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JAMA PATIENT PAGE | Infectious Disease 
Ebola Virus Disease 
Ebola virus disease is a rare disease caused by the Ebola virus. 
In some people, Ebola virus causes symptoms similar to influenza 
virus, such as fevers, headache, muscle pains, vomiting, or 
diarrhea. In other people, it causes severe illness with bruising, 
bleeding, and failure of many organs in the body, eventually lead-ing 
Facts About Ebola 
Copyright 2014 American Medical Association. All rights reserved. 
to death. 
HowIs Ebola Spread? 
The Ebola virus was initially spread to humans through contact 
with animals such as monkeys, chimpanzees, and bats. In some 
cases, the Ebola virus can be spread from person to person through 
direct contact. This can happen when certain body fluids (such as 
blood, urine, stool, saliva, or vomit) of someone who has Ebola 
virus disease come into contact with the broken skin, the eyes, or 
the mouth of someone who is not infected. Spread through sexual 
contact is also possible. 
2014 Outbreak inWest Africa 
The current 2014 outbreak of Ebola virus disease in West Africa is 
the largest outbreak of the disease in history. As of October 2, 2014, 
there have been more than 3000 deaths from the disease. Cur-rently, 
the mortality rate of Ebola virus disease is estimated to be 
about50%,meaning about half of infected patients recover and the 
other half die of the disease. Aside from supportive care in the hos-pital 
(such as giving fluids and nutrition to patients when needed), 
there is no specific treatment for Ebola virus disease. No vaccine is 
currently available. 
The countries most affected by the current Ebola virus disease 
outbreak are Sierra Leone, Guinea, Liberia, and Nigeria, all inWest 
Africa.Amajor reasonwhy the outbreak isworse than previous ones 
in Central Africa is because this outbreak has involved more urban 
areas. Also, many infected patients are cared for in hospitals or at 
homeby health careworkerswhodo not have access to proper pro-tective 
equipment such as gloves, gowns, and eye goggles. In addi-tion, 
the African ritual of washing deceased bodies at funerals in 
preparation for burial increases the amount of direct contact with 
Ebola victims, which increases the chance of family members be-coming 
infected. 
Should You Be Concerned? 
The risk of an Ebola outbreak in the United States is very low. Cur-rently, 
theUSCenters for Disease Control and Prevention (CDC) rec-ommends 
avoiding travel to the affected countries inWest Africa. 
Travel to other countries in Africa has not been restricted. In 
general, the riskamongtravelers ofgettingEbola virus disease is very 
lowunless they are spendingtime inside a hospitalhavingdirect con-tact 
with infected patients. 
The CDC has been working closely with US Customs and 
Border Protection, airlines, and cargo ships to help ensure that 
the chance of Ebola virus being brought into the United States is 
very low. According to the CDC, the current outbreak does not 
pose a major risk to the United States. For the latest updates on 
the current Ebola virus disease outbreak, visit the CDC website 
below. 
You can’t get Ebola 
through water 
You can’t get Ebola 
through air 
You can’t get Ebola 
through food 
You can only get Ebola from: 
l Touching the blood or body 
fluids of a person who is sick 
with or has died from Ebola. 
l Touching contaminated 
objects, like needles. 
l Touching infected animals, 
their blood or other body 
fluids, or their meat. 
Ebola poses no significant risk 
to the United States. 
Adapted from a Centers for Disease Control and Prevention infographic. 
FOR MORE INFORMATION 
Centers for Disease Control and Prevention 
www.cdc.gov/vhf/ebola 
To find this and previous JAMA Patient Pages, go to the Patient 
Page link on JAMA’s website at jama.com. Many are available in 
English and Spanish. 
Author: Jill Jin, MD, MPH 
Published Online: October 6, 2014. doi:10.1001/jama.2014.13759. 
Source: Centers for Disease Control and Prevention 
The JAMA Patient Page is a public service of JAMA. The information and 
recommendations appearing on this page are appropriate in most instances, but they 
are not a substitute for medical diagnosis. For specific information concerning your 
personal medical condition, JAMA suggests that you consult your physician. This page 
may be photocopied noncommercially by physicians and other health care 
professionals to share with patients. To purchase bulk reprints, call 312/464-0776. 
jama.com JAMA Published online October 6, 2014 E1 
Downloaded From: http://jama.jamanetwork.com/ by a Bird Library/OUHSC User on 10/07/2014

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  • 1. JAMA PATIENT PAGE | Infectious Disease Ebola Virus Disease Ebola virus disease is a rare disease caused by the Ebola virus. In some people, Ebola virus causes symptoms similar to influenza virus, such as fevers, headache, muscle pains, vomiting, or diarrhea. In other people, it causes severe illness with bruising, bleeding, and failure of many organs in the body, eventually lead-ing Facts About Ebola Copyright 2014 American Medical Association. All rights reserved. to death. HowIs Ebola Spread? The Ebola virus was initially spread to humans through contact with animals such as monkeys, chimpanzees, and bats. In some cases, the Ebola virus can be spread from person to person through direct contact. This can happen when certain body fluids (such as blood, urine, stool, saliva, or vomit) of someone who has Ebola virus disease come into contact with the broken skin, the eyes, or the mouth of someone who is not infected. Spread through sexual contact is also possible. 2014 Outbreak inWest Africa The current 2014 outbreak of Ebola virus disease in West Africa is the largest outbreak of the disease in history. As of October 2, 2014, there have been more than 3000 deaths from the disease. Cur-rently, the mortality rate of Ebola virus disease is estimated to be about50%,meaning about half of infected patients recover and the other half die of the disease. Aside from supportive care in the hos-pital (such as giving fluids and nutrition to patients when needed), there is no specific treatment for Ebola virus disease. No vaccine is currently available. The countries most affected by the current Ebola virus disease outbreak are Sierra Leone, Guinea, Liberia, and Nigeria, all inWest Africa.Amajor reasonwhy the outbreak isworse than previous ones in Central Africa is because this outbreak has involved more urban areas. Also, many infected patients are cared for in hospitals or at homeby health careworkerswhodo not have access to proper pro-tective equipment such as gloves, gowns, and eye goggles. In addi-tion, the African ritual of washing deceased bodies at funerals in preparation for burial increases the amount of direct contact with Ebola victims, which increases the chance of family members be-coming infected. Should You Be Concerned? The risk of an Ebola outbreak in the United States is very low. Cur-rently, theUSCenters for Disease Control and Prevention (CDC) rec-ommends avoiding travel to the affected countries inWest Africa. Travel to other countries in Africa has not been restricted. In general, the riskamongtravelers ofgettingEbola virus disease is very lowunless they are spendingtime inside a hospitalhavingdirect con-tact with infected patients. The CDC has been working closely with US Customs and Border Protection, airlines, and cargo ships to help ensure that the chance of Ebola virus being brought into the United States is very low. According to the CDC, the current outbreak does not pose a major risk to the United States. For the latest updates on the current Ebola virus disease outbreak, visit the CDC website below. You can’t get Ebola through water You can’t get Ebola through air You can’t get Ebola through food You can only get Ebola from: l Touching the blood or body fluids of a person who is sick with or has died from Ebola. l Touching contaminated objects, like needles. l Touching infected animals, their blood or other body fluids, or their meat. Ebola poses no significant risk to the United States. Adapted from a Centers for Disease Control and Prevention infographic. FOR MORE INFORMATION Centers for Disease Control and Prevention www.cdc.gov/vhf/ebola To find this and previous JAMA Patient Pages, go to the Patient Page link on JAMA’s website at jama.com. Many are available in English and Spanish. Author: Jill Jin, MD, MPH Published Online: October 6, 2014. doi:10.1001/jama.2014.13759. Source: Centers for Disease Control and Prevention The JAMA Patient Page is a public service of JAMA. The information and recommendations appearing on this page are appropriate in most instances, but they are not a substitute for medical diagnosis. For specific information concerning your personal medical condition, JAMA suggests that you consult your physician. This page may be photocopied noncommercially by physicians and other health care professionals to share with patients. To purchase bulk reprints, call 312/464-0776. jama.com JAMA Published online October 6, 2014 E1 Downloaded From: http://jama.jamanetwork.com/ by a Bird Library/OUHSC User on 10/07/2014