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Liberia - Ebola: 10 212 confirmed cases, 4 573 deaths (WHO, April 22, 2015)

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  • Re: Liberia - Ebola: 972 clinical cases, 576 deaths as of August 18, 2014 (WHO report August 20, 2014)

    Ebola virus disease update - west Africa

    Disease outbreak news
    22 August 2014

    Epidemiology and surveillance

    Between 19 and 20 August 2014, a total of 142 new cases of Ebola virus disease (laboratory-confirmed, probable, and suspect cases) as well as 77 deaths were reported from Guinea, Liberia, Nigeria, and Sierra Leone.

    Health sector response

    Questions have been received in WHO Headquarters about the original proposed budget for the response and the new draft budget, which is being reviewed by partners. The increase in needed resources is based on improved data and understanding of the situation on the ground in the affected countries. The new estimation of costs is derived using a unit-cost model, built for the most intense transmission areas and reflects the average operational costs based on the current situation in the affected countries. The major assumptions for the cost estimates will be announced towards the end of next week.

    WHO continues to receive reports of rumoured or suspected cases from countries around the world and systematic verification of these cases is ongoing. Countries are encouraged to continue engaging in active surveillance and preparedness activities. As of today, no new cases have been confirmed outside of Guinea, Liberia, Nigeria, or Sierra Leone.

    WHO does not recommend any travel or trade restrictions be applied except in cases where individuals have been confirmed or are suspected of being infected with EVD or where individuals have had contact with cases of EVD. (Contacts do not include properly-protected health-care workers and laboratory staff.) Temporary recommendations from the Emergency Committee with regard to actions to be taken by countries can be found at:

    IHR Emergency Committee on Ebola outbreak in west Africa
    Disease update

    Confirmed, probable, and suspect cases and deaths from Ebola virus disease in Guinea, Liberia, Nigeria, and Sierra Leone, as of 20 August 2014
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    Twitter: @RonanKelly13
    The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

    Comment


    • Re: Liberia - Ebola: 1,082 clinical cases, 624 deaths as of August 20, 2014 (WHO report August 22, 2014)

      Liberia Ebola SitRep no. 101
      Ministry of Health and Social Welfare
      Aug 24, 2014

      1,386 cases, 754 fatal reported. 31 deaths reported on Aug 24th.
      ...
      Case Investigation
      ? There is no space at any of the Treatment Units

      Montserrado County
      ? The high number of cases reported is due to a backlog of case investigation
      forms that were being held in the field
      ? Members of the CHT visited West Point and the following actions were taken:
      ? Medical Team posted at transit unit at West point
      ? CMO arranged with the Star of the Sea Clinic to receive case(s) screened
      by the transit unit that are NOT EVD related for treatment.
      ? JFK ETU to receive case(s) from the Transit unit from West point.
      ? Three (3) persons were assigned to a ?block? to conduct house visitation
      and referral of cases to the Transit Unit as well as report deaths.
      ? Montserrado County Investigation Teams are still moving into bordering
      counties for response which has created gaps for the post at Redemption.

      Nimba County

      ? Another consignment of WFP food supply for quarantine contacts arrived in the
      county
      ? The Assistant Minister for Custom and Culture visited Nimba and held meeting with
      County Task Force, District Commissioners, Paramount Chiefs, Women and Youth
      groups, Media institutions and Traditional Leaders
      ? All cultural practices (Poro and Sande society) suspended for time indefinite as the
      fight against Ebola continues
      ? The Carter Center donated 9 Mega phones and 5 buckets with accessories to the Task
      Force and also signed contract with 4 radio stations to air Ebola awareness produced
      by the local leaders
      ? There were 3 Suspected deaths in Ganta City.

      National Reference Lab at LIBR
      ? 16 test conducted
      ? 11 Positive
      ? 5 Negative
      ...
      Twitter: @RonanKelly13
      The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

      Comment


      • Re: Liberia - Ebola: 1,082 clinical cases, 624 deaths as of August 20, 2014 (WHO report August 22, 2014)

        Source: http://www.who.int/csr/don/2014_08_28_ebola/en/


        Confirmed Probable Suspect Totals
        Liberia
        Cases 322 674 382 1 378
        Deaths 225 301 168 694

        Comment


        • Re: Liberia - Ebola: 1,378 clinical cases, 694 deaths as of August 26, 2014 (WHO report August 28, 2014)

          The Liberian Ministry of Health reports 754 deaths as of 8/24 in the post above, while the WHO reports 694 deaths as of 8/26. This discrepancy is further evidence of how confused things have gotten in West Africa.
          "I know God will not give me anything I can't handle. I just wish that He didn't trust me so much." - Mother Teresa of Calcutta

          Comment


          • Re: Liberia - Ebola: 1,378 clinical cases, 694 deaths as of August 26, 2014 (WHO report August 28, 2014)

            Source: http://allafrica.com/stories/201408281374.html


            FrontPageAfrica (Monrovia)
            28 August 2014
            Liberia: Suspected Ebola Patient On the Run in Nimba, Flees Hospital

            Monrovia ? FrontPageAfrica has gathered that a suspected Ebola patient whose specimen was brought to Monrovia for testing has escaped isolation in Sanniquellie, Nimba County. The suspect, a male is said to have left the center after the electricity went off.

            "He left the center because the electricity went off, accordingly because he was afraid", Teeko T. Yorlay, Assistant Superintendent for Development confirmed to FPA. Assistant Superintendent Yorlay said health workers have already taken the specimen of the man who has been showing signs and symptoms of the virus to Monrovia for testing...

            Comment


            • Re: Liberia - Ebola: 1,378 clinical cases, 694 deaths as of August 26, 2014 (WHO report August 28, 2014)

              Infected Margibians ?Sneaking? into Grand Bassa

              Thu, 08/28/2014 - 07:22 admin
              Bassa County Orders All Officers to Monitor Localities


              By:
              Conscience N. Tequah (in Grand Bassa County)


              The Grand Bassa County local administration is alarmed about the increase in deaths reported in towns bordering Margibi County, and has quarantined several towns within its domain, where deaths have occurred. Yet, still, the porous rural terrain does not prevent other towns from danger as reports say infected people from Dolo?s Town in Margibi have snuck into towns in rural Grand Bassa to avoid the quarantine imposed by the Government of Liberia. ..http://www.liberianobserver.com/news...99-grand-bassa
              CSI:WORLD http://swineflumagazine.blogspot.com/

              treyfish2004@yahoo.com

              Comment


              • Re: Liberia - Ebola: 1,378 clinical cases, 694 deaths as of August 26, 2014 (WHO report August 28, 2014)

                WHO's 8/28 report for 8/21-26 shows LIB new cases of 1378 up from 1082, up 396/6 days = 66 new cases/day, in line with previous report daily averages of 58, 63 and 55/day, but WHO deaths rising from 624 to 694 only averages 11.6/day, far below previous daily death averages of 14, 16, 29 and 48/day.

                WHO should be claiming a major SLOWDOWN in the Liberian death rate compared to continued high new case rates, but they are not.
                Last edited by franzpick; August 28, 2014, 11:11 AM. Reason: quote was partly lost

                Comment


                • Re: Liberia - Ebola: 1,378 clinical cases, 694 deaths as of August 26, 2014 (WHO report August 28, 2014)

                  Originally posted by franzpick View Post
                  WHO's 8/28 report for 8/21-26 shows LIB new cases of 1378 up from 1082, up 396/6 days = 66 new cases/day, in line with previous report daily averages of 58, 63 and 55/day, but WHO deaths rising from 624 to 694 only averages 11.6/day, far below previous daily death averages of 14, 16, 29 and 48/day.

                  WHO should be claiming a major SLOWDOWN in the Liberian death rate compared to continued high new case rates, but they are not.
                  Liberia's situation report 101 in post #167 above shows 754 deaths as of 8/24. The numbers from WHO are supposed to be current through 8/26 and their source (The Liberian Ministry of Health) is also the author of the situation report. Either there is a lag of several days in getting data from the Ministry of Health to WHO or there is some other confusion. Frankly, I think both are way low. The recently opened treatment center in Monrovia is losing an average of one patient per hour, just in that one center.
                  "I know God will not give me anything I can't handle. I just wish that He didn't trust me so much." - Mother Teresa of Calcutta

                  Comment


                  • Re: Liberia - Ebola: 1,378 clinical cases, 694 deaths as of August 26, 2014 (WHO report August 28, 2014)

                    The edited correction to the math error in my earlier post was lost, and will be reposted: WHO's 6 day 8/21-26 new case increase was only 296 or 49/day, also lower along with the reduced death rate.

                    Comment


                    • Re: Liberia - Ebola: 1,378 clinical cases, 694 deaths as of August 26, 2014 (WHO report August 28, 2014)

                      Welcome franzpick!

                      I think the decreased daily reported illness/death rate is a reflection of the difficulty of keeping accurate counts at local and regional levels within Liberia. They report to WHO and there is a time delay.

                      I believe the Liberia official government ebola numbers reported to the world and to WHO are very understated.

                      Comment


                      • Re: Liberia - Ebola: 1,378 clinical cases, 694 deaths as of August 26, 2014 (WHO report August 28, 2014)

                        Liberia Ebola SitRep no. 102
                        Ministry of Health and Social Welfare
                        Aug 25, 2014


                        1,403 cases (suspected, probable & confirmed) 782 fatal. 28 deaths reported Aug 25th.

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                        Highlight
                        Case Investigation
                        ? No space at any of Treatment Units.
                        ? ETU at ELWA has stock-out of Loperimide, anti-malaria drug, hoods, duct tape
                        and cefixame. PPEs will also run out in 5 days


                        Montserrado County
                        ? 1126 out of 1247 contacts (90%) were seen by the four tracing teams
                        ? JFK, ELWA-2 and ELWA-3 are currently full to capacity.
                        ? Currently, there are 38 bodies that need to be removed from ELWA.
                        ? The West Point transit center was reopened and took in two cases ? as of late
                        afternoon on the 25th
                        . Food and water were delivered to them
                        ? The tracing team has been working for the past three days to generate line
                        lists for contacts in West Point. So far, 129 contacts have been listed, and the
                        contact tracing team has identified 32 deaths (occurring over the period from
                        July 29th to August 24th) that are suspected of being Ebola. The team is
                        working to complete investigation forms for these deaths.

                        River Gee County
                        ? Holding area has been identified in Kanweaken but needs to be furnished
                        ? County Task Force on Ebola prevention and control has been formed and is
                        actively carrying on awareness across the county
                        ? Burial site has been identified in collaboration with local authorities.
                        ? Health workers are in dire need of training
                        ? Materials/logistics needed have not arrived in county
                        ? Tracers are to be recruited and trained
                        ? Transporting specimen is a huge logistical challenge
                        ? Plan to conduct thorough contact tracing and follow-up visits

                        Lofa County
                        ? Total number of patient in Foya Case management center (FCMC) =
                        61: 32 probable & 29 confirmed
                        ? Total of 11 new cases (All probable) (2-Kolahun District and 9-Foya)
                        ? Ten (10) new deaths reported (6 confirmed-FCMC & 4 community
                        deaths from Kolahun District)
                        ? Total number of Discharge = 29: 3 Survivors & 26 Non-cases
                        Lab Result:
                        ? 16 Lab results still pending

                        Nimba County
                        ? 4 probable deaths: 1-Sanniquellie and 3-Ganta
                        ? The case management team conducted spraying of affected homes at Airfield
                        zone 2 in Sanniquellie City
                        ? Unity party Sanniquellie branch, donated $10,000LD to Sanniquellie Mah
                        health district for 11 Clinics for Ebola operations.
                        ? 1 probable case identified at G.W. Harley Hospital
                        ? In the absence of holding center in the County there is a serious threat to
                        maintaining infection prevention control at G. W. Harley Hospital as probable
                        cases are self-reporting for admission at the hospital.
                        National Reference Lab at LIBR
                        ? 8 test conducted
                        ? 6 Positive
                        ? 2 Negative
                        Twitter: @RonanKelly13
                        The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                        Comment


                        • Re: Liberia - Ebola: 1,378 clinical cases, 694 deaths as of August 26, 2014 (WHO report August 28, 2014)

                          Liberia Ebola SitRepno. 103
                          Ministry of Health and Social Welfare
                          Aug 26, 2014



                          52 new fatalities reported on August 26th.

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                          Highlight- Case Management
                          JFK ETU
                          ? Center has far exceeded its
                          capacity and can not admit any
                          new patient for now
                          ? Total admission as at this morning
                          was 64 (32 males and 32 females)
                          ? Total number of confirmed cases
                          was 13 (from New Georgia and
                          Gardnersville)
                          ? Total number of new admission
                          was 17
                          ? No discharge
                          ? 5 deaths reported within the last
                          24 hours
                          ? There are 10 patients with
                          negative lab results but are ill
                          with other conditions

                          ELWA II
                          ? Total admission as at this morning
                          was 41
                          ? Total number of confirmed cases
                          was 18
                          ? Total number of new admission
                          was 2
                          ? Total number of discharge was 6
                          ? 1 death within the last 24 hours

                          Critical Issues:
                          ? JFK and ELWA III have reached their full capacity and can not admit
                          any new patient
                          ? ELWA II currently has drugs and supplies for a very limited period, at
                          most 5 days.

                          ? There has been lack of water supply at the JKF ETU
                          ? It has been reported that some samples are sent for laboratory
                          investigation without the proper labeling.
                          ? It has been observed that some patients are admitted to the ETUs
                          without the Case Investigation Forms being filled.
                          ? Some ill patients in the ETUs have had two consecutive negative lab
                          results but there is no alternative treatment site to refer them


                          Highlight
                          Lofa County
                          ? Total of 15 new probable cases (4 from Kolahun District and 11 from
                          Voinjama District all probable and 0 probable cases from Foya)
                          ? Total of 8 death (5 confirmed & 2 probable-FCMC, 1 community in death
                          Vahun)
                          ? 1 Newly reported death in Health Worker .
                          ? Total of 4 Discharges; 2 survivors & 2 as ?Not a case?
                          Lab Result:
                          ? 26 results received from the lab (16 positive and 10 negatives)
                          Montserrado County
                          ? 1360 contacts (78%) were seen by the four tracing teams.
                          ? Of the 32 lost to follow-up today, 10 were all from one
                          household. In another family, 11 contacts all ran to Rivercess.

                          Nimba County
                          ? 1 suspected Ebola case voluntarily presented himself at the G.W. Harley
                          Hospital for management and specimen collected
                          ? Psychosocial team is conducting support to quarantined families in
                          Sanniquelle and its environs
                          ? WFP food supply distribution to quarantined contacts families ongoing
                          ? 5 EVD Laboratory result received
                          ? 3 Positive
                          ? 2 Negative
                          ? Third survivor recorded since the outbreak
                          ? 2 positive cases transferred to ETU in Monrovia

                          Health Promotion
                          ? MOHSW began a Weeklong TOT workshop for IRC for 18 ?hotspots Communities in
                          Montserrado County.
                          ? MOHSW began a 2 day advocacy meeting with Zoes, chiefs and other opinion leaders
                          in Bomi and Grand Cape Mount Counties.
                          ? MOHSW along with UNICEF began training of 400 gCHVs in Montserrado County.
                          ? Health Promotion Team conducted outreach activities in Dolo?s Town and West Point.
                          National Reference Lab at LIBR
                          44 test conducted
                          23- Positive
                          5- In-determinant, Repeat
                          16-Negative
                          Twitter: @RonanKelly13
                          The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                          Comment


                          • Re: Liberia - Ebola: 1,378 clinical cases, 694 deaths as of August 26, 2014 (WHO report August 28, 2014)

                            Liberia Ebola SitRep no. 105
                            Ministry of Health and Social Welfare
                            Aug 28, 2014


                            51 Newly reported deaths on Aug 28.
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                            Highlights
                            Case Investigation
                            ? There are discrepancies between transfers done by the Case
                            Investigation Team (12 patients) to the MSF ETU and the number of
                            patients reportedly received by the MSF ETU (27 patients ).
                            ? A patient from Capitol Hill was transferred to Redemption Hospital
                            Holding Unit as there is no space at the ETUs in Monrovia

                            Montserrado County
                            ? 1292 (96%) of 1346 listed contacts were seen by the four tracing teams.

                            JFK ETU
                            ? Center has far exceeded its capacity and
                            cannot admit any new patient for now
                            ? Total admission as at this morning was 64
                            (32 males and 32 females)
                            ? Total number of confirmed cases was 13
                            (from New Georgia and Gardnersville)
                            ? Total number of new admission was 17
                            ? No discharge
                            ? Total number of children affected by Ebola
                            currently at the center is 5 (to be taken to
                            the Transit Home soon)
                            ? 5 deaths reported within the last 24 hours
                            ? There are about 10 patients at the Center
                            who are ill but with negative lab results

                            ELWA II

                            ? Total admission as of the morning
                            was 41
                            ? Total number of confirmed cases
                            was 18
                            ? Total number of new admission
                            was 2
                            ? Total number of discharge was 6
                            ? 1 death within the last 24 hours

                            ELWA III
                            ? Total admission as at this morning
                            was 90
                            ? Total number of confirmed cases
                            was 80
                            ? No new admission
                            ? No discharge
                            ? 16 deaths within the last 24
                            hours.

                            Critical Issues
                            ? There has been lack of water
                            supply at the JKF ETU thus
                            interrupting the timely delivery
                            of critical services to patients
                            admitted on the ward.

                            ? It has been reported that some
                            samples are sent for laboratory
                            investigation without the
                            proper labeling.

                            Nimba County
                            ? A 20 yrs female contact that escaped from contact tracers in Monrovia was found at
                            Cestos River Bridge between Nimba and Grand Gedeh Counties and is currently being
                            quarantined at JFDMH in Tappita.
                            ? 7 AG YAMAHH Motorbikes were received from MOHSW for Ebola response
                            ? The Psychosocial team, Case management and the County Task Force headed by the
                            county superintendent distributed food items to 7 communities.

                            Bomi
                            ? A body (probable) was buried in Tubmanburg.
                            ? Psycho-social activities and social mobilization/health promotion were conducted at
                            district level.
                            ? The national TA arrived in county to provide technical assistance to CHT relative to
                            Ebola response.
                            ? There five (5) patients presently in the holding center in Tubmanburg.

                            Lofa County
                            ? Nine (9) new probable cases reported (2-Kolahun District & 7-Foya)
                            ? Total of 9 deaths:
                            ? 2-confirmed from FCMC
                            ? 7 Probable: 4-Kolahun District, 1-Foya District, 1-Vahun District,
                            1-Voinjama.
                            ? 8 Discharges including 2 Survivors
                            Lab Result:
                            ? 27 lab results received
                            ? 21 Positive
                            ? 6 Negative
                            ? 19 specimens were collected

                            Margibi
                            ? The World Food program delivered food items to Dolo Town Community.
                            ? Training of (112) health workers was conducted by the National case management
                            team for the reopening of Health Facilities in the County.
                            ? The Director of the Center for Disease control (CDC) visited Margibi County
                            ? One death is reported from the holding center
                            National Reference Lab at LIBR
                            ? 49 Test conducted
                            ? 26 Positive
                            ? 2 Indeterminate
                            ? 21 Negative
                            Twitter: @RonanKelly13
                            The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                            Comment


                            • Re: Liberia - Ebola: 1,378 clinical cases, 694 deaths as of August 26, 2014 (WHO report August 28, 2014)

                              SITREP 109. for Liberia is available now on ReliefWeb.

                              Comment


                              • Re: Liberia - Ebola: 1,378 clinical cases, 694 deaths as of August 26, 2014 (WHO report August 28, 2014)



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                                "I know God will not give me anything I can't handle. I just wish that He didn't trust me so much." - Mother Teresa of Calcutta

                                Comment

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