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刚果迅速蔓延的埃博拉疫情扩散至第八个省份Congo’s fast-moving Ebola outbreak spreads to eighth province

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10月7日,在刚果(金)东部北基伍省贝尼,一名医护人员走在埃博拉患者治疗中心内。(美联社-韩联社)A health care worker walks inside a treatment center for Ebola patients in Beni, North Kivu province, eastern Congo, Oct. 7. (AP-Yonhap)

卫生部门周日表示,刚果的埃博拉疫情已蔓延至该国北部的第八个省份,疫情的扩散速度继续超过应对措施的进展。

The Ebola outbreak in Congo has reached an eighth province in the country’s north, authorities said on Sunday as the spread of the world’s fastest-growing outbreak of the disease on record continues to outpace response efforts.

卫生部表示,在与中非共和国接壤的北乌班吉省,已记录两例病例,其中包括一例死亡。卫生部称,两名患者均为20多岁的男性,居住在与巴苏埃莱省接壤的瓦平达卫生区,该省此前曾报告埃博拉病例。

The Health Ministry has recorded two cases, including one death, in Nord-Ubangi province, bordering the Central African Republic. The ministry said both patients were men in their 20s living in the Wapinda health zone, which borders Bas-Uele province, where Ebola cases have been reported previously.

卫生部门表示,自5月中旬疫情爆发以来,已累计记录至少9400例病例,其中包括超过4500例死亡,使其成为刚果历史上死亡人数最多的埃博拉疫情。

Authorities have recorded at least 9,400 cases, including over 4,500 deaths, in the outbreak declared in mid-May, making it the deadliest in Congo’s history.

病毒已蔓延至其他国家,包括邻国乌干达,乌干达随后宣布该国已无埃博拉疫情;肯尼亚则在周六记录了第七例病例。中非共和国尚未记录任何确诊病例。

The virus has spilled over into other countries including neighboring Uganda, which has since declared itself free of the disease, and Kenya, which recorded a seventh case on Saturday. The Central African Republic has not recorded any confirmed cases.

“我们看到埃博拉疫情总体呈下降趋势,但不幸的是,在地理上它仍在扩散,”世界卫生组织非洲区域主任穆罕默德·雅库布·贾纳比周五在刚果东部贝尼接受《美联社》采访时表示。

“We see pockets of Ebola generally going down, but unfortunately geographically it’s spreading out,” World Health Organization Regional Director for Africa Mohamed Yakub Janabi told The Associated Press in an interview in Beni, eastern Congo, Friday.

贾纳比表示,最大的挑战之一是说服感染者寻求医疗帮助,并补充称,一些死亡发生在医疗中心之外的社区。

Janabi said one of the biggest challenges has been convincing those who are infected to seek medical assistance, adding that some deaths occur in the community outside of health centers.

瓦姆巴卫生区的流行病学家和现场协调员塞尔格·恩加莱巴托告诉《美联社》,由于当地居民害怕前往医院,该卫生区的卫生工作者引入了定期家访。

Serge Ngalebato, epidemiologist and field coordinator for the Wamba health zone in Haut-Uele province, told the AP health workers in his health zone introduced periodic home visits because people were too afraid to go to hospital.

北乌班吉省位于南乌班吉省和巴苏埃莱省之间,这两个省份是疫情在与中非共和国边境地区最后蔓延的地区。中非共和国境内反复发生的武装暴力迫使数千人逃离并寻求在刚果边境社区庇护。由于道路条件差和通信网络有限,该地区的通行可能较为困难。

Nord-Ubangi is located between Sud-Ubangi and Bas-Uele, the last two provinces the disease had spread to along the border with the Central African Republic, where recurring armed violence has forced thousands to flee and take refuge in Congolese border communities. Access in the region can be difficult due to poor roads and limited communication networks.

根据政府最新数据,东部刚果伊图里省仍是疫情的中心,确诊病例几乎占四分之三,自疫情爆发以来已有66个卫生区受到影响。

Ituri province in eastern Congo remains the disease's epicenter, accounting for almost three quarters of confirmed cases, according to the government’s most recent data, which shows 66 health zones have been affected since the start of the outbreak.

刚果国家通讯社ACP周日报道称,北基伍省的当局将从周一开始实施为期一周的禁令,禁止伊图里省的人员进入该省,以减缓病毒传播。北基伍省是世界卫生组织指出仍有大规模传播的地区。

Congo's state-news agency ACP reported Sunday that authorities in North Kivu province -- where WHO says substantial transmission continues -- will introduce a one-week ban from Monday on people entering the province from Ituri in an effort to slow the spread of the virus.

其他将要实施的措施包括:禁止摩托车载客超过两人或汽车载客超过四人,以及暂停大型公共聚集活动,如大型体育赛事、夜总会和政治示威。

Other measures that will be introduced include prohibiting carrying more than two people on a motorcycle or four people in a car, as well as suspending big public gatherings such as at mass sports activities, nightclubs and political demonstrations.

此次疫情的传播由罕见的邦迪布吉奥病毒引起,目前尚无获批准的疫苗或治疗方法。疫情扩散的原因包括大规模人口流动、武装团体暴力、民众不信任以及一线工作人员的恶劣工作条件。

The spread of the outbreak, caused by the rare Bundibugyo virus for which there is no approved vaccine or treatment, is fueled by mass population movements, rebel violence, mistrust and poor working conditions of front line workers.

恩加莱巴托表示,在瓦姆巴卫生区遏制病毒的初期努力曾遭到当地居民的抵制,但随着时间推移,社区逐渐变得更加理解,并开始报告确诊病例。

Ngalebato said efforts to contain the virus in the Wamba health zone were initially met with resistance among local residents, but as time went on the community became more understanding and began reporting positive cases.

他说:“埃博拉是一种社区性疾病。如果社区不配合,控制起来将非常困难。”

“Ebola is a community disease. If the community does not cooperate, it will be very difficult,” he said.

他补充说,他在该卫生区报告的大多数病例集中在矿区周边,由于人口流动频繁,这些地区报告了大量死亡病例。

He added most of the cases reported in his health zone are around mining areas where the population moves constantly, so a lot of deaths were reported in these areas.

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