Guinea - Ebola: Thread documenting initial outbreak - March 2014 +

[Pathfinder]

Re: Guinea - Ebola: 218 clinical cases including 141 deaths, as of April 23, 2014

Translation Google

Ebola in Guinea : Update on the situation of the epidemic ...

The interministerial committee CONAKRY - response against viral haemorrhagic fever, Ebola an gave an update of the situation on the evolution of the epidemic in Guinea . According to figures published by the Committee, this Saturday , ten ( 10) new cases of Ebola were reported this week throughout the national territory , learned Africaguinee.com .

According to the Minister of Health Colonel R?my Lamah , cumulative positive cases in the country , '' there are 119 cases , including 38 cases in Conakry Gueckedou 66 cases . Other prefectures Macenta Dabola Kissidougou Dinguiraye , there are more cases '' , reveals the Minister of Health .

At the hospital in the different treatment sites at the national level , 15 patients are hospitalized in the different centers of isolation , 5 in Conakry and 10 in Gueckedou says Lamah .

" Much remains to be done in the context of awareness ..."

To believe the minister yesterday '' if many people thought that Ebola is an invention of MSF , this data has changed. But much remains to be done in the context of education because almost 80% of the population are illiterate. So we must go door to door ,'' suggests the Minister of Health .

Speaking of tracking contacts, the Director of Disease Prevention explained that the eight hundred and some reported cases , nearly five hundred (500) who finished their 21 day followed did not develop the disease.

Those who have developed the disease does not constitute a large percentage , he says. '' We have about 2.4% of contacts who developed the disease, but we have taken care of very soon ,'' says Dr Sakoba Keita.

" Instead of fleeing Ebola must contribute to finding ..."

Deploring the case of stigma for suspicious disease in families people , the chief prevention service supports '' instead of flee Ebola , must contribute to the finding and take charge . This is the only method that will help us to better control this disease ,'' he reports .

For the director of prevention, today many health workers are counted among the contacts . '' It was about 96 people, which is 1/8 of the cases we follow. CHU Donka , there are many doctors who have been identified. Even I who speak to you, I got identified as a contact because I had to greet colleagues who got ill. There is nothing serious to be identified. This is just to have us checked to ensure we did not catch Ebola ,'' he reassures .

Diallo Boubacar 1

For Africaguinee.com

http://www.africaguinee.com/articles/2014/04/26/ebola-en-guinee-point-de-la-situation-de-l-epidemie

[Ronan Kelly]

Re: Guinea - Ebola: 218 clinical cases including 141 deaths, as of April 23, 2014

Guinea CO
Humanitarian Situation Report
24 April 2014

Ebola
218 suspected and confirmed cases in
Guinea (115 cases of confirmed Ebola)
141 deaths (72 deaths of confirmed Ebola)
(MoH Guinea 24 April 2014)


18 children with suspected cases of Ebola*
13 children died*

*Under the age of 15 ? between 15-18 the numbers
are not broken down

UNICEF funding gap*
US$ 609,613

...

http://reliefweb.int/sites/reliefweb.int/files/resources/UNICEF%20Guinea%20SitRep%2024%20APR%202014.pdf

[Giuseppe]

Re: Guinea - Ebola: 218 clinical cases including 141 deaths, as of April 23, 2014

[Source: World Health Organization, Regional Office for Africa, full page: (LINK).]


Ebola virus disease, West Africa (Update of 28 April 2014)


Guinea

As of 18:00 on 26 April 2014, the Ministry of Health (MOH) of Guinea has reported a cumulative total of 224 clinical cases of Ebola Virus Disease (EVD), including 143 deaths.

To date, 202 patients have been tested for ebolavirus infection and 121 cases have been laboratory confirmed, including 74 deaths.

In addition, 41 cases (34 deaths) meet the probable case definition for EVD and 62 cases (35 deaths) are classified as suspected cases.

A revised number of 25 health care workers (HCW) have been affected (19 confirmed), with 16 deaths (12 confirmed); the number of HCW was previously reported as 26.

Clinical cases of EVD have been reported from:

1. Conakry (60 cases, including 24 deaths),
2. Guekedou (131/93),
3. Macenta (22/16),
4. Kissidougou (6/5),
5. Dabola (4/4) and
6. Djingaraye (1/1).

The 6 new cases reported since the update of 25 April were diagnosed in Conakry (2 cases) and Guekedou (4 cases). All 6 cases are laboratory confirmed.

The cumulative total of laboratory confirmed cases and deaths to date:

• Conakry (39 cases, including 19 deaths);
• Guekedou (67/43);
• Macenta (13/10);
• Kissidougou (1/1); and
• Dabola (1/1).

The date of isolation of the most recent confirmed cases is 26 April in Conakry and Guekedou.

Thirteen (13) patients are in isolation in Conakry (7 patients, all confirmed), Guekedou (6 patients, all confirmed).

Contact tracing activities continue in Conakry and Guekedou.

All the contacts from the other four outbreak locations have completed their 21 day medical surveillance period and have been discharged from follow up.

The numbers of cases and contacts remain subject to change due to consolidation of case, contact and laboratory data, enhanced surveillance activities and contact tracing activities.

As the incubation period for EVD can be up to three weeks, it is likely that the Guinean health authorities will report new cases in the coming weeks and additional suspected cases may also be identified in neighbouring countries.

WHO does not recommend that any travel or trade restrictions be applied to Guinea based on the current information available for this event.


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[Pathfinder]

Re: Guinea - Ebola: 224 clinical cases including 143 deaths, as of April 26, 2014

Frontline reflections on Guinea's battle against Ebola

Source: Thomson Reuters Foundation - Thu, 1 May 2014 09:36 AM
Author: Misha Hussain

...
In April, the authorities said that the number of new Ebola cases had fallen dramatically and the outbreak was almost under control. Days later 27 new cases were reported, prompting the French embassy in Conakry to send out a diplomatic circular warning of a secondary epidemic. Ebola is far from under control, and the blame for this is widely spread.
...
Poverty, bad habits and tradition are fuelling the spread of Ebola. Butchers sell bush meat in the markets despite a government ban; doctors who may be infected with Ebola refuse to go into quarantine and risk spreading the disease, and traditional funerals continue despite the health warnings about the cultural practices associated with them.

Finally, two major health organisations are splitting hairs over terminology, partly as a result of their different funding mechanisms, but also because of a deeper rift between public and private health providers. The World Health Organisation (WHO) has called the presence of Ebola in Guinea a ?small outbreak,? while MSF calls it an ?unprecedented epidemic?. The apparent disunity between the two undermines the impact of the response.
...
Better communication and more transparency would have helped win the public?s trust and encourage citizens to act together to overcome the disease. As one doctor me, to fight Ebola you need knowledge, to fight panic you need the confidence of the population.

Full text:

http://www.trust.org/item/20140501093632-im38r

[Giuseppe]

Re: Guinea - Ebola: 224 clinical cases including 143 deaths, as of April 26, 2014

[Source: World Health Organization, full page: (LINK). Edited.]


Ebola virus disease, West Africa ? update

02/05/2014


Guinea

As of 18:00 on 1 May 2014, the Ministry of Health (MOH) of Guinea has reported a cumulative total of 226 clinical cases of Ebola Virus Disease (EVD), including 149 deaths.

Of 210 patients tested for ebolavirus infection, 127 cases have been laboratory confirmed by PCR, including 81 deaths.

In addition, 44 cases (34 deaths) meet the probable case definition for EVD and 55 cases (34 deaths) are classified as suspected cases.

Twenty-five (25) health care workers (HCW) have been affected (18 confirmed), with 16 deaths (11 confirmed).

Seven (7) patients are in isolation facilities in Guinea; Conakry (4 patients, 2 confirmed) and Guekedou (3 patients, all confirmed).

The geographical distribution of clinical cases of EVD since the beginning of the outbreak is:

1. Conakry (53 cases, including 24 deaths),
2. Guekedou (140/99),
3. Macenta (22/16),
4. Kissidougou (6/5),
5. Dabola (4/4) and
6. Djingaraye (1/1).

The cumulative total of laboratory confirmed cases and deaths since the beginning of the outbreak is:

1. Conakry (40 cases, including 20 deaths);
2. Guekedou (72/49);
3. Macenta (13/10);
4. Kissidougou (1/1); and
5. Dabola (1/1).

The date of isolation of the most recent confirmed cases is 30 April in Conakry and Guekedou.

Contact tracing activities continue in Conakry and Guekedou. Experts in epidemiology and social mobilization will be deployed to strengthen contact tracing teams in Guekedou.

All the contacts from the other four outbreak locations have completed their 21-day medical surveillance period and have been discharged from follow up.

The numbers of cases and contacts remain subject to change due to consolidation of case, contact and laboratory data, enhanced surveillance activities and contact tracing activities. The recent introduction of ebolavirus serology to test PCR-negative clinical cases is also likely to change the final number of laboratory confirmed cases.

As the incubation period for EVD can be up to three weeks, it is likely that the Guinean health authorities will report new cases in the coming weeks and additional suspected cases may also be identified in neighbouring countries.


Liberia

The Ministry of Health and Social Welfare (MOHSW) of Liberia has completed the process of revising clinical cases of EVD based on their final laboratory results.

All cases which tested PCR positive or ebolavirus IgM positive have been reclassified as ?confirmed acute? cases.

PCR negative but ebolavirus IgG positive cases are considered ?confirmed convalescent? cases.

Following the reclassification of suspected cases, as of 2 May the total number of clinical EVD cases reported in Liberia is 13 (6 confirmed, 2 probable and 5 suspected cases), including 11 deaths.

There were 2 confirmed cases in HCWs, both of whom died.

There have been no new clinical cases in Liberia since 6 April.

The above criteria will be used to classify future cases of EVD in Liberia, should they occur.

In addition, in the situation where neither PCR nor serological testing is carried out and/or the results of repeated testing remain equivocal, future clinical cases and deaths will classified as either probable or suspected based on the presence of a clinically compatible illness and evidence of epidemiological linkage to known confirmed case(s).

WHO does not recommend that any travel or trade restrictions be applied to Guinea or Liberia based on the current information available for this event.


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[Treyfish]

Re: Guinea - Ebola: 226 clinical cases including 149 deaths, as of May 1, 2014

Haemorrhagic Fever : A person indicted returned to isolation Donka center

Mon May 5th 2014 , 1:33 p.m. Posted By Alhaidy The Sow A , News, Health 0364

Labe

The city of Labe was on high alert these days after a person indicted for Ebola virus is subtracted from the isolation center to return to family ( Labe ) . Once they ( medical specialists Donka hospital ) realized its lack of Conakry , doctors CHU Donka alerted health authorities of the administrative region of Labe , who immediately launched according to his research on finding a place Guineenews.org .



Arrested , Dr. El Hajj Oudy Bah , regional director of health DRS Labe agreed to the scene micro Guineenews.org local reporters : "This is not an Ebola patient who came in Labe . It is a relative of a victim already dead hemorrhagic fever who came here . In fact, it was intercepted by Labe had gone to Conakry greetings purposes after the death of his parent. In fact, in the family of the deceased, there was his niece who was also the wife of the deceased. So , for the latter was a widow woman Labe her aunt kept a few days in Conakry.
Meanwhile , the widow fell ill and was admitted to the hospital emergency Donka (Conakry) where she died . Some time later, his mother, who had also made the trip from Dakar to Conakry to be ready for his daughter ( widow ) , also fell ill after a few days and bowed in isolation Donka center. It is after all that, the lady Labe is also sick , but it seems she has a very frail . Immediately, it was filed in the hospital to lend to testing . On two occasions, the test was negative . So after that and depending about some have advised her to go Labe . So she came back. But as soon as he arrived here in Labe , doctors prevention division alerted us is saying they have not released, to use all means possible to locate and ship . So, we tried and it was finally found. Then he was asked to join Conakry and stay there until the end of the procedure.
Thus , with the help of the family that was embedded in the evening (Saturday) and the next day at 6:00 she called us to tell us she is at Donka hospital . As a result , a doctor who is there said that we normally this lady is not reached hemorrhagic fever . That is why it was released , because otherwise she could not escape the isolation center . But, against the other doctors in the same health facility told us that as long as the question has not been 21 days he must not leave the center because there are other tests do after 21 days , "says Dr. Oudy .



According to this family also had direct contact with the family doctor ( Dr. Abdourahmane ) who had died in Conakry suites hemorrhagic fever and whose body was returned for burial in Labe : " Exactly! It seems that Dr Abdourahmane and the husband of the woman who died were close friends . After the death of Dr. Abdourahmane his friend fell ill and died. The latter's wife also fell ill and died ; his mother also became ill and also died . But in the same family , some members were examined isolation and testing center were negative . They are all family now , "he continues .



Further , the Regional Director of Health Labe stresses that this is to avoid any stigma that it reserves to name names : "we will refrain from naming names because of stigma beginning to feel in places. Citizens isolate families they feel affected by the outbreak of viral hemorrhagic fever (Ebola ) . So we just say that that was in direct contact with the patients returned to Conakry and will not return until after the exams, " he adds .



A report that according to Dr. Oudy DRS Labe , since the onset of the epidemic in our country earlier this year , no proven cases have been detected in the administrative area .
http://guineenews.org/2014/05/fievre...medium=twitter

[Giuseppe]

Re: Guinea - Ebola: 226 clinical cases including 149 deaths, as of May 1, 2014

[Source: World Health Organization, Regional Office for Africa, full page: (LINK).]


Ebola virus disease, West Africa (Situation as of 5 May 2014)


Guinea

As of 18:00 on 3 May 2014, the Ministry of Health (MOH) of Guinea has reported a cumulative total of 231 clinical cases of Ebola Virus Disease (EVD), including 155 deaths.

There has been no change in the number of cases confirmed by ebolavirus PCR (127 cases) since the last update of 2 May 2014, but one additional death has been reported among confirmed cases (82 deaths).

There have been 5 new probable cases and 5 new deaths among the probable cases of EVD since the last report (currently 49 cases, including 39 deaths).

In addition, 55 cases (34 deaths) are classified as suspected cases.

As of 2 May, 2 patients remain in isolation in Conakry and 3 in Guekedou.

All of the new cases and deaths have been reported from Guekedou.

The date of isolation of the most recent confirmed cases is 26 April in Conakry and 1 May in Guekedou.

The geographical distribution of clinical cases of EVD since the beginning of the outbreak is:

1. Conakry (53 cases, including 24 deaths),
2. Guekedou (145/105),
3. Macenta (22/16),
4. Kissidougou (6/5),
5. Dabola (4/4) and
6. Djingaraye (1/1).

There have been no new cases of EVD in Kissidougou since 1 April and in Macenta since 9 April.

In Djingaraye and Dabola, no new cases have been reported since the end of March 2014.

The cumulative total of laboratory confirmed cases and deaths since the beginning of the outbreak is:

1. Conakry (40 cases, including 20 deaths);
2. Guekedou (72/50); Macenta (13/10);
3. Kissidougou (1/1); and
4. Dabola (1/1).

The analysis of the epidemiological data during the last 3 weeks shows that the number of new cases is decreasing in Guekedou.

EVD prevention and control activities continue in Guekedou. These include: a suite of innovative community sensitisation and social mobilisation activities with community leaders, mining companies, banks, schools and universities and local non-governmental organisations; the dissemination of awareness messages through rural community radio and as posters; the screening of films on EVD; and providing education about EVD door-to-door in affected villages or neighborhoods.

The numbers of cases and contacts remain subject to change due to consolidation of case, contact and laboratory data, enhanced surveillance activities and contact tracing activities. The recent introduction of ebolavirus serology to test PCR negative clinical cases is also likely to change the final number of laboratory confirmed cases.

As the incubation period for EVD can be up to three weeks, it is likely that the Guinean health authorities will report new cases in the coming weeks and additional suspected cases may also be identified in neighbouring countries.


Liberia

There has been no change in the epidemiological situation in Liberia.

The Ministry of Health and Social Welfare (MOHSW) of Liberia has reported that there are no current alerts of viral haemorrhagic fever (VHF)-like illness in Liberia.

Active surveillance activities continue.

As of 5 May, 152 contacts have completed 21 days of follow-up and have been discharged from medical surveillance.

WHO and the Centers for Disease Control and Prevention (CDC), Atlanta, United States, is facilitating training in the EpiInfo VHF application for MOHSW staff today. Training in active surveillance for county and district health officers is planned for Bong and Nimba Counties next week.


Sierra Leone

As of 3 May, no cases of EVD have been confirmed in Sierra Leone.

From 16 March to 2 May 2014, the Ministry of Health and Sanitation (MOHS) of Sierra Leone has tested 105 patients presenting with a VHF-like illness for EVD and Lassa fever.

No cases of EVD have been detected using ebolavirus PCR assays while 10 patients have been confirmed with a Lassa fever virus infection. Lassa fever is endemic in Sierra Leone.

Thirty-five (35 contacts) have been traced; 15 have completed 21 days of follow-up and have been discharged from medical surveillance.

EVD preparedness and response training has been provided to 375 health care workers, including senior district-level nursing staff, primary health care staff, senior hospital?based nurses and clinicians and hospital superintendents. Personal protective equipment has been prepositioned in all district hospitals, selected private and mission hospitals and the Armed Forces hospital. Active surveillance activities continue, including the investigation of all rumours of VHF-like illness.


WHO response

WHO continues to support the Ministries of Health of Guinea and Liberia in their EVD prevention and control activities.

As of 5 May, 112 experts have been deployed to assist in the response. This includes 68 experts deployed through the global WHO surge mechanism, 33 international experts from among partner institutions of the Global Outbreak Alert and Response Network (GOARN) and 10 externally recruited consultants. Expertise has been mobilised in the areas of: coordination, medical anthropology, clinical case management, data management and health informatics, surveillance and epidemiology, infection prevention and control, laboratory services, logistics, risk communications, social mobilisation, finance and administration and resource mobilisation.

To date, 87 experts have been deployed to Guinea, 20 to Liberia, one to Sierra Leone and 4 to the African Regional Office of WHO.

An additional 12 deployments are in the pipeline in the disciplines of medical anthropology, clinical case management, surveillance and epidemiology, laboratory services, logistics and risk and media communications.

WHO does not recommend that any travel or trade restrictions be applied to Guinea or Liberia based on the current information available for this event.


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[Pathfinder]

Re: Guinea - Ebola: 231 clinical cases including 155 deaths, as of May 3, 2014

Ebola: An afternoon in isolation

06.05.2014

Dr Luis Encinas is a M?decins Sans Fronti?res/Doctors Without Borders (MSF) emergency coordinator and was working with our team in Macenta, southeastern Guinea, during the Ebola outbreak. Here, he describes an afternoon spent in the isolation ward set up by MSF.

Full article:

http://www.msf.org.uk/article/ebola-afternoon-isolation

[Pathfinder]

Re: Guinea - Ebola: 235 clinical cases including 157 deaths, as of May 5, 2014

Ebola virus disease, West Africa (Situation as of 7 May 2014)

Guinea

As of 18:00 on 5 May 2014, the Ministry of Health (MOH) of Guinea has reported a cumulative total of 235 clinical cases of Ebola Virus Disease (EVD), including 157 deaths. There has been no change in the number of cases confirmed by ebolavirus PCR (127 cases) since the last update of 2 May 2014, but there have been two additional deaths: one among the confirmed cases and the other among the probable cases. This brings the number of deaths to 83. There have been no new probable or suspected cases. In addition, 55 cases (34 deaths) are classified as suspected cases. As of 7 May, one patient remains in isolation in Conakry and one in Guekedou. The date of isolation of the most recent confirmed cases is 26 April in Conakry and 1 May in Guekedou.

The geographical distribution of clinical cases of EVD since the beginning of the outbreak is as follows: Conakry (53 cases, including 24 deaths), Guekedou (149/107), Macenta (22/16), Kissidougou (6/5), Dabola (4/4), and Djingaraye (1/1). There have been no new cases of EVD in Kissidougou since 1 April, Macenta since 9 April, and Conakry since 22 April. In Djingaraye and Dabola, no new cases have been reported since the end of March 2014.

The cumulative total of laboratory confirmed cases and deaths since the beginning of the outbreak is: Conakry (40 cases, including 20 deaths); Guekedou (72/51); Macenta (13/10); Kissidougou (1/1); and Dabola (1/1). The analysis of the epidemiological data during the last three weeks shows that the number of new cases is decreasing in Guekedou.
EVD prevention and control activities continue in Guekedou. These include: a suite of innovative community sensitization and social mobilization activities with community leaders, mining companies, banks, schools and universities, and local nongovernmental organizations; the dissemination of awareness messages through rural community radio and posters; the screening of films on EVD; and providing education about EVD door-to-door in affected villages or neighborhoods.

The numbers of cases and contacts remain subject to change due to consolidation of case, contact and laboratory data, enhanced surveillance activities, and contact tracing activities. The recent introduction of ebolavirus serology to test PCR negative clinical cases is also likely to change the final number of laboratory confirmed cases.

As the incubation period for EVD can be up to three weeks, it is likely that the Guinean health authorities will report new cases in the coming weeks and additional suspected cases may also be identified in neighbouring countries.
...

http://www.afro.who.int/en/clusters-a-programmes/dpc/epidemic-a-pandemic-alert-and-response/outbreak-news/4133-ebola-virus-disease-west-africa-situation-as-of-7-may-2014.html

[Pathfinder]

Re: Guinea - Ebola: 235 clinical cases including 157 deaths, as of May 5, 2014

UN health agency: Dramatic progress controlling West Africa's Ebola but outbreak not over yet

Associated Press May 9, 2014

By SARAH DiLORENZO, Associated Press

DAKAR, Senegal (AP) ? Health workers have made dramatic progress in controlling an Ebola outbreak in West Africa in recent weeks, a doctor with the World Health Organization said Friday.
...
There are signs that the outbreak's spread is slowing, but it is not over yet, Jean-Bosco Ndihokubwayo, who is coordinating the U.N. health agency's response in Guinea, said Friday.
...
The most recent two cases of the disease in Guinea were confirmed on Wednesday, he said, adding that the people were infected by others already known to have the disease. That's a positive sign because it means doctors are on top of the disease's contamination path, he said.
...
Ebola can incubate for up to 21 days before an infected person shows any symptoms. Doctors like to wait 42 days ? two incubation periods ? after the last known infection before declaring an outbreak over.
...
Ndihokubwayo said the mortality rate for this outbreak thus far is close to 70 percent...
...

http://www.usnews.com/news/world/articles/2014/05/09/dramatic-improvement-in-controlling-ebola-outbreak

[Pathfinder]

Re: Guinea - Ebola: 236 clinical cases including 158 deaths, as of May 7, 2014

Ebola virus disease, West Africa (Situation as of 9 May 2014)

Guinea

As of 18:00 on 7 May 2014, the Ministry of Health (MOH) of Guinea has reported a cumulative total of 236 clinical cases of Ebola Virus Disease (EVD), including 158 deaths. Since the last update of 6 May 2014, there have been two new cases confirmed by ebolavirus PCR and one death among the confirmed cases bringing the total number of confirmed cases to 129, including 84 deaths. Two new suspected cases have also been reported with no new deaths in this group of patients (58 cases, 34 deaths) and no change in the number of probable cases or deaths (49 cases, 40 deaths). As of 7 May, there was one patient in isolation in Conakry and two in Guekedou. The date of isolation of the most recent confirmed case is 26 April in Conakry and 7 May in Guekedou.

The geographical distribution of clinical cases of EVD since the beginning of the outbreak is as follows: Conakry (53 cases, including 24 deaths), Guekedou (151/108), Macenta (22/16), Kissidougou (6/5), Dabola (4/4) and Djingaraye (1/1). There have been no new cases of EVD in Kissidougou since 1 April, Macenta since 9 April, and Conakry since 26 April. In Djingaraye and Dabola, no new cases have been reported since the end of March 2014.

The cumulative total of laboratory confirmed cases and deaths since the beginning of the outbreak is: Conakry (40 cases, including 20 deaths); Guekedou (74/52); Macenta (13/10); Kissidougou (1/1); and Dabola (1/1).
The numbers of cases remain subject to change due to consolidation of cases and laboratory data, enhanced surveillance activities and contact tracing activities. The recent introduction of ebolavirus serology to test PCR negative clinical cases is also likely to change the final number of laboratory confirmed cases.

...

http://www.afro.who.int/fr/groupes-organiques-et-programmes/ddc/alerte-et-action-en-cas-depidemie-et-de-pandemie/outbreak-news/4134-ebola-virus-disease-west-africa-situation-as-of-9-may-2014.html

[Giuseppe]

Re: Guinea - Ebola: 236 clinical cases including 158 deaths, as of May 7, 2014

[Source: World Health Organization, full page: (LINK). Edited.]


Ebola virus disease, West Africa ? update

Situation update 12 May 2014


Guinea

As of 18:00 on 10 May 2014, the Ministry of Health (MOH) of Guinea has reported a cumulative total of 233 clinical cases of Ebola Virus Disease (EVD), including 157 deaths.

Since the last update of 9 May 2014, there have been no new cases confirmed by ebolavirus PCR and no new deaths bringing the total number of confirmed cases to 129, including 83 deaths.

There have been no change in the number of probable cases or deaths (49 cases, 40 deaths) and suspected cases or deaths (55 cases, 34 deaths).

The geographical distribution of clinical cases of EVD since the beginning of the outbreak is as follows:

1. Conakry (50 cases, including 24 deaths),
2. Guekedou (149/106),
3. Macenta (23/17),
4. Kissidougou (6/5),
5. Dabola (4/4) and
6. Djingaraye (1/1).

There have been no new cases of EVD in Kissidougou since 1 April, Macenta since 9 April and Conakry since 26 April.

In Djingaraye and Dabola, no new cases have been reported since the end of March 2014.

The cumulative total of laboratory confirmed cases and deaths since the beginning of the outbreak is:

1. Conakry (40 cases, including 20 deaths);
2. Guekedou (74/51);
3. Macenta (13/10);
4. Kissidougou (1/1); and
5. Dabola (1/1).

The numbers of cases remain subject to change due to reclassification and consolidation of cases and laboratory data, enhanced surveillance activities and contact tracing activities. Introduction of ebolavirus serology to test PCR negative clinical cases is also likely to change the final number of laboratory confirmed cases.


Liberia and Sierra Leone

There have been no new alerts in both Liberia and Sierra Leone. Preparations to host cross- border meeting with Ivory Coast and Sierra Leone are underway.

In Liberia, upon review and consolidation of data, the cumulative number of cases is 12 (6 confirmed, 2 probable and 4 suspected). There has been no change in number of deaths (11) and date of onset of the most recent confirmed or probable case (6 April 2014).

WHO does not recommend that any travel or trade restrictions be applied to Guinea or Liberia based on the current information available for this event.


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[Giuseppe]

Re: Guinea - Ebola: 236 clinical cases including 158 deaths, as of May 7, 2014

[Source: World Health Organization, full page: (LINK).]


Ebola virus disease, West Africa ? update

Disease Outbreak News / 15 May 2014


Guinea

As of 18:00 on 12 May 2014, the Ministry of Health (MOH) of Guinea has reported a cumulative total of 248 clinical cases of Ebola virus disease (EVD), including 171 deaths.

Since the last update of 9 May 2014, there have been five new cases confirmed by ebolavirus PCR and no new deaths among the confirmed cases.

Reclassification of cases, retrospective investigation, and harmonization of data have brought the total number of confirmed cases to 138, including 92 deaths; 67 probable cases, 57 deaths (3 new probable deaths in the community); and 43 suspected cases (22 deaths).

The geographical distribution of clinical cases of EVD since the beginning of the outbreak is as follows:

1. Conakry (50 cases, including 24 deaths),
2. Guekedou (163/119),
3. Macenta (22/17),
4. Kissidougou (8/6),
5. Dabola (4/4), and
6. Djinguiraye (1/1).

The cumulative total of laboratory confirmed cases and deaths since the beginning of the outbreak is:

1. Conakry (40 cases, including 20 deaths);
2. Guekedou (83/60);
3. Macenta (12/10);
4. Kissidougou (2/1); and
5. Dabola (1/1).

There have been no new cases of EVD in Kissidougou since 1 April, Macenta since 9 April, and Conakry since 26 April.

In Djinguiraye and Dabola, no new cases have been reported since the end of March 2014.

If no additional cases are identified in Conakry, the observation period for those individuals identified through contact tracing will end on 17 May.

In Guekedou, the date of isolation of the most recent cases is 11 May 2014.

A total of 480 contacts (5 in Conakry, 475 in Guekedou) are under follow up.

The number of cases remains subject to change due to reclassification and consolidation of cases and laboratory data, enhanced surveillance activities, and contact tracing activities. Introduction of ebolavirus serology to test PCR negative clinical cases is also likely to change the final number of laboratory confirmed cases.


Liberia and Sierra Leone

There have been no new alerts in both Liberia and Sierra Leone.

Liberia is preparing to host a cross-border meeting with C?te d?Ivoire and Sierra Leone and surveillance activities have been enhanced in districts bordering Guinea.


WHO response

WHO continues to support the Ministries of Health of Guinea and Liberia in their EVD prevention and control activities. As of 14 May, 118 experts have been deployed to assist in the response. This includes 56 experts deployed through the global WHO surge mechanism, 35 international experts from among partner institutions of the Global Outbreak Alert and Response Network (GOARN), 10 externally recruited consultants, and 17 WHO staff who were locally repurposed.

To date, 90 experts have been deployed to Guinea, 22 to Liberia, two to Sierra Leone, and four to the WHO Regional Office for Africa.

An additional, 7 deployments are planned in the disciplines of medical anthropology, clinical case management, surveillance and epidemiology, laboratory services, logistics, and risk and media communications.

WHO does not recommend that any travel or trade restrictions be applied to Guinea or Liberia based on the current information available for this event.

This update has also been posted on the regional website of the WHO African Regional Office


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[Pathfinder]

Re: Guinea - Ebola: 248 clinical cases including 171 deaths, as of May 12, 2014


<SMALL>Location of T?lim?l? Prefecture and seat in Guinea.</SMALL>
<SMALL>http://en.wikipedia.org/wiki/T%C3%A9lim%C3%A9l%C3%A9_Prefecture</SMALL>
<SMALL></SMALL>
<SMALL>Translation Google</SMALL>
<SMALL></SMALL>
<SMALL>Guinea : One death and two new cases of Ebola notified in T?l?mil?

CONAKRY (Xinhua) - One death and two new cases of Ebola haemorrhagic fever have been reported in the prefecture of T?l?mil? , located more than 270 km northwest of Conakry, said Tuesday the head of division prevention and fight against disease , the Guinean Ministry of Health and public Hygiene .
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<SMALL>Wednesday, May 21, 2014 | 4:38 p.m. UTC

According to him, the onset of the epidemic in this town is due to the death of a contaminated by the disease in Conakry and was buried by his own, without any health and safety measures required lady .

The emergence of this disease in T?l?mil? ( administrative region Kindia ) is considered the first new recorded cases of this natural region of Guinea, after the Forest Guinea ( the epicenter of the epidemic) , Upper Guinea and the region Conakry .

Upon confirmation of suspected cases by modern and specialized laboratory Conakry, composed of experts and epidemiologists from the World Health Organization ( WHO), M?decins Sans Fronti?res ( MSF) and those of the Guinean government medical missions are way to contain the disease .

During his stay in the prefecture , specialists will be deployed to inform and educate people about the health measures needed to be taken to prevent the spread of disease to other neighboring prefectures .</SMALL>
<SMALL></SMALL>
<SMALL>...</SMALL>
<SMALL>http://www.afriquinfos.com/articles/...ile-254306.asp</SMALL>

[Pathfinder]

Re: Guinea - Ebola: 253 clinical cases including 176 deaths, as of May 18, 2014

Ebola virus disease, West Africa (Situation as of 18 May 2014)

Guinea

The overall Ebola virus disease (EVD) outbreak in Guinea continues to improve. No new alerts, cases, nosocomial transmission have been reported from 5 out of the 6 affected prefectures since 26 April 2014. Gueckedou remains the only hotspot where community transmission and deaths are still being reported. Surveillance and social mobilization have been intensified to stop community transmission.

As of 18:00 on 18 May 2014, the Ministry of Health (MOH) of Guinea has reported a cumulative total of 253 clinical cases of Ebola virus disease (EVD), including 176 deaths. Since the last update of 12 May 2014, there have been six new cases confirmed by ebolavirus PCR and five new deaths among the confirmed cases bringing the total number of confirmed cases to 144, including 97 deaths. There have been no changes in the number of suspected cases (42 cases, 22 deaths) and probable cases (67 cases, 57 deaths).

The geographical distribution of the clinical cases of EVD since the beginning of the outbreak is as follows: Conakry (50 cases, including 25 deaths), Gueckedou (168/123), Macenta (22/17), Kissidougou (8/6), Dabola (4/4), and Djinguiraye (1/1). The cumulative total of laboratory confirmed cases and deaths since the beginning of the outbreak is: Conakry (40 cases, including 20 deaths); Gueckedou (89/65); Macenta (12/10); Kissidougou (2/1); and Dabola (1/1).

Two incubation periods (42 days) have passed since the isolation of the last reported cases in Djinguiraye, Dabola and Kissidougou. In Macenta, there have been no new cases since 9 April and Conakry since 26 April. In Gueckedou, the date of isolation of the most recent cases is 15 May 2014.

The number of cases remains subject to change due to reclassification, retrospective investigation, consolidation of cases and laboratory data, enhanced surveillance activities, and contact tracing activities.

Liberia and Sierra Leone

In Liberia and Sierra Leone, the situation is stable. In Liberia, the date of isolation of the most recent case is 9 April 2014. It is therefore projected that EVD outbreak could be declared over on 22 May 2014. Harmonization of data has brought the total number of EVD cases to 12, including 9 deaths. Surveillance activities have been enhanced in districts bordering Guinea.

WHO response

WHO continues to support coordination, resource mobilisation and advocacy, development of proposals and implementation of epidemic preparedness and response plans. WHO is monitoring closely the needs for human capacity and logistics on the ground. Deployments of different experts under WHO / GOARN and capacity building of local experts to stop community transmission in Gueckedou are ongoing. A large range of medical supplies, including personal protective equipment (PPE) have been distributed. WHO is also supporting the planning for evaluation of EVD outbreak in West Africa.

WHO does not recommend that any travel or trade restrictions be applied to Guinea or Liberia based on the current information available for this event.

http://www.afro.who.int/en/clusters-a-programmes/dpc/epidemic-a-pandemic-alert-and-response/outbreak-news/4140-ebola-virus-disease-west-africa-situation-as-of-18-may-2014.html