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Guinea - Ebola outbreak - 2021 - 23 cases including 12 deaths

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  • Pathfinder
    replied
    WEEKLY BULLETIN ON OUTBREAKS
    AND OTHER EMERGENCIES

    Week 19: 3-9 May 2021
    Data as reported by: 17:00; 9 May 2021

    ...
    Ebola virus disease Guinea

    23 Cases
    12 Deaths
    52.2% CFR


    EVENT DESCRIPTION

    No new confirmed Ebola virus disease (EVD) cases have been
    reported in Nzerekore prefecture, the site of the current EVD
    outbreak in Guinea, as of 9 May 2021. There are no active
    sub-prefectures within the prefecture of Nzerekore, and no
    new confirmed cases have been reported in the past 21 days.
    However, four new suspected cases have been notified; one has
    been sampled and three have declined sampling.

    As of 9 May 2021, a total of 23 cases have been reported,
    including 16 confirmed cases, and 7 probable cases, of which 9
    have recovered, giving a recovery rate of 39.1%. Of the 23 cases,
    12 have died (case fatality ratio 52.2%). The number of health
    workers infected remains five.

    The majority of the confirmed and probable cases reported are
    female (13/23; 60.9%) and the most affected age group are those
    over 40 years.

    A total of 1 114 contacts have been listed, and 56.0% of these
    have been vaccinated. As of 9 May 2021 a total of 35 new alerts
    were notified in Nzerekore, including three deaths. Of these, 10
    (29.0%) were investigated within 24 hours and six were validated.
    Six new alerts were received in neighbouring prefectures, all
    community deaths, all were investigated and none validated.

    PUBLIC HEALTH ACTIONS

    The 42-day countdown to the end of the outbreak started on
    8 May 2021, with the expected date for the declaration of the
    end of the outbreak the 19 June 2021.

    Continued support is being provided to Nzerekore and all
    neighbouring prefectures for enhanced surveillance during
    this period.

    A cumulative total of 9 569 people have been vaccinated,
    including 622 high-risk contacts, 8 413 contacts-of-contacts
    and 534 probable contacts, including 2 694 frontline
    workers. Four vaccination teams are deployed in the field,
    supported by WHO.

    One suspected case is currently hospitalized in the Epidemic
    Diseases Hospital treatment centre in Nzerekore and one
    suspected patient is hospitalized in Goueke Epidemic
    Diseases hospital; a total of four patients, all suspected
    cases, are currently being managed in treatment centres.
    Infection prevention and control (IPC) activities included
    an orientation session on biosafety principles and the
    management of suspected EVD cases held for 40 health
    workers from four isolation sites at Nzerekore; organization
    of a briefing session on EVD standard and supplementary
    precautions for six health workers in the Koropara Health
    Centre, followed by provision of IPC kits.

    Eleven new community deaths were reported, with seven
    samples collected and no safe and dignified burials carried
    out.

    Risk communication and community engagement (RCCE)
    included two in-depth interviews on the EVD experience of a
    survivor and a local elected official in the Goueke community;
    and integrated briefing of 50 religious leaders on community
    surveillance in order to help manage response resistance
    and increase the number of alerts in Nzerekore.

    SITUATION INTERPRETATION

    As the 42-day countdown to the end of outbreak declaration
    starts, the situation in Guinea is still not stable with contacts
    still lost to follow up and one confirmed case remaining in the
    community. Alerts continue to be received, although few are
    reported by the community and 24-hour follow-up is inadequate.

    Community surveillance in Nzerekore and neighbouring
    provinces requires strengthening. In addition, the WHO response
    plan is still only 17% funded. This gap needs urgently to be filled
    if the momentum of response is to continue.

    https://apps.who.int/iris/bitstream/...0309052021.pdf

    Leave a comment:


  • Pathfinder
    replied

    WEEKLY BULLETIN ON OUTBREAKS
    AND OTHER EMERGENCIES

    Week 18: 26 April to 2 May 2021
    Data as reported by: 17:00; 2 May 2021

    ...
    Ebola virus disease Guinea

    23 Cases
    12 Deaths
    52.2% CFR


    EVENT DESCRIPTION

    No new confirmed Ebola virus disease (EVD) cases have been
    reported in Nzerekore prefecture, the site of the current EVD
    outbreak in Guinea, as of 1 May 2021. There are no active
    subprefectures within the prefecture of Nzerekore, and no new
    confirmed cases have been reported in the past 21 days. There
    are, however, 19 new suspected cases, of which one has been
    transferred into isolation and sampled, two have been sampled in
    the community and 16 have refused sampling.

    As of 1 May 2021, a total of 23 cases have been reported,
    including 16 confirmed cases, and 7 probable cases, of which
    9 have recovered, and 12 have died (case fatality ratio 52.2%).
    The number of health workers infected remains five. The missing
    confirmed case is still unaccounted for and the validated start
    date of the countdown to end of outbreak is 8 May 2021, taking
    this case into account.

    The majority of the confirmed and probable cases reported are
    female (13/23; 60.9%) and the most affected age group are those
    over 40 years.

    A total of 1 114 contacts have been listed, and 56% of these have
    been vaccinated. As of 1 May 2021 a total of 110 alerts were
    notified, of which 10 were deaths. Of these alerts, 46 (45%) were
    investigated within 24 hours. A total of 29 alerts were validated
    and six of the 10 death alerts have been sampled. The majority of
    alerts came from active case search, with few coming from the
    community.

    PUBLIC HEALTH ACTIONS

    Monitoring and coordination meetings are now taking place
    in a newly equipped emergency operations centre, supported
    by WHO.

    A ‘sweep vaccination’ approach is being used to catch up
    with contacts, contacts-of-contacts and probable contacts in
    the remaining hotspots in order to prevent possible chains
    of transmission.

    A cumulative total of 8 638 people has been vaccinated,
    including 622 high-risk contacts, 7 482 contacts-of-contacts
    and 534 probable contacts, including 2 529 frontline workers.
    Three patients, all suspected cases, are currently hospitalized
    in the Epidemic Diseases Hospital treatment centre.

    Infection prevention and control (IPC) activities included an
    information session on swabbing techniques and biosafety
    of samples for staff at the Nzerekore Regional Hospital
    mortuary. In addition, IPC kits were distributed to four health
    facilities in Nzerekore; and five of the 15 water drilling points
    in the rural community of Soulouta were rehabilitated.

    Ten new community deaths were reported, with six samples
    collected and no safe and dignified burials carried out.

    Risk communication and community engagement (RCCE)
    included continued supervision of the socio-anthropological
    study into reasons for refusal of safe and dignified burials
    and sampling from the bodies, and additionally supported
    organization of an awareness-raising tour of communities of
    the nine rural districts of Soulouta by community leaders; a
    meeting with the youth movement ‘never again’ in Nzerekore
    to plan information sessions on EVD; elaboration of the terms
    of reference with UNFPA for organization of an educational
    talk with traditional birth attendants and pregnant women
    in Kpagalaye; and continued support to the communication
    commission.

    SITUATION INTERPRETATION

    The situation in Guinea is still not stable with contacts lost to
    follow up and one confirmed case remaining in the community.
    The appearance of 19 new suspected cases is also of concern.
    Alerts continue to be received, although few are reported by the
    community and 24-hour follow-up is inadequate. Community
    surveillance in Nzerekore and neighbouring provinces requires
    strengthening.
    In addition, the WHO response plan is still only
    17% funded. This gap needs urgently to be filled if the momentum
    of response is to continue.

    https://apps.who.int/iris/bitstream/...2602052021.pdf

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  • Pathfinder
    replied
    Translation Google

    Ebola in N'zérékoré: the last patient finally leaves the epidemiological treatment center

    By Mohamed Bangoura 3 days ago

    The one we prefer not to name is a housewife by profession, aged about forty and a citizen of the district of Kpagalaye in the sub-prefecture of Soulouta in the forest region.

    She was admitted to the CT-Epi in N'zérékoré on April 2, before she was officially declared cured on the evening of Friday April 23, 2021.

    She was escorted this afternoon by the response actors to her native village of Kpagalaye, epicenter of the second wave of the Ebola epidemic in Guinea.

    To date, 5 suspected cases are staying at the N'zérékoré epidemiological treatment center according to the medical referent of the NGO ALIMA who stresses that their first test for the Ebola virus has been negative.

    It must be said that the countdown to the end of the epidemic can soon be triggered even if a confirmed case remains hidden in its community.

    Alexis Koli

    https://mosaiqueguinee.com/ebola-a-n...idemiologique/

    ----------------------------------------------------------------------

    Fight against Ebola: a new countdown has started

    NEWS APRIL 27, 2021 CREATED: APRIL 27, 2021
    ...
    For Doctor Bouna Yatassaye, Deputy Director General of the agency, interviewed this Monday April 26 at our colleagues from the RTG, Guinea could soon declare the end of the disease and the countdown began two days ago. ''It has been two days since we have had any new cases of Ebola in the forest region. The patient who was in the treatment center came out cured two days ago. And the suspected cases that were there also came out cured after being tested for negativity. So from there we open the 42 day countdown, we are at D 2. Today this epidemic is contained so it is a major challenge that has been taken up. When it comes to covid, we are not only the best in this area, we continue to do what we can to contain the disease as much as possible. I am pleased to announce that the epidemic is confined to Conakry, although prefectures have recorded cases but we are continuing the fight against covid with the availability of vaccines. Currently,He said on national television.
    ...

    MLYans

    http://www.aconakrylive.com/index.ph...bours-commence

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  • Pathfinder
    replied
    Translation Google

    Disease name Ebola virus disease (EVD)
    Notification date of the 1st confirmed case 02/13/2021
    Report date 04/21/2021


    I. Highlights
    Sensitization of the community of Kpagalaye by the Deputy Chief of Staff of the Army
    on the search for the confirmed case lost to follow-up,
    No new confirmed cases reported to date
    111 alerts reported (109 alive and 2 deaths), 49 investigated, 62 under investigation
    141 new alerts, including 42 investigated (7 deaths and 35 alive)
    • 14 validated (9 deaths including 5 swabs), 5 suspected cases including 4 transferred to the CT-EPI (1 in Nzérékoré,
    and 3 in Gouécké) and 1 sample at the hospital
    ...
    Supported
    ...
    Follow-up and management of six (6) suspected cases and one (1) confirmed case of CT-PPE of
    Nzérékoré and Gouécké
    End of the training of 22 Soulouta Red Cross volunteers in psychosocial support and psychological first aid
    ...
    .Challenges

    Find the confirmed case of Gonia
    ...
    https://www.humanitarianresponse.inf..._nzerekore.pdf

    Leave a comment:


  • Pathfinder
    replied
    Translation Google

    Ebola in N'zérékoré: still no news of the confirmed case, hidden in the community

    Mohamed bangouraBy Mohamed Bangoura 2 hours ago in News , Latest News , Health

    The Ebola virus seems to be observing a truce in Guinea because for 19 days now, the country has not recorded any new case of the epidemic which is raging in the sub-prefecture of Soulouta in the forest region.

    While the countdown to the end of the disease should be triggered 21 days later, as many questions about the disappearance of a patient tap on many lips, especially among the actors of the response who are worried about the fate of a confirmed case “ hidden in his community”.

    ”Is he already dead? And if he's dead, how was his body handled? Who are the people who have been exposed? If he's not dead, who are the people around him, are they taking action? Have they been contaminated? As we have no information on this case, it remains a big challenge. Certainly, there is progress, but today, it remains very difficult to tell you with confidence when we will be able to end the epidemic “, declared last week a WHO expert at our office. colleagues from RFI.

    Clearly, the patient is a national of Kpagalaye, the district where the Ebola virus reappeared for the second time in the sub-prefecture of Soulouta, in Forest Guinea.

    Alias ??Pythagoras, since it is him, is a pupil in a school of health care in the prefecture of N'zérékoré. Aged in his thirties, he had recently been involved in the fight against Ebola so it is said

    "To help lift reluctance in his native village of Kpagalaye", where citizens had banned access to Ebola response teams last month.

    According to a health source, the diagnostic test that was offered to him had turned out positive before it became extinct in the wild.

    "He was hiccupping and he would have been tested. It was after the results that he decided to go get his phone, which was connected to the DPS. It is from there, he managed to escape but we did not know what really happened so that he could not be found, ” a good source told us.

    The epidemiological monitoring commission in the hot seat

    With Dr. Angelo at its head, the epidemiological monitoring commission of the prefectural coordination of the fight against Ebola is the only questioned about the circumstances of the patient's disappearance.

    It has now been several days that Pythagoras has had no news and the fear of a rebound in the disease seizes the local health authorities who have just stepped up the search for the fugitive.

    According to our information, the Minister of Health cannot digest this state of affairs and threatened to sanction the members of the monitoring commission if the patient is not found in a short time.

    Although the patient's wife tested negative for the virus, the actors in the response are still very cautious because, they say, the fight is not yet won.

    Alexis Koli

    https://mosaiqueguinee.com/ebola-a-n...la-communaute/

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  • Pathfinder
    replied
    Translation Google

    Ebola: lull in Guinea and DRC, but WHO experts remain cautious

    Published on : 04/16/2021 - 03:16
    Text by:
    RFI
    ...
    The Ebola epidemic is experiencing a lull in Guinea and the Democratic Republic of the Congo, the two countries where the virus reappeared earlier this year. But WHO Africa experts remain very cautious because they still lack reliable indicators on its evolution.

    Without contamination recorded for 12 days in Guinea, the Ebola virus seems to be taking a break. But according to Dr. Mory Keita, there are still many questions about the fate of a confirmed case, hidden in his community.

    " Is he already dead?" And if he's dead, how was his body handled? Who are the people who have been exposed? If he's not dead, who are the people around him, are they taking action? Have they been contaminated? As we have no information on this case, it remains a great challenge. Certainly there is progress but today, it remains very difficult to tell you with confidence when we will be able to end the epidemic. "

    In the DRC, there are also security problems which, underlines Dr Thierno Balde, make the Ebola epidemic much more difficult to follow. " We are 42 days today without a new case, but the security situation in Beni, Butembo, leads us to speak with great caution because we do not have a lot of visibility on what is going on. past. "
    ...

    https://www.rfi.fr/fr/afrique/202104...stent-prudents

    ---------------------------------------------------------------------------------

    Ebola in Guinea: Dr Mory Keïta looks back on community issues and challenges

    Published by :
    Thierno Souleymane Diallo
    Thursday, April 15, 2021 at 1:13 p.m.

    Along with the fight against the coronavirus, Guinea continues to face Ebola hemorrhagic fever. Despite the cumulative efforts in surveillance and vaccination, and the results recorded, the task remains difficult on this second front. Dr Mory Keïta took stock this Thursday, April 15, 2021, during the press conference hosted by the Africa regional office of the World Health Organization (WHO).

    If the "Manager of the incident in the response to Ebola (in N'zérékoré) on behalf of the WHO", Dr Mory Keïta admits that results have been produced by the authorities and partners since the resurgence of the Eboba virus in Guinea, he remains very measured or even cautious on the subject. Due to external factors that negatively influence the response.

    “ We have already vaccinated 95% of the contacts identified by the on-site surveillance team. Which is a good number, ”he announces at the start of his speech. " Nevertheless , tempers the public health specialist , one of our confirmed cases and suspected cases are still in the communities ".

    Faced with the delicacy of the task, with an unfortunate precedent in the region during the onset of the disease (2024-2016), Dr Keïta displays a certain determination in the response but remains cautious and reasons in terms of prospects. “ We are trying to find them and isolate them. We also have challenges in terms of contact tracing because 25 contacts have not yet been found, ”he laments.

    Coming back to the facts, the manager of the incident in the response to Ebola recalls that " last week , we had community resistance which delayed our implementation of actions around the conformed cases ". Suddenly, he admits, " the alert is always optimal in N'Zérékoré which is the epicenter and in the neighboring districts ". Especially since, in his own words, " we are not performing well in terms of surveillance ".

    The evaluation made, "(...) we will improve these indicators ", he promises. Insisting on the fact that " we do not yet have too much confidence because we encounter challenges at the level of surveillance ", even if, " we have 12 consecutive days (without new case editor's note)".

    Nevertheless, " coordination efforts are underway to find these confirmed cases and all suspected cases on the ground also within the community ", promises Dr Keïta in his conclusion.

    https://www.guineenews.org/ebola-en-...ommunautaires/

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  • Pathfinder
    replied
    WEEKLY BULLETIN ON OUTBREAKS
    AND OTHER EMERGENCIES

    Week 15: 5-11 April 2021
    Data as reported by: 17:00; 11 April 2021


    ...
    Ebola virus disease Guinea

    Cases 23
    Deaths 12
    CFR 52.2%


    ...
    EVENT DESCRIPTION

    In the last 21 days, there have been two confirmed and three
    probable cases reported from the sub-prefecture of Soulouta,
    Nzerekore prefecture. Three sub-prefectures are on alert,
    including one in Lola. There are continued investigations into the
    Soulouta sub-prefecture cluster, with 34 notified alerts, of which
    three are suspicious deaths.

    As of 10 April 2021, a total of 23 cases have been reported,
    including 16 confirmed cases, and 7 probable cases, of which 9
    have recovered, and 12 have died (case fatality ratio 52.2%). The
    number of health workers infected remains five.

    Most of the confirmed and probable cases reported are female
    (13/23; 60.9%) and the most affected age group are those over
    40 years.

    As of 10 April 2021, a total of 84 (40%) out of 209 contacts
    have been followed up in Nzerekore. A total of 140 contacts have
    been vaccinated. There were 77 alerts notified on 10 April 2021,
    64 in Nzerekore and 13 in Conakry, of which 34 (44%) were
    investigated within 24 hours. Of these, four were validated, three
    of which were deaths. Two of the deaths were sampled.

    PUBLIC HEALTH ACTIONS

    Daily incident management system meetings take place
    with WHO, and have been moved to the WHO sub-office in
    Nzerekore.

    Community resistance is slowly being overcome, although
    contact follow-up is still compromised.

    A cumulative total of 6100 people have been vaccinated,
    including 444 high-risk contacts, 5 182 contacts-of-contacts
    and 474 probable contacts, including 2 368 frontline workers.

    Three patients, one confirmed and two suspected, are
    currently hospitalized in the Epidemic Diseases Hospital
    treatment centre.

    Infection prevention and control activities have been carried
    out in two health facilities in Conakry, with briefings on waste
    sorting, using gloves, hand hygiene, personal protective
    equipment, donning and doffing and development of the
    local improvement plan.

    A joint mission has been organized to assess water points
    requiring rehabilitation, along with the health infrastructure
    of 11 health facilities in Nzerekore.

    Risk communication and community engagement included
    a workshop with a group in charge of prevention who are
    addressing community resistance to response activities in
    Nzerekore; support for two awareness-raising session for
    975 people in Gouécké market on rumours around Ebola
    treatment centres via mobile radio; and continued advocacy
    for support of response activities.

    SITUATION INTERPRETATION

    Challenges still remain around the response to the ongoing
    EVD outbreak in Guinea, with continuing problems with
    locating contacts lost to follow-up and isolating suspected
    patients in Kpagalaye village
    . Community surveillance requires
    strengthening in the affected prefectures, as well as identification
    of the source of infection in Gouécké. The funding gap for
    response activities has not yet been closed.These challenges
    require urgent attention from authorities and partners, since it
    is possible that there are unrecognised chains of transmission,
    which could reveal further clusters of disease, along with the risk
    of geographical spread.


    ...
    https://apps.who.int/iris/bitstream/...0511042021.pdf

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  • Pathfinder
    replied
    An imam, a priest and the Ebola fight in Guinea

    13 April 2021

    Gouecke, Guinea – Imam El hadj Moussa Soumahoro wears a serious face. He has just ended a morning sermon that concluded with Ebola preventive messages and the importance of vaccination against the virus that recently re-emerged in Guinea for the first time since the 2014–2016 outbreak. Soumahoro has joined the fight against the disease.

    “Four of my brothers and cousins died of Ebola in 2015, so I know what I’m committing myself to,” says Soumahoro, as the congregation disperses while greeting each other from a distance. A handwashing station has been set up at the entrance to the mosque as has been done in all places of worship.

    Since the first confirmed cases on 14 February, the imam of Gouecke – a rural community in south-eastern Guinea where the virus re-appeared – has taken to encouraging the community to cooperate with the health authorities to curb the outbreak in which 23 cases and 12 deaths have been reported so far.

    Ebola claimed more than 11 000 lives in Guinea, Liberia and Sierra Leone in the previous outbreak. However, some still doubt that the disease exists. "Trust underpins everything," Soumahoro says. “The disease is real … It is a fight that should not be taken lightly. That is why … I felt it necessary to commit to the [Ebola] response by raising awareness.”

    Since the latest outbreak was declared, he has concluded each prayer with preventive messages and the importance of contacting the authorities in case of death. Funerals and burials are important cultural practices.

    Overcoming barriers

    Among many Guinean communities, burials are based on the social status, beliefs, gender and age of the deceased. Religion also plays a central role. The fear of not being able to carry out burials according to tradition has led some people not to report certain deaths to the authorities. “The organization of [burial] ceremonies must strictly adhere to a number of age-old traditions that have remained unchanged in the community,” Sonah Mady Camara, a social anthropologist and a consultant with the World Health Organization (WHO), explains.

    “The involvement of religious leaders in Gouecke in the response has been beneficial and has helped in overcoming a lot of reluctance within the community,” says Ibrahima Kone, the subprefect of Gouecke.

    Imam Soumahoro was among the first people to receive the Ebola vaccine, helping to convince many in his community to accept to be vaccinated. So far around 4000 people have received the vaccine, including 2400 frontline workers.

    While vaccination has been successful, screening for cases has been more challenging. Since the re-emergence of Ebola, personnel at the Gouecke health centre only carry out two or three consultations a day, compared with about 30 previously. “Ebola is scary, and fear makes people hide as soon as they observe the first signs of the disease,” says Jean-Baptiste Goumou, the Gouecke parish priest who is also encouraging community collaboration.

    “There were rumours that this disease was a big lie invented by the health authorities with the complicity of the government to make money at the expense of the Gouecke community,” says Kangbe Camara, a resident of Gouecke. “It was also said that the vaccine had been brought to kill people. Thanks to the imam I got the courage to go and get vaccinated.”

    Monitoring Ebola

    Imam Soumahoro and the Gouecke parish priest are also members of the WHO Ebola monitoring committee tasked with addressing community reluctance in Gouecke. The committee has persuaded the population to participate in disease surveillance, screening and safe and dignified burials.

    “The imam and the priest play a fundamental role in strengthening social bonds within the community. They are the confidants of everyone. This confers them a special status among the faithful and the community hence the importance of including them in the committee,” says social anthropologist Camara, who helped to set up the committee.

    “When our teams work on the ground, they always start by visiting them [religious leaders]. As members of the monitoring committee tasked with overcoming reluctance, they are expected to significantly contribute in terms of observance of health measures and greater involvement of the communities in [Ebola] surveillance.”

    https://www.afro.who.int/news/imam-p...a-fight-guinea

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  • Pathfinder
    replied
    Translation Google

    Ebola: the resistance of the Guinean village of Kpaghalaye against the "response"

    Published on : 04/11/2021 - 04:02

    Ebola has reappeared in Guinea since the beginning of 2021. 23 cases have been reported, including five deaths, in the region of Nzérékoré, in the south of the country. In this forest Guinea close to the borders of Liberia and Côte d'Ivoire, the village of Kpaghalaye is resisting the interventions of the "response", the team responsible for fighting the epidemic. They have not been able to return there since the beginning of the month. Older women oppose it.

    They put on the loincloth in which they traditionally initiate young girls, which is supposed to command respect. Since the beginning of the month, the elderly women of Kpaghalaye have blocked the entrance to the village to medical teams, who are responsible for identifying Ebola cases and vaccinating the population.

    Installed a few kilometers away, to help the Guinea Infectious Disease Research and Training Center, anthropologist Frédéric Le Marcis believes that the traumas linked to the previous epidemic are still in people's minds: “ We must remember that during Ebola in the first epidemic, 70 % of people treated in treatment centers died. And this situation, which was related to the lack of effective treatment, at the time aroused among the population a feeling of fear and anguish, assimilating the therapeutic response in fact to a disguised desire to exterminate the population. "

    Mutual distrust
    “ In addition to that, in the same region where the epidemic is unfolding today, is the village of Womey where in 2014 a delegation that came to do prevention was murdered, cut into pieces and thrown in the toilet. of the village, ”recalls Frédéric Le Marcis. This event remained at the heart of the memory of the population and of the Response.

    Reciprocal mistrust explains the communication errors of La Riposte. When the first case of Ebola appeared in Kpaghalaye, the person was taken to the Epidemic Treatment Center (CT-Epi) without informing the other villagers, who today refuse any intervention, including vaccination. Which does not mean, believes the anthropologist, that this resistance will last forever.

    https://www.rfi.fr/fr/afrique/202104...-de-la-riposte

    ----------------------------------------------------------

    EBOLA IN GUINEA: WOMEN END THE BLOCKADE OF THEIR VILLAGE

    APRIL 12, 2021 AT 6:27 P.M. BY AFP

    The vaccination campaign against Ebola hemorrhagic fever has resumed in Kpaghalaye, a village in southern Guinea whose women have blocked access to health personnel for several days, we learned from health authorities on Monday. "The vaccination began immediately on Saturday morning since the women lifted the siege on Friday evening," Sory II Kéira, the communications officer of the National Health Security Agency (ANSS), told AFP.
    ...
    https://www.africaradio.com/news/ebo...village-184987

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  • Pathfinder
    replied
    WHO African Region
    @WHOAFRO

    Guinea #Ebola outbreak Situation Report (12/04/21)

    23 cases
    12 deaths
    5,920 people vaccinated




    --------------------------------------------------------------------------------------------------------------------------

    Translation Google

    ...

    SITUATION REPORT
    Disease name Ebola virus disease (EVD)
    Notification date of the 1st confirmed case 02/13/2021
    Report date 04/11/2021

    ...
    I. Highlights

    25 alerts including 10 investigated and 15 under investigation
    • 3 Alerts validated (3 deaths all swabbed)
    Start of contact follow-up activities in Kpagalaye
    Vaccination of 10 contacts of the reluctant family of the confirmed case in Gonia
    ...
    Surveillance / Laboratory

    Continuation of the in-depth investigation around confirmed cases and probable cases
    Continuation of active search and follow-up of contacts
    Screening of 25,376 passers-by including 11,720 women, at the 13 entry and control points
    health facilities installed in Gouécké and in the Urban Municipality of N’Zérékoré

    Support

    Management of 3 suspected cases at the CT-Epi (1 N’Zérékoré and 2 Gouécké) and one confirmed case
    at the CT-Epi in N’Zérékoré,
    Continuous training of the team in charge of Gouécké and Nzérékoré,
    PCI-WASH-EDS
    3/3 Swabs carried out on intra-hospital death alerts in the Urban Municipality of
    N’zérékoré.

    Communication and Social Mobilization

    At N’Zérékoré Cathedral, the Priest recalled the protective measures against
    Ebola virus disease for 200 faithful including 120 women present at the prayer of
    this Sunday while inviting them to adhere to the interventions of the response;
    388 Households revisited within the framework of local communication, search for
    sick and community deaths, 1946 people affected including 695
    women and 612 children in the health areas of Mohomou and Dorota;
    Production and broadcasting of 211 radio programs (2 round tables, 2 TV shows
    interactive, 1 micro-sidewalk, 2 magazines, 3 interviews, 1 radio debate, 200
    spots) on barrier measures and DHS, rumors related to the management of EVD,
    care of patients at the CE-TPI carried out by the mobile radio station based in Gouécké;
    ...
    .
    III. Challenges

    Swab all the deaths in the communities
    Find the confirmed case of Gonia,

    IV. Recommendations

    To coordination
    Implement mechanisms to find the confirmed case,
    Reactivate the CREC and Surveillance meetings every Tuesday.


    https://www.humanitarianresponse.inf...nzerekore._1.p df

    https://www.humanitarianresponse.inf...e-%C3%A0-virus

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  • Pathfinder
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    Translation Google

    Ebola in Kpagalaye: women lift the blockade after tough negotiations

    Mohamed bangouraBy Mohamed Bangoura
    For 2 hours ago MAIN FOCUS , News , Latest News

    It took many negotiations and negotiations for the women of the district of Kpagalaye to agree to allow the arrival of teams to fight against Ebola.

    After the failure of priests and local authorities, it is the Zowho women (traditional leaders) who have just lifted the harsh reluctance opposed by the population since last week.

    “We went to meet the women and they expressed their dissatisfaction to us and demanded to bring the patient who is hospitalized at the treatment center. Immediately, we did not delay in bringing in the latter who is already healed. This reassured them a lot. His wife, who is hospitalized at the CT-EPI, was also contacted by phone. She explained the realities of the center. This is what relieved the population who gave their consent for doctors to carry out their activities without fear. All is well now in the village but there are small sacrifices to be made to eliminate some curses made during their demonstrations, ” said Marie Noël Balamou, women leaders and traditional communicator.

    This is news that relieved the members of the prefectural coordination of the fight against Ebola on Friday. According to the regional health director, all response activities can start on Saturday morning. These include awareness raising, tracing of contacts and suspected cases, vaccination and epidemiological surveillance.

    Alexis Koli

    https://mosaiqueguinee.com/ebola-a-k...-negociations/

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  • Pathfinder
    replied
    WEEKLY BULLETIN ON OUTBREAKS
    AND OTHER EMERGENCIES
    Week 14: 29 March to 4 April 2021
    Data as reported by: 17:00; 4 April 2021


    ...
    Ebola virus disease Guinea

    23 Cases
    12 Deaths
    52.2 % CFR


    EVENT DESCRIPTION

    A new confirmed case of Ebola virus disease (EVD) was reported
    on 25 April 2021 from the sub-prefecture of Soulouta. As of 4
    April 2021, a total of 23 cases have been reported, including
    16 confirmed cases, and 7 probable cases, of which 9 have
    recovered, and 12 have died (case fatality ratio 52.2%).

    The subprefecture of Soulouta remains active (2 confirmed cases
    and 3 probable cases reported in the past 21 days), while Samoe and
    Nzerekore-Centre are on alert. The number of health workers
    infected remains five.

    Most of the confirmed and probable cases reported are female
    (13/23; 60.9%) and the most affected age group are those over
    40 years.

    As of 4 April 2021, a total of 43 (29%) out of 149 contacts have
    been followed up in Nzerekore. A total of 101 contacts have been
    vaccinated. There were 19 alerts notified, all in Nzerekore, on 4
    April 2021, of which 11 (58%) were investigated within 24 hours.
    Of these, eight were validated, six of which were deaths that were
    all sampled.

    PUBLIC HEALTH ACTIONS

    Daily incident management system meetings take place with
    WHO, following up on field operations.

    Community resistance prevented response measures,
    including vaccination, in the village of Gbakalaye, Soulouta
    on 4 April 2021; discussions around interventions are
    underway.

    A cumulative total of 4 565 people have been vaccinated,
    including 288 high-risk contacts, 3 835 contacts-of-contacts
    and 442 probable contacts, including 1 985 frontline workers.
    Four patients, one confirmed and three suspected, are
    currently hospitalized in the Epidemic Diseases Hospital
    treatment centre.

    Risk communication and community engagement (RCCE)
    included identifying, briefing and deploying community
    workers to work with the surveillance team; a review of all
    deaths from 12 March 2021 to date is being supported, with
    input from the socio-anthropologists; people and resources
    are being identified for community monitoring and promotion
    of prevention measures.

    SITUATION INTERPRETATION

    The EVD outbreak in Guinea, although appearing to be largely
    under control, is up against serious challenges, not least
    community resistance to response measures in the village of
    Gbakalyaye, Soulouta, where the last two confirmed cases and
    three probable cases were reported.
    A new confirmed case at day
    35 of the countdown to the end of the pandemic has changed
    the dynamics of the response and strengthened surveillance is
    required, specifically increasing the number of alerts and the
    number of samples tested in Nzerekore and neighbouring health
    districts. In addition, all alerts need to be investigated within 24
    hours, sampling as many suspected cases (including deaths)
    as possible and isolating all suspected and confirmed patients.
    Urgent attention is required to close the current funding gap in
    the response plan budget in order to ensure a timely and quality
    response.

    https://apps.who.int/iris/bitstream/...2904042021.pdf

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    replied
    bump this

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    3 runners

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  • Treyfish
    replied
    Page 1
    COU-SP in Response mode ? : 622 46 94 98/620 12 21 38; email: cougnzerekore@gmail.com

    Page 1

    SITUATION REPORT

    Disease name

    Ebola Virus Disease (EVD)

    Date of notification of the 1st confirmed case

    02/13/2021

    Report date

    4/6/2021

    I. Highlights

    ? 56 alerts including 20 investigations carried out and 36 under investigation,

    • 06 Alerts validated (4 deaths including 4 swabés and 2 alive)

    • Transfer of a suspected case to the CT-Epi in Gouécké

    • Refusal to transfer a contact who has become suspect

    ? Breakage of vaccination cards

    ? Sending of two delegations (women leaders and religious leaders) to Kpagalaye for the lifting of the

    reluctance

    SitRep N ° 52

    Page 2
    COU-SP in Response mode ? : 622 46 94 98/620 12 21 38; email: cougnzerekore@gmail.com

    Page 2

    II. Dynamics of the epidemic

    Table I. Distribution of cases in the health district on 6/04/2021,

    Description

    Districts

    sanitary

    N'Zérékoré CU

    Gouécké

    Soulouta

    Total

    New

    Accumulation

    New Cumulation

    New

    Accumulation

    New

    Accumulation

    Suspicious cases

    1

    1

    1

    1

    0

    0

    2

    2

    Confirmed Cases

    0

    11

    0

    3

    0

    2

    0

    16 *

    Probable cases

    0

    4

    0

    0

    0

    3

    0

    7

    * 1 case treated at CT-Epi in Conakry and 14 at CT-Epi in N'Zérékoré and 1 escaped case

    Table II. Situation of patients in epidemiological treatment centers and deaths on the date of

    4/6/2021,

    Description

    Health districts

    N'Zérékoré

    Gouécké

    Total

    New

    Accumulation

    New

    Accumulation

    New

    Accumulation

    Hospitalized at

    dated

    Suspects

    0

    0

    1

    1

    1

    1

    Confirmed

    0

    1

    0

    0

    0

    1

    Healed outings

    0

    8

    0

    0

    0

    8

    Hospital deaths

    0

    7

    0

    0

    0

    7

    Community deaths

    4

    201 *

    0

    0

    4

    201


    * 7 probable cases, 2 confirmed cases and 127 non-cases, 63 non-swabed deaths

    Table III. Management of community deaths 6/04/2021

    Types of burial

    New

    Accumulation

    Safe burials

    0

    16

    Unsecured burials

    0

    4

    Total

    0

    20

    Table IV Results of the 6/04/2021 vaccination

    Vaccination site

    Vaccinated

    Accumulation

    CU N'Zérékoré

    60

    3623

    Gouécké

    0

    1065

    Samoe

    0

    200

    Kokota (Lola)

    0

    20

    Kpagalaye

    0

    240

    Soulouta

    20

    80

    Total

    80

    5208

    Page 3
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    Page 3

    Table V Vaccination results according to the target 4/6/2021

    SITES OF

    VACCINATION

    CONTACTS

    New contacts

    Accumulation

    contacts

    Contacts

    vaccines

    of the day

    Accumulation

    vaccinated

    %

    BOUNOUMA

    0

    1

    0

    1

    100%

    GOUECKE

    0

    289

    0

    168

    58%

    BOMA

    1

    16

    0

    8

    53%

    LOLA

    7

    7

    0

    0

    0%

    COM URB NZEREK

    4

    195

    5

    209

    107%

    HR NZERK

    0

    234

    0

    213

    91%

    SOULOUTA CENTER

    0

    7

    0

    0

    0%

    KPAGALAYE

    1

    97

    1

    105

    108%

    TOTAL

    13

    855

    6

    711

    83%

    Figure 1: Transmission circuit of confirmed and probable cases of EVD, N'Zérékoré 01/10/20 to 04/06/2021

    Page 4
    COU-SP in Response mode ? : 622 46 94 98/620 12 21 38; email: cougnzerekore@gmail.com

    Page 4

    Graph 2: Epidemic curve , of Nzérékoré EVD, January 10 to 4/6/2021

    Comments: The index case was symptomatic from 01/15/2021 and died on 01/28/2021. A new

    case tested positive on 4/1/2021 and was symptomatic on 3/27/2021.

    Graph 3 : Distribution by age group and sex of confirmed and probable cases of EVD N'Zérékoré

    4/6/2021

    Comment: The majority of cases were> 40 years old and not gender predominant.

    Age groups

    NOT(%)

    0 to 20 years

    0 (0)

    21 to 40 years old

    7 (30)

    41 to 60 years old

    11 (48)

    > 60 years

    5 (22)

    Page 5
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    Page 5

    Map 1. Spatial distribution of confirmed and probable cases of EVD N'Zérékoré, 5/04/2021

    Comment: Out of fourteen (14) confirmed cases, eleven came from the CU and three from Gouécké. We also note 4 cases

    probable, two (2) of which resided in Gouécké and two (2) in the CU.


    Page 6
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    Page 6

    Table 6. Contact follow-up situation, as of 6/04/2021

    * The 92 contacts of Kpagalaye were not followed up for reasons of reluctance

    Locality

    Of

    contacts

    to be continued

    Of

    contacts

    followed

    Rate

    followed

    of

    contacts

    Of

    contacts No

    followed

    Reason for not tracking

    Of

    new

    Contacts

    this day

    Of

    contacts

    become

    suspects

    Of

    contacts

    out of

    followed

    Contact

    remaining

    in the

    followed

    Refusal Absent

    Lost

    of view

    Other

    Soulouta (Gbouo)

    7

    0

    0%

    0

    0

    0

    0

    7

    0

    0

    0

    7

    Kpagalaye

    96

    0

    0%

    0

    0

    0

    0

    96 *

    1

    0

    0

    96

    Boma

    3

    3

    100%

    0

    0

    0

    0

    0

    1

    0

    0

    4

    Mohomou

    16

    8

    50%

    0

    0

    7

    1

    0

    3

    0

    0

    19

    Commercial

    3

    2

    33%

    0

    0

    0

    1

    0

    0

    0

    0

    3

    Sokoura

    7

    5

    71%

    0

    0

    0

    0

    2

    1

    1

    0

    8

    Gonia

    28

    27

    96%

    0

    0

    1

    0

    0

    0

    0

    0

    28

    Dorota

    2

    2

    100%

    0

    0

    0

    0

    0

    0

    0

    0

    2

    Horoya

    2

    0

    0%

    0

    0

    2

    0

    0

    0

    0

    0

    2

    Lola –Lainé

    (Yokpota, Yokpta)

    0

    0

    0%

    0

    0

    0

    0

    0

    7

    0

    0

    7

    TOTAL

    164

    47 29%

    0

    0 10

    1 105 13

    1

    0

    176

    II. Jobs done

    ? Coordination

    ? Holding of the prefectural coordination meeting in the presence of the prefectural authorities and

    partners;

    ? Sending of two delegations (women leaders and religious leaders) to Kpagalaye for the lifting of the

    reluctance

    Page 7
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    Page 7

    ? Surveillance / Laboratory

    ? Continuation of the in-depth investigation around confirmed cases and probable cases

    ? Continuation of active search and follow-up of contacts

    ? Vaccination of 80 contacts and front-line staff in the urban municipality (60) and in

    Soulouta (20)

    ? Screening of 32,833 passers-by including 16,716 women, with 2 alerts at the 13 entry points and

    health control installed in Gouécké and in the Urban Municipality of N'Zérékoré

    ? Support

    ? Management of a suspected case at the CT-Epi in Gouécké and a confirmed case at the CT-Epi in

    N'Zérékoré,

    ? Training of the CT-Epi Nzérékoré team

    ? Investigation in progress on the psycho-social needs of contacts by the Red Cross

    ? PCI-WASH-EDS

    ? Carrying out of 5 swabs on the 5 hospital deaths

    ? Reactivation of the 2 COSAHs of the Horoya and Dorota HCs and development of a PAO by FOSA for

    the response.

    ? Assessment of 8 broken water points in the Soulouta CR except Kpagalaye (for fault

    access)

    ? Continuation of the ring around the confirmed case of Gonia having stayed in Kpagalaye with the

    distribution of 74 hygiene kits distributed as follows: 2 primary schools, 15 public places (living room

    hairstyles and bars) and 57 households.

    ? Distribution of hand washing devices in 5 CR schools in Gouécké.

    ? Communication and Social Mobilization

    ? 855 Households revisited as part of the search for community patients and deaths

    in the CU of N'Zérékoré, Samoe, Womey, Soulouta, Gouécké and Palé;

    ? 4,363 people sensitized within the framework of local communication in the CU of

    N'Zérékoré, Samoe, Womey, Soulouta, Gouécké and Palé;

    ? Production and broadcasting of 135 radio programs (6 round tables, 2 mini-sidewalks, 3

    magazines, 120 reruns of spots, 4 interactive programs) on the lifting of reluctance to

    Kpagalaye: acceptance of the care of patients at the CT-Epi, the importance of the recovery

    Page 8
    COU-SP in Response mode ? : 622 46 94 98/620 12 21 38; email: cougnzerekore@gmail.com

    Page 8

    alerts, monitoring of preventive measures, EDS, the role of response teams, by radio

    space and mobile radio based in Gouécké,

    ? Organization of an integrated capacity building session for 48 community leaders in

    Gouécké on the role of response teams followed by demonstrations on DHS,

    ? Integrated briefing session at the N'Zérékoré Library of 60 women leaders, members of 2

    Horoyah women's groups on EVD and acceptance of vaccination.

    ? Logistics

    ? Distribution of food for the benefit of 10 contact households in the urban commune of

    N'zérékoré.

    ? Finalization of the general food distribution in Gouécké with a cumulative total of 5,626

    assisted households

    ? Reception of 480 hand washing devices, 30 laptops, 18 computers

    office automation, 18 inverters, 18 printers for the 6 districts of the region,

    ? Outlook for 7/04/2021

    ? Continuation of food distribution for 36 households in the urban commune of N'zérékoré.

    ? Advocacy meeting for the Sub-prefects and Mayors of the 11 communes of the Prefecture of

    N'Zérékoré under the authority of the Prefect.

    ? Recruitment and deployment of 4 community relays, 4 technical health agents and 4 agents

    civil protection for the 2 health checkpoints in Kpagalaye

    ? Equipment of the 2 sanitary control points

    ? Continuation of the in-depth investigation around the positive cases and the 3 probable cases,

    ? Activation of the Soulouta single health community platform

    ? Continuation of the closure of informal health structures in N'Zérékoré,

    ? Continuation of the psycho-social follow-up of former contacts, recovered persons and bereaved families,

    ? Continuation of ring vaccination around positive and probable cases (Soulouta center and

    Kpagalaye),

    ? Household listing of Kpagalaye contacts

    ? Remove reluctance in Kpagalaye

    ? Swab all the deaths in the communities

    ? Find the confirmed case of Gonia and the two suspected cases of Yalenzou and Koulé detected by sorting

    HR

    III. Challenges

    II.

    Page 9
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    Page 9

    On surveillance

    Implement mechanisms to find the confirmed case and the two suspected cases detected not

    still hospitalized


    IV. Recommend
    https://translate.google.com/transla...search&pto=aue

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