致死率の高いエボラ出血熱が、コンゴ民主共和国で流行していると
ニュースで盛んに報道されています。
アフリカのコンゴは日本にとって遠い地ですが、
地球全体がグローバル化している現在、不安は募ります。
日本上陸の可能性と日本人への感染、そして症状と死亡率について書きます。
日本上陸と日本人への感染
2014年に西アフリカでエボラが流行した時には、死者が10,000人を
超えました。この時には日本人への感染疑いが何例かでましたが、
実際に感染はありませんでした。
ただ、エボラウイルスの潜伏期間は2日～21日間です。
海外で感染して日本に戻ってから発症、ということは十分にえられます。
日本の近隣国へのエボラ上陸
日本は大丈夫でも隣の韓国や中国は大丈夫なの？ と気になります。
厚生労働省が発表した資料になりますが、日本の近隣国への
上陸は確認されていません。
ただ、日本人が多くいるアメリカやヨーロッパのイギリス、イタリア、
スペインでは感染例もあり、死亡者も出ています。
近隣国で感染がないから、日本も大丈夫だ、とは言えない状況です。
どのように感染するのか？
インフルエンザウイルスとは違い、咳やくしゃみで感染することはありません。
エボラ出血熱を発症した患者の体液からウイルスが、傷口や粘膜を通じて感染します。
医療従事者への感染か、感染者との性行為によって移るということが
可能性として高いようです。
ただ、ウイルスは変異します。突然変異によって空気感染、飛沫感染する
ウイルスになるかもしれないのです。
エボラ出血熱の症状と死亡率
発症は突発的に始まります。40℃超の発熱、頭痛、のどの痛みなどがあります。
続いておう吐や下痢、多臓器不全です。
感染した後の死亡率は高いです。もう一度この表を貼りますので、
数字を確認してください。
まとめ
・エボラの日本での感染例は今までにない
・近隣の韓国や中国でも感染例はない
・咳では感染しないが、ウイルスの突然変異はある
・感染後の致死率は高い
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