Ebola virus disease (EVD) is a viral hemorrhagic fever disease caused by the Ebola virus.
- Signs and symptoms of EVD include fever, headache, joint and muscle aches, weakness, diarrhea, vomiting, stomach pain, and lack of appetite. Less common symptoms include rash, red eyes, hiccups, cough, sore throat, chest pain, and bleeding (inside and outside the body). Bleeding occurs late in the illness. Remember that many of these symptoms are the same symptoms seen with influenza (the flu), which is common. Patients travelling from high risk areas with flu like symptoms could have the flu, or they could have Ebola, and as such strict infectious disease precautions must be followed.
- Currently, EVD outbreaks are occurring in the West African areas of Guinea, Liberia, Sierra Leone, and isolated cases have occurred in Lagos, Nigeria. As well a separate Ebola outbreak is currently occurring in Congo .Visit the Centers for Disease Control and Prevention (CDC) website (cdc.gov/vhf/ebola) for the most current information because the affected areas might change.
- The risk of Ebola virus spreading in the UAE is very low. No cases of EVD have been acquired or transmitted within the UAE.
- Ebola virus can be spread by direct contact with blood or other body fluids (e.g., vomit, feces, and urine) of an infected person or exposure to contaminated items, such as needles.
- Symptoms of EVD may start anywhere from 2 to 21 days after coming into contact with the virus, although 8 to 10 days is most common. Persons who remain healthy after the 21 days since contact are not at risk for developing EVD.
- People who do not have any symptoms of the disease cannot spread the disease to others.
- The disease is most transmissible during the later stages of illness when viral loads are highest.
We would strongly advise our patients not to travel to the above mentioned countries during this Ebola outbreak.
If you must travel to these countries, be aware that Nigeria is considered a level 1 risk as of Oct 13, 2014- it is felt there was a small cluster of cases and no further cases have been seen. Level 1 risk with the Centre for Disease Control (CDC) means practice usual precautions- don’t shake hands, kiss on the cheek etc. Wash hands regularly. Avoid physical contact.
The other countries are at level 3 risk, which is the highest .Travel is NOT advisable. If the travel is essential, then there are further precautions advised – please see this link http://wwwnc.cdc.gov/travel/notices/warning/ebola-sierra-leone#advice. This advice would be the same for Liberia, Guinea and Congo. Further to this, if you travel back from any of these areas, if you start to have any of the symptoms listed above, we would suggest you isolate yourself in your home away from family, and call our nurse for further instructions.
PLEASE READ IF YOU ARE HAVING A FEVER OR FLU LIKE ILLNESS
As you are no doubt aware, there is an outbreak of the Ebola disease in West Africa. As many people in Dubai travel to this area for work or personal reasons, we feel it is important to provide our patients with as much up to date information as possible, and as well to set in place precautions to protect our patients as well as our staff.
|If you have a FEVER and/OR one or more of the following symptoms :
Headache Weakness Muscle pain Vomiting Diarrhea Abdominal pain or Un-explained bleeding
You or your family member has travelled to Guinea, Sierra Leone, Liberia, Nigeria or the Congo in the last 21 days
|Even if you are feeling well, if you have been to one of the above mentioned countries and had any form of interaction with a known Ebola patient, or worked in any health care setting, or visited a health care centre or doctor in any of these countries within the last 21 days.|
Then we would kindly ask you to step outside of the waiting room, into the open area outside of the clinic and call through to our nurse (349-6333). She will ask you a few screening questions over the phone and then with the physician will discuss with you the most appropriate plan of action to secure you the best medical care while at the same time protecting your fellow patients and staff.
Thank you for your co-operation.
Dubai Physiotherapy and Family Medicine Clinic
Checklist for nurse
- Record Symptoms. Make sure to ask about Fever,headache, muscle ache,vomiting,diarrhea,abdominal pain,bleeding,weakness, rash
- Record countries of travel in last 21 days of patient and family members, including ALL African destinations.
- Record any visits to any hospitals, clinics, doctors anywhere in the world in last 21 days, either as a patient, health care worker or visitor (i.e in any capacity)
- Then call into one of the doctors (interrupt them) to ascertain if patient can be seen or not.
If you are calling to make an appointment and you have travelled to Guinea, Sierra Leone, Liberia or the Congo in the last 21 days, please ask to speak to the nurse and she will arrange your appointment.
Finally, all health care practitioners would be advised to ask their patients if they have travelled to those countries in the last 21 days, prior to starting treatment. If they have , and have any symptoms, advise them they are at risk of Ebola and that you will need to discuss their case with a doctor. Leave the room, make sure everyone is aware not to enter it. As long as you did not touch the patient or their belongings, you are theoretically low risk. Wash your hands then speak to a doctor about the patient. We have had no guidelines from the DHA to date. So if we determine a patient is at risk, we would have to contact Infectious diseases at Rashid and ask for their guidance. If the patient has no symptoms, theoretically they are not contagious, and it is up to each practitioner as to whether or not they feel comfortable treating the patient.