Twenty-one days: the maximum incubation period for Ebola Virus Disease. That means if you have come into contact with the virus but have no symptoms by day twenty two, then you are clear.

Forty two days: the incubation period x 2, and the period it takes for a country to be officially considered clear of the disease. If no new suspected cases are reported for 42 days, the outbreak is over.

Today, Wednesday 13th August 2014, is a big day for me ... it has been twenty-one days since I left Liberia, and for the first time I know beyond a doubt that I am Ebola-free. Not everyone is so lucky. In my first 14 days of incubation in the comfort of my Southampton home, the number of cases in Liberia more than doubled from 249 on 23rd July to 554 on 6th August. Of these cases, 294 people had died. The country is in a state of emergency, schools are closed, roads are blocked, communities are quarantined and attempts to bring the disease under control are being crippled by widespread fear.

So for another 21 days I am going to write a blog post every day to raise awareness of the grim challenge confronting Liberians, and to raise funds to support the Red Cross, who I work with collaboratively in my normal life as a PhD social researcher, and who are at the front line fighting the worst known Ebola outbreak in history.

Tuesday 26 August 2014

A dubious discovery

Many a young inventor or scientist yearns to make an historic discovery, one that will change the world.  But I wonder what it feels like when that discovery is a problem, rather than a solution.  Of course, one is required in order to reach the other, but it’s a funny sort of hero who makes his name for discovering the Ebola virus.

In September 1976, a blue thermos flask arrived at the Institute for Tropical Medicine in Antwerp, Belgium.  Inside, packed in half-melted ice, were vials of blood taken from a Belgian nun working in Zaire (now the Democratic Republic of Congo), who was suffering from an illness that no one could identify.  This was the first time Ebola was put under a microscope, by 27 year old trainee microbiologist Peter Piot.  The only known virus that shared its peculiar structure was Marburg, but he soon confirmed that this was something different.  Two weeks later, Piot was part of a team flying to the remote origins of the virus, near the source of the Congo River, in a village called Yambuku.

The answers came through detective work – talking to people and putting the pieces together.  The team noticed that many of those who were suffering from the disease were young pregnant women who had attended antenatal clinics at the hospital.  Resources were scarce, and the women received injections from one of five needles that were used each day.  They also noticed that people seemed to become sick after attending funerals.  Gradually the routes of transmission became clear, and the knowledge that was needed to contain the outbreak could be put to use.  Piot and his colleague took home blood samples that would enable them to identify the virus that they named Ebola, after a near-by river.

Peter Piot has famously stated recently that he would not be concerned to sit next to an Ebola-sufferer on a train, and advised that there will not be a major outbreak outside of West Africa due to the close contact that is required for the virus to spread.  Speaking to a BBC reporter, he stated:

"We shouldn't forget that this is a disease of poverty, of dysfunctional health systems - and of distrust."

If you would like to find out more about Peter Piot’s discovery of Ebola, I thoroughly recommend this article from the BBC’s News Magazine http://www.bbc.co.uk/news/magazine-28262541 and perhaps, like me, you will even be eager enough to get on Amazon and order his memoir ‘No Time to Lose: A life in pursuit of deadly viruses’.  It gives me hope to see what a difference the potent combination of research and lobbying can make.

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