CONAKRY: A second spike in Ebola virus cases has panicked residents and health officials in Guinea, who fear a west African outbreak of the killer disease may now be out of control. “Ebola cases are worrying. We do not know what to expect,” Mamady Traore, a trader in the suburbs of the capital Conakry, told Agence France-Presse on Thursday. “Sometimes you are told it has been [contained]and sometimes you hear it has reappeared in other towns and villages.” According to figures released by the World Health Organization (WHO) on Wednesday, a total of 398 cases of hemorrhagic fever—causing 264 deaths—have been reported in Guinea since the start of 2014. Of these, 254 were caused by Ebola.