The Minister of Health in Uganda, Dr. Jane Ruth Aceng Ocero who declared an end to Ebola outbreak in Uganda on Wednesday 11th January 2023 - COURTESY

Uganda today Wednesday declared the end of the Ebola disease outbreak after the first case of the Sudan ebolavirus was confirmed in Mubende district on 20 September 2022.

In a statement sent to Eye Radio newsroom on Wednesday 11th January 2023, Uganda’s Minister of Health, Dr Jane Ruth Aceng Ocero declared an end to the Ebola outbreak.

“Uganda put a swift end to the Ebola outbreak by ramping up key control measures such as surveillance, contact tracing and infection, prevention and control,” said Dr Ruth.

“While we expanded our efforts to put a strong response in place across the nine affected districts, the magic bullet has been our communities who understood the importance of doing what was needed to end the outbreak and took action.”

Ebola was Uganda’s first Sudan ebolavirus outbreak in a decade and its fifth overall for this kind of Ebola.

In total there were 164 cases (142 confirmed and 22 probable), 55 confirmed deaths and 87 recovered patients.

More than 4000 people who came in contact with confirmed cases were followed up and their health was monitored for 21 days.

Overall, the case-fatality ratio was 47%.

The last patient was released from care on 30 November when the 42-day countdown to the end of the outbreak began.

Health authorities showed strong political commitment and implemented accelerated public health actions.

People in the hot-spot communities of Mubende and Kasanda experienced restricted movements.

For his part, the Director-General of the WHO, Dr Tedros Adhanom Ghebreyesus congratulated Uganda for its comprehensive response to the Ebola outbreak.

“I congratulate Uganda for its robust and comprehensive response which has resulted in today’s victory against Ebola,” said Dr Adhanom.

Uganda has shown that Ebola can be defeated when the whole system works together, from having an alert system in place to finding and caring for people affected and their contacts to gaining the full participation of affected communities in the response,

“Lessons learned and the systems put in place for this outbreak will protect Ugandans and others in the years ahead.”

The Ebola outbreak was caused by the Sudan ebolavirus, one of six species of the Ebola virus against which no therapeutics and vaccines have been approved yet.

However, Uganda’s long experience in responding to epidemics allowed the country to rapidly strengthen critical areas of the response and overcome the lack of these key tools.

Meanwhile, World Health Organization’s Regional Director for Africa, Dr Matshidiso Moeti says Ebola outbreak in Uganda was the most challenging.

“With no vaccines and therapeutics, this was one of the most challenging Ebola outbreaks in the past five years, but Uganda stayed the course and continuously fine-tuned its response,” said Dr Moeti.

“Two months ago, it looked as if Ebola would cast a dark shadow over the country well into 2023, as the outbreak reached major cities such as Kampala and Jinja, but this win starts off the year on a note of great hope for Africa.”

Soon after Uganda declared the Sudan ebolavirus outbreak, WHO worked with a large range of partners.

They include vaccine developers, researchers, donors and the Ugandan health authorities to identify candidate therapeutics and vaccines for inclusion in trials.

Three candidate vaccines were identified and over 5000 doses of these arrived in the country with the first batch on 8 December 2022 and the last two on 17 December 2022.

The speed of this collaboration marks a milestone in the global capacity to respond to rapidly evolving outbreaks and prevent them from becoming larger.

The WHO Representative in Uganda, Dr Yonas Tegegn Woldemariam acknowledged the contribution of vaccine developers although they were not used during the outbreak.

“While these candidate vaccines were not used during this outbreak, they remain the contribution of Uganda and partners to the fight against Ebola,” said Dr Tegegn.

“The next time the Sudan ebolavirus strikes we can reignite the robust cooperation between developers, donors and health authorities and dispatch the candidate vaccines.”

WHO and partners supported Ugandan health authorities from the outset of the outbreak, deploying experts, providing training in contact tracing, testing and patient care, as well as building isolation and treatment centres and providing laboratory testing kits.

Due to the joint efforts, the processing time for Ebola samples dropped from a few days to six hours.

The WHO helped to protect frontline health workers by organizing a steady supply of personal protective equipment.

The Organization provided nearly US$ 6.5 million to Uganda’s response and an additional US$ 3 million to support readiness in six neighbouring countries.

Although the outbreak in Uganda has been declared over, health authorities are maintaining surveillance and are ready to respond quickly to any flare-ups.

A follow-up programme has been put in place to support survivors.

Neighbouring countries including South Sudan remain on alert and are encouraged to continue strengthening their capacities to detect and respond to infectious disease outbreaks.