The WHO says the disease has a high mortality rate and children are particularly vulnerable to the infection. It is believed general hygiene circumstances along with traditional rituals such as for example bathing dead bodies yourself have helped pass on the condition. WHO said the exact number of victims who have died from the disease is not known. Health care workers are taking actions to support the spread of the disease, including improving general hygiene. Congo’s last major Ebola outbreak killed more than 200 people in 1995 in Kikwit, about 400km west of the existing outbreak.The objective of widespread EHR adoption, as envisioned by the National government in 2008, was allowing a changeover from volume-centered to value-based payments: a digital infrastructure was needed for measuring quality. At the right time, however, less than 17 percent of physician methods were using EHRs, and their systems lacked necessary data-capture capabilities often. Provided the high up-entrance uncertainty and costs regarding potential returns, financial and cultural hurdles to adoption were formidable.