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In this brief monologue, Dr. Céline Gounder highlights how Ebola can spread undetected when universal disease screening is absent, emphasizing that the virus does not present a clear, identifiable name or symptom set. She recounts a pivotal moment when an MSF clinician recognized Ebola by noting the unusual combination of fever and hiccups, underscoring the vital role of astute clinical observation. Gounder stresses that effective diagnosis depends on patients having unrestricted access to care and feeling safe to disclose full symptom histories; restrictive measures and stigma can cause patients to withhold information, making Ebola especially hard to diagnose and control.

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