Ebola in Mali - 8 cases, 6 deaths

[Gert van der Hoek]

Re: New outbreak of Ebola in Mali - at least 6 cases, 4 deaths in Bamako

computertranslation

Ebola: Two new cases of Ebola in Mali

Sahelien.com

November 14, 2014

Two people tested positive for Ebola virus and are at isolation center. The information was given to us last Thursday late in the evening by an official of the Malian Ministry of Health.

"The doctor sonographer Clinique Pasteur tested positive for Ebola virus and also another person," said Daou Markatié, press officer at the Malian Ministry of Health. It sonographer who had contact with the patient came from Guinea and died on October 27 at Clinique Pasteur.

[Gert van der Hoek]

Re: New outbreak of Ebola in Mali - at least 6 cases, 4 deaths in Bamako

Mali Identifies Five Ebola Cases With Sixth Possible

By Francois Rihouay and Simeon Bennett Nov 14, 2014

Investigators have identified five people infected by Ebola in Mali and have a sixth suspected case as the nation races to contain the virus that has ravaged three of its West African neighbors.

More than 200 people who had contacts with those individuals have been identified, and new cases will probably be confirmed in the coming days, Hubert Balique, a French public-health expert consulting with the French embassy in Mali, told reporters yesterday in the capital city, Bamako.

more details: Bloomberg

[Gert van der Hoek]

Re: New outbreak of Ebola in Mali - at least 6 cases, 4 deaths in Bamako

Mali traces over 200 contacts in second Ebola wave

BAMAKO/GENEVA Fri Nov 14, 2014

(Reuters) - Mali is tracing at least 200 contacts linked to confirmed and probable Ebola victims as it seeks to control its second Ebola outbreak, health officials said on Friday.

An initial batch of contacts linked to a 2-year-old from Guinea who died of Ebola last month were close to finishing their 21-day quarantine period when Mali confirmed its second case this week.

At least four more suspected Ebola deaths have occurred, all linked to an imam who entered Mali from neighboring Guinea and died late last month with Ebola-like symptoms that were not recognized.

Health Ministry spokesman Marakatie Dow said that a woman who had helped wash the imam's body died on Thursday at Bamako's Gabriel Toure Hospital.

Dow said an initial Ebola test result for the woman was positive, making her the fourth clinically confirmed Malian case, although further analysis would be carried out abroad.

"There are 200 contacts if we add those linked to the case of the woman yesterday," Dow told Reuters.

[Pathfinder]

Re: New outbreak of Ebola in Mali - at least 6 cases, 4 deaths in Bamako

Mali Already Has An Ebola Cluster: Can The Virus Be Stopped?

Friday, November 14, 2014, 2:32am
By Jason Beaubien

"This is not just one case," says Tom Frieden, director of the Centers for Disease Control and Prevention. "It's a cluster." He's talking about the Ebola situation in Mali, where two people have likely died of the disease in Bamako, the capital, and two others have tested positive.
...
"This is very deeply concerning," says Frieden. The CDC is sending additional staff to help respond to the outbreak.
...
Frieden says the risk of this cluster turning into a major outbreak is high.

"There will be hundreds of contacts who need to be traced. Every single one needs to be contacted every day. If anyone dies, they need to be safely buried."

Frieden says the CDC may introduce exit screening at the Bamako airport and the U.S. may consider new entry requirements for travelers arriving from the landlocked nation.
...

http://www.wpr.org/mali-already-has-ebola-cluster-can-virus-be-stopped

[Pathfinder]

Re: New outbreak of Ebola in Mali - at least 6 cases, 4 deaths in Bamako

Translation Google

Prime Minister chairs a meeting on Ebola and receives new aggregate

Prime Minister Moussa Mara chaired the afternoon of Thursday, November 13, 2014 a special meeting of the Standing Committee of Management épidémies.En Indeed, during the Council of Ministers on Wednesday 12, the Head of State instructed the Prime Minister Government review and uncompromising the whole system set up in the framework of the prevention and the fight against Ebola virus disease; strengthen controls and the cordon at various border crossings; establish with WHO and health services in neighboring countries a permanent information exchange system and regularly inform the public about the developments and invite strict compliance with hygiene measures enacted.

The discussions with several government officials and technical services focused on the point where the epidemic hemorrhagic fever Ebola presented by the Minister of Health and Public Hygiene and teams coordination.

Indeed, our country had remained in phase 1 relative to Ebola is classified now in phase 2 with the first case of internal contamination reported at the Clinique Pasteur in Bamako. During the treatment of a patient arrived from neighboring Guinea , a young doctor caught the virus.

Persons identified as contacts, technical services presided over the implementation monitoring and complete disinfection of homes and places of transit. Ditto for the Pasteur clinic that has been disinfected and placed under quarantine.

After more than three hours of debate, important steps have been taken to strengthen those earlier such as the production of a manifesto in the public transport sector.

So it was decided:
• monitoring the implementation of all people contacts and treatment of possible cases;
• strengthening the health center Kourémalé the Guinean border
• the creation of a site in isolation 72 hours to Kourémalé,
• the introduction of mobile testing temperature brigades;
• accelerated depreciation areas in isolation sites;
• the definition of some preventive measures to all private clinics;
• strengthening the medical teams and the collective and individual equipment;
• strengthening information and awareness about Ebola and hygiene;
• the hardest involvement of civil society and religious;
• Information of diplomatic missions and foreign companies;
• to shed light on the cases occurred in the clinical Ebola;
• evaluate and revise the system of prevention and response capabilities;
• ensure secure and motivate medical personnel;
• strengthen collaboration with all the technical and financial partners including WHO and Doctors Without Borders.
...
Last updated Friday, November 14, 2014 at 14:48

http://www.sante.gov.ml/index.php?option=com_content&view=article&id=2201:le-premier-ministre-preside-une-reunion-sur-ebola-et-recoit-de-nouveaux-agreges-&catid=78&Itemid=120

-----------------------------------------------------------------------------------------------------------
WHO representation in MALI
Internal Report of the Situation # 20
Ebola virus disease
November 13, 2014
...
256 contacts identified between 12 and 13 November: Research contacts continue to Bamako.
...
Monitoring contacts:

170 contacts including 56 health agents identified and tracked at health clinic Pasteur.

20 contacts identified and followed at the landlord home of the probable deceased case.

5 contacts of the landlord of the probable deceased case (all health workers) identified and monitored at Baden clinic.

5 contacts of the deceased probable case identified and tracked in Kourémalé.

56 contacts identified and followed at the home of the nurse who cared
for the deceased probable case .

12 contacts of the confirmed deceased case in Kayes being followed.
...
http://www.sante.gov.ml/docs/MALI%20-%20EVD-%20Sitrep%2013%20Novembre%202014_21h23.pdf

[Pathfinder]

Re: New outbreak of Ebola in Mali - at least 6 cases, 4 deaths in Bamako

Translation Google

Ebola: two other deaths considered "suspects" in Mali, a confirmed contamination (Health)

By AFP - Date: 2 hours ago 4 minutes 5 comments

Bamako - Two people deceased in Mali are considered new "very suspicious Ebola cases" related to a Guinean imam at a clinic in the capital, Bamako, said Friday to AFP an official of the Ministry of health.
...
"A Malian doctor who has been in contact with the nurse who died of Ebola is positive," said the head of the Ministry of Health under the condition of anonymity, confirming the contamination of the practitioner, previously considered as a "highly suspected case" and followed "in the intensive care unit."

"In addition, samples were taken on two other patients who died and are considered highly suspicious cases. Test results are expected," the official added.

Asked about the veracity of the information that it would be deceased persons in a home in Bamako where transited the body the Imam Guinean , the same medical source said yes.

http://malijet.com/la_societe_malienne_aujourdhui/la_sante_au_mali/116208-ebola-deux-autres-deces-consideres-comme-suspects-au-mali-une-co.html

[Treyfish]

Re: New outbreak of Ebola in Mali - at least 6 cases, 4 deaths in Bamako

Mali tries to trace 343 contacts in second Ebola wave
Source: Reuters - Fri, 14 Nov 2014 23:01 GMT

(Updates number of cases, contacts being traced)

BAMAKO/GENEVA, Nov 14 (Reuters) - Mali is trying to trace as many as 343 people linked to confirmed and probable Ebola victims in an effort to control its second Ebola outbreak, health officials said on Friday.

...

Samba Sow, the head of Mali's Ebola response, said on state television two more suspected cases were being tested.

Malian Health Ministry spokesman Marakatie Daou said a woman who had helped wash the imam's body died on Thursday at the Gabriel Toure Hospital in Mali's capital, Bamako.

Daou said an initial Ebola test result for the woman was positive, making her the fourth clinically confirmed Malian case, although further analysis would be carried out abroad.

Mali's government said on Friday afternoon 256 contacts had been identified and would be monitored.

A spokeswoman for the World Health Organisation said the number of contacts that needed monitoring had risen to 343 by Friday evening, underscoring the scale of the task health workers have in containing the second wave of cases.

Reuters journalists outside the Nenecarre mosque in Bamako's Djikoroni Para neighbourhood, where the imam's body was washed, said four health workers in protective gear entered the mosque to disinfect it but no effort was made to stop people from entering for Friday prayers.

Cases are being traced in a number of locations across Bamako and on the porous border with Guinea.

These included the Pasteur Clinic, which treated the imam but has since been quarantined. It is not connected to the Institut Pasteur, a French-based institute specialising in infectious diseases.

..
In a sign of growing concern over the new wave of cases, the French government on Friday updated its website to advise against all but essential travel to Bamako and Kayes, the western region where the girl died. (Reporting by Tiemoko Diallo in Bamako and Joe Penney in Bamako and Tom Miles in Geneva; Writing by David Lewis and Emma Farge; Editing by Jonathan Oatis)http://www.trust.org/item/20141114230033-qvij1/?

[Treyfish]

Re: New outbreak of Ebola in Mali - at least 6 cases, 4 deaths in Bamako

CDC issues travel alert for Mali over Ebola cluster
Posted by Staff on November 14, 2014
As of November 12, 2014, the World Health Organization reported a cluster of three Ebola cases in Bamako, Mali. The cluster in Bamako is linked to a man who had been in a clinic in Bamako after becoming sick in Guinea. Since that time, a small number of Ebola cases linked to this patient have been reported in Bamako...
..This has prompted the Centers for Disease Control and Prevention (CDC) to issue a travel alert to notify travelers that a few Ebola cases have been reported in Bamako, Mali, and to inform them of actions they can take to reduce their risk of getting the disease.
CDC recommends that travelers to Mali protect themselves by avoiding contact with the blood and body fluids of people who are sick, because of the possibility they may be sick with Ebola. Although a cluster of cases has been reported only in Bamako, travelers to all parts of Mali should be alert for reports of possible further spread within the country....http://outbreaknewstoday.com/cdc-iss...cluster-76990/

[Treyfish]

Re: New outbreak of Ebola in Mali - at least 6 cases, 4 deaths in Bamako

November 14, 2014 Mali |
A French Minister Saturday To Mali Last Countries Affected By Ebola

French Secretary of State in charge of Development, Annick Girardin, announced Friday told AFP she would travel to Conakry Saturday emergency in Mali last country in West Africa affected by the Ebola outbreak , considering the situation "worrying."


"The situation in Mali is worrying. I decided to make myself tomorrow (Saturday) to Bamako to meet with Malian authorities to see how we can change the scale, "said Ms. Girardin, an official visit to Guinea, where she inaugurated Friday Macenta (south) a anti-Ebola center funded by France.

The program its movement does not initially included progress in Mali, which reported deaths related to Ebola patients from neighboring Guinea.

A two year old girl who traveled from the southern Guinea died in Kayes (Mali west) on 24 October.

This week, three new deaths were announced, unrelated to the girl: an imam come to Guinea death on October 27, a nurse in a clinic in Bamako who treated him and a friend came to visit Imam.

Friday, the government said it had decided to combine all entries Guinea by land in one crossing point, where the health checks will be strengthened.

Ms. Girardin, "there are four confirmed cases (Ebola), including 3 in Bamako and 256 people followed" in Mali. There are "1,400 French soldiers and 6,000 French (civil) to place," she said.

"We are studying the best ways to further assist the friend country," she said.

"There is already a treatment center a dozen beds run by Doctors Without Borders (MSF) -Spain, the idea is to quickly build the center and study with the Malian authorities how we can make a very fast response, "added the minister.

Girardin must meet especially in Bamako Mali President and officials from the World Health Organization (WHO). https://translate.google.com/transla...%2F&edit-text=

[Treyfish]

Re: New outbreak of Ebola in Mali - at least 6 cases, 4 deaths in Bamako

Death of the nurse Salif diarra following Ebola: The President of the Clinique Pasteur panicked
November 14, 2014 at 14:47 PMCategory: Health

.... To set the scene, the president of the Clinique Pasteur said that the young nurse trainee, Salif Diarra died November 11, 2014, as a result of infection with Ebola virus also stating that since this event, a first assessment clinic was made and an epidemiological survey conducted by the Ministry of Health is underway.
Speaking of old Guinean died, Dr. Ben Baba told reporters that it is Saturday, October 25, 2014, between 21h and 22 h 30, the old man named Umar Ko?ta, Guinean patient was received in consultation, in febrile table with severe pneumonia by Dr. Doumbia, doctor on call that day. According to still the president of the Clinique Pasteur, the old came in a regular car with a parent, as any ordinary patient. According to him, the pneumonia that plagued the old Ko?ta worsened and the patient died Monday, October 27, 2014. It was after his death that the National Board of Health has informed the clinic that the patient Guinea, had family members who died of Ebola suites.
According to the President of the Clinique Pasteur, beyond the lung, the doctor on duty did not inform the management of the clinic on an Ebola adding that after the death of the old cases, the family asked that the body is transported to a periphery of Bamako.
"As soon as we were informed by the National Board of Health, we decided to make a list of all personnel who had contact with the patient and we put under observation," said he said .
Thus, Salif Diarra, trainee nurse, who has been in contact with the patient showed up at the clinic pastor, Saturday, Nov. 8, 2014, in serious condition with all signs of the disease Ebola After a few days of absence reported Dr. Ben Baba continues that on his arrival, as he was on the list of people under surveillance, the doctor who received immediately put in a special room and Pr Samba Sow, director of the Center for Vaccine Development in Mali, was immediately informed to the care of the patient.
He also announced at the time of the decision to quarantine the clinic, there were 35 inpatients including 22 patients and 13 munisma the nursing staff and administrative staff.
Very embarrassed by this situation, the President of the Clinique Pasteur reported that there is a second case of suspected patients in the person of Dr. Diomand? which is currently supported at the isolated site, and for taking load possible cases of Ebola, installed at the National Center for support in the fight against the disease.
Moreover, panicking and not knowing the fate of his clinic after lightness, President Dr. Ben Baba invited the Ministry of Health and Public Hygiene for management of patients who are currently hospitalized Clinic for their treatment and diet. Or he wants the state transfers to another place for the period of quarantine for their proper monitoring.https://translate.googleusercontent....lYPD-xfPdMAvMA

[Treyfish]

Re: New outbreak of Ebola in Mali - at least 6 cases, 4 deaths in Bamako

....This second outbreak is more serious. It has so far claimed several lives, involves many more contacts and raises questions about the preparedness of the Malian authorities even as foreign medical agencies rushed in to help Mali.

The nurse probably contracted the disease from an elderly imam, who had fallen ill with an undiagnosed disease in Guinea on October 17th and was brought by car to the Polyclinique Pasteur on October 25th, travelling with four other family members. A battery of tests was conducted, but not for Ebola. He died of kidney failure, a known complication of late-stage Ebola, on October 27th. (see WHO situation report, here) A friend who visited him in hospital died from an undiagnosed disease. The assumption is that both died of Ebola.

Many hands then touched the body of the imam as it was released from hospital, carried to a mosque in Bamako and washed - all within walking distance of the national laboratory and the nerve centre of the Ebola response efforts ? before being taken for burial in his native village of Kour?mal? on the border with Guinea. Two relatives have died so far and several others are ill; a woman who washed his body also passed away, as has a member of her family.

The question for health officials is how far the disease has taken hold in Bamako, a city of 3m people, where it has incubated in recent weeks. What is the risk that Bamako might become the next Freetown or Monrovia?

Weaknesses are being exposed daily in a country only recently torn by civil war. Many still don't believe that Ebola is Mali's problem. Malians still shake hands and share tea from the same cup. There is little public information available, and what there is focuses on near-certainty of death (not true, good treatment can bring down mortality rates from 90% to 40% or less) and warnings against eating bush meat (the biggest danger is contact with infected people).
At a new Ebola treatment center, one doctor spoke about the anti-malarial and antibiotics drugs that would be available (they are no use against Ebola itself but may deal with other problems) but was vague on simple but life-saving treatment, such as intravenous fluids and oral rehydration salts.

At the mosque where the imam?s body had been washed, a team of workers in full biohazard garb was cleaning the site with chlorine bleach disinfectant on November 14th; it was the first time it had been cleaned, said a local man. People walked in and out, and children ran about. A teenager who commanded a huge group of onlookers asked what was going on. Told they were cleaning the site because a woman died of Ebola,? the lad replied: ?You think there is Ebola here?? As your correspondent drove away, a large group of little children chased after the car chanting ?Ebola! Ebola!?http://www.economist.com/news/middle...-double-whammy

[Ronan Kelly]

Re: New outbreak of Ebola in Mali - at least 6 cases, 4 deaths in Bamako

Press release

The Minister of Health and Public Hygiene inform the national and international public opinion that his services were conducted in the last 72 hours of the investigation following the death of Guinean old received treatment in a private clinic in Bamako and whose body was brought back to be buried in Guinea.

In today's date, the situation is as follows:

- Samples tested in the laboratory: 6 including 4 positive, all related to old patient died at a private clinic; and two (2) negative unrelated case of private clinic.

- Of the four 4 positive cases, three (3) died and one (1) treatment by specialized services.

- Person to contact followed by health services: more than 256, all placed under observation for health control;

The Minister of Health and Public Hygiene invite all those who had direct or indirect contact with the declared positive to be identified for a health check by calling the toll-free numbers people: 80 0089 89/80 00 88 88 / 80 00 77 77.

The Government appealed to the general mobilization of the entire population, to convey prevention messages and enforce hygiene and sanitation guidelines, which remain essential conditions to prevent this disease.

The government called for calm and serenity, and ensures that existing provisions have been strengthened to prevent the spread of the disease in the country.

Bamako, November 14, 2014

The Center Coordinator

Prof. O. Samba Sow




Last updated Friday, November 14, 2014 at 11:22 p.m.

http://www.sante.gov.ml/index.php?option=com_content&view=article&id=2205:communique-de-presse&catid=110:presse&Itemid=100035

[Donners]

Re: New outbreak of Ebola in Mali - 4 cases, 3 deaths in Bamako

The MoH is reporting 38 suspected cases.

http://www.sante.gov.ml/docs/Bulletin_Ebola_N17.pdf

I hope they are being generous with their definition of suspected.

[alert]

Re: New outbreak of Ebola in Mali - 4 cases, 3 deaths in Bamako

The MoH is reporting 38 suspected cases.

http://www.sante.gov.ml/docs/Bulletin_Ebola_N17.pdf

I hope they are being generous with their definition of suspected.

The PDF later states:

La situation cumul?e est de trente- huit (38) cas suspects. Trente-huit (38) pr?l?vements ont ?t? effectu?s dont trente- trois (33) n?gatifs, quatre(4) positifs et un (1) en cours d?examen.

which means that 33 of the 38 suspects have already tested negative, and that four of them are indeed the confirmed cases, with one case pending.

Perhaps they need to clarify the way they are reporting, as a confirmed case should not count as a suspect case anymore.

[Pathfinder]

Re: New outbreak of Ebola in Mali - at least 6 cases, 4 deaths in Bamako

Translation Google

Situation of fight againts Ebola virus disease in Mali
On date Saturday, November 15, 2014

The Minister of Health and Public Hygiene inform the national and international public opinion that his services has conducted from the beginning of this week the investigation following the death of a Guinean patient received treatment in a private clinic in Bamako, and whose body was returned for burial in Guinea.

In today's date, the situation is as follows:

- Samples tested in the laboratory: three (3) suspects, all tested negative, and zero (0) new deaths;

- Persons contact followed by health services, 442 all under observation for health control;

- The assessment therefore remains unchanged from the November 14, 2014: three (3) deaths and one (1) cases under treatment by specialized services.
...

http://malijet.com/la_societe_malienne_aujourdhui/la_sante_au_mali/116262-situation-de-la-lutte-contre-la-maladie-a-virus-ebola-au-mali.html