On January 30, 2025, Uganda’s Ministry of Health confirmed an Ebola outbreak in the nation’s capital, Kampala, following the death of a 32-year-old male nurse at Mulago National Referral Hospital. This marks the first Ebola-related fatality in Uganda since the 2022 outbreak.
Case Details and Transmission
The deceased nurse developed symptoms including high fever, chest pain, and difficulty breathing, which progressed to unexplained bleeding. He sought treatment at multiple facilities, including a traditional healer and a hospital in Mbale district, before succumbing to multi-organ failure on January 29. Post-mortem tests confirmed infection with the Sudan strain of the Ebola virus
Ebola is a highly infectious hemorrhagic fever transmitted through contact with infected bodily fluids and tissues. Symptoms typically include headache, vomiting blood, muscle pains, and bleeding.
Contact Tracing and Public Health Response
Health authorities have identified 44 individuals who had contact with the deceased, including 30 healthcare workers, patients, and family members. Efforts are underway to monitor and trace these contacts to prevent further spread. Given Kampala’s dense population of over four million and its role as a major transit hub for neighboring countries, the situation presents significant challenges.
Historical Context of Ebola in Uganda
Uganda has experienced multiple Ebola outbreaks, with the most recent occurring in late 2022. That outbreak resulted in 143 infections and 55 deaths, including six healthcare workers, before being declared over in January 2023.
Sudan Strain and Vaccine Development
The current outbreak involves the Sudan strain of the Ebola virus, for which there are no approved vaccines or treatments. The Sabin Vaccine Institute is among the organizations actively developing a vaccine for this strain. During the 2022 outbreak, experimental vaccine doses were deployed, but the outbreak concluded before trials could commence.
Regional Implications and Ongoing Efforts
The confirmation of this outbreak in Kampala raises concerns about the potential spread of the virus within the city and to neighboring regions. The Ugandan government, in collaboration with international health organizations, is implementing containment measures, including patient care, contact tracing, and public awareness campaigns. The public is urged to adhere to health guidelines, such as social distancing and hand-washing, to mitigate the spread of the virus.
Conclusion
The emergence of the Ebola outbreak in Uganda’s capital underscores the critical importance of rapid response and public cooperation in managing infectious diseases. Continuous monitoring and adherence to health protocols are essential to contain the outbreak and prevent further transmission.