Readify

1989 Reston Ebola virus outbreak

The Hot Zone

The 1989 Reston Ebola virus outbreak began among imported crab-eating macaques at a Virginia quarantine facility and forced researchers to confront the possibility that a highly dangerous filovirus had reached the United States. The monkeys died in waves as investigators first suspected heat stress and then a familiar monkey disease; laboratory testing instead linked the agent to Ebola Zaire. The outbreak killed animals but caused no human casualties. Four caretakers nevertheless tested positive for Ebola Reston virus, making their symptomless infections—and the likely role of airborne exposure—one of its most consequential findings.

Setting and Early Deaths

The outbreak unfolded at the Reston Primate Quarantine Unit, a monkey house operated by Hazleton Research Products, a division of Corning Incorporated. Imported monkeys were held there for a month before they could be shipped elsewhere in the United States, a measure intended to keep animal infections from spreading to other primates or people. Dan Dalgard, a veterinarian with expertise in primate care, consulted for the facility while working as a principal scientist at Hazleton Washington.

On October 4, 1989, the facility received one hundred wild crab-eating macaques from the Philippines. They had come from coastal rain forests on Mindanao, passed through the Ferlite Farms monkey holding facility near Manila, and traveled by way of Amsterdam and New York City before reaching Reston by truck. Two monkeys were already dead in their crates, a loss that was not unusual during transport. The larger concern emerged over the following weeks, when an unusual number of animals began dying in the monkey house.

By November 1, colony manager Bill Volt had counted twenty-nine deaths from the shipment. Most of the deaths were concentrated in Room F, where the imported monkeys were housed individually in cages. At the same time, the building's thermostat had failed: the heaters continued running, while the air-conditioning did not switch on. Volt wondered whether the heat was stressing the animals. When Dalgard came to inspect the room the following week, he found sick monkeys with fever and signs that could be mistaken for heat-related illness. The malfunctioning system offered a plausible explanation, but it did not account for the emerging pattern of deaths.

Competing Explanations and Escalation

Two monkeys examined by Dalgard and Volt died overnight. Their internal findings did not fit heat stress neatly, and Dalgard suspected that an infectious agent might be moving through Room F. A newly arrived shipment was placed in Room H, two doors down the hallway, increasing the urgency of determining whether the illness could spread between rooms. Dalgard considered simian hemorrhagic fever, a disease that can spread rapidly among monkeys and is generally harmless to people. That possibility gave the deaths a recognizable explanation, but it remained a tentative diagnosis rather than a confirmed cause.

Dalgard sought help from the United States Army Medical Research Institute of Infectious Diseases at Fort Detrick. On November 13, he contacted virologist Peter Jahrling, who agreed to examine samples. The investigation did not resolve the question at once: growing a virus for identification took several days. Meanwhile, the situation briefly seemed to improve. Volt reported that no animals had died overnight, and Dalgard thought the illness might be subsiding. The lull proved temporary. Eight monkeys stopped eating, deaths continued in Room F, and by November 16 monkeys in other rooms had also begun to die. Dalgard understood that the suspected infection might be spreading through the facility and that action could not wait indefinitely for a definitive answer.

Believing the Army's preliminary diagnosis of simian hemorrhagic fever, Dalgard and another Hazleton veterinarian euthanized the monkeys in Room F on November 16. The action was intended to contain a highly contagious disease in the colony. Yet examination of some apparently healthy animals did not reveal the expected signs, leaving Dalgard troubled by the gap between the diagnosis and what he was seeing. The decision bought no certainty: samples from the outbreak were still being investigated, and the disease had been present in the building since early October.

Identification as Ebola-Related Virus

Jahrling's tests transformed the investigation. In a dark laboratory, he compared the monkey samples against blood serum associated with known filoviruses. The sample from the Mayinga strain of Ebola Zaire reacted strongly, whereas the Musoke sample did not and the Boniface sample reacted weakly. Jahrling repeated the test to rule out a mix-up; the result was the same. The finding indicated that the monkey-house agent was Ebola or something closely related to Ebola Zaire, not the simian hemorrhagic fever the veterinarians had suspected.

Jahrling immediately alerted C. J. Peters, and the results were carried out of the hot laboratory through a chemical-disinfection transfer tank. They took the evidence up the chain of command, bringing the finding to the attention of senior officers at the institute and its commander, Major General Philip K. Russell. Photographs of the agent showed a filovirus, while the test established a close relationship to Ebola Zaire without, by itself, proving that the Reston virus was exactly the same strain. This distinction mattered: researchers had encountered a filovirus outside Africa, close to a virus associated with devastating human disease, but still faced uncertainty about what the new agent was and how it behaved.

That uncertainty included the possibility of airborne transmission. The institute's researchers had evidence from earlier monkey experiments that Ebola could infect through the lungs, although they did not yet know how readily it could spread through air. The Reston outbreak sharpened the concern. It did not establish that people would develop severe disease from this virus, but it made the route of exposure a central question in assessing the threat.

Human Infections and Significance

Four men who had worked as caretakers in the monkey house eventually tested positive for Ebola Reston virus. One, John Coleus, had cut his thumb with a contaminated scalpel, providing a clear opportunity for infection through a wound. The other three had no known cuts. Their infections therefore raised the possibility that exposure through the air had allowed the virus to enter their bodies, consistent with the concerns researchers had already raised about respiratory transmission among monkeys. The evidence supported that inference, though it did not establish every individual route of infection with equal certainty.

None of the four men became ill, and the virus eventually cleared from their blood without known lasting effects. At the same time, the monkey house's outbreak ended with the animals dying; the Army did not need to destroy the building itself. Thus the event produced a striking contrast: the agent was devastating to the macaques, yet the infected caretakers remained without symptoms. Why the human infections did not cause illness was still unknown. Their cases showed that infection and clinical disease were not identical outcomes, while leaving open how much a small genetic difference might affect the virus's behavior in people.

The outbreak also exposed the limits of early interpretation. A failing heating system supplied a plausible environmental explanation for sick animals, and simian hemorrhagic fever offered a familiar diagnosis, but neither accounted for the full evidence. Repeated testing shifted the understanding of the event from a suspected monkey disease to the discovery of an Ebola-related virus in a commercial primate facility. The chain linking wild-caught animals, international transport, quarantine, laboratory samples, and human caretakers made the outbreak a warning about how animal disease can reach new settings. Yet the precise origin of the virus and the reason for its symptomless course in the four men remained unresolved.