健康 · 埃博拉之外的护理对埃博拉的恐惧使刚果家庭不敢接受产科和儿童护理文字 2026年10月14日 UTC 12:58观看文字实录0:07On September 15th, we reported more than 3,000 Ebola deaths.0:11Now the toll exceeds 4,000.0:12Some families are also avoiding maternity wards and children's health care, losing0:16access to services that protect them from dangers beyond Ebola.0:19Can families get essential care while the outbreak continues?0:22And what would it take to restore that access?0:24Masiki Health Center is seeing far fewer women come to deliver their babies.0:28The center is in Butembo, in Eastern Democratic Republic of the Congo.0:33Head nurse Liliane Adranga says monthly deliveries have fallen sharply during the0:37outbreak.0:37Adranga says Masiki handled about 50 deliveries a month before the outbreak.0:42During it, the number has fallen as low as 15.0:44That's about 35 fewer deliveries at the reported low, roughly 70% below the earlier0:50level.0:50That low tells us how much attendance fell at one facility.0:53We don't know where the women who stayed away eventually delivered in Butembo.0:57Pediatrician Mupenzi Mouver also describes parents' fear of Ebola as a barrier to1:01getting children medical care.1:02Butembo sits in North Kivu.1:04The maternal death and vaccination figures come from another province, Ituri.1:08These places show different parts of the same healthcare disruption.1:12Masiki's delivery count can't tell us what happened to mothers across Ituri.1:16Maternal deaths in Ituri reportedly rose nearly 70% from May through July compared1:21with the same months a year earlier.1:23That increase concerns deaths during a period that has already ended.1:26It doesn't measure what's happening to mothers this October.1:29How much Ebola infection, delayed care, or disrupted services contributed to those1:34deaths isn't clear.1:35Fear is keeping some families away, but it can't explain every death on its own.1:39Missed prenatal visits also remove opportunities to identify and treat pregnancy1:43complications before delivery.1:45UNICEF says facilities across Ituri gave 23,000 fewer routine vaccine doses in May1:50and June than in April.1:51These vaccinations protect children from other illnesses.1:54The precise calculation behind that comparison is unclear, so it can't be treated as1:59a separate deficit for each month.2:00One child can receive several doses, so the number of children affected could be2:04different.2:05Falling routine vaccination leaves children exposed to illnesses beyond Ebola.2:09Catch-up needs depend on which doses were missed and who missed them.2:12Essential health service use had already fallen 42% in primary outbreak hotspots2:17between April and June.2:19A July assessment also recorded a 65% rise in etori maternal deaths over the2:23preceding 10 weeks.2:25Both point to pressure on ordinary care.2:27The earlier maternal death comparison used a different period, and its baseline is2:32unclear.2:33We can't read the two percentages as a worsening trend.2:36The 42% service decline covered overall use in hotspots, with immunization, prenatal2:42care, and facility births among the services under pressure.2:45Esther Latula stopped attending prenatal checkups amid the outbreak.2:49In August, she was described as four months pregnant and living in Bunia.2:52Her experience shows how fear can interrupt care well before a woman arrives at a2:56maternity ward.2:57In July, UNFPA estimated that 63,700 pregnant women lived in affected areas.3:03That gives a sense of how many pregnancies could face service disruption.3:07It doesn't tell us how many women avoided care, and Lutula's later pregnancy outcome3:10hasn't been made public.3:12The national count had reached 8,603 confirmed cases and 4,148 confirmed3:17deaths by October 4th.3:19Those are dated figures.3:21The current description puts the outbreak across seven provinces, with more than3:258,000 people infected and over 4,000 dead.3:28Officials say the outbreak is still far from contained.3:31In late August, it had reached 60 health zones across six provinces.3:35Health zones are local administrative areas within provinces.3:38The seven province figure describes its wider reach.3:41Now, the exact current case and death totals are still unresolved.3:45The outbreak involves Bundibugio virus, a type of Ebola.3:48It was confirmed in Congo and Uganda in May.3:51The formal outbreak declaration and international public health emergency3:54declaration are dated May 15th.3:56Transmission may have begun earlier.3:58The first infection date isn't known.4:00Promising vaccine and treatment candidates are being tested for Bundibugio.4:04There's currently no vaccine or specific treatment for this virus.4:07A vaccine approved against a different Ebola virus can't be assumed to protect4:11against the one driving this outbreak.4:13Early intensive supportive care improves survival.4:16That includes replacing lost fluids and treating symptoms.4:19The earlier description of an outbreak with no vaccine or medication needs that4:23clarification.4:24Patients can still benefit from timely medical care, even without a treatment4:28specific to this virus.4:30Ebola usually spreads through direct contact with blood and other bodily fluids.4:34That makes infection prevention essential in healthcare.4:37Families need protection when they seek treatment.4:39Fear, disrupted services, and declining confidence are barriers to keeping ordinary4:43care accessible.4:44Restoring access requires more than bringing Ebola infections down.4:47Mothers need prenatal visits and assisted deliveries, and children need pediatric4:52treatment and routine immunizations.4:53It's still unclear whether teams reached the surge area 40 kilometers away or4:57protective equipment reached the workers discussed in September.5:00Families are already losing access to everyday care alongside the outbreak itself.5:05Whether that access is recovering hasn't been demonstrated.5:08Nobody has announced a concrete timetable for restoring these services or a5:11documented catch-up vaccination target.阅读文章事件时间线HeyDex短视频 ↗相关报道背景·10月26日 2:38 UTC接触者名单增至53人，尼日利亚埃博拉调查获得遗传线索背景·10月21日 8:18 UTC肯尼亚埃博拉病例增至9例，首批隔离接触者即将解除隔离
