Four cases, including one confirmed and three suspected cases, all from one family and all of whom have died, have been reported in Masindi district, bordering Gulu district (see map below). The confirmed case is the husband of a woman who had been hospitalized in Gulu. She, her daughter and grandchild died before EHF was diagnosed in her husband. A team comprised of Ministry of Health staff and experts from WHO, US Centers for Disease Control and Prevention and Medecins sans Frontieres arrived in Masindi on 13 November and are implementing barrier nursing procedures and are tracing contacts.
The number of new cases has declined sharply. From 8-11 November inclusive, only 5 laboratory confirmed cases have been recognized in Gulu. The cases in Mbarara and Masindi districts have resulted from persons infected in Gulu district. Once the EHF cases were recognized, control measures were implemented promptly to limit further spread in these districts. Surveillance in other districts throughout Uganda is ongoing.
As of 24 November, the Ugandan Ministry of Health reported the following laboratory confirmed cases during the past week, 17-23 November:
- In Gulu district, there have been 15 laboratory confirmed
cases. During the week, there were 14 deaths. The Ugandan Ministry of Health
has reported cumulative figures of 337 cases, including 121 deaths.
- In Mbarara district, there have been no new laboratory
confirmed cases: the total of laboratory confirmed cases is 3. Two of the three patients have died.
- In Masindi district, 4 new laboratory confirmed cases have
been reported. These cases had contact with the first laboratory confirmed case, before control measures were implemented.
WHO has not put any travel restrictions to Uganda in place--travel to and from the country can continue as normal.