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肯尼亚对埃博拉疫情暴发的准备有多充分?How prepared is Kenya for an Ebola outbreak?

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肯尼亚全国高度戒备,此前该国报告了一例埃博拉死亡病例和第二例确诊病例。图片:莫妮卡·姆旺吉/路透社Kenya is on high alert after the country reported one death from Ebola and a second case Image: Monicah Mwangi/REUTERS

2026年10月16日 肯尼亚正加紧行动,以遏制与刚果民主共和国(DRC)有史以来最致命的埃博拉疫情相关的病毒传播。东非国家已报告两例病例和一例死亡,而刚果民主共和国已报告超过9000例病例和4400例死亡。

October 16, 2026 Kenyais rushing to contain Ebola linked to the deadliest outbreak on record in the Democratic Republic of Congo (DRC) . The East African nation has reported two cases and one death, while the DRC has reported over 9,000 cases and 4,400 deaths.

肯尼亚首例埃博拉患者于10月5日在内罗毕医院去世。这名40岁的肯尼亚人曾乘车从刚果民主共和国前往乌干达,随后于10月3日在恩德贝乘坐航班飞往内罗毕。

Kenya's first Ebola patient died at Nairobi hospital on October 5. The 40-year-old Kenyan had traveled by road from the DRC to Uganda before boarding a flight to Nairobi in Entebbe on October 3.

他的一名亲属现在被确认感染了病毒。这名39岁的亲属于10月13日出现症状时正处于隔离状态。肯尼亚卫生部表示:“两例病例相关联,目前没有证据表明病毒在更广泛的社区中传播。”

One of his relatives is now confirmed to have contracted the virus. The 39-year-old was under quarantine when he developed symptoms on October 13. "Both cases are linked, and there is no evidence of spread in the wider community," Kenya's health ministry said.

自官员首次发现病例以来,接触者追踪工作一直在进行。根据卫生部的数据,在与首例埃博拉患者接触的128人中,已有113人被确认身份。除五人外(他们目前身处国外的未具体说明的国家),其余所有人均已被隔离。肯尼亚人是否需要担心埃博拉扩散?

Contact tracing has been ongoing since officials first detected the case. Of the 128 people who came into contact with the first Ebola patient, 113 have been identified, according to the health ministry. All, except five—who are in unspecified countries abroad—have been quarantined. Should Kenyans worry about Ebola spreading?

公众焦虑正在上升,人们担心可能出现封锁和经济中断,并对政府的应对准备持怀疑态度。

Public anxiety is rising, with fears of lockdowns and economic disruption and skepticism about government readiness.

“这是一种非常危险的疾病,所以令人非常震惊,”一名内罗毕居民对德国之声(DW)表示。另一位公民表示失望:“政府措手不及。在我看来,政府没有做好准备,尤其是在此次被发现感染埃博拉的特定人员的入境点。”一位妇女表示,她觉得公众对该疾病的信息缺乏。“政府应该在教育和提高公众意识方面做更多工作,”她说。

"It's a very dangerous disease, so it's very shocking," a Nairobi resident told DW. Another citizen said he was disappointed: "The government has been caught unaware. It appears to me that the government was not prepared, especially at the entry point of this particular person who was found to be suffering from Ebola." One woman said she felt there was a lack of public information on the disease. "The government should do more in educating and sensitizing about it, and raising awareness," she said.

肯尼亚卫生部通过其内阁秘书阿登·杜阿勒一直在努力消除人们的担忧,敦促肯尼亚人保持警惕,并鼓励出现症状的人前往最近的医疗机构就诊。根据世界卫生组织(WHO)的说法,症状可能在感染后2至21天内出现。

Kenya's Health Ministry, through its Cabinet Secretary, Aden Duale, has been seeking to allay fears, urging Kenyans to remain vigilant and encouraging anyone who develops symptoms to report to the nearest medical facility. According to the World Health Organization (WHO), symptoms can develop between 2 and 21 days after infection.

早期症状包括:发热、疲劳、不适、肌肉疼痛、头痛和咽喉痛。随后,患者可能出现呕吐、腹泻、腹痛以及肾脏和肝脏感染。

Early symptoms include: fever, fatigue, malaise, muscle pain, headache and sore throat. Later, a patient may suffer from vomiting, diarrhea, abdominal pain, and kidney and liver infection.

然而,这些症状可能与疟疾或伤寒等其他疾病相似,只有进行埃博拉病毒检测才能确认是否接触了病毒。

However, these symptoms might be similar to other illnesses such as malaria or typhoid, and only an Ebola test can confirm if one has been exposed to the virus.

批评与改善筛查的呼声 多位知名人士、医疗工会和反对派政客对肯尼亚应对其首例埃博拉病例的做法提出批评。前首席大法官大卫·马拉加,他已宣布有意参加2027年总统选举,质疑一名携带埃博拉病毒的人如何能够通过乔莫·肯雅塔国际机场的筛查。

Criticism and calls to improve screening Several prominent figures, medical unions and opposition politicians have criticized Kenya's response to its first Ebola cases. Former Chief Justice David Maraga, who has declared interest in running for the presidency in the 2027 election, questioned how a man carrying the Ebola virus could pass through screening at Jomo Kenyatta International Airport, Nairobi.

“我们不知道有多少人被感染。我们必须要求采取适当的行动,以免因这种疾病导致死亡,”马拉加对《标准报》说。

"We don't know how many have been infected. We must demand appropriate action be taken so that we don't have deaths arising from that disease," Maraga told The Standard.

肯尼亚前副总统卡隆佐·穆索卡(2008年至2013年任职)指出,危险是由内罗毕医院的医生发现的,而不是由边境检测系统发现的。

Kalonzo Musyoka, Kenya's vice president from 2008 to 2013, meanwhile noted that doctors at Nairobi Hospital, not border systems, detected the danger.

肯尼亚医师、药剂师和牙医工会的丹尼斯·米斯凯拉博士认为,埃博拉病例表明肯尼亚的卫生系统尚未做好应对大流行的准备。“这个系统尚未具备韧性。这个系统并未从我们几年前经历的新冠疫情中吸取教训,”他说。

Dr. Dennis Miskellah of the Kenya Medical Practitioners, Pharmacists and Dentists Union believes that the Ebola cases show that Kenya's health system is not pandemic-ready. "This system is not yet resilient. This system did not learn from the COVID pandemic that we had a few years ago," he said.

自5月以来,该地区爆发了疫情。乌干达作为其直接邻国,已有近20例病例。因此,他们有充足时间做好充分准备。但似乎有人失职了。刚果民主共和国宣布埃博拉疫情后,肯尼亚进入高度戒备状态。政府指定多家医院作为隔离中心。

"Since May, we've had this outbreak in the region. Uganda, our immediate neighbor, had almost 20 cases. So, we had ample time to prepare adequately. But it seems like somebody dropped the ball." Kenya went on high alert after the DRC declared the Ebola outbreak in May. The government designated several hospitals as isolation centers.

它还加强了机场和边境口岸的筛查,部署了流动实验室。多个非洲国家的航班被指令在指定机场区域降落以进行筛查。肯尼亚的卫生系统存在哪些漏洞?

It also enhanced screening at airports and border points, deploying mobile labs. Flights from several African countries were ordered to land in designated airport wings for screening. Where are the gaps in Kenya's health system?

“首要问题是,该国医疗保健治理中存在严重的领导失职,”米斯凯拉说。“所有这些支柱都已损坏,没有明确的责任或指挥链,无论是卫生部还是47个半自治的县政府。”部分隔离中心的容量有限。根据米斯凯拉的说法,农村医疗设施缺乏主要医院拥有的防护装备等资源。此外,由于公务员招聘冻结,卫生工作者也存在短缺。

"Top of it all is that there's has been a serious lapse of leadership in governance of healthcare this country," said Miskellah. "All those broken pillars, there's no clear responsibility or chain of command, whether its the Ministry of Health or the 47 county governments who are semi-automous." Capacity at some isolation centers is limited. Rural facilities lack resources such as the protective gear available at major hospitals, according to Miskellah. And there's also a shortage of health workers due to a freeze on public service workers.

与此同时,据报道,许多没有医疗保险的医护人员不愿冒生命危险。数十名肯尼亚护士和医生在新冠疫情期间丧生。

Meanwhile, healthcare workers, many of whom have no healthcare cover, are reportedly wary of putting their lives at risk. Dozens of Kenyan nurses and doctors lost their lives during the COVID-19 pandemic.

自肯尼亚记录首例病例以来,其与邻国的埃博拉协议正受到质疑,肯尼亚拥有该地区最强大的医疗系统之一。

Kenya's agreements on Ebola with its neighbors are being called into question since the first case was recorded in Kenya, which has one of the strongest healthcare systems in the region.

专家们正在质疑埃博拉区域合作的状况,尽管病例和死亡人数激增,边界大多仍然开放。“在我们信任这些协议和合作之前,我们必须对它们进行审计并提出质疑,以免我们盲目地相信肯尼亚做的是正确的事情,或者刚果民主共和国做的是正确的事情,”米斯凯拉说。

Experts are questioning the state of regional cooperation on Ebola, where borders have largely remained open despite the surge in cases and deaths. "Before we trust these agreements and cooperation, then we have have to audit them and question them so that we don't just blindly believe that Kenya is doing the right thing, or that the DRC is doing the right thing," said Miskellah.

然后,还有个人责任的问题。肯尼亚要求从刚果、乌干达、坦桑尼亚、埃塞俄比亚、安哥拉、赞比亚、卢旺达、布隆迪、中非共和国和南苏丹抵达的旅客如实填写健康申报表。改编自贝尼塔·范艾森主持的《非洲连线》播客。

Then, there's the question of individual responsibility. Kenya requires travelers arriving from Congo, Uganda, Tanzania, Ethiopia, Angola, Zambia, Rwanda, Burundi, Central African Republic and South Sudan to complete a health declaration form — truthfully. Adapted from the Africalink Podcast by Benita van Eyssen.