KINSHASA, Congo -- The man who became the second confirmed Ebola case in Congo's major crossroads city of Goma has died, officials said Wednesday, adding that he may never have known he had the virus.
The case renewed fears in the bustling city on the Rwandan border that has an international airport, and it complicated efforts to contain a yearlong outbreak already challenged by rebel attacks and community mistrust.
The man in his 40s was a miner returning home from an area of northeastern Ituri province where no Ebola cases in this outbreak have been recorded, World Health Organization officials told reporters. He could have been exposed to Ebola anywhere between Komanda and Goma, a city of more than 2 million people, as he took motor taxis over a number of days through the densely populated region at the heart of the outbreak, WHO emergencies chief Dr. Michael Ryan said.
The man arrived in Goma on July 13 and started showing symptoms on July 22. He was isolated at an Ebola treatment centre on Tuesday. He had spent five days being treated at home and then went to a health facility, where Ebola was suspected.
"He may not even have been aware of the exposure that he had," Ryan said, adding that the man's potential contacts were being identified and given an experimental but effective Ebola vaccine. Symptoms such as fever can be confused with malaria, which is endemic in the region.
Congo's Ebola response co-ordinator, Jean-Jacques Muyembe, said the man died on Wednesday morning, a day after his case was announced.
"Yesterday he was in a critical state," Muyembe told The Associated Press. Ebola symptoms can start to occur between two and 21 days from infection, health experts say.
Muyembe has said there appears to be no link between the case and the previous one in Goma that was announced two and a half weeks ago.
The second-deadliest Ebola outbreak in history was declared a rare global health emergency days after the first case was confirmed in Goma, a scenario that health officials had long feared. More than 1,700 people have been killed in this outbreak declared on Aug. 1, 2018.
Muyembe in announcing Goma's second case told reporters that the man's house and the health centre he first visited were being disinfected.
"There is no need to panic," he said. On Wednesday he told reporters that he believes this outbreak can be ended in three or four months.
But WHO's regional director for Africa, Matshidiso Moeti, said the concern as Ebola enters its second year is that the virus again will spread into one or more of Congo's nine neighbouring countries.
In June, three people died in Uganda before other family members were taken back to Congo for treatment and Ugandan officials declared the country was again free of the disease.
WHO says the risk of regional spread remains "very high." Rwanda, Uganda and South Sudan began vaccinating health workers weeks or months ago.
The declaration of a global health emergency -- the fifth in history -- brought a surge of millions of dollars in new pledges by international donors but some health workers say a new approach is needed to combat misunderstandings in the community.
There is no licensed treatment for Ebola and survival can depend on seeking treatment as quickly as possible. And yet many people in the region don't believe that Ebola is real, health workers have said.
The first confirmed Ebola case in Goma was a 46-year-old preacher who managed to pass through three health checkpoints on the way from Butembo. The city is one of the communities hardest hit by this outbreak, which is second only to the 2014-16 Ebola epidemic in West Africa that left more than 11,300 people dead.
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Associated Press writers Cara Anna in Johannesburg and Al-Hadji Kudra Maliro contributed.
