By Gradel Muyisa , Benoit Nyemba and Emma Farge
BUNIA, Democratic Republic of Congo, June 10 (Reuters) - After her mother died in late May, baby Buswaza was brought to a church-run orphanage in eastern Congo where the nuns quickly discovered the newborn was running a fever. Within days, she died from what they later found out was Ebola.
Carers and medics said that after her death six other babies were identified as suspected Ebola cases at the orphanage of 69 children in Bunia - a city in Ituri province
at the epicentre of the outbreak in the Democratic Republic of Congo.
They were taken to hospital, where five of them later tested negative and were discharged from an isolation tent at the Evangelical Medical Centre (CME) on Tuesday by medics in full protective suits to smiling nuns.
"We thank the hospital staff, we are very grateful," said Sister Clarisse, carrying a baby in a pink hooded gown.
One baby - an orphan triplet girl nicknamed "Cherie" or "darling" who is less than a year old - remains in hospital with confirmed Ebola, medics and carers told Reuters.
Dr. Freddy Kibwana, head of the CME, told Reuters on Wednesday that her health had deteriorated in the past few hours. "The intensive care team and paediatricians are evaluating her," he said. He added that one of the nuns from the orphanage is also at the facility with Ebola and appeared to have few symptoms of the disease.
NUNS PRAY FOR THOSE WITH EBOLA
Children and babies can easily become vectors for the disease through bodily fluids like vomit, faeces and saliva which are highly infectious when people have Ebola.
As well as the hospitalised baby, three of the deceased newborn's carers including the nun have tested positive for Ebola, aid workers and medics said.
The sisters at the orphanage, established by Belgian nuns in the colonial era, are praying for them.
“We are nuns but we are also humans and it has been very emotional," one sister told Reuters, asking for anonymity for fear of being associated with Ebola and stigmatised.
Buswaza, who lived less than two weeks, is one of the youngest victims of the epidemic that has so far infected nearly 600 people and killed at least 115 people across Congo.
As well as fluids like blood and saliva, Ebola has been detected in amniotic fluid and the placenta, the World Health Organization said, so it is possible her mother transmitted the virus to her in the womb or during childbirth.
If the mother caught the virus after giving birth, she may also have transmitted it to her child through breastmilk where the virus has also been detected.
MALNUTRITION AND CONFLICT
So far, children account for nearly a fifth or around 17% of the confirmed Ebola cases in the current outbreak, according to the U.N. children's charity (UNICEF) based on preliminary data, which the U.S. Centers for Disease Control and Prevention warns could surpass the 2014-2016 West Africa outbreak. It is unknown how many have died.
While young children represent a smaller portion than other age groups, the World Health Organization said they may be at increased risk of severe outcomes and death.
But little data is available on this rare strain of the virus, Bundibugyo, and its impact on children, it said.
UNICEF says it is concerned that children's chances of survival might be impacted by pre-existing health conditions in an area characterised by high malnutrition levels and patchy vaccination rates.
A 2023 survey in Ituri found a chronic global malnutrition rate of 52.1% for children under five. Many of the children at the orphanage are survivors of armed conflict across eastern Congo.
"In this fragile context, children could deteriorate more quickly if they become infected," said UNICEF's Douglas Noble, who leads on health emergencies and visited Bunia last month.
CHILD-SIZED BODY BAGS
Buswaza was buried in late May in a sealed, waterproof body bag to prevent the spread of the disease.
The International Federation of Red Cross and Red Crescent Societies said it has stocks of child-sized body bags to conduct safe and dignified burials for children in the area.
Health teams now visit the orphanage daily to check the children and staff.
"This epidemic has hit an area already in humanitarian crisis," said Babou Rukengeza, a senior health adviser with Save the Children aid group. "This place is the only refuge for these children."
(Reporting by Gradel Muyisa and Benoit Nyemba in Bunia and Emma Farge in Nairobi; editing by Alexandra Hudson)
