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乌干达称该国无活跃埃博拉病例,但肯尼亚和尼日利亚的感染正引发新的审视Uganda says it has no active Ebola cases, but infections in Kenya and Nigeria are prompting fresh scrutiny

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已知这两名患者都曾于10月3日途经乌干达恩德培国际机场。图片来源:Sumy Sadurni/AFP/Getty ImagesBoth patients are known to have traveled through Uganda's Entebbe International Airport on October 3 Image: Sumy Sadurni/AFP/Getty Images

据非洲卫生官员透露,肯尼亚和尼日利亚的患者可能曾在乌干达恩德培国际机场交叉路过,而来自瑞士的新信息与乌干达关于尼日利亚患者旅行史的说法相矛盾。

patients in Kenya and Nigeria may have crossed paths at Uganda's Entebbe International Airport, according to African health officials, as new information from Switzerland contradicts Uganda's account of the Nigerian patient's travel history.

乌干达是一个报告无活跃埃博拉感染病例的国家,却成为了相隔数千公里的病例调查焦点。

Uganda a country reporting no active Ebola infections, has become a focus of investigations into cases thousands of kilometers apart.

乌干达坚称没有确诊的活跃埃博拉病例,但肯尼亚和尼日利亚的卫生当局正在调查埃博拉感染病例,这些病患的旅行史或接触史与这个东非国家有关联。

Uganda insists it has no confirmed active cases of the deadly virus Yet health authorities in Kenya Nigeria are investigating Ebola infections involving people whose travel histories or contacts are connected to the East African nation.

据非洲疾病控制与预防中心(非洲疾控中心)应急准备和响应主任韦萨姆·曼库拉称,这两名患者均于10月3日经过了恩德培国际机场。卫生官员表示,两人可能曾交叉路过,但尚未确定他们是否相遇,也未确定机场是否发生过传播。

Both patients passed through Entebbe International Airport on October 3, according to Wessam Mankoula, head of emergency preparedness and response at the Africa Centers for Disease Control and Prevention (Africa CDC) Health officials say the two may have crossed paths, although it has not been established whether they encountered each other or whether any transmission occurred at the airport. The differing accounts have raised questions about whether Uganda was simply a transit point for infected travelers, or could infections be going undetected along some of Africa's busiest cross-border routes?

这些相互矛盾的说法引发了疑问:乌干达仅仅是感染旅客的中转站,还是非洲一些最繁忙的跨境路线上存在未被发现的感染?

The latest developments come after Switzerland disputed claims that the Nigerian patient had visited the Democratic Republic of Congo (DRC) where an Ebola outbreak is underway.

最新事态发展源于瑞士质疑尼日利亚患者曾前往刚果民主共和国(刚果(金))——那里正在发生埃博拉疫情——的说法。两名埃博拉患者是否在乌干达交叉路过?

Did the two Ebola patients cross paths in Uganda? Nigeria's Health Minister Muhammad Ali Pate confirmed an imported Ebola case in the Nigerian capital, Abuja involving a woman who had recently traveled to East Africa, including Uganda.

尼日利亚卫生部长穆罕默德·阿里·帕特确认,尼日利亚首都阿布贾发现一例输入性埃博拉病例,患者为一名近期前往东非(包括乌干达)旅行的女性。

"Today we are confirming that there has been one imported case of Ebola virus disease in the Federal Capital Territory," Pate said.

帕特表示:“今天我们确认,联邦首都辖区出现一例输入性埃博拉病毒病病例。”

The woman developed symptoms on October 7 and visited a private health facility on October 11.

该女性于10月7日出现症状,10月11日前往一家私立医疗机构就诊。进一步实验室检测确诊为埃博拉,随后她被隔离治疗。

Further laboratory testing confirmed Ebola, and she was subsequently isolated for treatment. Pate said the patient was stable and that health officials had identified 44 contacts, including healthcare workers, caregivers, patients and people who may have encountered her during her travels.

帕特表示,该患者病情稳定,卫生官员已确定44名密切接触者,包括医护人员、护理人员、患者以及在她旅行途中可能接触过她的人员。但这名女子的行程已成为调查的核心。

But the woman's journey has become central to the investigation. Speaking on Thursday, Mankoula said the first confirmed patients in Kenya and Nigeria were both known to have traveled through Entebbe International Airport on October 3.

曼库拉周四表示,肯尼亚和尼日利亚首例确诊患者均已知于10月3日经由恩德培国际机场中转。调查人员正在核查这两名患者是否在同一时间停留在该机场,以及他们的行动轨迹是否有重叠。

Investigators are examining whether the two patients were at the airport at the same time and whether their movements overlapped. Switzerland contradicts Uganda's account Uganda's Health Ministry says preliminary findings indicate the Nigerian patient traveled to eastern DRC for business before passing through Uganda without symptoms and returning to Nigeria.

瑞士反驳乌干达说法 乌干达卫生部称,初步调查结果显示,这名尼日利亚患者在途经乌干达前曾前往刚果民主共和国东部处理公务,当时无症状,随后返回尼日利亚。

"Travel through Uganda does not establish that infection occurred here.

卫生部在10月20日的声明中说:“途经乌干达并不意味着感染发生在此地。感染地点仍在调查中。”但周五,瑞士联邦外交部直接反驳了这一说法。

The location of exposure remains under investigation," the ministry said in an October 20 statement. But on Friday, Switzerland's Federal Department of Foreign Affairs directly disputed the account.

该部门在致路透社的声明中说:“她和丈夫并未前往刚果民主共和国。”

"She and her husband did not travel to the Democratic Republic of the Congo," the department said in a statement to Reuters news agency.

据瑞士当局披露,这名女子是乌干达裔瑞士公民,丈夫是驻阿布贾的瑞士外交官。

The woman, identified by Swiss authorities as a Swiss national of Ugandan origin, is married to a Swiss diplomat based in Abuja.

埃博拉病例现已在四个非洲国家被发现:刚果民主共和国、乌干达、肯尼亚和尼日利亚 瑞士政府周四告诉路透社,据信该女子是在与丈夫在乌干达旅行期间感染埃博拉的,但该判断尚未得到独立证实。

Ebola cases have now been detected in four African countries: DR Congo, Uganda, Kenya and Nigeria On Thursday, the Swiss government told Reuters that she was believed to have contracted Ebola while traveling with her husband in Uganda, although that assessment has not been independently confirmed.

世界卫生组织(WHO)和非洲疾控中心(Africa CDC)也于周四表示,他们尚未收到确凿信息,证实该女子曾前往刚果民主共和国。

World Health Organization (WHO) and the Africa CDC also said Thursday that they had not received confirmed information establishing that the woman had traveled to the DRC.

相互矛盾的说法引发了新的疑问:这名女子究竟是在何处接触了病毒,以及最初对其行踪的重构究竟有多准确。不过,这些说法并未确证她是在乌干达感染了埃博拉病毒。

The conflicting accounts raise fresh questions about where the woman was exposed to the virus and how accurately her movements were initially reconstructed. They do not, however, establish that she contracted Ebola in Uganda.

乌干达坚称该国没有确诊的活动性埃博拉病例,并表示正在等待尼日利亚提供关于该女子行踪的更详细信息。

Uganda maintains it has no confirmed active Ebola cases and says it is awaiting more detailed information from Nigeria about the woman's movements.

肯尼亚失踪接触者使调查复杂化 在肯尼亚,乌干达卷入了一项单独的调查,涉及该国首例确诊埃博拉患者,该患者于10月5日在肯尼亚首都内罗毕死亡。该患者曾从刚果民主共和国经乌干达前往肯尼亚。

Kenya's missing contact complicates investigation In Kenya, Uganda has emerged in a separate investigation involving the country's first confirmed Ebola patient, who died in the Kenyan capital, Nairobi, on October 5. The patient had traveled from the Democratic Republic of Congo through Uganda before reaching Kenya.

卫生官员现已确定,该患者于10月3日经过了恩德培国际机场,与随后在尼日利亚确诊的那名女子是同一天。肯尼亚当局此后报告了与初始病例相关的额外感染病例。但调查的一个方面仍未解决。

Health officials have now established that the patient passed through Entebbe International Airport on October 3, the same day as the woman subsequently diagnosed in Nigeria. Kenyan authorities have since reported additional infections linked to the initial case. But one aspect of the investigation remains unresolved.

据肯尼亚《每日国家报》报道,卫生官员正在寻找一名被确认为死者接触者的乌干达公民。

According to Kenya's Daily Nation health officials are searching for a Ugandan national identified as a contact of the deceased patient.

肯尼亚卫生总干事帕特里克·阿莫斯告诉该报:“我们知道这名(乌干达)男子的姓名、护照号码和电话号码,但我们无法联系上他。”

"We know him (the Ugandan) by name and passport number and from his phone but we are not able to reach him," Kenya's Director-General for Health Patrick Amoth told the newspaper.

报道称,该男子使用的是一个南苏丹电话号码,这增加了确定其下落的难度。

reported that the man was using a South Sudanese telephone number, complicating efforts to establish his whereabouts.

作为一名未追踪到的接触者,并不意味着他已被感染。然而,找到潜在暴露者对于防止进一步传播至关重要。边境筛查能阻止埃博拉吗?

Being an untraced contact does not mean he is infected. However, locating potentially exposed individuals is essential to preventing further transmission. Can border screening stop Ebola?

乌干达与刚果民主共和国共享一条漫长的边境线,埃博拉疫情曾在那里反复挑战卫生当局。

Uganda shares a lengthy border with the Democratic Republic of Congo, where Ebola outbreaks have repeatedly challenged health authorities.

跨境贸易、人口流动和国际旅行使得很难确定某人是在何处接触了病毒。刚果埃博拉危机:恐惧、不信任与不断扩大的疫情要观看此视频,埃博拉症状通常在感染后 2 至 21 天内出现。根据世卫组织的说法,感染埃博拉的人在出现症状前不被认为具有传染性。

Cross-border trade, population movements and international travel make it difficult to establish where someone was exposed to the virus. Congo's Ebola crisis: Fear, mistrust and a growing outbreak To view this video , and Ebola symptoms typically develop between 2 and 21 days after infection. According to the WHO, people infected with Ebola are not considered infectious until symptoms appear.

即使运作良好的边境监测系统也无法识别出每一名受感染的旅行者。

Even well-functioning border surveillance systems cannot identify every infected traveler.

发现这两名患者在同一天经由同一国际机场中转,凸显了在多国范围内追踪潜在暴露的复杂性。这也突显了重构旅行史和识别密切接触者的重要性。

The discovery that both patients traveled through the same international airport on the same day illustrates the complexity of tracing potential exposures across multiple countries. It also highlights the importance of reconstructing travel histories and identifying close contacts.

乌干达表示正在加强入境口岸的筛查和公共卫生管控,而尼日利亚已加强接触者追踪和感染预防措施。

Uganda says it is strengthening screening and public health controls at points of entry, while Nigeria has intensified contact tracing and infection prevention measures.

挑战在于确保不同国家的当局能够足够快速地交换准确信息,以识别潜在暴露风险。尼日利亚焦虑情绪升温在阿布贾,确诊病例勾起了人们对以往埃博拉疫情的记忆。居民皮斯·科拉沃莱对再次爆发疫情的后果表示担忧。“这是我的洗手液,所以我其实非常担心,”她告诉德国之声。

The challenge is ensuring that authorities across different countries can exchange accurate information quickly enough to identify potential exposures. Anxiety grows in Nigeria In Abuja, the confirmed infection has revived memories of previous Ebola outbreaks. Resident Peace Kolawole expressed concern about the consequences of another outbreak. "So here is my hand sanitizer, so I'm actually very concerned about it," she told DW.

其他人担心尼日利亚的医疗体系可能难以应对,而许多民众正面临经济困境。“因为现在人们甚至不再担心疾病,人们担心的是生存,”阿布贾居民乔纳森·史蒂文告诉德国之声。

Others fear Nigeria's healthcare system may struggle to respond while many citizens face economic hardship. "Because now people are not even worried about sickness anymore, people are worried about surviving," Abuja resident Jonathan Steven told DW.

尼日利亚卫生当局表示,患者正在接受医疗救治,接触者追踪工作仍在继续。仍未解答的疑问?

Nigeria's health authorities say the patient is receiving medical care and that contact tracing is continuing. What remains unanswered?

乌干达位于刚果(金)与其他区域目的地之间,这为其同时出现在两起调查中提供了一种解释。

Uganda's position between the DRC and other regional destinations offers one explanation for its appearance in both investigations.

但最新发现又增加了两个重大疑问:来自肯尼亚和尼日利亚的患者是否于10月3日在恩德贝国际机场接触过,以及如果瑞士坚称该名尼日利亚女性从未前往刚果民主共和国,她究竟在哪里感染了病毒?埃博拉病毒是否在官员们知晓之前就开始传播了?

But the latest findings have added two significant questions: Did the patients from Kenya and Nigeria come into contact at Entebbe International Airport on October 3, and where did the Nigerian woman contract the virus if, as Switzerland insists, she never traveled to DR Congo? Did Ebola start spreading before officials even knew?

乌干达和瑞士的说法相互矛盾,这使得厘清尼日利亚患者的旅行史成为调查的紧迫部分。世卫组织和非洲疾控中心尚未确认有争议的刚果民主共和国旅行史。

The conflicting accounts from Uganda and Switzerland have made establishing the Nigerian patient's travel history an urgent part of the investigation. The WHO and Africa CDC have yet to confirm the disputed DR Congo travel history.

乌干达宣布零确诊活跃病例,并不能说明所有感染都已被排除。同样,旅行史也不能证明存在一起未被发现的疫情。

Uganda's declaration of zero confirmed active cases does not establish that all infections have been ruled out. Equally, the travel histories do not prove an undetected outbreak.

对肯尼亚和尼日利亚而言,当务之急是遏制已确认的感染。对乌干达而言,挑战在于证明其监测系统有效,并让本国公民和邻国放心。

For Kenya and Nigeria, the immediate priority is containing confirmed infections. For Uganda, the challenge is demonstrating that its surveillance systems are effective and reassuring both its citizens and neighboring countries.

非洲疾控中心将于10月28日召集国家卫生官员举行一次“特别虚拟会议”,因为非洲大陆最新的埃博拉疫情仍在继续蔓延。

The Africa CDC will convene an "extraordinary virtual meeting" of national health officials on October 28 as the continent's latest Ebola outbreak continues to spread.

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