Four people have died of Ebola in Guinea in the first resurgence of the disease in five years, the country’s health minister said Saturday.

Remy Lamah told AFP that officials were “really concerned” about the deaths, the first since a 2013-16 epidemic — which began in Guinea — left 11,300 dead across the region.

One of the latest victims in Guinea was a nurse who fell ill in late January and was buried on 1 February, National Health Security Agency head Sakoba Keita told local media. “Among those who took part in the burial, eight people showed symptoms: diarrhoea, vomiting and bleeding,” he said. “Three of them died and four others are in hospital.”

The four deaths from Ebola hemorrhagic fever occurred in the south-east region of Nzerekore, he said.

The four deaths from Ebola hemorrhagic fever occurred in the southeast region of Nzerekore, he said.

Keita also told local media that one patient had “escaped” but had been found and hospitalized in the capital, Conakry. He confirmed the comments to AFP without giving further detail.

The World Health Organization has eyed each new outbreak since 2016 with great concern, treating the most recent one in the Democratic Republic of the Congo as an international health emergency.

A rapidly spreading virus with a high fatality rate and no cure, Ebola was first recorded in Guinea in 2013 with the death of a local two-year-old boy. This marked the first outbreak of Ebola in all of West Africa. Since then, the highly fatal virus has been spreading throughout neighboring countries such as Sierra Leone and Liberia, leaving a trail of death behind it.

An epidemic of Ebola virus disease in Guinea from 2013 to 2016 represents the first ever outbreak of Ebola in a West African country. Previous outbreaks have been confined to several countries in Sub-Saharan Africa.

The epidemic, which began with the death of a two-year-old boy, was part of a larger Ebola virus epidemic in West Africa which spread through Guinea and the neighboring countries of Liberia and Sierra Leone, with minor outbreaks occurring in SenegalNigeria, and Mali. In December 2015, Guinea was declared free of Ebola transmission by the U.N. World Health Organization, however further cases continued to be reported from March 2016. The country was again declared as Ebola-free in June 2016.

Ebola kills four in Guinea in first resurgence of disease in five years

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