Joob, B

Wiwanitkit, V

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Letter to the EditorEbola  outbreak in west AfricaDear editor, we would like to discuss on the report on Ebola outbreak in west Africa [1]. Mbonye et al. noted that “several factors have contributed to the successful quick containment of  Ebola outbreaks in Uganda [1].” In fact, the widespread of  Ebola infection is Africa is due to several reasons including to the limited medical facilities. Of  interest, when any emerging infectious diseases occur in poor countries, the problem is usually difficult to control. As noted by Mbonye et al1, “political support” is an important thing that determines the success of  the disease control.  However, there are many factors that can make difficulty to disease control. First, at the early stage of  in-fection, the practitioner usually lack for knowledge and there are extremely limited diagnostic tool and therapeutic facilities2,3. Hence, the rapid spread in the acute phase of  outbreak can be expected. Second, although the Ebola infection usually results in severe clinical presentation it can also be asymptomatic4 –5. This can be a difficulty for disease screening and control. Beuy Joob1, Viroj Wiwanitkit21.Sanitation 1 Medical Academic Center, Bangkok Thailand2. Visiting professor, Hainan Medical University, China; adjunct professor, Joseph Ayobabalola University, NigeriaDOI: http://dx.doi.org/10.4314/ahs.v14i4.42 Corresponding author: Beuy Joob Sanitation 1 Medical Academic  Center, Bangkok Thailand Email: beuyjoob@hotmail.comReferences1. Mbonye AK, Wamala JF, Nanyunja M, Opio A, Makumbi I, Aceng JR. Ebola viral hemorrhagic disease out-break in west Africa- lessons from Uganda. Afr Health Sci. 2014 Sep;14(3):495-501.2. Tumwine J. Ebola and other issues in the health sector in Africa. Afr Health Sci. 2014 Sep;14(3):i-iii. 3. Wiwanitkit V. New emerging West Africa Ebola 2014: the present global threaten. Asian Pac J Trop Biomed 2014; 4(Suppl 2): S539-S540.4. Leroy EM, Baize S, Volchkov VE, Fisher-Hoch SP, Georges-Courbot MC, Lansoud-Soukate J, Capron M, Debré P, McCormick JB, Georges AJ. Human asymptomatic Ebola infection and strong inflammatory response. Lancet. 2000 Jun 24;355(9222):2210-5. 5. Leroy EM, Baize S, Debre P, Lansoud-Soukate J, Mavoungou E. Early immune responses accompanying human asymptomatic Ebola infections. Clin Exp Immunol. 2001 Jun;124(3):453-60. 1085                                                                             African Health Sciences Vol 14 Issue 4, December 2014           

Letter to the Editor

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