There are no known cases in the United States as of the disbursement of the clinician letter from the State of Maryland Department of Health (MDoH). As the cases in the DRC, Uganda or South Sudan continue to rise, MDoH is offering guidance on monitoring upon arrival into the State from one of these countries for 21 days after their last day in one of the affected countries.

The State is also suggesting preventative measures to give your patients if they are traveling during this time. The recommendations below are taken directly from the clinician letter:

Counsel patients with planned travel to a Bundibugyo outbreak-affected area on ways to prevent exposure during their travel:

  • Avoid contact with blood and body fluids (or with materials possibly contaminated with blood and body fluids) of people who are sick.
  • Do not touch the body of someone who died from suspected or confirmed BVD without appropriate precautions, such as during funeral or burial practices.
  • Avoid contact with bats, bat urine or droppings, forest antelopes, nonhuman primates, and blood, fluids, or raw meat from these or unknown animals.
  • Refrain from entering areas known to be inhabited by bats, such as mines or caves.
  • Avoid exposure to semen from a man who has recovered from Ebola disease until testing shows that the virus is no longer in the semen.