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Looking at google maps, I cannot find a village called Sokodougou in Mali, but there is one in Guinea. Reporter error?
Report from WHO, post #47:
"The child’s father fell ill sometime during the third week of September. Fellow residents and neighbours in Beyla believed he was the victim of a bad-luck “curse” following an argument with the village chief. Witchcraft, and not Ebola, was suspected.
Shunned by the community, and on the advice of his own father (the paternal grandfather of the index case and the head of the family), the father returned to his native village of Sokodougou, in the sub-prefecture of Moussadou – a trip of more than 70 kilometres. He died there on 3 October."
The father of the 2 year old little girl died in Guinea.
The village of Sokodougou is located in the sub-prefecture of Moussadou, in Beyla Prefecture.
Re: Mali - First confirmed case of Ebola in Kayes - a 2 year old girl from Kissidougou, Guinea - deceased
It appears, if this is correct, that Mali's first case of ebola was likely not the 2 year old, but her father, who died on Oct 3 of unidentified causes in Sokodougou, Mali.
How Ebola spread to Mali: The lessons learned
When the father of Mali’s first confirmed Ebola victim, a 2-year-old girl, fell ill while working at a private clinic in neighboring Guinea, fellow townspeople suspected witchcraft.
The man's father advised him to return to their native village of Sokodougou, more than 40 miles away in Mali,where he died of unidentified causes Oct. 3. The elder man would later die as well, one of several family members diagnosed with Ebola.
The family’s story illustrates some of the reasons why the Ebola virus spread so rapidly in parts of West Africa, infecting more than 13,200 people and killing 4,960, according to estimates reported to the World Health Organization.
The virus struck in a region that had never seen Ebola cases before, where traditional beliefs about the source of disease are widespread, and where healthcare workers operating outside specialized treatment facilities often lack the equipment and training to protect themselves from infection.
It is also a region where people commonly return to their native villages to grow old or die.
"Such frequent travels by symptomatic Ebola patients, often via public transportation and over long distances, unquestionably create multiple opportunities for high-risk exposures – en route and also when the patient reaches his home and is greeted by family and friends," the World Health Organization said in an assessment released Monday.
WHO officials helped the ministries of health in Mali and Guinea trace what happened to the family of the 2-year-old girl, who was diagnosed in the western city of Kayes on Oct. 23 and died the following day.
The girl lived with her family in the southeastern Guinea town of Beyla, where her father worked with the Red Cross and also provided care at a clinic owned by his father. There the girl’s father came into contact with a farmer who died of undiagnosed causes on Sept. 12, the WHO said.
The farmer’s two daughters, who had accompanied him to the clinic, died 11 days later, within hours of each other.
The 2-year-old’s father fell ill in the third week of September. Beyla residents believed he was the victim of a bad-luck curse following an argument with a traditional chief.
The man’s father was later diagnosed with Ebola and died at a treatment unit in Gueckedou, Guinea, the WHO said. Two of his other sons also tested positive for the virus, and one of them died.
Re: Mali - First confirmed case of Ebola in Kayes - a 2 year old girl from Kissidougou, Guinea - deceased
Mali case, Ebola imported from Guinea
<!-- Default DIV wrapper for all story meta data -->Ebola situation assessment - 10 November 2014
<!-- close of the meta div -->Investigations undertaken by Ministries of Health in Mali and Guinea, assisted by WHO, have clarified the early exposure history of Mali’s first Ebola case.
The index case in Mali, a 2-year-old girl who resided with her family in the urban commune of Beyla, Guinea, was diagnosed with Ebola, in Kayes, Mali, on 23 October and died on the following day.
In Guinea: a family devastated by an undiagnosed disease
The child’s history while still residing in Guinea strongly suggests that several members of her family died from Ebola virus disease. Most of the patients described below were buried safely by Red Cross volunteers, but not tested until late in the transmission chains.
The Guinea history reveals many difficult challenges faced by ministries of health, local health officials, WHO and other partners in the Ebola response.
The child’s history begins with the death of her father, of unidentified causes, on 3 October.
The father was a Red Cross worker who also provided care at a private medical clinic owned by his father (the paternal grandfather of the index case). The paternal grandfather was a retired health care worker.
While working at the private medical clinic, the child’s father had contact with a farmer from another village who died, of undiagnosed causes, on 12 September. The farmer sought treatment accompanied by his two daughters. Both daughters died, of undiagnosed causes, in Beyla on 23 September, one at dawn and the other in the evening.
WHO data from Sierra Leone strongly suggest that Ebola care in private health facilities, as opposed to care in publicly-funded or MSF-run Ebola treatment centres, carries a higher risk of infection. In Kenema, for example, 87% of new infections among health care workers have been acquired in privately-run non-Ebola clinics.
Going home to die
The child’s father fell ill sometime during the third week of September. Fellow residents and neighbours in Beyla believed he was the victim of a bad-luck “curse” following an argument with the village chief. Witchcraft, and not Ebola, was suspected.
Shunned by the community, and on the advice of his own father (the paternal grandfather of the index case and the head of the family), the father returned to his native village of Sokodougou, in the sub-prefecture of Moussadou – a trip of more than 70 kilometres. He died there on 3 October.
This pattern of returning to a native village to grow old or die is commonly seen in Guinea, Liberia, Sierra Leone and many other countries around the world.
Such frequent travels by symptomatic Ebola patients, often via public transportation and over long distances, unquestionably create multiple opportunities for high-risk exposures – en route and also when the patient reaches his home and is greeted by family and friends.
Diagnosis: Ebola
Meanwhile in Beyla, the paternal grandfather and family head lost his wife to an unknown disease on 8 October. He then allowed health officials to undertake contact tracing of 16 family members who had been in close contact with his deceased son (the father of the index case in Mali).
On the following day (9 October), two of his other sons were admitted to hospital. The hospital referred them to a MSF-run Ebola transit centre in Macenta.
The first son died the same day en route to Macenta. On 10 October, samples from both sons tested positive for Ebola, strongly suggesting that other family members had also died from Ebola virus disease.
On 16 October, the paternal grandfather travelled to Macenta, seeking treatment for what he told medical staff was “rheumatoid arthritis”. As part of a thorough medical examination, he was tested for Ebola. Positive results were received from the laboratory on 17 October. The paternal grandfather died at an Ebola treatment centre in Gueckedou on 20 October.
Mali’s index case leaves Guinea
Following news of the death of relatives in Guinea, the child’s grand aunt or “Grandma” (the second wife of the maternal grandfather) travelled to Beyla, Guinea, to offer her condolences to her relatives. The “Grandma” resides in Kayes, Mali.
She left Guinea to return to Mali on 19 October, taking the 2-year-old index case and her 5-year-old sister with her. A maternal uncle, the mother’s brother, also accompanied them. The index case was showing haemorrhagic symptoms in Guinea when the three began their extensive travels.
The mother is alive and is in regular telephone contact with the Mali team. She has to remain in the village where her husband was buried for 40 days for the official mourning, before she can leave. Her three-month-old baby is with her in Guinea. Both are under observation and, to date, neither has shown any symptoms.
The family group travelled via public transportation, taking at least one bus and 3 taxi rides as they journeyed more than 1200 kilometres through Mali. The buses made frequent stops for fuel or to let passengers on. The four spent 2 hours in the capital, Bamako, visiting relatives in a household with 25 people.
On 19–20 October, they travelled overnight in one bus from Bamako to Kayes. Between Bamako and Kayes, only two persons left the bus at Niamiga village. Persistent tracking eventually located both at their final destinations, in Dakar, Senegal and Paris, France.
Once in Kayes, the Grandma and index case consulted two traditional healers. The second healer took them to a retired nurse, who was alarmed by the child’s high temperature, which was above 40oC. When he learned they had recently travelled in Guinea, he suspected Ebola and advised them to seek treatment at a hospital.
The child was admitted to the hospital in Kayes on 21 October and diagnosed with Ebola following receipt of positive laboratory results on 23 October. She was hospitalized and treated in isolation, with infection prevention and control equipment and procedures in place. She died on 24 October.
The emergency response in Mali continues
In collaboration with WHO, the Ministry of Health has established an incident command structure to mount a coordinated response that includes surveillance and contact tracing, case management, safe burials, social mobilization and logistics.
To date, Malian health officials, aided by WHO, the US Centers for Disease Control and Prevention (CDC), Mèdecins sans Frontières (MSF), the International Federation of Red Cross and Red Crescent Societies, and several other partners have identified 108 contacts of the symptomatic patient, including 33 health care workers who were exposed. Of the 108 contacts, 25 have been followed for 21 days and have been released from the surveillance system.
Seventy-nine contacts were at the hospital where the child was treated and in the Kayes community. All have been monitored. To date, no one has shown signs of Ebola or tested positive for the disease.
The government has accelerated the completion of an isolation facility at the Center for Vaccine Development in Bamako. Isolation facilities were part of the strategies put in place in Senegal and Nigeria to successfully contain Ebola.
Bamako has a well-functioning biosafety level 3 laboratory, previously established with support from the US National Institutes of Health to carry out diagnostic work with tuberculosis bacteria and HIV. The laboratory has now been repurposed to safely test Ebola samples.
With persistent and thorough contact tracing, isolation and monitoring in place, confidence is growing that no further spread within Mali followed exposure to the index case, who had haemorrhagic symptoms but no diarrhoea or vomiting during her travels.
Re: Mali - First confirmed case of Ebola in Kayes - a 2 year old girl from Kissidougou, Guinea - deceased
WHO says currently no Ebola cases in Mali, 39 contacts sought
Tue Nov 4, 2014 6:53am GMT
By Tom Miles
GENEVA (Reuters) - Thirty-nine people who travelled on buses with a toddler who died from Ebola in Mali are still being sought for checks, although the country is believed to be free of the disease, the World Health Organization said on Monday.
A WHO spokeswoman said 108 contacts were being followed up, including 33 health workers, but epidemiologists believe those who have not been traced are at low risk, as they are unlikely to have had physical contact with the sick two-year-old.
The girl's five-year-old sister had a fever but was suffering from malaria, not Ebola, tests showed. Other family members are under observation in the same hospital and doing well, with no fever or other symptoms, the WHO said.
...
The toddler's family - including her grandmother, uncle, great aunt and sister, will remain in quarantine for one more week before reaching the 21 days which is the maximum incubation period of the virus. If they do not develop Ebola, they will be allowed to leave the hospital.
...
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_EV...embre_2014.pdf
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.
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.
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.
° 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 Liberté 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.
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.
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 SantéTrois 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
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.
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 Touré. 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
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