology
United States statistics
Ebola virus is not endemic in the United States. However, several human infections with the Reston strain of Ebola have been acquired by animal care workers at primate holding facilities within the United States. Fortunately, the Reston strain has not demonstrated pathogenic effects in humans. Others at potential risk are laboratory workers who work with infected animals or with the virus in tissue culture.
International statistics
Ebola and Marburg viruses are responsible for well-documented outbreaks of severe human hemorrhagic fever, with resultant case mortalities ranging from 23% for Marburg virus to 89% for Ebola virus in which more than one case occurred (see Tables 1, 2, 3, 4, and 5 below).
The current (2014) Ebola virus outbreak is significant and primarily involves 4 African countries—Guinea, Liberia, Sierra Leone, and Nigeria. As of September 4, 2014, 3069 total suspected or confirmed cases (1752 laboratory-confirmed) had been reported in these countries, resulting in 1552 deaths. Based on genetic analysis, the virus is 97% identical to the Zaire ebolavirus identified in recent (earlier in 2014) cases in Gabon and the Democratic Republic of the Congo.[11, 12] At least 3 Americans in Africa have been infected with Ebola in the current outbreak, one of whom has died of the disease.[13]
The current outbreak has prompted the Centers for Disease Control and Prevention (CDC) to issue a level 3 travel advisory (avoidance of nonessential travel) to Sierra Leone, Guinea, and Liberia. Those who do travel to these countries are advised to avoid contact with the blood and body fluids of people with known Ebola virus infection.[3]
Table 1. History of Sudan Ebola Virus Outbreaks (Open Table in a new window)
Year Location Reported Cases, No. Deaths, No. (%)
1976 Sudan 284 151 (53)
1976 England* 1 0 (0)
1979 Sudan 34 22 (65)
2000-2001 Uganda 425 224 (53)
2004 Sudan 17 7 (41)
2011 Sudan 1 1 (100)
Total 762 405 (53)
Data from Centers for Disease Control and Prevention and World Health Organization.
* Occurred after laboratory accident.
Table 2. History of Zaire Ebola Virus Outbreaks (Open Table in a new window)
Year Location Reported Cases, No. Deaths, No. (%)
1976 Zaire 318 280 (88)
1977 Zaire 1 1 (100)
1994 Gabon 52 31 (60)
1995 DRC 315 250 (81)
Jan 1996 to Apr 1996 Gabon 37 21 (57)
Jul 1996 to Jan 1997 Gabon 60 45 (74)
1996 South Africa (acquired in Gabon) 1 1 (100)
Oct 2001 to Mar 2002 Gabon 65 53 (82)
Oct 2001 to Mar 2002 DRC 59 44 (75)
Dec 2002 to Apr 2003 DRC 143 128 (89)
Nov 2003 to Dec 2004 DRC 35 29 (83)
2007 DRC 264 187 (71)
Dec 2008 to Feb 2009 DRC 32 15 (47)
July 2012 Uganda 24 17 (71)
Nov 2012 DRC 77 36 (46)
Dec 2012 Uganda 7 4 (57)
Total 1490 1141 (76.6)
Data from Centers for Disease Control and Prevention and World Health Organization.
Table 3. History of Tai Forest (Ivory Coast, Côte-d’Ivoire) Ebola Virus Outbreaks (No Deaths Reported) (Open Table in a new window)
Year Location Reported Cases, No.
1994 Côte-d’Ivoire 1
Total 1
Data from Centers for Disease Control and Prevention and World Health Organization.
Table 4. History of Reston Ebola Virus Outbreaks (No Deaths Reported) (Open Table in a new window)
Year Location Proven * Cases Reported, No.
1989 Virginia, Texas, Pennsylvania 0
1990 Virginia and Texas 4
1989-1990 Philippines 3
1992 Italy 0
1990 Alice, TX 0
1996 Philippines 0
Nov 2008 Philippines† 6
Total 13
Data from Centers for Disease Control and Prevention and World Health Organization.
* Humans with serologic evidence of infection but without clinical disease.
† Associated with pig farming.[14, 15]
Table 5. History of Bundibugyo Ebola Virus Outbreak (Open Table in a new window)
Year Location Reported Cases, No. Deaths, No. (%)
Dec 2007 to Jan 2008 Uganda 149 37 (25)
Jun to Nov 2012 Democratic Republic of the Congo 36 13 (36.1)
Total 185 50 (27)
Data from Centers for Disease Control and Prevention and World Health Organization.
Individuals considered at risk for Ebola hemorrhagic fever include persons with a travel history to sub-Saharan Africa, persons who have recently cared for infected patients, and animal workers who have worked with primates infected with African-derived Ebola subtypes. In 2011, Uganda experienced a reemergence of the disease.[16]
Age-related demographics
In the 1995 outbreak in Kikwit, DRC, infection rates were significantly lower in children than in adults. During this outbreak, only 27 (8.6%) of the 315 patients diagnosed with Ebola virus infection were aged 17 years or younger. This apparent sparing of children occurs even though 50% of the population of the DRC is younger than 16 years. Although definitive evidence is lacking, epidemiologic evidence suggests that children are less likely to come into direct contact with ill patients than adults are.
Other viral hemorrhagic syndromes, such as Crimean-Congo hemorrhagic fever and hantavirus infections, also show a predominance of adult patients and a relative sparing of young children.
Sex-related demographics
Ebola virus infection has no sexual predilection, but men and women differ with respect to the manner in which direct exposure occurs.
Men, by the nature of their work exposure in forest and savanna regions, may be at increased risk of acquiring a primary infection from gathering “bush meat” (primate carcasses) for food, as well as an unknown vector or vectors. Evidence from Africa and the Philippines is compatible with bats being a principal vector of Ebola virus.
Because women provide much of the direct care for ill family members and are involved in the preparation of the bodies of the deceased, they may be at increased risk of acquiring Ebola virus infection through their participation in these activities. However, men and women who are medical healthcare providers seem to share a high and equal risk of infection.
Race-related demographics
Because most cases of Ebola virus infection have occurred in sub-Saharan Africa, most patients have been black. However, no evidence exists for a specific racial predilection.
This post has been edited by გუბაზიანი on 9 Oct 2014, 11:16