Reports: First confirmed Ebola patient in Mali dies
By Joshua Berlinger, Laura Smith-Spark and Katarina Hoije, CNN
October 24, 2014 -- Updated 2118 GMT (0518 HKT)
Amber Vinson, one of the two
Dallas nurses who were diagnosed with Ebola, embraces Emory University
Hospital epidemiologist Dr. Bruce Ribner after being discharged from the
Atlanta hospital on Tuesday, October 28. Vinson and the other nurse,
Nina Pham, have both been declared Ebola-free.
The Ebola epidemic
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STORY HIGHLIGHTS
- 2-year-old girl dies
- Forty-three others are being monitored
- Conditions would have to be met for any mass vaccination program, WHO says
- WHO official says five more potential Ebola vaccines are to start clinical trials soon
Bamako, Mali (CNN) -- The first confirmed Ebola patient in Mali has died, according to state TV reports, citing government health officials.
The victim, a 2-year-old
girl, had traveled to the country with her grandmother from Guinea --
one of the three countries hardest hit during the recent Ebola outbreak.
Earlier on Friday, the World Health Organization said that the girl had multiple opportunities to expose others to the virus.
The girl first went to a
clinic Tuesday after entering the country, WHO Assistant
Director-General Marie-Paule Kieny said at a news conference in Geneva,
Switzerland.
The WHO said it was working to confirm media reports that the child's mother showed Ebola-like symptoms before her death.
Health Ministry
spokeswoman Markatie Daou said the dozens of people who had contact with
the girl have not shown any symptom related to the virus, as of Friday.
More than 40 people are still being monitored, she said.
They include 10 medical
workers who came into contact with the girl in the city of Kayes, west
of the Mali capital of Bamako, WHO spokesman Tarik Jasarevic said. Kayes
has a population of about 128,000 people.
He cited local
authorities as saying 43 people were being monitored in total. The
incubation period for Ebola is two to 21 days, so the country faces a
long wait to know if it's in the clear.
The young girl, whose
father died of Ebola, was taken to the hospital in Kayes after a nurse
noticed she was suffering from what appeared to be Ebola-like symptoms.
The case makes Mali the sixth West African country to be hit by the virus, which WHO reported has killed more than
4,800 people. Nigeria and Senegal have in recent days been declared free of the disease.
Ousmane Kone, Mali's minister for public health, called for people in Kayes to "stay calm" and observe "hygiene measures."
He asked anyone who'd had contact with the girl to contact authorities.
Extra WHO medical
experts are being sent immediately to Mali to help its Ministry of
Health respond, Jasarevic said. They will bolster a WHO team that was
already in the country to help with general preparedness.
New vaccine trials
Five more potential Ebola vaccines are to start clinical trials soon, Kieny said.
Kieny also said WHO
hopes that "a few hundred thousand doses" of Ebola vaccine will be
available by the end of the first half of 2015.
She refused to be more specific about numbers and emphasized that she was speaking about a hope, not a plan.
The trials will involve "several tens of thousands" of subjects -- perhaps 20,000 to 30,000 -- she said.
The beginning of the
trials is being moved up to December, from January, because of a
"massive effort to make this happen," Kieny said.
WHO is not ruling out
the possibility of mass Ebola vaccinations in the first half of 2015,
but three conditions would have to be met, Kieny said Friday.
They are: a safe and
effective vaccine would have to be found; the scale of the outbreak
would have to be sufficient to justify mass vaccinations; and enough
doses would have to be available for mass vaccination.
Liberia has the most
advanced plans for an Ebola vaccine trial, involving two vaccines and a
control, Kieny said. Sierra Leone has less advanced plans, and there are
currently no plans for a trial in Guinea, she said.
Mali is among the countries where WHO has been planning to run vaccine trials.
EU, China to boost aid
Earlier Friday, European
Council President Herman Van Rompuy announced on Twitter that the
European Union will increase its aid to help West Africa fight Ebola by
$380 million to $1.2 billion.
The EU had pledged 700 million euros, and raised its pledge to 1 billion euros.
China will also boost
its aid to the three West African nations at the center of the Ebola
outbreak, President Xi Jinping said Friday, according to the country's
Foreign Ministry.
Xi said the Chinese
government will provide a fourth round of assistance to Liberia, Sierra
Leone and Guinea that will include emergency funding and supplies worth
an equivalent of $82 million.
China will also dispatch
quarantine experts and medical personnel and set up a new treatment
center in Liberia, according to the Foreign Ministry.
WHO eyes 'bend in the curve'
Speaking at a media briefing after a meeting of a WHO emergency committee Thursday, WHO's Dr. Keiji Fukuda noted
that there "continued to be exponential increase of cases in the three
countries with the most intense transmission" -- that is, Guinea,
Liberia and Sierra Leone.
It remains a concern
that the virus will spread beyond those areas, he said, and "this is
most likely to be done by somebody traveling."
However, he said, exit
screening for those leaving hotspot countries -- which can include
taking travelers' temperature, asking them to fill out a questionnaire
and checking out any fever for a risk of Ebola infection -- "probably
does have a quite important deterrent effect."
He said the organization
was continuing to pursue a plan to break the chain of transmission that
relies on isolating 70% of Ebola cases and safely burying 70% of those
who die.
WHO hopes "to begin to see a so-called bend in the curve" by the beginning of December, he said.
"It's clear that it
remains quite a challenge right now. We see the numbers still going up.
We still see an extensive effort trying to catch up to that curve and
then get beyond the curve, but this is what we've been targeting, and
that remains true now."
WHO announced earlier this month that vaccine trials were expected to begin in West Africa in January.
CNN's Katarina Hoije reported from Bamako,
while Laura Smith-Spark wrote and reported in London. CNN's Joshua
Berlinger, Radina Gigova, Kevin Wang, Margot Haddad, Richard Allen
Greene and Elaine Ly contributed to this report.