▁fell ▁ill ▁next , ▁followed ▁by ▁his ▁mother ▁and ▁grand m other . ▁It ▁is ▁believed ▁the ▁E bol a ▁virus ▁later ▁spread ▁to ▁the ▁villages ▁of ▁D and ou ▁Pom bo ▁and ▁D awa , ▁both ▁in ▁Gu é ck éd ou , ▁by ▁the ▁mid w ife ▁who ▁attended ▁the ▁boy . ▁From ▁D awa ▁village ▁the ▁virus ▁spread ▁to ▁Gu é ck éd ou ▁Bal ad ou ▁District ▁and ▁Gu é ck éd ou ▁Far ako ▁District , ▁and ▁on ▁to ▁Mac enta ▁and ▁K iss id oug ou . ▁ ▁Although ▁E bol a ▁represents ▁a ▁major ▁public ▁health ▁issue ▁in ▁sub - S ah aran ▁Africa , ▁no ▁cases ▁had ▁ever ▁been ▁reported ▁in ▁West ▁Africa ▁and ▁the ▁early ▁cases ▁were ▁diagn osed ▁as ▁other ▁dise ases ▁more ▁common ▁to ▁the ▁area ▁such ▁as ▁ ▁L assa ▁fe ver , ▁another ▁hem or rh ag ic ▁fe ver ▁similar ▁to ▁E bol a . ▁Thus , ▁it ▁was ▁not ▁until ▁March ▁ 2 0 1 4 ▁that ▁the ▁out break ▁was ▁recognized ▁as ▁E bol a . ▁The ▁Ministry ▁of ▁Health ▁of ▁Guinea ▁not ified ▁the ▁World ▁Health ▁Organ ization ▁( W HO ), ▁and ▁on ▁ 2 3 ▁March ▁the ▁W HO ▁announced ▁an ▁out break ▁of ▁E bol a ▁virus ▁disease ▁in ▁Guinea ▁with ▁a ▁total ▁of ▁ 4 9 ▁cases ▁as ▁of ▁that ▁date . ▁ ▁By ▁late ▁May , ▁the ▁out break ▁had ▁spread ▁to ▁Con ak ry , ▁Guinea ' s ▁capital ,