Journal De Bruxelles - Uganda leader cracks down on traditional healers to stem Ebola

In a televised speech to the nation, the veteran leader also directed security officials to arrest all people suspected of having contracted the often-fatal viral haemorrhagic fever if they refused to go into isolation.

His instructions followed a regional ministerial meeting in Kampala to discuss the emergency response to the outbreak after Uganda last month announced its first fatality from the highly contagious disease since 2019.

World Health Organization chief Tedros Adhanom Ghebreyesus had told the meeting from Geneva that clinical trials could start within weeks on drugs to combat the particular strain circulating in Uganda known as the Sudan ebola virus, for which there is currently no vaccine.

A statement issued by WHO said there were 54 confirmed cases and 19 deaths since the outbreak was first reported in the central district of Mubende on September 20.

Museveni said only one fatal case had been recorded in Kampala, a 45-year-old man of Congolese origin who had fled isolation in Mubende after a relative died, and had sought out the help of a witchdoctor.

He later succumbed to the disease in a hospital in the capital, Museveni said, adding that about two dozen people who had been in contact with the man were now in quarantine.

"Witchdoctors, traditionalists and herbalists should not accept sick people now. Suspend what you are doing," Museveni said.

"There is no witchcraft here. Ebola is a disease. The communities in the affected areas should know Ebola is deadly and spread through contacts with the affected person."

Since the initial outbreak in the largely rural landlocked country, infections have been found in five areas including Mubende, according to WHO.

- 'High' risk of spreading -

"Unfortunately, the Ebola vaccines that have been so effective in controlling recent outbreaks in DRC (Democratic Republic of Congo) are not effective against the type of ebola virus which is responsible for the current outbreak in Uganda," Tedros told Wednesday's meeting.

"Several vaccines are in various stages of development against this virus, two of which could begin clinical trials in Uganda in the coming weeks, pending regulatory and ethics approvals from the Ugandan government."

A WHO assessment has found the risk of the Sudan ebola virus spreading to neighbouring countries was "high due to cross border movements between Uganda and other countries".

"Our primary focus now is to support the government of Uganda to rapidly control and contain this outbreak, to stop it spreading to neighbouring districts, and neighbouring countries," Tedros told reporters.

Ebola is named after a river in DR Congo where it was discovered in 1976. Human transmission is through bodily fluids, with common symptoms being fever, vomiting, bleeding and diarrhoea. Outbreaks are difficult to contain, especially in urban environments.

People who are infected do not become contagious until symptoms appear, which is after an incubation period of between two and 21 days.

The worst epidemic in West Africa between 2013 and 2016 killed more than 11,300 people.

Uganda has experienced several Ebola outbreaks, most recently in 2019 when at least five people died.

The neighbouring DRC has had more than a dozen epidemics, the deadliest killing 2,280 people in 2020. Late last month it declared an end to an Ebola outbreak that had emerged in the eastern province of North Kivu six weeks previously.

Last week the United States announced tighter screening for people who had travelled to Uganda.

J.F.Rauw--JdB