Uganda: Porous borders stoke Ebola fears across the region

KAMPALA— Health authorities across the region are scratching their heads on how to counter the health and economic threats posed by the growing Ebola emergency in Uganda, even as economies struggle to recover from the effects of Covid-19.

This week, President Museveni clarified that his government has ruled out Covid-like restrictions that saw borders, schools, entertainment and worship centres shut down for more than one year.

The Ebola fear is not restricted to Uganda as health officials in the region continue to contend with porous borders that put the entire region at risk.
But an even bigger fear is that restrictions at border points could hurt movement of people and goods.

On Thursday, Dr Anthony Kafumbe, the East African Community (EAC) acting deputy secretary-general for Productive and Social Sectors, said the EAC Secretariat would work with partner states to co-ordinate emergency preparedness and response at common borders.

“I urge partner states to enhance surveillance and laboratory testing especially at border areas; to implement appropriate infection prevention and control measures and increase risk communication and community awareness of the disease,” he said.

“I ask partner states to consider the deployment of the EAC mobile laboratories to the strategic outbreak hotspots and at the various border point of entries.”

This week, Rwanda reinstated the use of non-contact thermometers across all its border crossings.

Rwandan health workers, in protective gear and face masks, were at the Gatuna and Kagitumba borders, engaging cross-border travellers, taking their temperature and noting down their travel history.

Although Rwanda has not suffered a single Ebola case in the past, Uganda’s Mubende District – the epicentre of this year’s outbreak – is about a six-hour drive from the border.

“The Ministry of Health strongly urges each and everyone to be cautious and seriously comply with the preventive measures against Ebola,” reads a statement from Rwanda’s Ministry of Health.

It warned against “unnecessary visits and contacts with people who have travelled to areas affected by the Ebola outbreak.”

The public has been advised to report all visitors from Uganda and observe high hygiene.

By Friday, Ebola cases had been detected in Mubende, Kyegegwa, Kagadi and Kassanda across 120 kilometres, the World Health Organisation said in its bulletin.

“Some 400 had been identified and will be monitored as the search continues to identify other people who may be at risk,” it said.

WHO said confirmed cases need supportive care to improve their survival chances. The agency deployed three viral haemorrhagic fever kits with medical supplies, medicines and personal protective equipment to an isolation unit set up in the Mubende Regional Referral Hospital with plans underway for an additional Ebola treatment unit.

“More kits will be deployed based on need,” a statement said.

Uganda will also receive $500,000 to support the country’s control efforts and another $300,000 from WHO’s preparedness programme to support readiness activities in the neighbouring countries, including screening, awareness campaigns and isolation centres.

The WHO had earlier in the week praised Uganda’s response and especially testing capacity for Ebola, with 5,000 tests having been done by Wednesday.

But health officials in the affected areas are expressing frustration that the localised measures imposed to contain the spread were being violated, and suggested expanded lockdown measures.

So far, there are 38 confirmed cases and eight confirmed deaths.

Source: NAM NEWS NETWORK