On seemingly opposite ends of the globe two new cases of Ebola have been confirmed by respective health authorities. The Ministry of Health in Mali has confirmed the infection of a 2 year old who traveled from Guinea while New York has confirmed that a Doctor who recently returned from Guinea has tested positive for the virus.

Mali is the sixth country in West Africa to be affected by the largest recorded outbreak. It is understood that the 2 year old girl was placed in isolation along with all direct contacts on the the 23rd of October 2014. The Ministry of Health released a statement confirming the importation after a suspected case was identified at Fousseyni Daou Kayes Hospital. It is strongly suspected that at least one of the girls parents has died from Ebola recently.

In the USA a suspected case appeared at Bellevue Hospital when Dr Craig Spencer was admitted with symptoms. Significant concern has been raised about the time line for this infection after it emerged that Dr Craig Spencer may have been symptomatic while using the subway and taxi cabs. Research suggests that Ebola can survive without a host for several days. CDC officials have been dispatched to assist with the case and contact tracing has begun.

The World Health Organization and the United Nations raised concerns about the risk of case importation for Mali and Côte d’ Voire in recent weeks after reports began to emerge that the outbreak was continuing to spread in Guinea, Sierra Leone and Liberia. The confirmation of a case in Mali reaffirms the statements from officials and experts in recent weeks. The outbreak must be contained in the West Africa “Hot Zone”.