A 50-year-old woman infected with Ebola has died in western Uganda, a day after her five-year-old grandson died.
They are the first two cases reported in the country since the virus spread from neighbouring Democratic Republic of Congo, where nearly 1,400 people have died.
Three suspected Ebola patients have also run away from an isolation centre.
The head of a major medical charity has called the latest outbreak of Ebola in central Africa “truly frightening”.
Dr Jeremy Farrar, the director of the Wellcome Trust, said the epidemic was the worst since that of 2013-16 and has showed “no sign of stopping”.
On Friday the World Health Organization (WHO) will decide whether the outbreak should now be deemed a public health emergency.
The grandmother and grandson are said to have travelled across the border to DR Congo on Sunday, where they are suspected to have contracted the virus from an elderly male relative who later died.
Seven of their relatives in Uganda are now in isolation because health officials fear they could be infected.
At present there is one confirmed case – he is the three-year-old brother of the boy who died on Monday, and is receiving treatment close to Uganda’s border with DR Congo.
On Friday, the Ebola trial vaccine will be given to health workers as well as 50 Ugandans identified as having made contact with confirmed cases.
In a statement, Dr Farrar said the spread was “tragic but unfortunately not surprising”. He warned that more cases were expected, and a “full” national and international response would be needed to protect lives.
What is being done to prevent the spread?
In Uganda, mass gatherings including market days and prayers have been cancelled. Market days in the town of Kasese attract an estimated 20,000 people at the border area.
Uganda’s health ministry and the WHO said a rapid response team had been dispatched to identify others at risk.
The country has already vaccinated about 4,700 health workers against the disease, according to a joint statement by WHO and Ugandan health officials.
What’s the situation so far?
Since the first case of Ebola in DR Congo last August, nearly 1,400 people have died – around 70% of all those infected.
The outbreak is the second-largest in the history of the disease, with a significant spike in new cases in recent weeks.
Only once before has an outbreak continued to grow more than eight months after it began – that was the epidemic in West Africa between 2013-16, which killed 11,310 people.
Efforts to contain the spread have been hindered by militia group violence and by suspicion towards foreign medical assistance.
Nearly 200 health facilities have been attacked in DR Congo this year, forcing health workers to suspend or delay vaccinations and treatments. In February, medical charity Médecins Sans Frontières (MSF) put its activities on hold in Butembo and Katwa – two eastern cities in the outbreak’s epicentre.
Analysis by James Gallagher, Health and Science Correspondent, BBC News
Cases of Ebola appearing in another country are always a significant and worrying development. The key question now is how far has the virus spread in Uganda?
Has it been contained to just the family that crossed the border from DR Congo or has it spread more widely? This is a moment that Uganda has long prepared for and, hopefully, measures such as pre-emptively vaccinating healthcare workers will lower the risk of Ebola spreading.
This outbreak is already the second largest in human history and some have predicted it could take up to two more years to bring to an end. The WHO has twice ruled that this Ebola outbreak is not a yet global emergency. Its Emergency Committee will meet again on Friday.
What is Ebola?
- Ebola is a virus that initially causes sudden fever, intense weakness, muscle pain and a sore throat.
- It progresses to vomiting, diarrhoea and both internal and external bleeding.
- People are infected when they have direct contact through broken skin, or the mouth and nose, with the blood, vomit, faeces or bodily fluids of someone with Ebola.
- Patients tend to die from dehydration and multiple organ failure.