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Ebola

Ebola is rare, but it can be serious. If you are worried about Ebola because of recent travel, possible exposure or symptoms, it is important to know what to watch for and what to do next.

Most people in the U.S. have a very low risk of Ebola. Risk is higher if you recently traveled to an area with an Ebola outbreak or had direct contact with someone who may have Ebola. Ebola symptoms can begin suddenly and may include fever, fatigue, muscle pain, headache and sore throat, followed by vomiting, diarrhea, stomach pain, rash or signs of kidney or liver problems. Symptoms can appear from 2 to 21 days after exposure. 

If you think you may have been exposed to Ebola, call your doctor, local health department or emergency department for guidance. Call before going to a clinic, urgent care or emergency department so the care team can prepare safely.

What is Ebola?

Ebola disease, sometimes called Ebola virus disease, is a rare but severe infection caused by a virus. It can make people very sick and may become life-threatening.

Ebola outbreaks have most often occurred in parts of Africa. In the U.S., Ebola is extremely rare and only occurs if the virus is transmitted from a human or animal from outside the country. People who recently traveled to an area with an Ebola outbreak or had close contact with someone who may have Ebola should take symptoms seriously.

Ebola spreads through direct contact with the body fluids of a person who is sick with Ebola or has died from it. It does not spread through the air like the flu, a cold or COVID-19. 

When to seek emergency care

Call ahead before going to a clinic, urgent care or emergency department if you have symptoms and may have been exposed to Ebola. This helps protect you, other patients and the care team.

Seek emergency care right away if you have possible Ebola exposure and symptoms such as:

  • Fever
  • Severe headache
  • Muscle or body aches
  • Weakness or extreme tiredness
  • Vomiting or diarrhea
  • Stomach pain
  • Unexplained bleeding or bruising
  • Confusion, dizziness or signs of dehydration

Call before you arrive: If you think you may have Ebola, tell the care team about your symptoms, recent travel and possible exposure before entering a health care facility.

What are the symptoms of Ebola?

Ebola symptoms can appear 2 to 21 days after exposure. Early symptoms may look like the flu or other common infections. As the illness gets worse, symptoms can become more serious. 

Early Ebola symptoms may include:

  • Fever
  • Chills
  • Severe headache
  • Muscle or joint pain
  • Weakness or fatigue
  • Sore throat
  • Loss of appetite

More serious Ebola symptoms may include:

  • Nausea and vomiting
  • Diarrhea
  • Stomach pain
  • Chest pain
  • Rash
  • Red eyes
  • Trouble breathing
  • Confusion
  • Unexplained bleeding or bruising

Not everyone with Ebola has bleeding. Fever, weakness, vomiting and diarrhea are often more common signs.

How does Ebola spread?

Ebola spreads through direct contact with infected body fluids. This can happen when the virus enters the body through broken skin or through the eyes, nose or mouth.

Body fluids that may spread Ebola include:

  • Blood
  • Vomit
  • Diarrhea or stool
  • Urine
  • Saliva
  • Sweat
  • Breast milk
  • Semen
  • Other body fluids

Ebola may also spread through contaminated needles, medical equipment or surfaces that have infected fluids on them.

Ebola may spread through:

  • Direct contact with body fluids from someone who is sick with Ebola
  • Direct contact with the body of someone who died from Ebola
  • Contact with contaminated needles or medical supplies
  • Contact with infected animals in areas where Ebola is present

Ebola does not spread through:

  • The air
  • Casual contact with someone who has no symptoms
  • Mosquito bites
  • Food or water in areas without an active outbreak
  • Coughing or sneezing in the same way as cold, flu or COVID-19 viruses

People become contagious when they develop symptoms. Ebola is not known to spread from people who do not have symptoms. 

Who is at risk for Ebola?

Most people in the U.S. are not at risk for Ebola. Your risk may be higher if you had a possible exposure in the past 21 days.

You may have a higher risk if you:

  • Recently traveled to an area with an Ebola outbreak
  • Cared for someone with confirmed or suspected Ebola
  • Had direct contact with blood, vomit, diarrhea or other body fluids from someone with Ebola symptoms
  • Worked in a health care or laboratory setting where Ebola exposure may have occurred
  • Took part in burial or funeral practices involving someone who died from Ebola in an outbreak area
  • Had contact with certain wild animals in an area where Ebola is present

If you are not sure whether your travel or contact puts you at risk, call your doctor or local health department for guidance.

What to do if you think you were exposed to Ebola

If you think you may have been exposed to Ebola, do not wait for symptoms to get worse. Call a health care provider, local health department or emergency department for instructions.

While you wait for guidance:

  • Avoid close contact with others
  • Do not travel unless public health officials tell you to
  • Watch for fever and other symptoms
  • Write down when your symptoms started
  • Share your recent travel history and exposure details
  • Call before going to any health care location

If symptoms develop after possible exposure, seek medical guidance right away.

How is Ebola diagnosed?

Ebola can be hard to diagnose early because symptoms may look like the flu, COVID-19, food poisoning, malaria or other infections. Your care team will ask about your symptoms, travel history and possible exposure.

Testing usually involves blood tests sent to a specialized laboratory. Your care team may also test for other illnesses that can cause similar symptoms.

Your care team may ask:

  • Where you traveled in the past 21 days
  • Whether you were in an area with an Ebola outbreak
  • Whether you had contact with someone who was sick
  • Whether you touched blood, vomit, stool or other body fluids
  • When your symptoms started
  • Whether anyone around you has similar symptoms

Do not go to a lab or clinic without calling first if you think you may have Ebola.

How is Ebola treated?

Ebola treatment depends on the type of Ebola virus, the person’s symptoms and how sick they are. Early medical care can improve the chance of survival. Treatment often focuses on supporting the body while it fights the infection. This may include fluids, electrolytes, oxygen, blood pressure support and treatment for vomiting, diarrhea or other complications. (World Health Organization)

Treatment may include:

  • IV fluids and electrolytes
  • Oxygen support
  • Blood pressure support
  • Medicines to help manage fever, pain, vomiting or diarrhea
  • Treatment for other infections or complications
  • Isolation precautions to prevent spread
  • Specialized treatment when appropriate and available

Some vaccines and treatments are available for certain types of Ebola virus, but not all. WHO notes that licensed Ebola vaccines are currently for disease caused by the Zaire ebolavirus species. 

Can Ebola be prevented?

Ebola prevention focuses on avoiding exposure in areas where the virus is spreading and using strict infection control steps in health care settings.

You can lower your risk by:

  • Avoiding contact with blood or body fluids from someone who is sick
  • Washing your hands often
  • Avoiding contact with the body of someone who died from Ebola
  • Avoiding contact with wild animals, bushmeat or bats in areas where Ebola is present
  • Following travel advisories and public health guidance
  • Wearing recommended protective equipment if you are a health care worker or caregiver

There are vaccines for some types of Ebola, but they are not used for routine vaccination in the general U.S. population. Vaccine use depends on the type of virus, outbreak setting, exposure risk and public health guidance.

Ebola and travel: What patients should know

If you recently traveled internationally and feel sick, tell your care team where you went and when. This is especially important if you visited an area with a known Ebola outbreak.

Before traveling internationally:

  • Check current travel health notices
  • Learn whether Ebola or other infectious diseases are spreading where you plan to go
  • Know where to get medical care during your trip
  • Avoid high-risk exposures in outbreak areas
  • Follow public health guidance for the country or region you are visiting

After returning from an area with Ebola risk:

  • Watch for symptoms for 21 days
  • Take your temperature if public health officials recommend it
  • Call a doctor or health department if symptoms develop
  • Share your travel history before arriving for care
  • Avoid close contact with others if you are sick

Conditions that may look like Ebola

Many illnesses can cause fever, vomiting, diarrhea, weakness and body aches. Ebola is rare, and these symptoms are more often caused by other conditions.

Conditions that may have similar symptoms include:

  • Flu
  • COVID-19
  • Food poisoning
  • Gastroenteritis
  • Malaria
  • Typhoid fever
  • Dengue
  • Other viral infections
  • Severe dehydration
  • Other viral hemorrhagic fevers

A medical evaluation is the only way to know what is causing your symptoms.

Why choose Banner Health for infectious disease care?

Banner Health provides coordinated care for infectious diseases, including symptom evaluation, diagnostic testing guidance, emergency care when needed and connection to specialists.

If a serious infection is suspected, our teams can help coordinate safe evaluation, public health reporting and the right level of care.

Our care teams focus on:

  • Safe evaluation of symptoms and exposure risk
  • Coordination with infectious disease experts
  • Testing guidance based on symptoms, travel and exposure history
  • Emergency and hospital care when needed
  • Clear instructions to help protect you, your family and the community

Call ahead if you think you may have been exposed to Ebola.

For life-threatening symptoms, call 911 or go to the nearest emergency department. Tell the dispatcher or care team about your symptoms and possible exposure before you arrive.

Frequently asked questions about Ebola

Is Ebola contagious before symptoms start?

People with Ebola are generally not contagious until they have symptoms. Risk increases when someone is sick and has direct contact with others through body fluids.

Can Ebola spread through the air?

No. Ebola is not spread through the air like the flu, a cold or COVID-19. It spreads through direct contact with infected body fluids or contaminated items. 

How long after exposure do Ebola symptoms appear?

Symptoms can appear 2 to 21 days after exposure. Early symptoms may include fever, fatigue, headache, muscle aches and sore throat. 

What should I do if I think I was exposed to Ebola?

Call a health care provider, emergency department or local health department for guidance. Avoid close contact with others and call before you arrive at a medical facility.

Is there a vaccine for Ebola?

Yes, vaccines are available for certain types of Ebola virus. They are not used as routine vaccines for most people in the U.S. Vaccine recommendations depend on the type of virus, outbreak setting and exposure risk. 

Can Ebola be treated?

Yes. Ebola treatment focuses on early supportive care and may include IV fluids, oxygen, blood pressure support and care for complications. Some targeted treatments may be available for certain types of Ebola.

Should I go to urgent care if I think I have Ebola?

Call before going to urgent care, a clinic or an emergency department. The care team can tell you where to go and how to arrive safely.