跟进:乌干达升级埃博拉防控:有刚果(金)旅行史者禁止经乌中转、返回人员自费隔离21天

乌干达卫生部近日升级埃博拉防控:一名女性旅客途经乌干达前往尼日利亚后,于 10 月 20 日在尼日利亚确诊感染本迪布焦型(Bundibugyo)埃博拉病毒。乌干达卫生部随即宣布三项硬措施:有刚果(金)旅行史的人员不得经乌干达中转;有刚果(金)旅行史的返乌人员须接受 21 天隔离、费用自理;所有入境旅客恢复信息登记,以便追踪排查。中国驻当地使领馆已就此发出提醒,呼吁中国公民切勿前往相关高风险地区。
卫生部在 10 月 23 日的声明中说,该旅客离开乌干达时没有出现症状,发病时间与感染经过仍在调查。声明由卫生服务总干事 Charles Olaro 签发。乌方正与尼日利亚方面合作,核查这名旅客的完整旅行史、在乌行程轨迹与可能的接触情况,并已向尼方索取详细旅行记录和病毒基因测序结果。卫生部同时强调,乌干达境内目前没有埃博拉病例:世界卫生组织已于今年 8 月宣布乌干达上一轮疫情结束,乌方维持「无埃博拉」状态。
防控措施由卫生部长 Chris Baryomunsi 在 10 月 25 日的记者会上进一步宣布:恩德培国际机场和所有陆路边境口岸全面加强旅客筛查,指定道路检查站同步设卡;自刚果(金)方向入境仅限必要出行类别;各出入境口岸与医疗机构强化感染预防与控制,全国疾病监测持续运行。卫生部警告,违反公共卫生要求者将依《公共卫生法》处置,经非授权路线入境者将移交有关部门处理,非法协助他人入境逃避防疫检查的行为将被严厉打击。
本轮疫情源于刚果(金)今年 5 月暴发的本迪布焦型埃博拉疫情,世界卫生组织已将其列为「国际关注的突发公共卫生事件」。本迪布焦型病毒目前尚无获批疫苗,也没有特效疗法。10 月以来,肯尼亚和尼日利亚先后出现与乌干达行程有关的输入性病例,两国均在追踪密切接触者,感染源仍在跨国联合调查中。
对计划前往乌干达及周边地区的华人旅客,实际影响有三点:第一,有刚果(金)旅行史的人员目前不能把乌干达作为中转地,经恩德培转机的行程需要提前确认、必要时改道;第二,所有入境乌干达的旅客都要重新填写旅客信息登记表,并配合机场与陆路口岸的筛查,预留充足的通关时间;第三,近期有刚果(金)行程的人员入境乌干达可能面临 21 天自费隔离,去往刚果(金)疫区及乌刚边境地区的行程建议暂缓,并持续留意乌干达卫生部的最新公告。
Follow-Up: Uganda Tightens Ebola Controls: Transit Ban for Travellers with DR Congo History, 21-Day Self-Paid Quarantine for Returnees
Uganda's Ministry of Health has stepped up Ebola controls after a woman who travelled via Uganda was confirmed in Nigeria on October 20 to be infected with the Bundibugyo strain of Ebola virus. The ministry announced three hard measures: travellers with a history of travel to the Democratic Republic of the Congo (DRC) may not transit through Uganda; returnees with a DRC travel history must undergo 21 days of quarantine at their own expense; and traveller locator forms have been reinstated for all arrivals to support follow-up and contact tracing. Chinese diplomatic missions in the region have issued reminders urging Chinese citizens not to travel to the affected high-risk areas.
In an October 23 statement signed by Director General of Health Services Prof. Charles Olaro, the ministry said the traveller showed no symptoms when she departed Uganda, and that investigations continue into when her symptoms began and how she was infected. Uganda is working with Nigerian counterparts to establish her full travel history, movements and possible contacts, and has requested detailed travel records and genomic sequencing results from Nigeria. The ministry stressed that Uganda itself remains free of Ebola: the World Health Organization declared the country's previous outbreak over in August.
Health Minister Chris Baryomunsi detailed the measures at an October 25 press briefing: screening has been intensified at Entebbe International Airport and all land border crossings, supported by designated road checkpoints; entry from the DRC is limited to essential travel categories; infection prevention and control has been reinforced at points of entry and health facilities, with nationwide surveillance continuing. The ministry warned that breaches of public health requirements will be enforced under the Public Health Act, that people entering through unauthorised routes will be referred to the relevant authorities, and that illegally assisting others to enter the country to evade screening will be severely punished.
The measures come against the backdrop of the Bundibugyo Ebola outbreak that began in the DRC in May, which the WHO has designated a Public Health Emergency of International Concern. There is still no licensed vaccine or specific treatment for the Bundibugyo strain. Since October, Kenya and Nigeria have both reported imported cases linked to travel through Uganda, and the source of infection remains under multinational investigation.
For Chinese travellers planning trips to Uganda and neighbouring countries, the practical impact is threefold. First, anyone with a recent DRC travel history cannot currently transit through Uganda, so itineraries connecting through Entebbe should be checked and rerouted if necessary. Second, all arrivals must again complete traveller locator forms and undergo screening at airports and land borders, so allow extra time for entry procedures. Third, travellers arriving with a DRC travel history may face 21 days of quarantine at their own expense; trips to Ebola-affected areas of the DRC and the Uganda-DRC border region should be postponed, and travellers should keep monitoring announcements from Uganda's Ministry of Health.
Related: Africa CDC sends top scientists to Nigeria to trace the source of the Ebola case
来源:GSM·美国(原文链接)
图片来源:图:乌干达卫生部官员在坎帕拉向媒体通报全国埃博拉防范与应对进展,卫生部长 Chris Baryomunsi(前排中)与美国疾控中心驻乌干达代表、世卫组织代表等出席。图片来源:乌干达卫生部官网。Photo: Uganda's Minister of Health Chris Baryomunsi (front, centre) and health officials, joined by the U.S. CDC Country Director and a WHO representative, after briefing the media on national Ebola preparedness and response efforts in Kampala. Source: Ministry of Health, Uganda.
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