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Guinea - Ebola: Thread documenting initial outbreak - March 2014 +

Re: Guinea - Hemorrhagic fever killed 80 people with 122 suspected cases - Ebola lab confirmed in 24 cases

Re: Guinea - Hemorrhagic fever killed 80 people with 122 suspected cases - Ebola lab confirmed in 24 cases

Translation Google

report
Wednesday, April 2, 2014 by ? Agence France- Presse (AFP)

Guinea / Ebola : A Gu?k?dou , patients are waiting for death

Totally isolated in the center of M?decins Sans Fronti?res ( MSF) Gueckedou , one of the most affected by the Ebola outbreak in southern Guinea cities , many patients are waiting only death .

The MSF center , one of the most active organizations in the fight against the epidemic of haemorrhagic fever in part caused by the Ebola virus - highly contagious and often fatal - was installed in the courtyard of the prefectural Direction Health Gu?ck?dou .

Amid several tents , the NGO has mounted two buildings covered with corrugated iron with a total capacity of twenty beds, but can accommodate fifty if necessary. One welcomes the " suspected cases " , the other the "confirmed cases" where two patients died Monday.

In the first building since six days Rose, 12, who has just been confirmed positive for Ebola virus and Tuesday will join her mother and her aunt Elisabeth Christine , in the building next door .

The Ebola virus , fatal in 90% of cases and the origin of some hemorrhagic fevers that killed nearly 80 people in Guinea since January, leaving little chance of survival.

"Rose will perhaps die soon and then it will definitely be my turn ," sobbed Rene, 18, ​​a family member admitted to the center for two days, in the building of suspected cases specialized Europe.

"Rose come out from time to time , requesting coffee with milk and fruit juice ," says Pascal Piguet, MSF logistician .

"The Dilemma ," he says , was to decide to transfer Rose with her ​​mother and aunt in the building confirmed cases where " she will see them die," or to " keep her in acorner, with the risk to infect those who are not declared positive . " But, he added gravely, " you must choose the lesser evil ," the transfer .

- Combinations totally sealed -

On orange chairs installed in the center , sitting members and relatives of patients admitted to one of the two blocks .

" Our staff is already aware that he must respect a safe distance ," says Pascal Piguet , adding: " Once a person rises, it will discreetly spray ( with disinfectant ) to prevent the chair of contaminate others do . "

Thirty people , Guineans and foreigners working in MSF center Gu?k?dou , most dressed in blue or green uniforms, some in civilian clothes.

But those who have direct contact with suspected and confirmed cases to talk to them , care for them , feed them, wash , clean parts, are of completely sealed combinations head to toe with gloves, goggles, masks and boots .

Since Sunday , a mobile laboratory installed in the MSF center is operational. European specialists will carry out tests on samples taken from patients in order to expedite the diagnosis previously established primarily in units .

Another lab is located in Conakry, the capital, where a team from the Institut Pasteur in Dakar came with its own equipment works .

To date , 22 cases of Ebola have been identified in the South and in Conakry on 122 cases of suspected viral haemorrhagic fever, according to the latest report release by the Guinean government .

According to the Government , the virus identified in the country " Zaire type," the most deadly of the five species of the family of retroviruses that cause Ebola . This is the first time that West Africa is affected by an outbreak of the virus.

But other viruses are also present, according to epidemiologists , including Lassa endemic in the region .

http://www.afriscoop.net/journal/spip.php?article10361
 
Re: Guinea - Hemorrhagic fever killed 80 people with 122 suspected cases - Ebola lab confirmed in 24 cases

Re: Guinea - Hemorrhagic fever killed 80 people with 122 suspected cases - Ebola lab confirmed in 24 cases

Medic tells of horrific scenes in Guinea's fight against Ebola virus
...
By Mike Pflanz, Nairobi
10:09PM BST 01 Apr 2014
...
Naoufel Dridi, who has 13 years' experience working with the charity M?decins Sans Fronti?res said: "I have never had to deal with this many bodies in these few days on any job before."
...
"You can be helping somebody by getting them a juice, or a glass of cold water, or whatever he wants because you know really he has very little chance to survive, and then less than an hour later he is dead.

"Then when you are putting his body in the bag, another one behind you has died. Then another one. One old woman died with very bad external bleeding from her body, the symptoms that are the worst of Ebola. It is very difficult."
...
Moving patients with the virus from open wards where they can infect medical staff or relatives to isolation tents which they have very little chance of leaving alive is "psychologically very hard", he said.
...
Not everyone succumbs, however. "There was a young girl, 12 years old, she was infected but she was looking strong when I left, I hope that she will make it," said Mr Dridi, who helped set up two isolation units in buildings behind a health centre in the southeastern town of Gu?ck?dou that were constructed for an earlier cholera epidemic.

He arrived back to MSF's Swiss headquarters on Tuesday night after 15 days in Guinea.
...

Full text:
http://www.telegraph.co.uk/news/wor...nes-in-Guineas-fight-against-Ebola-virus.html
 
Re: Guinea - Hemorrhagic fever killed 80 people with 122 suspected cases - Ebola lab confirmed in 24 cases

Re: Guinea - Hemorrhagic fever killed 80 people with 122 suspected cases - Ebola lab confirmed in 24 cases

Five new cases of the deadly Ebola virus have been recorded in Guinea in the past 24 hours, the World Health Organization said Wednesday.

The total number of suspected and confirmed cases of one of the deadliest viruses known to man has risen to 127 in the country, with 83 people now known to have died, the UN's public health agency said.
No treatment or vaccine is available for the virus, and the UN agency said the fatality rate in Guinea so far stands at :magnify:65 percent, with the virus mainly hitting adults aged 15 to 59.
The WHO said thirty-five cases had now been confirmed by laboratory testing.
In the capital Conakry, 12 people are known to have contracted the disease, four of whom have died.
....
The WHO is working with countries bordering Guinea to put in place "necessary disease surveillance measures", with both Liberia had Sierra Leone reporting suspected Ebola cases and deaths among people who travelled to Guinea before showing symptoms.
Liberia has confirmed two cases and a suspected five more, while Sierra Leone is closely monitoring 15 people who attended a funeral in an area hit by the outbreak, the WHO said.:tiphat:http://www.timeslive.co.za/africa/2014/04/02/five-new-ebola-cases-in-guinea-in-24-hours-who
 
Re: Guinea - Hemorrhagic fever killed 80 people with 122 suspected cases - Ebola lab confirmed in 24 cases

Re: Guinea - Hemorrhagic fever killed 80 people with 122 suspected cases - Ebola lab confirmed in 24 cases


Location of Bok? Prefecture and seat in Guinea.
http://en.wikipedia.org/wiki/Bok%C3%A9_Prefecture

Translation Google

Wed April 2, 2014 , 2:31 p.m.
Posted By Nouhou

A suspected Ebola cases in Kamsar : " The person was isolated health center Kassopo ," we are told

Medical sources , a person suspected of being contaminated with Ebola hemorrhagic fever virus was detected this Wednesday, April 2, 2014 in the mining town of Kamsar , Boke Prefecture .

According to our sources , the suspect was isolated health center Kassopo at Kamsar .

" The samples were taken and sent to Conakry for confirmatory examinations or information " to indicate Guineenews medical sources.

Ebola hemorrhagic fever virus was found in Guinea since January , but has been officially announced by the Guinean authorities on March 21 .

To date , the overall result since January 2014 is 127 suspected cases and 83 deaths , distributed as follows: Gu?k?dou ( 79 cases , 57 deaths ) , Macenta ( 23 cases , 14 deaths ) , Kissidougou (9 cases, 5 deaths ) Dabola (3 cases , 2 deaths ) , Dinguiraye (1 case , 1 death ) , Conakry (12 cases, 4 deaths ) .

In short, the main focus of this epidemic remains concentrated in three prefectures of Guinea forest in Gu?k?dou mainly Macenta and Kissidougou .

http://guineenews.org/2014/04/un-ca...le-au-centre-de-sante-de-kassopo-nous-dit-on/
 
Re: Guinea - Ebola: 127 suspect/confirmed cases, 83 deaths as of April 2, 2014

Re: Guinea - Ebola: 127 suspect/confirmed cases, 83 deaths as of April 2, 2014

Translation Google

Guinea : Ebola fever goes north

02.04.2014 at 13:29 By Haby Niakat?
...
He was a doctor . He worked at the hospital Gueckedou , this great city of Forest Guinea ( South ) near the Liberian border . In early February, he fell suddenly ill and decides to visit a friend , director of the prefectural hospital Macenta , 80 km away. A driver supports . His ex-wife and her unborn child in the back are also part of the trip. They arrived at nightfall , and of course , the friend opens the door . But within hours , and everything is getting worse " it " - the Doctor - dies. Following transport and body wash , then wake when the family and friends attending . " This is where it all started ," said Mamady Drame , representative of the International NGO Plan Macenta .

A few days later , in fact, the ex-wife , baby and the driver suffered the same fate : lightning and unexplained death . For its part, the hospital director friend back to work. Every morning , February 24th , he went there on foot. He does not feel well, vomit . But , like every morning , hold a meeting with his team. Suddenly , he loses consciousness, resumed. Taken to the emergency room for some tests , he quickly falls into a coma and died almost instantly. His son, who was followed in the pediatric succumb too. " At first we did not understand what was happening ," said an exhausted Dr. Savan? voice, who is temporarily acting in the hospital. " At first, many believed in a mystical phenomenon. It took the deaths multiply that people take it seriously ," says Mamady Drame .

The authorities then talk about a " strange fever ." On March 20, more than a month after the first death, the samples of three patients are sent to the Pasteur Institute in Lyon , France. The next day, the verdict : it is the Ebola virus , against which no treatment or vaccine has never been found , and its species (there are five ) most pathogenic species of Zaire , whose rate mortality can reach 90% . The French laboratory immediately warns the Guinean government , the World Health Organization (WHO) and M?decins Sans Fronti?res ( MSF). We must act quickly . The country already has thirty dead . "Detect an Ebola epidemic takes time , especially in a remote area such as forest and Guinea in a country that has never known, explains Marie- Christine F?rir , head of MSF Belgium emergency situations. And the first symptoms resemble those of Lassa fever or malaria . therefore had to make the difference. "
...
According to scientists, the natural reservoirs of the virus are certain species of bats found in Central Africa and West Africa . Carriers of the virus , they report no symptoms but can infect monkeys and men, who , themselves, get sick once there was contact or bite. " The absence of an epidemic in the region so far does not mean that the virus was not there present in certain animal species. Only this time , the conditions have been met, at a time and at a specific location , for there to be transmitted from animals to humans , "said Eric Leroy, Director of the International Centre for Medical Research in Franceville ( Gabon ) , and Director of Research at the Institute of research for Development (IRD ) .
....
A pandemic is possible? For specialists, not really. As the mode of transmission , which is one of its strengths , is also, paradoxically , one of his few weaknesses. " Viruses that cross borders are usually transmitted via the respiratory route , which has not yet been proven in the case of Ebola ," said Eric Leroy, the International Centre for Medical Research in Franceville . Why the number of fatal cases rarely exceeds a few hundred. Well below the flu ( 250 000 to 500 000 deaths per year worldwide ) , measles ( 122,000 ) or even Lassa fever ( 5000 , mainly West Africa ) . For a pandemic to be possible , so it should be that the mode of transmission of Ebola change. An assumption, however, not excluded.

http://www.jeuneafrique.com/Article/JA2777p008.xml0/
 
Re: Guinea - Ebola: 127 suspect/confirmed cases, 83 deaths as of April 2, 2014

Re: Guinea - Ebola: 127 suspect/confirmed cases, 83 deaths as of April 2, 2014

Source: World Health Organization, Regional Office for Africa, full page: http://www.afro.who.int/en/clusters...a-virus-disease-west-africa-2-april-2014.html


Ebola virus disease, West Africa (Situation as of 2 April 2014)

2 April 2014


As at 1 April 2014, the Ministry of Health of Guinea has reported a cumulative total of 127 clinically compatible cases of EVD, of which 35 are laboratory confirmed by PCR.

The total number includes 83 deaths (CRF 65%).

These figures correspond to 5 new clinical cases and 3 new deaths since the last update on 31 March; 22 patients remain in isolation.

The current number of clinical cases by place of report is Conakry (12 cases, including 4 deaths), Guekedou (79 cases/57 deaths), Macenta (23 cases/14 deaths), Kissidougou (9 cases/5 deaths), and Dabola and Djingaraye combined (4 cases/3 deaths).

Eleven of the cases in Conakry have been laboratory confirmed for Ebola virus disease (EVD).

Fourteen health care workers have also been laboratory confirmed for EVD, 8 of whom have died.

Case investigation and contact tracing are continuing, with 375 contacts under medical follow-up at present.

The Ministry of Health and Social Welfare (MOHSW) of Liberia has reported that the number of suspected and confirmed cases (8 cases) is unchanged since 31 March, with the exception of one additional death in this group (5 deaths).

The number of laboratory confirmed cases remains at 2; both patients are from Lofa County, one of whom has died.

On 31 March, the MOHSW issued a press release reporting that one of the laboratory confirmed cases travelled from Foyah, Lofa Country, to Monrovia, Montserrado Country, and also to Margibi County. She is currently in isolation and her contacts, including the taxi driver who transported her from Foyah to Monrovia and his family, are under medical observation.

A national team headed by the Chief Medical Officer of Liberia visited Lofa County on 1 April to hold meetings with local government officials and other stakeholders in Voinjama and Foyah cities.

Information and education materials on the EVD and its prevention have been distributed and national information hotlines have been established for public inquiries.

Other ongoing efforts include coordination meeting at national and county levels, distribution of personal protective equipment (PPE) to hospitals in Montserrado, deployment of response teams to Nimba and Bong Counties to support county efforts, clinician training in case identification, clinical management and infection prevention and control, and social mobilisation to raise community awareness about the disease, the risk of ebolavirus transmission from human and animal sources, and its prevention including the importance of hand washing, food safety, personal protection when caring for the sick, safe burial practices and environmental hygiene.

There has been no change in the situation in Sierra Leone following the deaths of 2 probable cases of EVD in one family who died in Guinea and their bodies repatriated to Sierra Leone.

As this is a rapidly changing situation, the number of reported cases and deaths, contacts under medical observation and the number of laboratory results are subject to change due to enhanced surveillance and contact tracing activities, ongoing laboratory investigations and consolidation of case, contact and laboratory data.

WHO does not recommend that any travel or trade restrictions be applied to Guinea, Liberia or Sierra Leone based on the current information available for this event.


-
------
 
Re: Guinea - Ebola: 127 suspect/confirmed cases, 83 deaths as of April 2, 2014

Re: Guinea - Ebola: 127 suspect/confirmed cases, 83 deaths as of April 2, 2014

Foreign mining firms have locked down operations in Guinea and pulled out some international staff, executives said on Wednesday, as the death toll from suspected cases of Ebola there hit 83. Five new suspected infections were reported in the last 24 hours, the U.N.'s World Health Organisation (WHO), bringing the total to 127.
Medical charity Medecins Sans Frontieres (MSF) has warned of an unprecedented epidemic that is testing weak health systems across West Africa. Suspected cases of one of the world's most lethal infectious diseases have also been reported in neighbouring Liberia and Sierra Leone.
The epicentre of Guinea's two-month old outbreak has been in the southeast, close to its main iron ore reserves. The country is also the world's top exporter of bauxite, the raw material used in aluminium production, and has rich deposits gold.

"Everyone is practising precautionary strict hygiene but there has been no real impact on production so far," a senior executive at a mining company told Reuters, asking not to be named. The executive said he had been placed on extended leave, while other companies were preventing people from entering or leaving their mines.

MINERS CONCERNED ABOUT CONAKRY
Firms were more concerned by what was happening in the densely populated capital Conakry than in remote mining sites in the interior, where controls were easier to put in place, he added.

The WHO has reported 12 suspected cases and four deaths in the ocean-front city of 2 million people. WHO spokesman Gregory Hartl said all the cases in Conakry were linked to one man who came from the central Guinean town of Dobala, about 300 km (190 miles) away. "Unfortunately, this one person infected both family members and health care workers when he went to Conakry for medical attention and died," Hartl told Reuters in Geneva.

Brazilian iron ore miner Vale said its VBG joint venture with BSG Resources (BSGR) - the mining arm of Israeli billionaire Beny Steinmetz's business conglomerate - had pulled its six international staff out of Guinea. "The expatriates have been transferred temporarily to their home countries," Vale said i...

The British Foreign Office said on its website on Wednesday there were reports of suspected cases in Gambia.
But Gambia's director of health, promotion and education, Momadou Njai, denied there were any such infections, saying one elderly man had been tested and cleared.:tiphat:http://www.reuters.com/article/2014/04/02/guinea-ebola-idUSL5N0MU2ZT20140402
 
Re: Guinea - Ebola: 127 suspect/confirmed cases, 83 deaths as of April 2, 2014

Re: Guinea - Ebola: 127 suspect/confirmed cases, 83 deaths as of April 2, 2014

Ebola outbreak kills at least 87 in Africa

on April 02, 2014 at 9:37 AM


An outbreak of Ebola that has killed at least 87 people in Africa is drawing aid from U.S. disease fighters who will help track the deadly path of a virus with no cure that is fatal in about 90 percent of its cases.
There have been 134 cases in Guinea and Liberia, the World Health Organization said Tuesday.
A five-person team from the U.S. Centers for Disease Control and Prevention arrived Sunday in Guinea, where they?ll help contact anyone who has been in touch with people infected, said Steve Monroe, a CDC official. A second team may soon go to Liberia, he said, and the agency is assessing the need for more laboratory assistance to analyze samples.
Last week, when Canadian officials feared that a severely ill patient who had recently been to Liberia may have been infected with deadly Ebola, the U.S. took notice. It was a ?false alarm,? Monroe said, ?that reminded us that any of these diseases are only a plane ride away.?

The U.S. is well prepared to handle infected patients on its soil with 20 CDC quarantine stations in place at U.S. airports that are designed to deal with anyone who has symptoms of a wide range of infectious illnesses, including Ebola, according to Christine Pearson, an agency spokeswoman. Despite the outbreak, she said, there are no special requests or guidelines to airlines related to Ebola, though the agency has issued a travel alert.

?The time it takes to travel from rural Guinea to anywhere in the U.S. is more than enough time to incubate the virus and be symptomatic,? said Laurie Garrett, a senior fellow with the Council on Foreign Relations in New York who has written two books on emerging infectious disease. ?Even if you could get on an airplane, you?d be carried out on a gurney.?:tiphat:http://www.nj.com/news/index.ssf/2014/04/ebola_outbreak_kills_at_least_87_in_africa.html#757Live
 
Re: Guinea - Ebola: 127 suspect/confirmed cases, 83 deaths as of April 2, 2014

Re: Guinea - Ebola: 127 suspect/confirmed cases, 83 deaths as of April 2, 2014

Press conference on the situation in Guinea Ebola: Colonel Remy Lamah, Minister of Health, Alhousseny Makan?ra Kake, Minister of Communication and Dr. Sakoba Keita, Division Against Disease Prevention Featured

Wednesday, April 2, 2014 0:00

*

-Alhousseny Makan?ra Kake:'' In relation to this disease that has no drug, lethal weapon; is communication; is communication that will overcome the chain contamination.'' Colonel Remy Lamah:'' It is Conakry people panicked; inside people understood the message'':tiphat:http://guineeinformation.fr/index.p...a-keita-division-prevention-contre-la-maladie
 
Re: Guinea - Ebola: 127 suspect/confirmed cases, 83 deaths as of April 2, 2014

Re: Guinea - Ebola: 127 suspect/confirmed cases, 83 deaths as of April 2, 2014

<section id="module-position-NFwx7yM8zW8" class="storytopbar-bucket story-headline-module">Ebola outbreak spreads panic in West Africa

</section><section id="module-position-NFwx7yNIY4I" class="storytopbar-bucket story-byline-module"> Jennifer Lazuta, Special for USA TODAY
4:58 p.m. EDT April 2, 2014
</section>DAKAR, Senegal ? The rising death toll and the wide spread of the Ebola outbreak in West Africa has sparked fear across the region with at least 80 already having died from the nearly always fatal virus.
"Every day we're reading about it in the newspaper, hearing about it on the radio, and wondering when it's going to come here," said 32-year-old Mossa Bau, who lives in Dakar, Senegal. "Everyone is very scared because, really, it's a dangerous disease and no one has the means to stop it."
The World Health Organization says that as many as 125 people across three countries are now believed to have contracted the highly contagious disease. Senegal shut off its border with Guinea, where the outbreak is believed to have originated, in the hopes of keeping the disease from spreading its way.
The outbreak was initially contained in four remote towns in south Guinea and health officials had hopes it could be contained there. But the country's Ministry of Health confirmed last week that eight cases arose in the capital, Conakry.
Conarky has a population of almost 2 million people, many of whom live in slums without proper water or sanitation that is makes an opportune breeding ground for the highly contagious virus.
Two people, including one person who died, tested positive for Ebola in neighboring Liberia. The Ministry of Health there says at least six more people are suspected of contracting the virus, five of whom died. Sierra Leone recorded the same number of fatalities from the virus.
Senegal is north of Guinea and home to a large population of Guineans who frequently travel back and forth to their home country. Health officials in Liberia say that the first suspected cases of Ebola in Liberia came from someone who returned from a trip to Guinea.


"We just keep hoping it won't do any harm here in our country," said Becaye Fall, in Dakar. "The government says it has taken all the necessary measures to keep people in good health, but I'm still worried."
Ebola is one of the most contagious viral diseases known. It is spread throughout contact with bodily fluids, such as the sweat, blood or saliva, of an infected person or animal. One can get it through sex as well.


.....
This is the first time an Ebola outbreak has occurred in West Africa. Countries in central Africa, such as Uganda and the Democratic Republic of Congo, where the virus is endemic, usually see outbreaks every two to three years.
Health workers have been working to identify and treat suspected cases as well as warn people what to look for in a suspected case and how to avoid infection.
"What we have been doing is giving people the right information," said Roland Berehoudougou, the regional director of Disaster Risk Management for the humanitarian organization Plan International.
"People are really panicked about what is happening there, so providing information about how they can protect themselves is key."
Large quantities of medical supplies have been flown into Guinea, and health workers have been given protective gear. Ester Sterk, a doctor and tropical disease specialist for the international medical organization Doctors Without Borders, said the only way to stop the outbreak is to stop the virus from being passed on.\

"It's very important that sick patients be isolated and receive treatment in isolation wards, and also if there are people that have been in contact with patients when they were sick, they need to be closely followed during the period of incubation (which lasts between two and 21 days)," she said. "This is to cut the so-called transmission chain."
The World Health Organization says an Ebola outbreak cannot be declared over until no new cases have been reported for at least 21 days after the last patient shows any symptoms. Berehoudougou said the most important thing now is for people remain calm.
"Yes, there is a risk that it could spread further," he said. "But mitigation measures are in place and the health authorities in the country ... are doing their best to contain it and to prevent it from becoming widespread.":tiphat:http://www.usatoday.com/story/news/world/2014/04/02/ebola-guinea/7214213/
 
Re: Guinea - Ebola: 127 suspect/confirmed cases, 83 deaths as of April 2, 2014

Re: Guinea - Ebola: 127 suspect/confirmed cases, 83 deaths as of April 2, 2014

Embassy of France in Conakry

Ebola: update April 2
...
1. No new suspect in Conakry. So there has not, to date, specific new outbreak in the Guinean capital. 4 new suspected cases and 1 death within the country: Gu?k?dou (1 suspect cases, 1 death), Macenta (3 cases).

2. Overall assessment: 134 suspected cases, 84 deaths, distributed as follows: Gu?k?dou (80 cases, 58 deaths) Macenta (26 cases, 14 deaths), Kissidougou (9 cases, 5 deaths) Dabola (3 cases, 2 deaths), Dinguiraye (1 case, 1 death) Conakry (15 cases, three of which were not reflected in the statistics for yesterday by the National crisis Committee, and 4 deaths).

3. The main focus of the epidemic remains concentrated in three prefectures of Guinea forest in Gu?k?dou mainly Macenta and Kissidougou. See maps below: source Guinean Ministry of Health.
...
http://www.ambafrance-gn.org/Ebola-point-de-situation-au-31
 
Re: Guinea - Ebola: 127 suspect/confirmed cases, 83 deaths as of April 2, 2014

Re: Guinea - Ebola: 127 suspect/confirmed cases, 83 deaths as of April 2, 2014

Published on Apr 2, 2014 MSF has launched an emergency intervention and continues to reinforce its teams to respond to an outbreak of Ebola haemorrhagic fever in Guinea. To date, Guinean health authorities have reported 127 suspected cases and 83 deaths. :tiphat:http://www.youtube.com/watch?v=yhkXTOkG6Ak
 
Re: Guinea - Ebola: 127 suspect/confirmed cases, 83 deaths as of April 2, 2014

Re: Guinea - Ebola: 127 suspect/confirmed cases, 83 deaths as of April 2, 2014

From Reuters via Trey's post #150:
The epicentre of Guinea's two-month old outbreak has been in the southeast, close to its main iron ore reserves. The country is also the world's top exporter of bauxite, the raw material used in aluminium production, and has rich deposits gold.

Post 82 on environmental stress linked to Ebola outbreaks:
http://www.flutrackers.com/forum/showpost.php?p=529460&postcount=82

I wonder if the Ebola outbreak was discussed at this conference?
University of Johannesburg hosted the first International Symposium on Medical Geology in Africa on March 26th, 2014
?Although there is a growing interest in Medical Geology in the world, it is in Africa that application of research results would be most relevant. However, it is also in Africa that this field is least developed. Considering the possible significance of the health problems related to geological materials and processes in African countries in general, we believe that it is time to bring together experts from various fields of science, including geoscientists, toxicologists, epidemiologists, medical experts, public health scientists, biotechnologists, biochemists and biologists in order to discuss the possible sources as well as the fate and impacts of geological factors and materials on the development of human and animal diseases,? says Prof Mouri.
 
Re: Guinea - Ebola: 127 suspect/confirmed cases, 83 deaths as of April 2, 2014

Re: Guinea - Ebola: 127 suspect/confirmed cases, 83 deaths as of April 2, 2014

Ebola fever in Guinea: fear on Gu?k?dou
Published Wednesday, 02/04/2014 at 9:41 p.m.

By Bah, Abdoulaye Bah in Conakry

Gu?ck?dou (Guinea) (AFP) - The downtown bustles with people, government, schools and shops are open. But behind the appearance of a normal day, the inhabitants of Gu?ck?dou, one of the most affected by the Ebola outbreak in southern Guinea cities are afraid.

In this big town of some 200,000 people, "everybody is afraid. (...) It is as if everyone was waiting his turn," says Barry Koin, administrative employee in a service station met at his place of work.

With Macenta (south) and the capital Conakry, Gu?k?dou is one of the cities where the Guinean authorities and international organizations struggle against the epidemic hemorrhagic fever, which has 84 dead in Guinea on 134 cases reported since January, according to a new assessment statement on Wednesday evening by the Ministry of Health.

35 cases of fever were laboratory confirmed as due to Ebola, the ministry said. This highly contagious virus is deadly nine times out of ten. There is no vaccine or treatment, and according to experts, isolation of patients confirmed and suspected cases is the only way to break the chain of transmission.

Sandounou Mariam, 14, said that after the announcement of the onset of the disease, his mother forbids him to go to his public elementary school Patrice Lumumba, who has a thousand students to avoid contaminated.

While she remained at home, she says, two of his friends, who were not of his school, died of hemorrhagic fever.

"I told my mother: + Even if I do not go to school, I will die here at home if God wills + She told me to take courses under the pressure as my dad.
, an official in Conakry, "she says.

The city center is bustling, shops, schools and administration work to Gu?ck?dou. But one fact clashes: an incessant ballet of vehicles stamped Doctors Without Borders (MSF), one of the most active organizations on the ground in the fight against the epidemic.

- ? 3.3 million needed against Ebola -

MSF mounted structures supported for the isolation of patients, including a center located in the courtyard of the Prefectural Board of Health Gu?ck?dou. Dozens of people, Guineans and foreigners working there, and those who have contact with suspected and confirmed cases of Ebola wear overalls totally sealed, with gloves, goggles, masks and boots.

The NGO also undertakes advocacy and research for other purposes.

During an awareness session Tuesday, a lab found that the noisy evacuation of patients to the isolation center added discomfort to fear in the population.

Should "stop using the siren of the ambulance" during the transfer, "it makes uncomfortable the population that does not understand that MSF custody incommunicado without visiting the sick until death,"-
he explained.

The NGO called Monday a "mobilization against an Ebola outbreak unprecedented," explaining that the spread of cases in the territory complicated "enormous task" to halt its spread.

According to the Guinean Ministry of Health needs to "plan to address the epidemic of Ebola" is estimated at just over $ 4.5 million (approximately 3.3 million).

Beyond Guinea, two cases of Ebola have been confirmed in neighboring Liberia. Suspected cases have been reported in Sierra Leone other neighboring countries, but they have been tested negative for Ebola virus, according to the World Health Organization (WHO).

The spokesman of WHO, Gregory Hartl, tempered statements MSF unprecedented epidemic.

"We must be very careful about how we characterize an outbreak with sporadic cases," said Mr. H?rtl Tuesday in Geneva, indicating that in terms of balance sheets, previous epidemics were more severe than that in Guinea, which "is still relatively low."

However, "the epidemic of Ebola outbreaks are still extremely worrying. (They) can never be considered under control as he has not spent 42 days since the last case," he said.:tiphat:http://www.laprovence.com/article/actualites/2820134/fievre-ebola-en-guinee-peur-sur-gueckedou.html
 
Re: Guinea - Ebola: 134 suspected/confirmed cases, 84 deaths, as of April 2, 2014

Re: Guinea - Ebola: 134 suspected/confirmed cases, 84 deaths, as of April 2, 2014

Translation Google

Wed, April 2nd, 2014, 11:26 p.m.
Posted By Nouhou Balde

Government banned the transport of dead bodies

Now, the deceased will be buried in their place of death. It is at the end of its meeting this Tuesday, April 2, 2014 the Interministerial Committee for the fight against viral haemorrhagic fever Ebola announced this decision.

In the state media, the Minister of Health, R?my Lama, has first informed the public of the updated record of the government: 134 cases including 84 deaths recorded to date. Announcing the new government decision, the Minister R?my Lama said that all deaths are forbidden for transport from one city to another. "Whatever the cause of death," he has said; involving local authorities for the strict application of this measure.

...
http://guineenews.org/2014/04/ebola-le-gouvernement-interdit-le-transport-des-corps-des-defunts/
 
Re: Guinea - Ebola: 134 suspected/confirmed cases, 84 deaths, as of April 2, 2014

Re: Guinea - Ebola: 134 suspected/confirmed cases, 84 deaths, as of April 2, 2014

2014 Warden Messages

INFO ON EBOLA VIRUS HEMORRHAGIC FEVER IN GUINEA - CONAKRY

1 APRIL 2014
MINISTRY OF HEALTH
NATIONAL DIRECTORATE OF PREVENTION AND COMMUNITY HEALTH
DISEASE PREVENTION AND CONTROL DIVISION
Please click below link for more information
INFO ON EBOLA VIRUS HEMORRHAGIC FEVER IN GUINEA- CONAKRY



In FRENCH:tiphat:http://conakry.usembassy.gov/infoebolavirushemorrhagic04012014.html
 
Re: Guinea - Ebola: 134 suspected/confirmed cases, 84 deaths, as of April 2, 2014

Re: Guinea - Ebola: 134 suspected/confirmed cases, 84 deaths, as of April 2, 2014

Small chance Ebola virus will reach Philippines - WHO

by NIna Corpuz, ABS-CBN News
Posted at 04/03/2014 7:51 PM | Updated as of 04/03/2014 7:51 PM
MANILA - There is no travel ban to Africa amid the spread of the Ebola virus in some remote areas of Africa, a World Health Organization (WHO) official said.
"No travel restrictions at all. No travel ban, no closing of borders. We've seen before. We know how to contain these outbreaks," said Dr. Julie Hall, WHO country representative to the Philippines.
Reports said more than 100 have contracted the deadly virus in Guinea, West Africa, of whom 80 have died.
Hall added Guinea is a fairly remote area in Africa and there is no direct flight and very little travel between Guinea and the Philippines.
"The chances of the disease coming to the Philippines are very small, because they get very sick, very quickly," she said.
According to the Department of Health, the Ebola virus has 5 distinct species: Zaire, Sudan, Cote d?Ivoire, Bundibugyo, and Reston.
The species Zaire, Sudan and Ivory Coast can cause hemorrhagic symptoms, while Reston does not.
Dr. Vito Roque of the National Epidemiology Center - Department of Health said Reston was found among Philippine monkeys in the 1990s and in sick pigs in 2008. He said the virus won?t directly hit humans.
Also, ?it's highly remote na makapunta dito ang ebola sa Africa. Historically, wala," added Roque.:tiphat:http://www.abs-cbnnews.com/nation/04/03/14/small-chance-ebola-virus-will-reach-philippines-who
 
Re: Guinea - Ebola: 134 suspected/confirmed cases, 84 deaths, as of April 2, 2014

Re: Guinea - Ebola: 134 suspected/confirmed cases, 84 deaths, as of April 2, 2014

aweł ‏@Pawixx 33m


@HaertlG @MackayIM Radio Conakry has annouced 40 cases in CKY today, can you comment?


Gregory H?rtl ‏@HaertlG 19m

.@MackayIM @Pawixx We haven't heard anything abt these. Our team is meeting MOH soon and we will query. #Ebola @WHO
 
Re: Guinea - Ebola: 134 suspected/confirmed cases, 84 deaths, as of April 2, 2014

Re: Guinea - Ebola: 134 suspected/confirmed cases, 84 deaths, as of April 2, 2014

Source: World Health Organization, full page: http://www.who.int/csr/don/2014_04_ebola/en/


Ebola virus disease: background and summary

Disease Outbreak News


3 APRIL 2014


WHO is supporting the national authorities in the response to an outbreak of Ebola virus disease (EVD; formerly known as Ebola haemorrhagic fever).

The outbreak is now confirmed to be caused by a strain of ebolavirus with very close homology (98%) to the Zaire ebolavirus.

This is the first time the disease has been detected in West Africa.

Cases were first reported from forested areas in south-eastern Guinea.

The outbreak has rapidly evolved and several districts and Conakry have reported cases and deaths caused by EVD.

A small number of suspected cases and deaths has also been reported from neighbouring countries with all of them having crossed from Guinea.

Confirmed cases have been reported from Guinea and Liberia.

Latest information on suspected and confirmed cases and deaths


Genus Ebolavirus is one of three members of the Filoviridae family (filovirus), along with genus Marburgvirus and genus Cuevavirus.

Genus Ebolavirus comprises five distinct species:

  • Bundibugyo ebolavirus (BDBV);
  • Zaire ebolavirus (EBOV);
  • Reston ebolavirus (RESTV);
  • Sudan ebolavirus (SUDV); and
  • Ta? Forest ebolavirus (TAFV).
BDBV, EBOV, and SUDV have been associated with large EVD outbreaks in Africa, whereas RESTV and TAFV have not. Samples taken from patients in this outbreak have tested positive for EBOV.

In Africa, fruit bats are believed to be the natural hosts of Ebola virus.

The virus is transmitted from wildlife to people through contact with infected fruit bats, or through intermediate hosts, such as monkeys, apes, or pigs that have themselves become infected through contact with bat saliva or faeces.

People may then become infected through contact with infected animals, either in the process of slaughtering or through consumption of blood, milk, or raw or undercooked meat.

The virus is then passed from person to person through direct contact with the blood, secretions or other bodily fluids of infected persons, or from contact with contaminated needles or other equipment in the environment.

EVD, which has a case fatality rate of up to 90%, is a severe acute viral illness often characterized by the sudden onset of fever, intense weakness, muscle pain, headache, nausea and sore throat.

This is followed by vomiting, diarrhoea, impaired kidney and liver function, and in some cases, both internal and external bleeding.

Laboratory findings frequently include low white blood cell and platelet counts and elevated liver enzymes.

The incubation period, the time interval from infection with the virus to onset of symptoms, is 2 to 21 days.

People remain infectious as long as their blood and secretions contain the virus, a period that has been reported to be as long as 61 days after onset of illness.

When considering the diagnosis of EVD, other, more common diseases should not be overlooked; for example, malaria, typhoid fever, shigellosis, cholera, leptospirosis, plague, rickettsiosis, relapsing fever, meningitis, hepatitis and other viral haemorrhagic fevers.

Definitive diagnosis of EVD is made through laboratory testing. Because samples from patients are a source of infection risk for others, testing is conducted under maximum biological containment conditions.

No vaccine is available, nor is there any specific treatment. Severely ill patients require intensive supportive care.

Patients are frequently dehydrated and require oral rehydration with solutions containing electrolytes, or intravenous fluids.

Raising awareness of the risk factors for infection and the protective measures that should be taken is the only way to reduce human infection and subsequent deaths.

Close unprotected physical contact with Ebola patients should be avoided.

Appropriate use of gloves and personal protective equipment (including hand hygiene before putting on, and especially after taking off personal protective equipment) should be practised when taking care of ill patients at home.

Regular hand washing is required after visiting patients in hospital, as well as after taking care of patients at home.

Almost all transmission of the virus to health-care workers has been reported when basic infection control measures have not been observed.

Health-care workers caring for any patient should practice standard precautions. When caring for patients with suspected or confirmed Ebola virus infection, health-care workers should apply, in addition to standard precautions, other infection control measures to avoid any exposure to patients? blood and body fluids and with possibly contaminated environments.

Preparation for burial of the bodies of persons who have died from Ebola virus disease also carries high risks of transmission of the virus. Those who have died from the disease should be promptly and safely buried.

In coordination with national and regional authorities and technical partners,

WHO has deployed experts to help assess and control the situation.

Isolation facilities and a mobile laboratory have been established; infection prevention and control and clinical management guidance is being provided; and awareness and education campaigns, social mobilization, and risk communications activities are taking place throughout the affected areas.

Anyone who has stayed in areas where EVD cases have recently been reported should be aware of the symptoms of infection and seek medical attention at the first sign of illness.

Clinicians managing returning travellers from visiting these areas with compatible symptoms are advised to take into consideration the possibility of EVD.

Malaria, typhoid fever, shigellosis, cholera, leptospirosis, plague, rickettsiosis, relapsing fever, meningitis, hepatitis and other viral haemorrhagic fevers are differential diagnosis to consider in these patients.

WHO encourages countries to strengthen surveillance, including surveillance for illness compatible with EVD, and to carefully review any unusual patterns, in order to ensure identification and reporting of human infections under the IHR (2005), and encourages countries to continue national health preparedness actions.

WHO does not recommend that any travel or trade restrictions be applied with respect to this event.


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