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Ebola virus disease

Ebola hemorrhagic fever; Ebola virus infection; Viral hemorrhagic fever; Ebola

Ebola is a severe and often deadly disease caused by a virus. Symptoms include fever, diarrhea, vomiting, bleeding, and often, death.

Ebola can occur in humans and other primates (gorillas, monkeys, and chimpanzees).

The Ebola outbreak in West Africa that began in March 2014 was the largest hemorrhagic viral epidemic in history. Almost 40% of the people who developed Ebola in this outbreak died.

The virus poses a very low risk to people in the United States.

For the most up-to-date information, please visit the Centers for Disease Control and Prevention's (CDC) website: www.cdc.gov/vhf/ebola.

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Ebola virus disease
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WHERE EBOLA OCCURS

Ebola was discovered in 1976 near the Ebola River in the Democratic Republic of the Congo. Since then, several small outbreaks have occurred in Africa. The 2014 outbreak was the largest. The countries most affected in this outbreak included:

Ebola has been previously reported in:

There were four people diagnosed with Ebola in the United States. Two were imported cases, and two contracted the disease after caring for an Ebola patient in the United States. One man died from the disease. The other three recovered and do not have any symptoms of the disease.

For the latest information on Ebola, visit the World Health Organization website at www.who.int/health-topics/ebola#tab=tab_1.

HOW EBOLA CAN SPREAD

Ebola does not spread as easily as more common illnesses such as colds, the flu, or measles. There is NO evidence that the virus that causes Ebola is spread through the air or water. A person who has Ebola CANNOT spread the disease until symptoms appear.

Ebola can ONLY spread between humans by direct contact with infected body fluids including but not limited to urine, saliva, sweat, feces, vomit, breast milk, and semen. The virus can enter the body through a break in the skin or through mucous membranes, including the eyes, nose, and mouth.

Ebola can also spread by contact with ANY surfaces, objects, and materials that have been in contact with body fluids from a sick person, such as:

In Africa, Ebola may also be spread by:

Ebola does NOT spread through:

Health care workers and people caring for sick relatives are at high risk for developing Ebola because they are more likely to come in to direct contact with body fluids. The proper use of personal protective equipment (PPE) greatly reduces this risk.

Symptoms

The time between exposure and when symptoms occur (incubation period) is 2 to 21 days. On average, symptoms develop in 8 to 10 days.

Early symptoms of Ebola include:

Late symptoms include:

A person who does not have symptoms 21 days after being exposed to Ebola will not develop the disease.

Treatment

There is no known cure for Ebola. Experimental treatments have been used, but none have been fully tested to see if they work well and are safe.

People with Ebola must be treated in a hospital. There, they can be isolated so the disease cannot spread. Health care providers will treat the symptoms of the disease.

Treatment for Ebola is supportive and includes:

Survival depends on how a person's immune system responds to the virus. A person also may be more likely to survive if they receive good medical care.

People who survive Ebola are immune from the virus for 10 years or more. They can no longer spread Ebola. It is not known whether they can be infected with a different species of Ebola. However, men who survive can carry the Ebola virus in their sperm for as long as 3 to 9 months. They should abstain from sex or use condoms for 12 months or until their semen has twice tested negative.

Long-term complications can include joint and vision problems.

When to Contact a Medical Professional

Contact your provider if you have traveled to West Africa and:

Getting treatment right away may improve the chances of survival.

Prevention

A vaccine (Ervebo) is available to prevent Ebola virus disease in people who live in the most at-risk countries during an outbreak. If you plan to travel to one of the countries where Ebola is present, the CDC recommends taking the following steps to prevent illness:

Health care workers who may be exposed to people with Ebola should follow these steps:

Related Information

Fatigue
Malaise
Hemorrhagic

References

Centers for Disease Control and Prevention website. Ebola (Ebola virus disease). www.cdc.gov/vhf/ebola. Updated March 21, 2022. Accessed May 13, 2022.

Geisbert TW. Marburg and Ebola virus hemorrhagic fevers. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 164.

World Health Organization website. Ebola virus disease. www.who.int/health-topics/ebola. Accessed February 15, 2022.

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Review Date: 11/23/2021  

Reviewed By: Jatin M. Vyas, MD, PhD, Associate Professor in Medicine, Harvard Medical School; Associate in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital, Boston, MA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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