14/11/2025
Hemorrhagic Fevers | overview for community education and prevention
Eight suspected cases of hemorrhagic fever have been reported in Jinka town, Ethiopia. The exact virus is still under laboratory investigation, but health authorities have intensified surveillance, contact tracing, and community awareness to prevent further spread.
As prevention is paramount, I took time to compile a detailed overview for community education and prevention in the affected area and beyond.
🧾 Definition
• Viral Hemorrhagic Fevers (VHFs) are a group of severe illnesses caused by several families of viruses.
These infections are multi-systemic, disrupting vascular integrity, immune responses, and the function of vital organs.
Clinically, they are marked by high fever, a tendency to bleed due to vascular and coagulation abnormalities, and progressive multi-organ dysfunction, often leading to life-threatening complications1,2.
🩺 Clinical Presentation
• Early symptoms: sudden fever, fatigue, muscle aches, headache, sore throat.
• Progressive symptoms: abdominal pain, vomiting, diarrhea, rash.
• Severe signs: bleeding (nose, gums, gastrointestinal), low blood pressure, shock, organ failure.
• Note: Bleeding is not always present, but vascular damage is a hallmark1.
🔬 Diagnosis
• Clinical suspicion: based on symptoms, outbreak context, and exposure history.
• Laboratory tests (confirmation):
o PCR for viral RNA
o ELISA for viral antigens/antibodies
o Blood counts (low platelets, leukopenia)
o Liver and kidney function tests
• Differential diagnosis: always do not forget the common problems in the setting including malaria, typhoid, sepsis, dengue1.
🧪 Investigations
• Complete blood count: may show thrombocytopenia, leukopenia.
• Coagulation profile: prolonged clotting times.
• Biochemistry: elevated liver enzymes, renal impairment.
• Imaging: rarely needed, but may show organ involvement.
💊 Case Management:
• Supportive