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Mali - First confirmed case of Ebola in Kayes - a 2 year old girl from Kissidougou, Guinea - deceased

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  • #16
    Re: Mali - First confirmed case of Ebola in Kayes - a 2 year old girl from Kissidougou, Guinea

    Poor little kid. I hope they stop this disease soon.

    Comment


    • #17
      Re: Mali - First confirmed case of Ebola in Kayes - a 2 year old girl from Kissidougou, Guinea

      Originally posted by tiny little guy View Post
      https://twitter.com/Reuters

      Reuters is reporting the little girl has died.
      That makes this story of the grandmother traveling more than 1100 km on a bus to bring her home even more heartbreaking. It looks like she was originally diagnosed as having typhoid fever.

      Press Release from the WHO:
      http://www.who.int/mediacentre/news/...tober-2014/en/

      Mali?s Ministry of Health has confirmed the country?s first case of Ebola virus disease. The Ministry received positive laboratory results, from PCR testing, on Thursday and informed WHO immediately. In line with standard procedures, samples are being sent to a WHO-approved laboratory for further testing and diagnostic work.

      Details about the case

      In telephone conversation on Thursday night, health officials gave WHO the following details about the case, which is currently undergoing intense investigation.

      The patient is a two-year-old girl, who recently arrived from Guinea accompanied by her grandmother. The child?s first contact with the country?s health services occurred on 20 October, when she was examined by a health care worker at Quartier Plateau in Kayes, a city in western Mali on the Senegal River.

      Kayes has a population of around 128 000 people. It is located about 600 kilometres from the capital city of Bamako and lies near the border between Mali and Senegal.

      The health-care worker referred the grandmother and child to the Fousseyni Daou Hospital, in the same city, where she was admitted to the paediatric ward on the following day, on 21 October. Symptoms on admission included a fever of 39?C, cough, bleeding from the nose, and blood in the stools.

      Test results were negative for malaria, but positive for typhoid fever. The child received paracetamol, but did not improve. Further testing at the country?s SEREFO laboratory confirmed Ebola virus as the causative agent on 23 October.

      Initial investigation of this case ? the first confirmed in Mali ? has revealed the extensive travel history of the child and her grandmother. The grandmother travelled from her home in Mali to attend a funeral in the town of Kissidougou, in southern Guinea.

      WHO is seeking confirmation of media reports that the funeral was for the child?s mother, who is said to have shown Ebola-like symptoms before her death. These and other facts will be communicated as they are confirmed.

      Additional facts communicated to WHO

      On 19 October, the grandmother left Guinea to return to Mali, taking the child with her. The case history revealed that bleeding from the nose began while both were still in Guinea, meaning that the child was symptomatic during their travels through Mali.

      Travel was by public transport through Keweni, Kankan, Sigouri, and Kouremale to Bamako. The two stayed in Bamako for two hours before travelling on to Kayes. Multiple opportunities for exposure occurred when the child was visibly symptomatic.

      Prompt emergency response

      WHO is treating the situation in Mali as an emergency. The child?s symptomatic state during the bus journey is especially concerning, as it presented multiple opportunities for exposures ? including high-risk exposures - involving many people.

      Continued high-level vigilance is essential, as the government is fully aware.

      The child is being treated in isolation and staff have received training in appropriate procedures for safe management. The initial investigation identified 43 close and unprotected contacts, including 10 health-care workers, who are also being monitored in isolation.

      The authorities in Mali have acted swiftly, also in communicating their immediate needs to WHO. These needs include training in infection prevention and control, adequate supplies of personal protective equipment, and assistance with contact tracing and overall investigation of the event.

      Fortunately, key staff from WHO and the US Centers for Disease Control and Prevention (CDC) were already in Mali assisting with the country?s preparedness measures, should an imported case occur.

      The WHO team already on the ground includes an infection control expert and a logistician. These and other staff are now being repurposed to assist in a surge response to the outbreak. WHO is urgently deploying a rapid response team comprising experts in clinical management, epidemiology, contact tracing, logistics and social mobilization.

      WHO and the Ministry of Health see a need to accelerate the completion of an isolation facility in Bamako, and WHO has offered its support. In addition, the public needs to be informed of the situation as it evolves, including facts about the emergency actions already under way.

      Outbreaks in other parts of West Africa have demonstrated how fear and anxiety, fuelled by misinformation and disinformation, if left unchecked, can be a major barrier to even the best-orchestrated containment efforts.

      Both Senegal and Nigeria, two countries now declared free of Ebola virus transmission, used effective community information and education initiatives, often conducted as house-to-house campaigns, as an integral component of the outbreak response.

      Comment


      • #18
        Re: Mali - 2 year old girl dies

        (Reuters) - A two-year-old girl who was Mali's first confirmed case of Ebola has died, a local health official said on Friday.

        The health official, who asked not to be named, said she died in the western Malian town of Kayes at around 1600 GMT.

        There was no immediate official comment from health authorities but Oumar Sylla, a Kayes resident, said local radio stations were reporting the information.

        http://in.reuters.com/article/2014/1...0ID2AG20141024

        Comment


        • #19
          Re: Mali - First confirmed case of Ebola in Kayes - a 2 year old girl from Kissidougou, Guinea

          WHO: Multiple opportunities for girl in Mali with Ebola to expose others

          Bamako, Mali (CNN) -- A 2-year-old in Mali with Ebola had multiple opportunities to expose others to the virus, according to the World Health Organization.

          The girl first went to a clinic Tuesday after entering the country from Guinea with her grandmother, WHO Assistant Director-General Marie-Paule Kieny said at a news conference in Geneva, Switzerland.

          http://www.cnn.com/2014/10/24/world/africa/mali-ebola/
          "We are in this breathing space before it happens. We do not know how long that breathing space is going to be. But, if we are not all organizing ourselves to get ready and to take action to prepare for a pandemic, then we are squandering an opportunity for our human security"- Dr. David Nabarro

          Comment


          • #20
            Re: Mali - First confirmed case of Ebola in Kayes - a 2 year old girl from Kissidougou, Guinea

            A two-year-old girl who was Mali's first confirmed case of Ebola has died, according to a health official.

            The official, who asked not to be named, told Reuters that the toddler died in the western Malian town of Kayes at around 4pm (GMT), where she was being treated in isolation.

            ...

            "The child's symptomatic state during the bus journey is especially concerning, as it presented multiple opportunities for exposures - including high-risk exposures - involving many people," the agency said.

            The girl's diagnosis was delayed after she tested positive for typhoid. When her condition failed to improve, she was also tested for Ebola.

            http://www.independent.co.uk/news/wo...i-9817181.html
            "We are in this breathing space before it happens. We do not know how long that breathing space is going to be. But, if we are not all organizing ourselves to get ready and to take action to prepare for a pandemic, then we are squandering an opportunity for our human security"- Dr. David Nabarro

            Comment


            • #21
              Re: Mali - First confirmed case of Ebola in Kayes - a 2 year old girl from Kissidougou, Guinea

              This child was two and that makes me wonder about potty training traditions in Mali.

              In some countries, for example, China, children have a build in slit in the back of their pants, it's considered very poor behavior to go in your pants, so they don't use diapers, they just squat and go wherever and whenever.

              Potentially a two year old with severe diarrhea, without diapers could leave behind a lot more virus than an adult.
              "We are in this breathing space before it happens. We do not know how long that breathing space is going to be. But, if we are not all organizing ourselves to get ready and to take action to prepare for a pandemic, then we are squandering an opportunity for our human security"- Dr. David Nabarro

              Comment


              • #22
                Re: Mali - First confirmed case of Ebola in Kayes - a 2 year old girl from Kissidougou, Guinea

                The toddler died in an isolation tent at a hospital in the western city of Kayes on Friday, according to a nurse at the facility, who spoke on condition of anonymity because he was not authorized to speak to the press.


                Read more at http://www.wral.com/doctors-without-...j2y6lI5CWtv.99
                "We are in this breathing space before it happens. We do not know how long that breathing space is going to be. But, if we are not all organizing ourselves to get ready and to take action to prepare for a pandemic, then we are squandering an opportunity for our human security"- Dr. David Nabarro

                Comment


                • #23
                  Re: Mali - First confirmed case of Ebola in Kayes - a 2 year old girl from Kissidougou, Guinea

                  Source: http://www.trust.org/item/2014102409...iHeadlineStory


                  WHO sending Ebola experts to Mali, 43 people monitored for virus
                  Source: Reuters - Fri, 24 Oct 2014 10:44 GMT
                  Author: Reuters

                  GENEVA, Oct 24 (Reuters) - The World Health Organization (WHO) said on Friday it was sending more experts to help Mali fight Ebola, a day after the first case of the disease was confirmed there.

                  Malian authorities said on Thursday a two-year-old girl who had travelled to neighbouring Guinea was infected - making Mali the sixth West African country to be touched by the worst outbreak on record of the haemorrhagic fever, which has killed almost 4,900 people.

                  A WHO team of three experts has been in Mali evaluating its defences, and at least four more would go there over the next few days, WHO spokeswoman Fadela Chaib said.

                  "This team is being assembled this morning and will leave for Mali as soon as possible," Chaib told a news briefing...

                  Comment


                  • #24
                    Re: Mali - First confirmed case of Ebola in Kayes - a 2 year old girl from Kissidougou, Guinea

                    Originally posted by MHSC View Post
                    The girl's diagnosis was delayed after she tested positive for typhoid. When her condition failed to improve, she was also tested for Ebola.
                    This is troubling.

                    Comment


                    • #25
                      Re: Mali - First confirmed case of Ebola in Kayes - a 2 year old girl from Kissidougou, Guinea

                      Translation Google

                      Kayes: death of the first cases of Ebola ... ..23 people quarantined

                      By Malijet - Date: 1 hour ago

                      The little girl Ebola virus came from Guinea with her grandmother, finally passed away this Friday, October 24, 2014 in Kayes at around 16 hours. While a statement from the Prime Minister's Office indicated in the day her condition was improving, we learned to hospital sources in Kayes and our colleague of Kayesinfo Boubacar Niane, that the girl of 2 years and 6 months, finally died .

                      This is the first case of Ebola to Mali since the outbreak of the epidemic in the sub-region (Guinea Conakry, Liberia, Serra Leone). The child of two and a half year old, arrived in Bamako from the Guinea Monday, Oct. 20, 2014 after the funeral of her father (who died of Ebola) with her grandmother. After a four hour stop in a family, they left on a bus to Kayes where they arrived the following day, October 21 at 10:00. Once the fever symptoms were manifested on Tuesday, her family first admitted her to a clinic and then to the regional hospital Fousseyni Daou as a suspected case.

                      Teams dispatched from Bamako to strengthen regional services have conducted the necessary samples and analyzes of samples that were positive. An immediate treatment was performed. Unfortunately, the girl did not survive.

                      As soon as the case of the girl was suspected, all those who have been in contact with her were immediately quarantined. Beginning Thursday, immediate steps were taken to identify the host family in Bamako, traveling companions of the girl and her grandmother, the medical staff of first contact, the neighborhood of the home in Kayes. All these people have been taken care of and placed under strict surveillance. The transport vehicle was also found in K?ni?ba and disinfected. Regional authorities, under the authority of the governor, are working to collect additional information to deal with any eventuality.

                      According to an official of the hospital Fousseyni Daou Kayes, a total of 23 people are currently quarantined with 11 family members and 12 officers of the medical staff.

                      According to a hospital source in Kayes, there was panic among the medical staff as soon as the results of the sampling of the girl tested positive. A general meeting of awareness was even held that protective measures were explained to medical personnel.

                      Abdoulaye Diakit?
                      Source: Malijet

                      http://www.malijet.com/a_la_une_du_m...%A0-quara.html
                      "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                      -Nelson Mandela

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                      • #26
                        Re: Mali - First confirmed case of Ebola in Kayes - a 2 year old girl from Kissidougou, Guinea

                        Originally posted by tiny little guy View Post
                        https://twitter.com/Reuters

                        Reuters is reporting the little girl has died.
                        Welcome tiny.

                        .
                        "The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation

                        Comment


                        • #27
                          Re: Mali - First confirmed case of Ebola in Kayes - a 2 year old girl from Kissidougou, Guinea

                          Between panic and anxiety
                          panic it has already seized the town of Kayes where all schools, public places and other meeting places were closed for health reasons after the confirmation of Ebola cases, says a national of the city. In Bamako, the Malian capital, panic is much less visible but show some concern. For proof, handles traditional hands were reserved this morning. For security, some have already bought alcoholic pharmacy to disinfect their hands before and after greetings solutions. In hotels already, detergents are to entry for all visitors. Ditto for public places such as markets or some traders also ask clients to use the same solutions placed at the door of their store before any physical contact. In short, a climate of fear is already installed in the Malian capital: "We are concerned and hope the virus does not spread in a country where medical malpractice has become a total rule" hope Issa Katao conservator Medina Coura . Same story at the pharmacy saleswoman who feels exposed as some patients come first to the pharmacy before seeking medical attention. To calm the situation, the government held a meeting to inform the general public that all devices surveillance of the epidemic has been reinforced to contain the disease Ebola in Mali. As hotlines are available for any questions regarding the disease Ebola.

                          http://www.journaldumali.com/article.php?aid=9252
                          "We are in this breathing space before it happens. We do not know how long that breathing space is going to be. But, if we are not all organizing ourselves to get ready and to take action to prepare for a pandemic, then we are squandering an opportunity for our human security"- Dr. David Nabarro

                          Comment


                          • #28
                            Re: Mali - First confirmed case of Ebola in Kayes - a 2 year old girl from Kissidougou, Guinea

                            "Many Exposed" to Infected Mali Girl

                            The girl showed symptoms, including a bleeding nose, while travelling on a public bus through several towns, the World Health Organization (WHO) said.

                            ....

                            "The child's symptomatic state during the bus journey is especially concerning, as it presented multiple opportunities for exposures, including high-risk exposures, involving many people," the WHO said.

                            Comment


                            • #29
                              Re: Mali - First confirmed case of Ebola in Kayes - a 2 year old girl from Kissidougou, Guinea

                              Originally posted by MHSC View Post
                              .....In Bamako, the Malian capital, panic is much less visible but show some concern. .....
                              from WIkipedia:

                              Bamako has about 1.8 million people (2009) & is estimated to be the fastest growing African city.


                              The area of the city has been continuously inhabited since the Palaeolithic era for more than 150,000 years.
                              Healthcare

                              The Point G hospital, built between 1906 and 1913, covers an area of 25 hectares. A former military hospital, it became a civilian hospital shortly before the independence of Mali, and is situated on a hill overlooking Bamako[27]

                              The second hospital of Bamako is the Gabriel Tour? Hospital named after a young doctor and humanist Gabriel Tour? who was born in 1910 in Ouagadougou and died in 1935 after having been contaminated by a patient with the pneumonic plague. The hospital was established in 1959.[28]

                              The contract for the building of a new hospital in Bamako, to relieve pressure on the other hospital resources was signed on 27 December 2008. Located in the district of Yirimadio, the department will include a pediatric and obstetrics-gynecology facilities, a department of internal medicine, medical imagery facilities and hospital care with 150 beds to support the emergency services and intensive care. This hospital, like many recent developments in Bamako is financed and equipped with Chinese investment.[29]
                              .
                              "The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation

                              Comment


                              • #30
                                Re: Mali - First confirmed case of Ebola in Kayes - a 2 year old girl from Kissidougou, Guinea

                                A UN plane with emergency medical supplies arrived in Mali last night.


                                A United Nations Humanitarian Air Service (UNHAS) aircraft has flown one metric ton of critical medical supplies on behalf of the World Health Organization (WHO) to the Malian capital of Bamako after the first case of Ebola was identified in the country.

                                UNHAS, managed by the United Nations World Food Programme (WFP), dispatched the special flight from Liberia?s capital Monrovia and it landed in Bamako on Friday night with the supplies, including personnel protection equipment kits, gloves, face shields and buckets.

                                ?Speed is of the essence in this Ebola crisis. Agencies such as WFP and WHO are working on every hour to confront together the virus as a matter of priority?, said Denise Brown, WFP?s West Africa Regional Director for the WFP in Dakar.
                                http://www.wfp.org/news/news-release...anization-mali

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