EBOLA: Uganda’s outbreak response capacity boosted as MSF completes high quality ebolavirus treatment centre in Kampala and calls for vigilance to end current epidemic

KAMPALA – Calling for sustained vigilance during the ongoing Sudan ebolavirus outbreak, international medical humanitarian organisation Doctors Without Borders (MSF), has completed a new 32-bed Ebola treatment centre next to the capital’s Mulago National Referral Hospital, bolstering crucial response capacity of the Ugandan Ministry of Health while also increasing the country’s future outbreak preparedness.

“The downward trends of this current outbreak are encouraging, but we can’t let our guard down. There is always a risk of discovering new clusters of confirmed cases toward the end as we have witnessed during past outbreaks. Opening the new treatment centre strengthens the response to the current outbreak of Sudan ebolavirus for which no proven vaccines and treatments exist by increasing capacity to treat the sick. And crucially, it also helps in setting a clear and efficient response framework for future infectious disease outbreaks in Uganda,” says Jason Rizzo, MSF’s emergency coordinator in Uganda.

Since the emerging in September, the outbreak has seen 142 confirmed and 22 probable cases leading to 56 deaths across nine districts – including in the densely populated urban centre, Kampala. The last known Ebola case was identified on 30 November, the stillborn of an Ebola survivor mother. Should there be no new infections, the outbreak would be considered over after 42 consecutive days of no new transmissions.

Until then, responder teams from the Ministry of Health and MSF need to keep up the essential close monitoring of the remaining 46 case contacts, along with ongoing infection prevention and control measures at health facilities, community outreach and health promotion activities so people know the signs of Ebola to ensure that they can quickly be admitted to health facilities like the Mulago Ebola Treatment Centre.

The new facility, along with the prospects of Sudan ebolavirus vaccine clinical trials and experimental treatments offer more tools in hands of the Ministry of Health. Built by MSF within six weeks, the Mulago Ebola Treatment Centre increases the Ministry of Health’s ability to maintain the essential treatment of suspect and confirmed Ebola patients now, and in the future once the outbreak is over, by using it as a training facility for Ugandan medical staff for haemorrhagic fever outbreaks and infectious disease isolation.

“Let’s not forget the trauma that families and communities go through during this ebolavirus outbreak. The centre’s design enhances the ability for healthcare workers and patients to see one another via large plexiglass windows which is crucial to provide high quality medical care – and to ensure there’s a real human connection in how the care is provided. Windows at the patients’ bedside in individual rooms also allow medical staff to monitor patients from inside a safe isolated corridor without having to wear personal protective equipment (PPE). Secured inlets in the windows ensure medical staff are able to administer oxygen and fluids, as needed, from outside the isolation zone,” says Dr Roberto Scaini, MSF medical team leader in Kampala.

These features, along with a safe visitors’ corridor, ensure that the community can gain more trust in the outbreak response because they’ll be able to see their loved ones and the quality of care much improved. It’s only through greater trust that people who become infected with Ebola will come forward to seek help more quickly.

“With Mulago Ebola Treatment Centre we have a facility that helps ensure preparedness for the future. But it is only one part of the response, as it’s not Ebola treatment centres alone that will end this outbreak. We have to ensure communities remain on board, that they know what Ebola is and how to keep safe. We must ensure healthcare workers have the knowledge and the tools to stay safe and to treat patients – this includes public facilities, private facilities and even traditional healers,” Rizzo says.

“The response to viral haemorrhagic fever outbreaks of tomorrow must include rapid adaptation of epidemiological tools for comprehensive data analysis and quick deployment of mobile laboratories. What is also crucial is the need for pre-existing protocols and drug stockpiles that ensure experimental vaccines and therapeutics can be safely studied and immediately made available for compassionate use to people who need it most.”

A view through a large window into a patient room at the newly MSF-built Mulago Ebola Treatment Centre in Kampala, Uganda. These large plexiglass windows increase the level of visibility between patients and health staff, improving the quality of care that is possible through ongoing observation from safe corridors as well as enhancing the human connection between them. MSF medical team leader, Dr. Roberto Scaini (beard), explains the features of the wards to Ugandan Health Minister, Dr. Jane Ruth Aceng Ocero, during a tour of the completed 32-bed facility on 2022/12/09. The facility boosts the MoH response capacity in the current Sudan ebolavirus outbreak and also for future viral haemorrhagic fever outbreaks as a possible training centre and isolation facility. Photographer: Borrie Lagrange | Location: Kampala | Date: 12/12/2022An outside view from within the “green zone” of one of the four 8-bed wards at the newly MSF-built Mulago Ebola Treatment Centre in Kampala, Uganda. The 32-bed facility utilizes safe corridors in the middle of the wards with big plexiglass windows onto individual patient rooms to ensure enhanced visibility and monitoring of patients by health staff without them having to wear PPE. This ensures improved the quality of care thanks to their ongoing observation by medical from safe corridors as well as enhancing the human connection between patients and healthcare staff. The facility boosts the MoH response capacity in the current Sudan ebolavirus outbreak and also for future viral haemorrhagic fever outbreaks as a possible training centre and isolation facility. Photographer: Borrie Lagrange | Location: Kampala | Date: 12/12/2022

MSF medical team leader, Dr. Roberto Scaini (beard), explains the features of the newly MSF-built Mulago Ebola Treatment Centre in Kampala, Uganda, to Health Minister, Dr. Jane Ruth Aceng Ocero, during a tour of the completed 32-bed facility on 2022/12/09. MSF logisticians constructed the facility from the ground up in just 6 weeks. The facility boosts the MoH response capacity in the current Sudan ebolavirus outbreak and also for future viral haemorrhagic fever outbreaks as a possible training centre and isolation facility. Photographer: Borrie Lagrange | Location: Kampala | Date: 09/12/2022Daily workers employed by MSF put the final touches on the newly MSF-built Mulago Ebola Treatment Centre in Kampala, Uganda. The 32-bed facility consists of 4 wards with 8 individual patient rooms each, which through their design increases the level of visibility between patients and health staff, improving the quality of care that is possible thanks to ongoing observation from safe corridors as well as enhancing the human connection between them. The facility boosts the MoH response capacity in the current Sudan ebolavirus outbreak and also for future viral haemorrhagic fever outbreaks as a possible training centre and isolation facility. Photographer: Borrie Lagrange | Location: Kampala | Date: 08/12/2022

A view from inside a specially equipped patient room at the newly MSF-built Mulago Ebola Treatment Centre in Kampala, Uganda. On the right the plexiglass window has been replaced by a wall from the ALIMA C.U.B.E. which integrates glove boxes and a half-suit into the plastic wall – this allows medical staff to handle or adjust a patient inside the “red zone” from the safety of a corridor without having to wear PPE. The see through plastic isolation wall also has inlets to ensure that oxygen and fluids can be administered to the patient should intensive care be required. The 32-bed facility on was built from the ground up by MSF logisticians in just 6 weeks and significantly boosts the Ugandan Ministry of Health’s response capacity in the current Sudan ebolavirus outbreak and also for future viral haemorrhagic fever outbreaks as a possible training centre and isolation facility. Photographer: Borrie Lagrange | Location: Kampala | Date: 08/12/2022This is the exit point where medical staff working inside the “red zone” of the newly MSF-built 32-bed Mulago Ebola Treatment Centre in Kampala, Uganda, will exit after safely removing their PPE. The facility boosts the MoH response capacity in the current Sudan ebolavirus outbreak and also for future viral haemorrhagic fever outbreaks as a possible training centre and isolation facility. Photographer: Borrie Lagrange | Location: Kampala | Date: 08/12/2022