08/06/2026
Understanding the Bundibugyo Ebola Virus and Why This Matters for Zambia
Zambia remains at a heightened risk of an imported Ebola case due to its proximity to the Democratic Republic of Congo (DRC), where Ebola outbreaks have occurred periodically. According to the World Health Organization (WHO), Zambia is classified as being at very high risk of an imported Ebola case from neighboring DRC.
This risk is heightened by cross-border movement of people and goods, particularly in districts that share borders with the DRC. As a result, continued public awareness, surveillance, preparedness, and rapid response measures are critical to preventing and controlling any potential outbreak in the country.
To strengthen staff preparedness and awareness, Dr. Mohammed Limbada, Head of Epidemiology and Clinical Research (ECR) at Zambart, delivered a presentation on Ebola Virus Disease during a Research Directorate Meeting held at Zambart House. The presentation provided an overview of the Bundibugyo Ebola virus, including its symptoms, modes of transmission, prevention measures, and the importance of early detection and reporting. The session emphasized the need for vigilance among healthcare, laboratory, field, and support staff, particularly given Zambia’s risk of importing cases from neighbouring countries experiencing outbreaks.
Signs and Symptoms
Symptoms of Bundibugyo Ebola Virus Disease usually appear suddenly between two and 21 days after exposure to the virus. Early symptoms often resemble malaria and other common illnesses, making early detection challenging.
Common early symptoms include:
Sudden high fever
Severe tiredness and weakness
Muscle and joint pain
Headache
Loss of appetite
As the disease progresses, more severe symptoms may develop, including:
Vomiting and diarrhoea
Skin rash
Bleeding from the eyes, nose, gums, or stool
Internal bleeding
Organ failure
Because early Ebola symptoms can easily be mistaken for malaria or other febrile illnesses, anyone presenting with fever and a possible exposure history should be assessed carefully and reported immediately.
How the Virus Spreads
Ebola is not an airborne disease. The virus spreads through direct contact with infected body fluids, contaminated materials, or infected animals.
Transmission can occur through:
Contact with blood, vomit, saliva, sweat, urine, stool, breast milk, semen, or other body fluids of an infected person
Handling contaminated objects such as needles, bedding, clothing, or surfaces exposed to infected body fluids
Contact with infected animals, particularly fruit bats, monkeys, and apes, or through the handling and consumption of bushmeat
Participation in unsafe burial practices involving direct contact with the body of a person who has died from Ebola
Preventing Ebola
Preventing Ebola requires a combination of personal protection, infection prevention and control measures, and prompt reporting of suspected cases.
Key prevention measures include:
Practising good hand hygiene by washing hands frequently with soap and clean running water or using alcohol-based hand sanitiser
Avoiding contact with body fluids of infected or deceased individuals
Avoiding bushmeat and contact with wild animals, especially bats and primates
Using personal protective equipment (PPE) correctly when caring for suspected or confirmed patients
Following safe burial practices conducted by trained health personnel
Reporting suspected cases immediately to health authorities to enable rapid isolation, testing, and contact tracing.