BAMAKO (AFP) – Mali is scrambling to prevent a major Ebola epidemic after the deaths of an Islamic cleric and a nurse, as the official death toll in the worst ever epidemic of the virus passed 5,000.
The two deaths in Mali have dashed optimism that the country was free of the highly-infectious pathogen and caused alarm in the capital Bamako, where the imam was washed by mourners at a mosque after his death.
It came as the World Health Organization (WHO) announced on Wednesday that the outbreak – almost entirely confined to west Africa – had passed a gruesome landmark, with 5,160 deaths from around 14,000 cases since Ebola emerged in Guinea in December.
The WHO and aid organizations have frequently pointed out that the real count of cases and deaths could be much higher.
In Mali, the latest country to see infections, the clinic where the imam died has been quarantined, with around 30 people trapped inside including medical staff, patients and 15 African soldiers from the United Nations mission in Mali.
The nurse who died of Ebola had treated the imam at Bamako’s Pasteur clinic.
Teams of investigators are tracing health workers, and scouring the capital and the imam’s home district in northeastern Guinea for scores of people who could have been exposed.
The deaths have raised fears of widespread contamination as they were unrelated to Mali’s only other confirmed fatality, a two-year-old girl who had also arrived from Guinea in October.
A doctor at the Pasteur clinic is thought to have contracted the virus and is under observation outside the capital, the clinic said.
A friend who visited the imam has also died of probable Ebola, the WHO said.
Mali’s health ministry called for calm, as it led a huge cross-border operation to stem the contagion.
The WHO said the 70-year-old cleric, named as Goika Sekou from a village on Guinea’s porous border with Mali, fell sick and was transferred via several treatment centres to the Pasteur clinic.
Multiple lab tests were performed, the WHO said, but crucially not for Ebola, and he died of kidney failure on October 27.
He had travelled to Bamako by car with four family members – all of whom have since got sick or died at home in Guinea.
The imam’s body was transported to a mosque in Bamako for a ritual washing ceremony before being returned to Guinea for burial.
Traditional African funeral rites are considered one of the main causes of Ebola spreading, as it is transmitted through bodily fluids and those who have recently died are particularly infectious.
The nurse who died treating Sekou, identified by family as 25-year-old Saliou Diarra, was the first Malian resident to be confirmed as an Ebola victim.
The virus is estimated to have killed around 70 percent of its victims, often shutting down their organs and causing unstoppable bleeding.
Ebola emerged in Guinea in December, spreading to neighbouring Liberia and then Sierra Leone, infecting at least 13,000 people.
Cases are “still skyrocketing” in western Sierra Leone, according to the WHO, although Liberia says it has seen a drop in new cases from a daily peak of more than 500 in September to around 50.