Photo credit: WHO

For decades Americans and the civilized world have feared a possible plague in which could potentially threaten billions of lives on a global scale and now it appears that it's not something out of ancient history or science fiction novels any longer.

Cases of the plague have soared in recent days and extra funding has been released by the World Bank to provide additional resources in the face of the “worst outbreak for 50 years”.

The outbreak is being compared with the infamous “Black Death”, when that plague swept across Europe as well as Asia in the 13th century, killing more than 50 million people across the globe in what is now considered one of the worst pandemics in human history.

The modern version of ‘Black Death’ is here.

In Eastern Africa and especially along the various towns and rural regions of Uganda scientists are absolutely stunned by what appears to be a resurgence of a disease known as Marburg Virus Disease (MVD) that has began claiming victims.

The disease in similar to Ebola, experts warn, and also state that in 90% of those victims whom are diagnosed with MVD they're going to lose their lives.

Ebola and Marburg viruses are close and a deadly kin to one another since the two viruses are the only two known members of the filovirus family, which can cause severe hemorrhagic fever and often death.

A hemorrhagic fever is an infectious disease which interferes with the body by affecting the blood’s ability to clot.

Both the Ebola and Marburg viruses spread to humans from animals, then spread among humans through contact with bodily fluids; which means that in places like Africa where the people continue to urinate and defecate out in public and contaminate their own drinking waters this could pose a serious problem.

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Europe is increasingly nervous as well now, since several hundred people have reportedly been exposed to this new pathogen, which is considered to be potentially the most deadly virus ever witnessed by mankind; if it were to continue to spread it would undoubtedly outpace plagues of ancient history due to modern demographics as well.

This new report is even more concerning since a plague has now affected more than 1800 people in Madagascar, which was just reported by the World Health Organization on Friday.

An “unusually severe” outbreak of plague has made more than 1,800 people sick in Madagascar, but it’s unlikely to spread far, the World Health Organization said Friday.

WHO and the Malagasy government have stepped up screening at airports but say the infection is more likely to spread within Madagascar than it is to spread to other countries.

“So it is important to strike a balance between encouraging countries in the region to be ready to act in case of an outbreak, while avoiding panic that could result in unnecessary or counterproductive measures such as trade restrictions or travel bans on affected countries,” WHO said in a statement.

“This outbreak is unusually severe, and there are still five more months to go before the end of the plague season,” it added.

With the worries in Europe already stressing out the World Health Organization’s limited resources, now the news from Africa is certainly even more dreadful.

There's widespread panic amongst health workers and scientists in Turkana along the Kenya-Uganda borders, where the World Health Organization warns that there is no specific treatment for anyone who's been subject to transmission of the until now ultra-rare diagnosis.

Such a plague that many are comparing to lore of biblical proportion, would essentially devastate Africa if it continues to spread amongst the already suffering 1.22 billion Africans who exist within the continent.

Late last month the <a href="http://www.who.int/csr/don/25-october-2017-marburg-uganda/en/">World Health Organization first were warned </a>by the Uganda Ministry of Health of the incredibly rare outbreak of the Marburg Virus Disease in an area known as Kween District, in Eastern Uganda.

The Ministry for Health then officially declared the outbreak for the entire country of Uganda just two days after warning the WHO; in a sense of urgency that the MVD spreads rapidly especially in impoverished and unkempt populace centers like Uganda.

The first case was involving a mid-30s game hunter who lived near a cave with a massive presence of bats.

He was admitted to a local hospital when he began having extreme diarrhea which was uncontrollable and having blood in the feces as well as violent chills and abdominal pains.

All attempts at anti-malarial treatments on the cave-dweller failed to the dismay of doctors who then decided to transfer him to a neighboring district where the man died the very same day.

No samples were collected before he was buried, since at the time it was unknown as to what his diagnosis was other than the assumptions it was malaria which is common.

MVD is something you'd read about in historic texts, in fact it's such a rare occurrence, or was, that there have been little to no cases to monitor in order to learn from it.

The second case involved a woman in her 50s who was the sister of the first patient who also nursed him during his attempts at treatment and was also involved physically in the burial rituals for his death.

Just days after burying her brother; she became ill herself with the same symptoms as her brother including additional symptoms in what's being described as “bleeding manifestations”.

After all treatment efforts failed she was then transported to the same facility where the first victim died, and much like him she died on the same day of transfer.

In her case posthumous samples were collected and the Minister of Health in Uganda was then notified of what had happened.

By that time however the snowball effect had already began and the brother of the first two cases, who assisted in transporting the second now deceased woman to the hospital soon began to experience the same symptoms.

As far as investigators can tell he simply was driving a vehicle with the second victim inside of it and it was able to transfer to him that easily.

That man then refused treatment and returned to his village (I know, we're getting to the levels of a science fiction horror film genre here, but these are the exact chronological sequences of events being reported on the <a href="http://www.who.int/csr/don/25-october-2017-marburg-uganda/en/ ">World Health Organization’s website </a>about the timeline of the events) and now there's an active manhunt to locate this third man assuming he's even still alive.

What is unknown is not only the third victim's whereabouts but just how many people he's potentially infected during his time roaming free.

If he were to infect two more, then those two infect two, and so on; well, you get the jist of these arguments.

To make matters worse the two health workers who noticed the symptoms of the third man before he refused treatment, have now also been infected.

Simply in a matter of a few hours several people have succumbed to the illness just by being within the vicinity of someone else who was infected and then later being responsible for transmitting it to the next group in a similar fashion.

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As per the WHO “Risk Assessment”, the Marburg Virus Disease is to be considered as an emerging and highly virulent epidemic-prone disease associated with several high fatality rates (case fatality rate: 23–90%).

The WHO Warns that the virus is transmitted by direct contact, either with the blood, bodily fluids, and/or tissues of infected persons or other wild animals such as primates (which are plentiful in Africa) and fruit bats (which are also very common).

The World Health Organization also released the following plan as per its “Public Health Response”:

<blockquote>”The Ugandan Ministry of Health has rapidly responded to the outbreak, with support from WHO and partners. A rapid response field team was deployed to the two affected districts within 24 hours of the confirmation.”</blockquote>

<blockquote>”To coordinate response activities, the National Task Force has convened, an Incident Management System (IMS) framework implemented with an Incident Manager appointed, a District Task Force has been established, and an emergency rapid response plan has been developed.”</blockquote>

<blockquote>”Marburg virus disease response activities have been initiated, including surveillance, active case search, contact tracing and follow-up, as well as monitoring within affected communities and healthcare centres.”</blockquote>

<blockquote>”Personal protective equipment has been deployed in the affected districts. Healthcare workers have been put on high alert and training sessions are planned, including a thorough review of infection prevention and control (IPC) protocols and capacity. An isolation facility is being prepared at the health centre and the hospital.”</blockquote>

<blockquote>”Training of teams for safe and dignified burials has been conducted in affected districts.”</blockquote>

<blockquote>”Community engagement and awareness campaigns are ongoing to reduce stigma, encourage reporting and early healthcare seeking behaviours, and acceptance of prevention measures. Information, education and communication materials and messages have been updated and are being produced.”</blockquote>

<blockquote>”International partners and stakeholders have been engaged at country level, and internationally to provide support and technical assistance for the response as needed. WHO has deployed additional staff, and six viral haemorrhagic fever (VHF) kits. Funding has been provided from the WHO Contingency Fund for Emergencies to ensure immediate support and scale up the response. WHO has alerted partners in the Global Outbreak Alert and Response Network (GOARN), and is coordinating international support for the response.”</blockquote>

<blockquote>”UNICEF is assisting with communication activities, and community engagement.”</blockquote>

<blockquote>”Médecins Sans Frontières has deployed to support setting up of treatment centres.”</blockquote>

Many regions of Africa long since have widespread cases of both malaria and cholera due to unsanitary living conditions and lack of clean drinking water and the refusals of the African people to listen to the many health organizations who have for decades tried to assist.

Their stubbornness has only contributed to the outbreaks of cholera especially in which the

<a href="https://www.cdc.gov/cholera/africa/locations.html">Center for Disease Control has attempted to monitor since the year 2001</a>; and if those numbers have any correlation to what could occur in terms of spreading then this is going to be a crisis unlike any seen in modern times.

Those who are infected with a hemorrhagic virus’ may at first experience headaches, redness of the eyes, nosebleeds, what appears to be blood bruising under the skin (although much more difficult to see in brown skinned individuals), pains in their abdomen, including their muscles and joints.

That can quickly progress unto gastrointestinal issues such as vomiting, dark stool from digested blood which internally is passed, severe diarrhea, nausea, or even vomiting of blood.

Many of those infected will report whole body fevers and chills, or have signs of low blood pressure as well.

As of now there is no end in sight to the MVD modern Black Death outbreak; but it appears it is going to get much worse in the coming weeks if the WHO cannot contain it, which is increasingly difficult dealing with low IQ uninformed Africans who refuse to listen to their requests.

Sources:

Africa

http://www.express.co.uk/news/world/875433/Black-Death-plague-2017-madagascar-outbreak-africa-world-health-organisation-virus-uganda

Madagascar

http://www.express.co.uk/news/world/875250/the-plague-madagascar-black-death-2017-how-did-plague-start-origin-doctors-without-borders

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