Browsing by Author "Okware, Samuel Ikwaras"

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    Managing Ebola From Rural to Urban Slum Settings: Experiences From Uganda
    (African Health Sciences, 2015-03) Okware, Samuel Ikwaras; Omaswa, F; Talisuna, A; Amandua, J; Amone, J; Onek, P; Wamala, J; Lubwama, J; Luswa, L; Kagwa, P; Tylleskar, T
    Five outbreaks of ebola occurred in Uganda between 2000-2012. The outbreaks were quickly contained in rural areas. However, the Gulu outbreak in 2000 was the largest and complex due to insurgency. It invaded Gulu municipality and the slum- like camps of the internally displaced persons (IDPs). The Bundigugyo district outbreak followed but was detected late as a new virus. The subsequent outbreaks in the districts of Luwero district (2011, 2012) and Kibaale (2012) were limited to rural areas.
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    Three Ebola Outbreaks in Uganda 2000-2011
    (The Centre for international (CIH), University of Bergen, Norway, 2015-01-20) Okware, Samuel Ikwaras
    Three separate outbreaks of Ebola associated with high fatality occurred in Uganda between 2000 and 2011. A country wide national response contained each epidemic with various degrees of success. The experiences challenges and successes are described in Gulu, Bundibugyo and Luwero outbreaks.
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    Towards a National AIDS-Control Program in Uganda
    (PubMed Central, 1987-12) Okware, Samuel Ikwaras
    A national AIDS-control program was developed in Uganda to deal with a potentially serious epidemic of the acquired immunodeficiency syndrome (AIDS). A cumulative total of 1, 138 cases of AIDS has been reported in Uganda between 1983-since AIDS was introduced into the country and March 1987. More than 80% of the victims are sexually active persons whereas less than 10% are infants and children younger than 5 years. Virtually no cases or seropositivity is reported in persons between the ages of 5 and 14 years or after the age of 60 years. Most transmission has been through the heterosexual route, and, unlike in the United States, the male-female ratio is 1:1. Heterosexual high-risk behavior is cited as an important mode of transmission. A survey of household contacts showed that despite the closeness, only the sexual partners were seropositive. A five-year plan of action has been developed, and health education is the main thrust. It also includes blood screening, improved sterile procedures, improved surveillance and notification, research and terminal patient care. The plan stresses integration based on primary health care. There are unresolved moral issues of whether or not to tell the truth to an AIDS victim or any healthy seropositive person in developing countries, especially unstable persons. The best approach is to sensitize everyone so that they become guardians of their lives because sexual behavior is an issue of individual responsibility.