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

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

Translation Google

COMMUNIQUE DEPARTMENT OF PUBLIC HEALTH AND HYGIENE

Saturday, October 25, 2014 6:34 p.m.

Since the confirmation of the first case of the disease Ebola, Thursday, Oct. 23, 2014, the technical services of the Ministry of Health and Public Hygiene have immediately undertaken various actions to protect the health of the infected person and all persons who had contact with her.

To date, significant resources were sent to Kayes to manage the situation. Thus, in addition to the environment of the patient, the medical personnel who treated her has been quarantined to prevent the spread of the virus.

In this context, health services have conducted complete disinfection of places of residence and means of transport used by the patient.
Also, contact persons were identified and placed under observation by the special services.

However, despite the considerable efforts of health services, the sick child finally succumbed this Friday, October 24, 2014.

In these painful circumstances, the Government extends its condolences to the family of the deceased and reminds the public that hygiene measures enacted remain effective methods for disease prevention.

The Government informs the public that despite the death, the services of the Ministry of Health and Public Health, with the support of technical and financial partners, will pursue the investigation and contact tracing in relation to this case .

Following the guidance of the President of the Republic, the Government of the Republic of Mali, who thanked all partners for their assistance in his fight against the disease, advising people to avoid unnecessary travel to areas epidemic and to respect hygiene measures and precautions in this regard.

Bamako, October 24, 2014.

http://www.primature.gov.ml/index.php?option=com_content&view=article&id=12850:communique-du-ministere-de-la-sante-et-de-lhygiene-publique&catid=5&Itemid=100037

[MHSC]

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

Mali ?emergency? But WHO said it was treating the situation in Mali as an ?emergency? because the toddler had travelled for hundreds of kilometres on public transport with her grandmother while showing symptoms of the disease-meaning that she was contagious. She was said to be secreting bodily fluidscontact with which is how the virus is passed on. ?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 UN agency said. The girl and her grandmother travelled by public transport from Keweni in Guinea through the towns of Kankan, Sigouri and Kouremale to the Malian capital, Bamako. ?The two stayed in Bamako for two hours before travelling on to Kayes,? in Mali?s southwest, where treatment was sought for the child, the WHO said.

The route made for a journey of around 1,000 kilometers (620 miles) that would likely take the better part of 24 hours. ?Bleeding from the nose began while both were still in Guinea, meaning that the child was symptomatic during their travels through Mali? multiple opportunities for exposure occurred when the child was visibly symptomatic.? An Ebola victim is contagious when showing symptoms of the virus, such as a high fever. The Malian authorities were tracing everyone who had contact with the girl and her grandmother and 43 people had been placed under observation, the WHO said.

http://news.kuwaittimes.net/mali-scrambles-contain-ebola-fears-girl-dies/

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


From Beyla, Guinea
To Kayes, Mali
16 h 5 min (1,201.9 km)
via RN1
16 h 59 min (1,199.0 km)
via RN7 and RN1

Translation Google

"Speaking of the two year old girl tested positive for Ebola in the town of Kayes in Mali, her parents died of Ebola in Beyla according to Dr. Sakoba Keita. The mother of the little girl being Malian, her grandmother came to Guinea for the condolences of use. Thus corresponding to Mali, she sent the little girl with her."

http://www.guineelive.com/index.php/component/content/article/8-actualite/1823-ebola-dr-sakoba-keita-parle-des-cas-de-la-cote-d-ivoire-et-du-mali

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

Translation Google

Ebola dead little girl was buried on Saturday 25 at one of the cemeteries in Kayes!

Sunday, October 26, 2014 2:19 p.m.

-PHOTO-

After a calm day (decrease in temperature , stop of external signs) the 2 year old little girl died Friday, October 24, 2014 despite the efforts of the medical team. The little girl was buried on Saturday 25th at one of the cemeteries in Kayes in accordance with WHO guidelines: the body was buried in a grave of two meters deep and one meter in length.

Source: Kayesinfos
Last modified on Sunday, October 26, 2014 2:30 p.m.

http://kayesinfo.net/index.php/societe/sante/item/1449-ebola-a-kayes

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

Translation Google

Ebola: none of those monitored in Mali presents symptom (Health)

Posted Sunday, October 26, 2014 | AFP

None of the 43 people under medical supervision in Kayes in western Mali, after the first case of Ebola in the country, a girl of 2 year old, presents evidence of contamination, told AFP an adviser to the Minister of Health.

Important lot of equipment for combat against spread arrived Sunday in Kayes, locality where the girl died on Friday, found correspondent AFP. 43 people isolated in Kayes after being in contact with the girl "do not show yet sign of the disease," declared to AFP on site Dr. Lamine Diarra, Advisor to the Minister of Health Ousmane Kon? .

The girl having previously stayed about three hours in Bamako, a dozen others were still under surveillance in the Malian capital, he said. They are members of the family with whom the girl stayed briefly on the way to Kayes, on her return from neighboring Guinea, had said Saturday the department.

"There are also in new equipments protective suits, gloves, and materials for disinfection. The help comes, it's true", welcomed Dr. Diarra. The World Food Programme (WFP) announced Saturday it had sent to Mali on behalf of the World Health Organization (WHO) a ton of equipment as a result of the announcement of the first case on Thursday.

The flight, out of Monrovia, Liberia's capital, the most affected country, includes personal protective equipment, gloves, masks and buckets. In the city of Kayes, where psychosis is installed despite appeals for calm from the team of the Ministry of Health, many people avoided shaking hands.
...

http://news.abamako.com/h/56795.html

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

Translation Google

EBOLA IN MALI: A new suspected cases tested negative on Saturday

Following the death of the first positive case of Ebola virus disease, a new suspected case has been tested in the laboratory this Saturday, October 25, 2014 in Bamako.

This Saturday, October 25, Mali has recorded its first suspected case after a first death Friday, October 24 by the Ebola epidemic in the city of Kayes.

Saturday during the day, health services were alerted by people about a 7 year old boy in the neighborhood Badalabougou. The child, according to reports, was in a poor state, exhibiting suspicious signs when health services came to his rescue.

Evacuated for a blood sample and for diligent care , the 7 year old boy would have first been subject to extensive diagnostic including several tests including the Ebola virus. A few hours later, it was a total relief in Bamako and the rest of the country: the boy is not suffering from Ebola but a severe malaria for which he is currently taken care of at the hospital Gabriel Tour?. A result that ended a half-day of rumors which would suggest a second confirmed case of the disease Ebola in Mali.

For now, the Mali who recorded its Ebola case death since Wednesday, October 22, 2014 continues to take every precaution to prevent the spread of the virus in the country.

A total of fifty people are under observation for contacts with the only proven case in the country.

In a statement, the Department of Health and Public Hygiene reminds the public that hygiene measures enacted remain effective prevention of Ebola virus disease.

Source: MOH
Updated Monday, October 27, 2014 9:12
Last updated Monday, October 27, 2014 at 12:38

http://www.sante.gov.ml/index.php?option=com_content&view=article&id=2151:ebola-au-mali-un-nouveau-cas-suspect-teste-negatif-ce-samedi&catid=78&Itemid=120

[Gert van der Hoek]

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

WHO says 82 being monitored for Ebola in Mali

GENEVA Tue Oct 28, 2014

(Reuters) - Health workers are monitoring 82 people who had contact with a toddler who died of Ebola in Mali last week, but no new cases of the disease have yet been reported, World Health Organization spokesman Tarik Jasarevic said on Tuesday.

More: Reuters

[Treyfish]

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

Ebola: 82 people under surveillance in Mali
Tuesday, October 28, 2014 / by Assanatou Balde



The World Health Organization has supervised 82 people who had contact with the two year old girl died Friday in Mali, after contracting Ebola.

The Mali is not yet out of the woods about Ebola. The World Health Organization (WHO) decided to put under surveillance 82 people who had contact with the two year old girl died Friday after contracting Ebola, although no new cases of the disease have been identified in this country.

According to Tarik Jasarevic, spokesman of the World Organization Sant?Trois WRs are already in Mali, where they arrived, there was one week to assess the ability of local authorities to deal with any cases Ebola, and five others are expected to join. Mali became the sixth country in West Africa to report a case of Ebola in its territory. This is a two year old girl who died four days after his arrival in Mali from Guinea, where the outbreak began in January 2014 and has spread in West Africa.

According to WHO, the girl carried with her grandmother, hundreds of miles by bus, including a step in Bamako before being hospitalized on October 20 at Kayes in western Mali, already showing symptoms of the disease and therefore was contagious when she began this journey. According to diplomatic sources, who are assigned to the AFP, Mali is ill-prepared for a potential increase in cases of Ebola in its territory, which hosts a large Stabilization Mission United Nations and a French military contingent due to the presence of radicals in the Islamic north.

WHO is looking into the idea of creating a treatment center in Kayes, noting that 40 volunteers were trained to search for contacts of infected persons, an element considered crucial to control the spread of the disease. Ebola has so far killed nearly 5,000 people, and has not said its last word in spite of the means used to contain the epidemic.http://www.afrik.com/ebola-82-person...llance-au-mali

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

Translation Google

MANAGEMENT OF THE EPIDEMIC IN EBOLA: Minister of Health went to Kayes



The Minister of Health and Public Hygiene delivered, Tuesday, Oct. 28, 2014, a tribute to the authorities and health personnel in the region of Kayes for their readiness in support of the single confirmed case of the disease recorded on 23 October Ebola virus.

Visiting Tuesday, October 28 in the City of Kayes, the Minister of Health and Public Hygiene was carrying a message of solidarity to the Head of state and government authorities and health personnel who Kayes promptly detected and supported the girl reached the Ebola virus disease. It was also for the Minister to inquire into the measures taken to contain the spread of the epidemic in this region of the country.

The visit was marked by four highlights: the encounter with the traditional authorities and religious leaders; meeting with managers and technical and financial partners involved in the cause; site visits care of suspected cases and the exchange with the contact person under observation.

The regional governor, Colonel Salif Traoré, provided an update of the epidemiological situation in the region which, according to him, is relatively quiet. For him, the serenity of the population is due to the efforts of the health authorities and the medical staff of e hospital Fousseyni Daou Kayes who have taken all measures to contain this situation .

According to the governor, Kayes had its prevention device for months. At Diboli, border town between Mali and Senegal, was built since months, a center for isolation and treatment. With the declaration of a confirmed case in Kayes, another center for isolation and treatment is added to the existing system. The new center is located on the outskirts of the city while the hospital houses an observation center for suspected cases and another center for people contacts for observation.

For the governor, the combined efforts of the team dispatched by the Ministry of Health and Public Hygiene and the Regional Hospital Kayes has enabled to master the situation: on the date of Tuesday 28 October, 57 people contacts have been identified and placed under observation; all useful information for the understanding of the disease have distilled ; the vehicle used by the patient was immobilized and disinfected ...

Speaking of contact persons for observation, the governor said it is not a measure of discrimination against them, but rather an individual and collective security measure.

The minister visited the contacts people under observation in an observation center. Of these contacts, are included the pediatrician who saw the sick girl first, the grandmother of the girl and the health personnel who had contact with the patient. They welcomed the visit of the minister who, according to them, is evidence of governmental solidarity to them. At open heart , they reaffirmed their readiness to comply with safety rules to follow. They sent messages of thanks to the Minister for the government.

"This visit reassures us. We thank the authorities, the governor. We understand many things about our situation. There was a misinterpretation of the thing ... "said the spokesman of those contacts.

For his part, the Minister of Health and Public Hygiene, reiterated the government's commitment to mobilize all efforts to curb this epidemic in our country. He assured that all measures will be taken to the efficient management of the situation in the country.

Thus, the operational capacities of the regional committee for monitoring the epidemic in Kayes will be further strengthened by equipping health facilities and strengthening the staff of the regional health directorate.

To date, 56 health workers have been trained in the response against the epidemic of Ebola viruses, equipped ambulances and motorcycles were prone to be quickly sent to Kayes.

The Minister thanked the Governor and staff health, without which the situation could overflow.

He also praised the availability of technical partners for their spirit of solidarity in this global struggle. Their spontaneous reaction, he says, is proof of their sincere cooperation in the fight against Ebola.

For its part, the resident representative of the World Health Organization, Dr. Ibrahima Fall Socé invited awareness, adding that the case contacts are not considered sick. He went on to say that the case of Mali can occur at any country, even the USA. For her vigilance and respect for hygiene measures for the control of this deadly epidemic must remain appropriate.

With the Minister, the traditional authorities welcomed the readiness and responsibility with which the authorities responded face if confirmed disease Ebola. According to their spokesman, Kayes was a moment of panic that soon gave way to the assurance born of information and actions taken at several levels by the authorities and their partners.

It should be noted that the economic operators in the region of Kayes were conspicuous by their show of solidarity for the management of contact persons. Thus, Abdoulaye Niang, Youssouf Cissé and others of good will have given large amount of drugs and foodstuffs.

In addition to his close associates, the Minister Ousmane Koné was accompanied by the resident representative of the World Health Organization in Mali, Dr. Ibrahim Socé Fall, Director of Roll Back Malaria (Partnership to Roll Back Malaria) Dr Fatoumata Nafo Traoré, and the new head of the management Unit of the crisis, Dr Malamine Koné.

Ousmane Daou
source MSHP

http://www.sante.gov.ml/index.php?option=com_content&view=article&id=2160:gestion-de-lepidemie-au-virus-ebola-le-ministre-de-la-sante-se-rend-a-kayes&catid=78&Itemid=120

[nola_mnr]

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

Oct 29 2014 WHO report from the Ministry of Health and Public Hygiene in Mali: http://www.sante.gov.ml/docs/Ebola29 Oct.pdf (PDF in French)

via Google translate:

[...]
Epidemiological surveillance

? In Kayes, a total of 57 contacts with 11 health personnel have been identified and monitored. Among 54 contacts are monitored at the hospital and 3 in the village of Dialla Khasso (health area Dialla Khasso town of Libert? Dembaya);
? In Bamako, 27 contacts were identified and followed with two telephone; seeking Contact continues. 2 suspected cases were reported and collected in the town I (Bamako District) and Health District Selingue (Sikasso region); Results of laboratory analysis were negative;
? 1 suspect case was reported in the health district of Koutiala (Sikasso region); the sample is in transit to the laboratory;

[...]

Key Challenges

? Difficulties identifying and follow the 5 other people on the path Guinea-Bamako;
? Difficulties to provide human resources all essential functions organizational Kayes and Bamako;
? Difficult to implement Ebola Treatment Centers (TEC) meeting the standards level of Kayes and Bamako.

[Gert van der Hoek]

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


WHO says two suspected Ebola cases in Mali, 57 contacts sought

GENEVA Fri Oct 31, 2014

(Reuters) - Two people are suspected of having Ebola after coming into contact with a two-year-old girl who died of the disease in Mali last week, according to data from the World Health Organization and the U.S. Centers for Disease Control.

An epidemiological presentation by both agencies, given on Thursday and seen by Reuters on Friday, breaks down the girl's journey from Guinea to Mali with her grandmother, five-year-old sister and her uncle, and shows she may have had contact with 141 people in all, 57 of them yet to be identified.

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

Translation Google

WHO representation in MALI
Internal Report of the Situation # 6
Ebola virus disease
October 30, 2014
...

Epidemiological surveillance

In Kayes, a total of 58 identified contacts and monitored with 55 in the hospital and 3 contacts in the village of Dialla Khasso;

Following the awareness messages a new contact has been identified in Kayes;

In Bamako, 27 contacts were identified and monitored including two by phone; the search for contact continues;

1 suspected case was reported in the health district of Koutiala (Sikasso region); the sample taken in the laboratory was negative;

For 2 contacts in isolation in Kayes, 2 samples taken were negative;
...
http://www.sante.gov.ml/docs/Ebola_30%20Oct2014.pdf

[Gert van der Hoek]

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

From WHO EBOLA RESPONSE ROADMAP SITUATION REPORT, Oct 31 2014

On 23 October, Mali reported its first confirmed case of EVD (table 2). The patient was a 2-year old girl who
travelled from Guinea with her grandmother to Mali. The patient was symptomatic for much of the journey. On 22
October the patient was admitted to Fousseyni Daou hospital in Kayes. Samples for laboratory confirmation were
sent to SERAFO in Bamako and were positive for EVD. The patient died on 24 October. Three suspect cases were
identified and have been discarded. To date, 85 contacts have been identified and are being followed up. A WHO
preparedness team was already in Mali to assess the country s state of readiness for an initial case. t was
immediately repurposed to provide expertise and support to Malian health authorities in infection prevention and
control, contact tracing and in the training of health-care workers. A WHO team and key partners remain in Mali
and continue to provide support.

WHO

[Gert van der Hoek]

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

WHO

Ebola virus disease – Mali

Disease outbreak news

31 October 2014

On 23 October 2014, WHO was notified by Mali's Ministry of Health of a laboratory-confirmed case of infection with Ebola Virus Disease (EVD). This is the first EVD case in Mali.

Details of the case are as follows:

The case is a 2-year-old female who developed symptoms, presumably on 19 October 2014, while in Beuila, Guinea and then travelled across by road to Mali. On 20 October 2014, the patient was admitted to a healthcare facility in Kayes, Mali. On 21 October 2014, she was referred to the Fousseyni Daou Hospital in Kayes. On 22 October 2014, samples for EVD were taken and analysed at the Center for TB and AIDS Research in Mali. Samples came back positive for EVD. Confirmation of test results is being carried out at the Centers for Disease Control and Prevention (CDC) in Atlanta and at Institute Pasteur de Dakar Senegal. The case died on 24 October 2014.

To date, 85 contacts have been identified and are under follow-up.

Public health response

1. Under the leadership of the Government of Mali, WHO, Médecins Sans Frontières, the Alliance for International Medical Action, International Medical Corps, Project Muso, Save the Children and Plan Mali, national and international specialists have been deployed in Bamako and Kayes.

2. In collaboration with WHO, the Ministry of Health is putting in place an incident command structure in order to: (i) mount a coordinated response including surveillance and contact tracing, case management, safe burials, social mobilization and logistics; (ii) accelerate the completion of the isolation facility at the Center for Vaccine Development in Bamako, Mali; and (iii) provide regular communication to the public.

3. WHO convened an EVD Task Force meeting to prioritize actions and to discuss roles and responsibilities with partners.

4. Local authorities are carrying out training activities for the personnel working in the healthcare facilities where the patient was admitted; furthermore, these facilities are undergoing disinfection and equipment replacement. A management plan for EVD cases has been drafted at the Fousseyni Daou Hospital.

WHO and other partners are mobilizing and deploying additional experts to provide support to the Ministry of Health. The necessary supplies and logistics required for supportive management of patients and all aspects of outbreak control are also being mobilized.

Future WHO updates on EVD in Mali will not be posted on the Disease Outbreak News. Further information will be available in WHO’s Ebola Situation Reports which provide regular updates on the WHO response:

Ebola situation reports
WHO does not recommend any travel or trade restrictions be applied by countries 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.

WHO

.

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

WHO Representative in MALI
Internal Report of the Situation # 9
Ebola virus disease
November 2, 2014
...
No suspect cases have been reported so far;
All 108 identified contacts are tracked in Kayes and Bamako.
...
In Kayes, 79 contacts were identified and monitored including 33 health workers;
In Bamako, 29 contacts were identified and monitored.
...

http://www.sante.gov.ml/docs/MALI_EVD_Sitrep_2_Novembre_2014.pdf