Salama, who returned from a trip to Ebola-hit eastern Congo last week, said Tuesday it appeared “very likely” that some cases of Ebola had been misdiagnosed as malaria, because early symptoms are virtually identical.
He said that the WHO is planning on six months before can declare this outbreak is under control.
“It’s very hard to predict time frames in an outbreak as complicated as this with so many variables that are outside our control, but certainly we’re planning on at least another six months before we can declare this outbreak over,” he said.
In some cases, people appeared to have contracted Ebola while visiting the centers for other health concerns, Salama said.
He described the “tradi-modern” centers as popular but unregulated neighborhood facilities that vary from stand-alone structures to “just a room in someone’s house.”
Salama noted how many residents appear suspicious of foreigners, officials and outside organizations, but that many also believe in the effectiveness of injectable medicines. And when proper hygiene isn’t respected — like through sharing of needles — conditions are more propitious for viruses like Ebola to spread.
“Probably more than 50 percent of cases in Beni have been driven from these tradi-modern health care facilities, and the fact that hygiene and injection practices in these areas are relatively unsafe,” he said.
Salama said the current Ebola outbreak is “arguably the most difficult context that we’ve ever encountered,” pointing to activities of two armed opposition groups in the region. The outbreak has been “amplified” by the health centers, he said.