A suspected case is a sudden onset of fever that does not respond to treatment, with diarrhoea or bleeding from the gums, urine or eyes.
Sudden onset with high fever, severe abdominal pain, headache, vomiting and severe diarrhoea on the third day; may persist for weeks causing severe pallor and sunken eyes from dehydration, a rash, and in severe fatal cases haemorrhagic signs.
2 to 21 days.
No vaccination; avoid contact with the blood and fluids of infected people and animals, and observe personal hygiene.
No countries currently have travel guidance for this disease.