This information was prepared by Joshua M. Sharfstein, M.D., Secretary, Department of Health and Mental Hygiene and distributed to all Maryland State employees: The recent news reports on the Ebola virus naturally raise concerns for everyone. This message provides some basic information about this infection, the recent outbreak in Africa, and steps we have taken to protect Marylanders. The Ebola Virus is a virus that has caused small outbreaks in Africa for a number of years. It is spread through direct contact with bodily fluids or secretions of someone who is ill. It is not spread by someone who is not sick. It is not spread through the air. After exposure, it can take up to 21 days to develop symptoms. Supportive treatment can help individuals recover. Unfortunately, there is no vaccine or specific treatment, and even with supportive care, Ebola can be fatal. This year, a large outbreak of Ebola has affected the West African nations of Liberia, Guinea, and Sierra Leone.