Bundibugyo ebolavirus
Bundibugyo ebolavirus is a species of Ebola virus that causes an acute, serious illness which is often fatal if untreated. It was first identified in 2007 during an Ebola virus disease outbreak in Bundibugyo District, Uganda. The virus is one of six species within the genus Ebolavirus, which also includes the Zaire ebolavirus, responsible for the majority of Ebola outbreaks, including the well-documented 2014-2016 West Africa epidemic.
Discovery
The discovery of Bundibugyo ebolavirus occurred during an outbreak of hemorrhagic fever in the Bundibugyo District in 2007. The outbreak prompted an investigation by the Uganda Ministry of Health and the United States Centers for Disease Control and Prevention (CDC), leading to the identification of a previously unknown Ebola virus species. The virus was named after the location of its discovery.
Transmission and Symptoms
Bundibugyo ebolavirus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission. The virus can be spread through direct contact with blood, secretions, organs, or other bodily fluids of infected people, and with surfaces and materials (e.g., bedding, clothing) contaminated with these fluids.
The symptoms of Bundibugyo ebolavirus infection are similar to those of other Ebola virus diseases and include fever, fatigue, muscle pain, headache, and sore throat, followed by vomiting, diarrhea, rash, symptoms of impaired kidney and liver function, and in some cases, both internal and external bleeding.
Epidemiology
Since its discovery, there have been a limited number of outbreaks attributed to Bundibugyo ebolavirus, with the initial outbreak in Uganda and subsequent occurrences in the Democratic Republic of the Congo. These outbreaks have generally been smaller and resulted in fewer deaths than those caused by the Zaire ebolavirus, but the potential for significant public health impact remains.
Prevention and Treatment
Prevention of Bundibugyo ebolavirus infection is similar to that of other Ebola virus diseases. It involves avoiding contact with infected animals (typically fruit bats or nonhuman primates) and taking precautions to avoid direct contact with the bodily fluids of infected individuals or with surfaces contaminated with these fluids.
Treatment for Bundibugyo ebolavirus disease is primarily supportive and includes rehydration with oral or intravenous fluids and treatment of specific symptoms. The development of vaccines and therapeutic agents against Ebola viruses has accelerated since the 2014-2016 West Africa outbreak, but specific treatments for Bundibugyo ebolavirus are still in development.
Research
Research on Bundibugyo ebolavirus is ongoing, with efforts focused on understanding its virology, pathogenesis, and epidemiology, as well as developing effective vaccines and treatments. The virus's relatively limited number of outbreaks has made it less studied than the Zaire ebolavirus, but the potential for future outbreaks necessitates continued research.
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Contributors: Prab R. Tumpati, MD