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

[Ronan Kelly]

Re: Guinea - A hemorrhagic disease killed 61 people including 8 health workers in Forest Guinea - Ebola lab confirmed in 13 cases

Re: Guinea - A hemorrhagic disease killed 61 people including 8 health workers in Forest Guinea - Ebola lab confirmed in 13 cases

h/t @Crof for finding a copyable version of this

Ebola - balance: Government invites the public to refrain from consuming any game (Official)

Category: Society
Published Thursday, March 27, 2014 9:54 p.m.
Written by Government
As part of the ongoing information on the evolution of populations of hemorrhagic fever and its management in our country, the situation is as follows date March 27, 2014.

1. Health Services supported by Development Partners Health Sector reported a total of 103 suspected cases of hemorrhagic fever combined with 66 deaths;
2. Contamination cases and deaths recorded are as follows:
1) Gueck?dou: 69 cases including 47 deaths
2) Macenta: 21 cases including 12 deaths
3) Kissidougou: 7 cases with 5 deaths
4) Conakry: 5 cases including 1 death of a person back from the trip. 4 other cases of contamination concern parents of the victim income of the deceased funeral which took place in a town near Dabola.
3. The suspected case of Kankan was negative examinations EBOLA
4. 3 new cases of deaths occurred Gueck?dou (02) and Conakry (1).
An investigation is underway in Conakry for additional information. Appropriate arrangements were immediately taken to identify cases, particularly in people who have been in contact with the deceased in Conakry and in the interior of the country.
Among the sources of contamination for this disease include consumption of bushmeat. Until this type of contamination is confirmed, the government invites the public to refrain from consuming any game.
The Government remains focused with all its partners in the health sector to break the chain of infection. In this important part human and material resources are mobilized including specialists from across to cover affected areas.
A mobile laboratory available (experts mobilized by the partners) is en route to Gueck?dou. This laboratory will be on-site testing for forest areas and also process samples from suspected cases in neighboring countries (Liberia and Sierra Leone).
Significant amounts of chlorine solution are en route to the affected areas.
Such an operation Major has a chance to succeed with the support of the people. To do this, we invite them to follow the instructions given by the health services for the management of suspected cases and deaths as well as for contact tracing. Among the activities are:
 Installation Centres isolation of patients in the Affected Prefectures;
 Routine disinfection of homes of suspected cases and deaths;
 The action response plan available;
 The personal protective equipment (MPI) and kits support in affected areas
 Strengthening epidemiological surveillance,
awareness  door to door distribution of hygiene in the villages or neighborhoods affected kits;
 The deployment of intervention teams WHO and MSF (epidemiologists, prevention and control of viral haemorrhagic fevers, logisticians, data managers, communication specialists and anthropologists) to join the Guinean health authorities for efficient management of the epidemic
 The last provision of a mobile laboratory
These instructions will be technical papers by the Ministry of Health and the Technical Committee involving the health sector partners.
The Government thanks the international community for its mobilization for the rapid control of the disease. Conakry March 27, 2014 The Government
http://www.lejourguinee.com/index.p...-s-abstenir-de-consommer-tout-gibier-officiel

 

[Emily]

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

This is from Trey's post#61:

A media report also stated that Sierra Leone?s Health Ministry said it was investigating two suspected cases of ebola.
The World Health Organisation said the infection had emerged through the handling of infected chimpanzees, gorillas, fruit bats, monkeys, forest antelopes and porcupines.
These were those found dead or ill in the rain forest.

(Emphasis added by me.)

I was wondering if that type of diversity in animal deaths had happened in previous ebola outbreaks and found this:

http://ucsdnews.ucsd.edu/archive/newsrel/science/sebola.asp

Pattern of Human Ebola Outbreaks
Linked to Wildlife and Climate

November 14, 2006

By Sherry Seethaler

A visiting biologist at the University of California, San Diego and her colleagues in Africa and Britain have shown that there are close linkages between outbreaks of Ebola hemorrhagic fever in human and wildlife populations, and that climate may influence the spread of the disease.

...

Despite the low probability of finding dead animals in the humid forests that cover most of the region, due to the scavenging by animals and insects and rapid decomposition, Lahm received and verified reports of 397 dead animals. The carcasses, which were found at 35 different sites in Gabon and RoC, included gorillas, chimpanzees, mandrills, bush pigs, porcupines and four species of antelope. Tests on 14 samples from the decomposed carcasses did not detect the Ebola virus, but at 12 sites, observers also saw sick or dying animals with symptoms consistent with Ebola infection. In addition, 16 reported wildlife mortality incidents coincided with known Ebola epidemics.

?The transmission of Ebola within animal populations is much more widespread than previously believed,? explained Lahm. ?Ebola appears to spread both within species and between different species of animals.?
...

However, according to the findings, the spread of Ebola also depends on climate factors. Illness and deaths among animals were most prevalent during periods of prolonged drought-like conditions in the rainforest, which indicates that severe environmental stress may facilitate disease transmission. ...

I can't find reports of a particularly bad drought currently in SE Guinea, but this is towards the end of the of their dry season. The big picture as seen in 2009 was that west Central Africa has had lessening rainfall over the past 50 yrs:

http://onlinelibrary.wiley.com/doi/10.1029/2008JD011010/abstract

But this data doesn't show the outbreak area as being particularly stressed by drought this year:

Famine Early Warning Systems Network


Maybe there are other environmental stresses on wildlife there, (deforestation or mining pollution of water sources?).

 

[Emily]

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

http://allafrica.com/stories/201403280323.html

Guinea: Development of Antibodies Rushed to Treat Ebola Outbreak in Guinea
By Jessica Berman, 27 March 2014
VOA News

Amid a deadly outbreak of Ebola virus in the western African country of Guinea, an international team of researchers has stepped up production of experimental antibodies that scientists say have the potential to cure people infected with the virus, which has a 90 percent fatality rate.

Twenty laboratories and research sites around the world, including in Canada, Japan, Israel, Uganda, and the United States are working simultaneously to develop manmade antibodies against Ebola virus. Antibodies are frontline immune system proteins the body makes naturally to fight illness when first exposed to an infection...

 

[Giuseppe]

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

It would be the first time a specific treatment would be devised during a full-blown outbreak of Ebola. I think the risks would not be irrelevant.

It would be better to enforce a very strict quarantine and isolation centres for the affected people, the only known effective way to stop this virus from causing large damages in the stricken communities.

 

[Giuseppe]

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

[Source: European Centre for Disease Prevention and Control (ECDC), full page: (LINK).]


Epidemiological update: Outbreak of Ebola haemorrhagic fever in Guinea

28 Mar 2014


​Background

An outbreak of Ebola haemorrhagic fever in Guinea, West Africa, with onset in early February 2014 is rapidly evolving.

The first cases were reported from the Forested Region of south-eastern Guinea.

ECDC published a Rapid Risk Assessment of the outbreak on 23 March at which time 80 cases including 59 deaths (CFR: 74%) had been reported.

To date, fifteen cases have tested positive for Ebola virus by PCR.

Gene sequencing has demonstrated 98% homology with the Zaire Ebola virus last reported from an outbreak in 2009 in Kasai-Occidental Province of the Democratic Republic of Congo. The case fatality ratios in previously reported outbreaks caused by the Zaire Ebola virus have been high.


Update

On 27 March, fifteen new cases were reported to WHO, of which five were reported from Conakry, eight from Gu?ck?dou district and two from Macenta district.

Of the five cases reported from Conakry, four have been laboratory-confirmed and are isolated in a hospital while the fifth fatal case could not be tested. Investigations are underway to identify the source and route of transmission of these patients, record their travel histories before arrival in Conakry and determine their period of infectivity for the purpose of contact tracing.

The five cases in Conakry are unlikely to have been infected in the capital.

According to a media report quoting the Minister of Health in Guinea, the primary case in the Conakry cluster is an elderly man who developed haemorrhagic fever after visiting Dinguiraye in central Guinea and subsequently died. Four of the man?s brothers who attended his funeral in the central town of Dabola later developed symptoms and tested positive for Ebola on their return to Conakry.

The four patients have been placed in an isolation ward in Donka hospital. The elderly man's family has been quarantined.

In summary, as of 27 March, 103 cases (15 laboratory-confirmed and 88 suspected) including 66 deaths (CFR: 64%) have been reported from three districts in south-eastern Guinea, Gu?ck?dou, Macenta and Kissidougou, and from the capital, Conakry.

Four of the fatal cases were healthcare workers. All age groups have been affected but most of the cases are adults aged 15-59 years.

As of 27 March, Liberia has reported eight suspected cases, including six deaths, and Sierra Leone has reported six suspected cases, including five deaths. All cases reported from Sierra Leone and Liberia had travel history to the affected districts in Guinea.

Investigations and response activities are ongoing in Guinea, and isolation facilities have been set up in Gu?ck?dou district.

WHO and the Global Outbreak Alert and Response Network (GOARN) have deployed experts to support the operational response. Supplies and logistics required for supportive management of patients and all aspects of outbreak control are being mobilised.


Read More

• WHO/AFRO outbreak news
• ECDC Ebola health topic page
• ECDC Ebola and Marburg fact sheet
• ECDC Rapid Risk Assessment, 23 March 2014 (PDF)

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[Giuseppe]

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

[Source: Yahoo!, full page: (LINK).]


8 cases of Ebola turn up in Guinea's capital

CONAKRY, Guinea (AP) ? Health officials in the West African nation of Guinea say they're now treating eight cases of Ebola in the capital.

(?)


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[Pathfinder]

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

Translation Google

Ebola fever in Guinea : Still new cases reported in Conakry and the interior !

Category: Society
Published Friday, March 28, 2014 8:08 p.m.
Written by Barry Diao

The results of viral haemorrhagic fever gets heavier overnight in Guinea. The numbers of suspected cases increased in Conakry and in the interior of the country. Dr Sakoba Keita Division prevention Ministry of Health , during a press briefing busy Friday evening , March 28 , said

" From January to now , our health services have identified 112 cases of viral haemorrhagic fever with seventy deaths . These cases are distributed among a number of prefectures. The most affected province is Gu?k?dou today recognizes 73 cases with 51 deaths , followed by Macenta : 22 cases and 12 deaths , Kissidougou : 7 cases and 5 deaths , the Dabola : 2 cases and 2 deaths and Conakry eight cases and zero . " And to clarify : "Unlike our previous releases, which had reported five cases in Conakry with death, we had preliminary information from the fact-finding mission that visited the family of the former died on March 18 .

It was a Guinean citizen about 45 years , resident in Dabola merchant who had previously received a commercial came Gu?ck?dou and died of fever, diarrhea and vomiting. Thereafter, the citizen has similar symptoms and radio messages, he realized that he is suspicious of this disease. He was evacuated by his family at the hospital Kip? . He arrived on March 17 and died the next day. The family decided to bring his body back to his village to Watagalah , 3 km from the sub-prefecture in the prefecture of Dialakoro Dinguiraye . Funeral ceremonies ended , the return of the delegation, we are left with about six family members of the deceased who were positive ( biological tests were made yesterday) of Ebola haemorrhagic fever. In addition , we have two health workers who received deceased patient hospital Kip? , which now have a positive outcome. "

Given that the medical staff is not spared by the disease , new measures have been taken: "We have convened an emergency meeting at all health facilities in Conakry so that we review the conditions of hygiene compliance individual and collective. I recall that this disease is transmitted mainly through dirty hands , that is to say , through patient secretions : sweat , blood , urine and even including sperm. Certainly , our medical colleagues have had contact with the sweat of the patient and were contaminated , hence the need to educate all health personnel to observe the rules of hygiene ...

We are in the process of identifying all persons who had contact with the different cases in order to isolate them until the expiration of the periods of twenty-one days of incubation and all those who will have symptoms of disease, going to take to know their status . Starting today , we will set up committees in all municipal health directorates for all these contacts are then followed by specific individuals. Those attending will get sick proper care and others will be released , "said the head of the Prevention Division .

Diao Barry

http://www.lejourguinee.com/index.p...s-signales-a-conakry-et-a-l-interieur-du-pays

 

[Treyfish]

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

SITREP #1 Ebola Haemorrhagic Fever, Guinea, 28 March 2014




Date of issue 28 March 2014
1. Summary of overall situation to date
Cases of an unknown disease presenting with an acute febrile illness characterised by diarrhoea, vomiting and bleeding in some individuals, were first reported from Guekedou district, Guinea, east Africa, in February 2014, presumed to be a viral haemorrhagic fever or other severe gastrointestinal disease. On 21 March, WHO was officially notified that the rapidly evolving outbreak was caused by Ebola Haemorrhagic Fever (EHF) in forested areas south eastern Guinea. This is the first reported outbreak of EHF in Guinea. The outbreak investigation subsequently retrospectively identified earlier suspected cases that fell ill and died in December 2013. The outbreak is now confirmed to be caused by a strain of ebolavirus with very close homology (98%) to the Zaire ebolavirus.
A small number of suspected cases and deaths have also been reported from Sierra Leone and Liberia in individuals who had travelled to Guinea. As of today, no locally acquired cases in Sierra Leone or Liberia have been reported to WHO. Investigations are ongoing and laboratory results pending.
On 25 March, the WHO Global Emergency Management Team graded the outbreak as a Level 2 emergency and has mobilised international resources to support the response. Accordingly, all 3 levels of WHO have activated their Strategic Health Operations Centres (Emergency Operations Centres).
On 27 March, WHO was informed of 4 laboratory confirmed cases and one suspected case who died without laboratory confirmation in the capital, Conakry.
As of 28 March 2014, 103 suspected and confirmed cases, including 66 deaths, (CFR 64%) have been reported from Guinea affecting mainly 3 districts (Guekedou, Macenta and Kissidougou). Four health care workers are among the deceased.
To date, 37 clinical samples have been tested by PCR of which 15 are positive for ebolavirus.
2. Actions to date
Coordination

• The AFRO Regional Director has informed all WHO Country Offices in the African Region of the strategy to be taken at country level in response to the Ebola outbreak.
• Daily conferencing is occurring among the MoH/WCO of Guinea, Sierra Leone, Liberia, IST West Africa, WHO HQ and AFRO for risk assessment and operational planning and review.
• The Global Outbreak Alert and Response Network (GOARN) Operational Support Team issued an alert to GOARN partners on 22 March and subsequent request for assistance to mobilise additional international expertise in clinical case management, surveillance and epidemiology, data management, infection prevention and control, outbreak logistics, social mobilisation, risk communications and medical anthropology among key disciplines to support response efforts.
• Cross-border collaboration and cooperation are being actively promoted among the affected countries, particularly at major transport corridors.
• Response partners in the field include:
  • M?decins Sans Fronti?res, Switzerland (MSF-CH) has established isolation facilities in Guekedou district and is planning a facility in Macenta.
  • International reference laboratory support is being coordinated through Emerging and Dangerous Pathogens Laboratory Network (EDPLN). EDPLN labs are working with Guinean VHF Laboratory in Donka and Kenema Lassa fever laboratory in Sierra Leone to build capacity in filovirus diagnostics. The following laboratories are currently providing support: Institut Pasteur (IP) Dakar, Senegal; the European Union Mobile Laboratory (EMLab) team (comprising the Centre International de Recherche en Infectiologie (CIRI), France; the Bernhard-Nocht Institute of Tropical Medicine Hamburg, Germany; the National Institute for Infectious Diseases, Rome, Italy); and the Centre International de Recherche en Infectiologie (CIRI), Lyon, France.

Technical cooperation ? Outbreak response

• Affected countries have activated their emergency management committees, prepared/adapted emergency management plans and are carrying out needs assessments for human, financial and material resources.
• Enhanced surveillance activities, including distributing case definitions for EHF and sensitising health care workers to report suspected cases immediately.
• Case and contact tracing efforts are being implemented through Rapid Response Teams.
• Harmonisation of data collection is being encouraged for the generation of the key epidemiological parameters.

Information and Communications

• Fact sheets on EHF have been developed and distributed.
• IEC materials adapted/developed and multimedia approaches are being used to raise public awareness and support community mobilisation efforts.
• Key technical areas for the response to viral haemorrhagic fevers include: case management, surveillance and epidemiology, infection prevention control and safe burials, prevention through risk and behaviour change communications and response logistics. Applied research needs include investigation of animal reservoirs of ebolavirus.
• The international community is informed through the Disease Outbreak News posted on the WHO HQ and the AFRO website as well as through the Event Information Site under the International Health Regulations.

Finance and administration

• Seed funds have been provided to Guinea, Sierra Leone and Liberia to initiate outbreak investigation and response activities.
• Response plans, including identifying HR needs into the future, have been submitted by the affected countries.
• A Flash Appeal has been submitted for 2M USD.
• Funding proposals have been submitted to the African Public Health Emergency Fund (APHEF) and to ECHO.
• Other financial resource mobilisation is ongoing.

Human resource management

• WHO AFRO and HQ have deployed 19 experts in case management, epidemiology, infection prevention and control (IPC), outbreak logistics and medical anthropology to Guinea in the first instance. A rotation plan is being developed for the coming weeks.
• See also GOARN Request for Assistance above.

Logistics and Supplies

• Supplies are being prepositioned in high risk areas. Personal protective equipment (PPE) and other viral haemorrhagic fever response materials prepositioned in Dubai and Ouagadougou have been shipped to Guinea. 3,000 PPE have already reached Guinea. Additional PPEs and materials should reach the neighbouring countries within 3-4 days.
• VHF prevention & control guidelines and IEC materials have been sent and disseminated:tiphat:http://www.afro.who.int/en/clusters...4070-sitrep-1-ebola-guinea-28-march-2014.html

 

[Treyfish]

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

SITREP #1 Ebola Haemorrhagic Fever, Guinea, 28 March 2014




Date of issue 28 March 2014
1. Summary of overall situation to date
Cases of an unknown disease presenting with an acute febrile illness characterised by diarrhoea, vomiting and bleeding in some individuals, were first reported from Guekedou district, Guinea, east Africa, in February 2014, presumed to be a viral haemorrhagic fever or other severe gastrointestinal disease. On 21 March, WHO was officially notified that the rapidly evolving outbreak was caused by Ebola Haemorrhagic Fever (EHF) in forested areas south eastern Guinea. This is the first reported outbreak of EHF in Guinea. The outbreak investigation subsequently retrospectively identified earlier suspected cases that fell ill and died in December 2013. The outbreak is now confirmed to be caused by a strain of ebolavirus with very close homology (98%) to the Zaire ebolavirus.
A small number of suspected cases and deaths have also been reported from Sierra Leone and Liberia in individuals who had travelled to Guinea. As of today, no locally acquired cases in Sierra Leone or Liberia have been reported to WHO. Investigations are ongoing and laboratory results pending.
On 25 March, the WHO Global Emergency Management Team graded the outbreak as a Level 2 emergency and has mobilised international resources to support the response. Accordingly, all 3 levels of WHO have activated their Strategic Health Operations Centres (Emergency Operations Centres).
On 27 March, WHO was informed of 4 laboratory confirmed cases and one suspected case who died without laboratory confirmation in the capital, Conakry.
As of 28 March 2014, 103 suspected and confirmed cases, including 66 deaths, (CFR 64%) have been reported from Guinea affecting mainly 3 districts (Guekedou, Macenta and Kissidougou). Four health care workers are among the deceased.
To date, 37 clinical samples have been tested by PCR of which 15 are positive for ebolavirus.
2. Actions to date
Coordination

• The AFRO Regional Director has informed all WHO Country Offices in the African Region of the strategy to be taken at country level in response to the Ebola outbreak.
• Daily conferencing is occurring among the MoH/WCO of Guinea, Sierra Leone, Liberia, IST West Africa, WHO HQ and AFRO for risk assessment and operational planning and review.
• The Global Outbreak Alert and Response Network (GOARN) Operational Support Team issued an alert to GOARN partners on 22 March and subsequent request for assistance to mobilise additional international expertise in clinical case management, surveillance and epidemiology, data management, infection prevention and control, outbreak logistics, social mobilisation, risk communications and medical anthropology among key disciplines to support response efforts.
• Cross-border collaboration and cooperation are being actively promoted among the affected countries, particularly at major transport corridors.
• Response partners in the field include:
  • M?decins Sans Fronti?res, Switzerland (MSF-CH) has established isolation facilities in Guekedou district and is planning a facility in Macenta.
  • International reference laboratory support is being coordinated through Emerging and Dangerous Pathogens Laboratory Network (EDPLN). EDPLN labs are working with Guinean VHF Laboratory in Donka and Kenema Lassa fever laboratory in Sierra Leone to build capacity in filovirus diagnostics. The following laboratories are currently providing support: Institut Pasteur (IP) Dakar, Senegal; the European Union Mobile Laboratory (EMLab) team (comprising the Centre International de Recherche en Infectiologie (CIRI), France; the Bernhard-Nocht Institute of Tropical Medicine Hamburg, Germany; the National Institute for Infectious Diseases, Rome, Italy); and the Centre International de Recherche en Infectiologie (CIRI), Lyon, France.

Technical cooperation ? Outbreak response

• Affected countries have activated their emergency management committees, prepared/adapted emergency management plans and are carrying out needs assessments for human, financial and material resources.
• Enhanced surveillance activities, including distributing case definitions for EHF and sensitising health care workers to report suspected cases immediately.
• Case and contact tracing efforts are being implemented through Rapid Response Teams.
• Harmonisation of data collection is being encouraged for the generation of the key epidemiological parameters.

Information and Communications

• Fact sheets on EHF have been developed and distributed.
• IEC materials adapted/developed and multimedia approaches are being used to raise public awareness and support community mobilisation efforts.
• Key technical areas for the response to viral haemorrhagic fevers include: case management, surveillance and epidemiology, infection prevention control and safe burials, prevention through risk and behaviour change communications and response logistics. Applied research needs include investigation of animal reservoirs of ebolavirus.
• The international community is informed through the Disease Outbreak News posted on the WHO HQ and the AFRO website as well as through the Event Information Site under the International Health Regulations.

Finance and administration

• Seed funds have been provided to Guinea, Sierra Leone and Liberia to initiate outbreak investigation and response activities.
• Response plans, including identifying HR needs into the future, have been submitted by the affected countries.
• A Flash Appeal has been submitted for 2M USD.
• Funding proposals have been submitted to the African Public Health Emergency Fund (APHEF) and to ECHO.
• Other financial resource mobilisation is ongoing.

Human resource management

• WHO AFRO and HQ have deployed 19 experts in case management, epidemiology, infection prevention and control (IPC), outbreak logistics and medical anthropology to Guinea in the first instance. A rotation plan is being developed for the coming weeks.
• See also GOARN Request for Assistance above.

Logistics and Supplies

• Supplies are being prepositioned in high risk areas. Personal protective equipment (PPE) and other viral haemorrhagic fever response materials prepositioned in Dubai and Ouagadougou have been shipped to Guinea. 3,000 PPE have already reached Guinea. Additional PPEs and materials should reach the neighbouring countries within 3-4 days.
• VHF prevention & control guidelines and IEC materials have been sent and disseminated:tiphat:http://www.afro.who.int/en/clusters...4070-sitrep-1-ebola-guinea-28-march-2014.html

 

[Treyfish]

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

UN agency urges vigilance amid Ebola outbreak in Guinea, Sierra Leone and Liberia

A nurse comforts a patient who has been diagnosed to have the Ebola virus. Photo: WHO/Chris Black


Print


28 March 2014 ? With a total of 103 suspected and confirmed cases of Ebola in Guinea, including 66 deaths, the outbreak must be watched very carefully, a spokesperson for the United Nations health agency said today, noting that there is no treatment or cure for the frequently fatal disease.
?A lot of those cases still are only suspect cases,? Gregory Hartl of the World Health Organization (WHO) told reporters in Geneva. ?Local health authorities will report any number of syndromic cases that resemble Ebola but turn out not to be. So we don?t expect all of these cases to end up confirmed in the end.
?However, on the other hand, there are probably other cases out there which we don?t know of yet. So this is an extremely fluid situation.?
Both Sierra Leone and Liberia have reported suspected cases and deaths consistent with Ebola to the UN health agency among people who had travelled to Guinea before the onset of symptoms. Mr. Hartl said the cases in Sierra Leone and Liberia that are known to WHO have an epidemiological link with Guinea. As of now, the agency does not recommend that any travel or trade restrictions be applied to any of the three countries.
......
?It?s not a disease which normally causes a large number of cases,? said Mr. Hartl. ?It?s a disease which is very traumatic. It?s a disease which kills large percentages of the people it infects? there?s no treatment, there?s no medicine, there?s no vaccine. So you are very much at the whim of the disease and you can only just hope that your body is strong enough for its natural defences to fight off the disease.
?We need to watch this extremely carefully because there is no treatment, there is no cure, and the course of the disease is, more often than not, fatal.?:tiphat:http://www.un.org/apps/news/story.asp?NewsID=47459&Cr=disease&Cr1=



<hr class="invi">

 

[Treyfish]

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

Security Message for U.S. Citizens: Update on Ebola Hemorrhagic Fever

28 March 2014

On the evening of March 27, Guinea's Ministry of Health confirmed that there are four individuals with the Ebola virus in Conakry. All four are family members of the patient who died after he attended a funeral in the area of the Ebola outbreak. According to Guinea's Health Minister Remy Lamah, "all four individuals have been placed in an isolation ward in Donka hospital and the elderly man's family has also been quarantined." There is no evidence of further spread of Ebola within Conakry.


The Guinean government suspects that the Ebola virus vector in Guinea is bats, and can be transmitted through other sources of "bush meat", such as primates and antelopes. The Guinean government has limited the sale of bats and traditional bat dishes to minimize the risk of additional cases.
A person who becomes ill with Ebola is generally sick enough to be bed bound and highly unlikely to be walking in the community. Furthermore, there is no documented respiratory transmission as occurs with influenza, chickenpox and other infections. The only way to catch Ebola is by coming in direct contact of the body fluids of someone severely ill from the disease or by eating contaminated bush meat.
The direct risk of infection is negligible if one has not been in close contact with the body fluids of those actively sick with Ebola. Schools and embassies in Conakry remain open and movement through town should remain unaffected by this disease.
For daily updates on the Ebola hemorrhagic virus, please visit the U.S. Embassy Conakry website.
As a reminder, practice good hygiene with frequent hand-washing and avoid the severely ill.
For more information on Ebola hemorrhagic fever, please visit the CDC website at www.cdc.gov/vhf/ebola.
We strongly recommend that U.S. citizens traveling to or residing in Guinea enroll in the Department of State's Smart Traveler Enrollment Program (STEP) at www.Travel.State.Gov. STEP enrollment gives you the latest security updates, and makes it easier for the U.S. embassy or nearest U.S. consulate to contact you in an emergency. If you don't have Internet access, enroll directly with the nearest U.S. embassy or consulate.
Regularly monitor the State Department's website, where you can find current Travel Warnings, Travel Alerts, and the Worldwide Caution. Read the Country Specific Information for Guinea. For additional information, refer to "A Safe Trip Abroad" on the State Department's website.
Contact the U.S. Embassy or consulate for up-to-date information on travel restrictions. You can also call 1-888-407-4747 toll-free in the United States and Canada or 1-202-501-4444 from other countries. These numbers are available from 8:00 a.m. to 8:00 p.m. Eastern Time, Monday through Friday (except U.S. federal holidays). Follow us on Twitter and Facebook.
The U.S. Embassy in Conakry is located along T2 off the Bambeto Roundabout in the Centre Aministratif de Koloma, Commune de Ratoma and is open Mon - Friday 0800- 1630; (Tel: 224 655 104 444). For after - hours emergencies, on weekends or on holidays, please call (+224) 655.104.444 or (+224) 657.104.040 and ask to speak to Duty Officer. To call from the U.S, please dial: 00 224 655.104. 444. The U.S. Embassy website is http://conakry.usembassy.gov.:tiphat:http://conakry.usembassy.gov/sm-03282014.html

 

[Treyfish]

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

Belgium-Ebola: the "non-essential" travel not recommended in Guinea

March 28, 2014 9:05 p.m.


Foreign Affairs since Friday discourage non-essential travel in Guinea, a country hit by an outbreak of Ebola.
This outbreak of contagious hemorrhagic fever has made its appearance in Forest Guinea, in the prefectures of Macenta Gu?k?dou and Kissidougou, and resulted in death. Cases have also been confirmed in Conakry. "In this context, it is advisable to travel or stay in areas affected by dengue, unless compelling reason areas," said Federal Public Service (FPS) Foreign Affairs on its website.
The Department also recommends that the Belgian citizens to be informed health guidelines issued by the Guinean authorities to strictly observe rules of hygiene, wash hands frequently, do not touch the sick with a high fever or gastrointestinal enteritis and to refrain from eating meat hunting. The virus is transmitted to humans from wild animals and then spreads in populations by human to human transmission. The first symptoms of the virus in its early stages resemble a flu-like illness with fever, pain, diarrhea, vomiting. The virus then enters the actual phase of hemorrhagic fever. Infection occurs through direct contact with blood, secretions, organs or bodily fluids of infected persons. A total of 103 suspected cases of viral haemorrhagic fever have been detected since the beginning of the epidemic in Guinea in January, resulting in the death of 66 people is a case fatality rate of 64%. (Belga):tiphat:http://www.rtl.be/info/monde/intern...voyages-non-essentiels-deconseilles-en-guinee

 

[sharon sanders]

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

Belgium-Ebola: the "non-essential" travel not recommended in Guinea

March 28, 2014 9:05 p.m.


Foreign Affairs since Friday discourage non-essential travel in Guinea, a country hit by an outbreak of Ebola.
This outbreak of contagious hemorrhagic fever has made its appearance in Forest Guinea, in the prefectures of Macenta Gu?k?dou and Kissidougou, and resulted in death. Cases have also been confirmed in Conakry. "In this context, it is advisable to travel or stay in areas affected by dengue, unless compelling reason areas," said Federal Public Service (FPS) Foreign Affairs on its website.
The Department also recommends that the Belgian citizens to be informed health guidelines issued by the Guinean authorities to strictly observe rules of hygiene, wash hands frequently, do not touch the sick with a high fever or gastrointestinal enteritis and to refrain from eating meat hunting. The virus is transmitted to humans from wild animals and then spreads in populations by human to human transmission. The first symptoms of the virus in its early stages resemble a flu-like illness with fever, pain, diarrhea, vomiting. The virus then enters the actual phase of hemorrhagic fever. Infection occurs through direct contact with blood, secretions, organs or bodily fluids of infected persons. A total of 103 suspected cases of viral haemorrhagic fever have been detected since the beginning of the epidemic in Guinea in January, resulting in the death of 66 people is a case fatality rate of 64%. (Belga):tiphat:http://www.rtl.be/info/monde/intern...voyages-non-essentiels-deconseilles-en-guinee

machine translation

Date: March 28, 2014
Still valid on 29 March 2014
Belgian Embassy Address for Guinea
)
Last updated

Non-essential travel in Guinea are not recommended.

Contagious hemorrhagic fever has made its appearance in Forest Guinea, in the prefectures of Macenta Gu?k?dou and Kissidougou, and resulted in death. Cases have also been confirmed in Conakry. In this context, it is advisable to travel or stay in areas affected by dengue, unless compelling reason areas. It is also recommended to keep abreast of health guidelines issued by the Guinean authorities to strictly observe rules of hygiene, wash hands frequently, do not touch the sick with a high fever or gastroenteritis and abstain from the consumption of bushmeat. The virus is transmitted to humans from wild animals and then spreads in populations by human to human transmission. The first symptoms of the virus in its early stages resemble a flu-like illness with fever, pain, diarrhea, vomiting. The virus then enters the actual phase of hemorrhagic fever. Infection occurs through direct contact with blood, secretions, organs or bodily fluids of infected persons. When a person presents the temperature (fever, muscle aches, etc.) you are invited to contact the services of the Embassy of France, the health center at (224) 656.44.87.45 (Monday to Friday 08:30 to 12:00 and from 14h to 17:15 and Saturday from 09h to 12h) and (+224) 631 35 42 10 or (+224) 664.57.01.92 outside of opening hours.

http://diplomatie.belgium.be/fr/Ser...guinee/ra_guinee.jsp?referer=tcm:313-75083-64

 

[Treyfish]

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

The Economic Community of West African States says the Ebola epidemic known to have spread to Guinea's capital is "a serious threat to regional security".

Source AAP
2014/03/29
UPDATED 2 MINS AGO





Guinea's capital is on high alert after a deadly Ebola epidemic that has killed dozens in the southern forests was confirmed to have spread to the sprawling port city of two million people.
Eight cases have been confirmed in the capital Conakry, the Guinean health ministry said on Friday, including one fatality.
All those infected with the highly contagious virus have been put into isolation at the capital's biggest hospital.
Aid organisations have sent dozens of workers to help the poor west African country combat the outbreak of haemorrhagic fever.
The health ministry said 111 cases of haemorrhagic fever, including 70 deaths, had been recorded from January to March 28, a fatality rate of 63 per cent.
Most of the cases were recorded in southern Guinea, but in the past two days, it has spread to the capital.
Residents of Conakry's suburbs told AFP they feared venturing into the city centre to shop and were keeping their children home from school.
"I wonder what Guinea has done to God to make him send us this untreatable disease ... I'm wary of anything that moves that could be a carrier of the disease," unemployed graduate Abdoulaye Soumah said.
The 15-member Economic Community of West African States (ECOWAS) said the outbreak was "a serious threat to regional security" and appealed for help from the international community.
The tropical virus causes severe fever and muscle pain, weakness, vomiting, diarrhoea and, in severe cases, organ failure and unstoppable bleeding.
Further suspected cases being investigated in Liberia and Sierra Leone could push the total death toll beyond 80.
Transm...:tiphat:http://www.sbs.com.au/news/article/2014/03/29/guinea-ebola-regional-threat-ecowas

 

[Pathfinder]

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

Re: Guinea - Hemorrhagic fever killed 66 people with 103 suspected cases - Ebola lab confirmed in 15 cases

Translation Google

INFO ON haemorrhagic fever EBOLA GUINEA - CONAKRY Special

 THE MINISTRY OF HEALTH GUINEA
 Friday, March 28, 2014 10:03 p.m.

NATIONAL DEPARTMENT OF HEALTH AND PREVENTION COMMUNAUTAIREDIVISION PREVENTION AND CONTROL THE MALADIE
28 March 2014

Epidemiological Situation 10 new suspected cases of viral haemorrhagic fever were reported in Gu?ck?dou (04 cases), Macenta (1) Dabola (1) and Conakry (4) .


In addition four deaths occurred Gu?k?dou .

Preliminary information obtained by investigative mission to Conakry cases are as follows: the first death in Conakry from Dabola . This is a trader who became ill on March 17 and died on March 18 . His body was transferred to his village, Watagala , sub -prefecture in the prefecture of Dialakoro Dinguiraye . However , he resided in Dabola prefecture where he had previously housed a citizen came from Gu?ck?dou who presented similar symptoms to hemorrhagic fever and died.

It is among his brothers residing in Conakry and who accompanied his remains that 4 people showed symptoms and were positive in EBOLA test. Subsequently , other people who contacted the first case ( 4) were tested positive for Ebola , totaling 8 positive cases .

Accumulated suspects recorded from January to March 28, 2014 , a total of 111 suspected cases of viral haemorrhagic fever 70 deaths (including 36 community deaths ) a fatality rate of 63%.

These cases and deaths are as follows : Gu?k?dou ( case 73 / 51 deaths ) ; Macenta (22 cases / 12 deaths ) , Kissidougou (7 cases / 5 deaths ) , Conakry (8 cases and 1 death) and Dabola (1 case and 1 death) .

laboratory

To date 45 subjects samples of suspected cases were examined and 19 cases were positive in Filovirus EBOLA

...
http://guineeplus.net/politique/nos...rragique-a-virus-ebola-en-guinee-conakry.html

 

[Giuseppe]

Re: Guinea - Hemorrhagic fever killed 70 people with 111 suspected cases - Ebola lab confirmed in 19 cases

Re: Guinea - Hemorrhagic fever killed 70 people with 111 suspected cases - Ebola lab confirmed in 19 cases

[Source: Yahoo!, full page: (LINK).]


Ebola 'a regional threat' as contagion hits Guinea capital

Guinea's capital Conakry was on high alert after a deadly Ebola epidemic which has killed dozens in the southern forests was confirmed to have spread to the sprawling port city of two million people.

(?)


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[Giuseppe]

Re: Guinea - Hemorrhagic fever killed 70 people with 111 suspected cases - Ebola lab confirmed in 19 cases

Re: Guinea - Hemorrhagic fever killed 70 people with 111 suspected cases - Ebola lab confirmed in 19 cases

[Source: Bloomberg, full page: (LINK).]


Ebola Virus Death Toll in Guinea Outbreak Rises to 70 People

An outbreak of the Ebola virus in Guinea has killed 70 people and there are another 111 suspected cases as the disease has spread from rural areas to the capital, Conakry, according to the Health Ministry.

(?)


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[Shiloh]

Re: Guinea - Hemorrhagic fever killed 70 people with 111 suspected cases - Ebola lab confirmed in 19 cases

Re: Guinea - Hemorrhagic fever killed 70 people with 111 suspected cases - Ebola lab confirmed in 19 cases

Source: http://the-japan-news.com/news/article/0001170005


8 cases of Ebola in Guinea?s capital
8:36 pm, March 29, 2014

The Associated Press CONAKRY (AP)?Health officials in the West African nation of Guinea say they?re now treating eight cases of Ebola in the capital...

...the new cases involved patients who had been in contact with the body of one of the earlier victims. He said health officials were seeking to quarantine anyone who took part in the burials.

 

[Treyfish]

Re: Guinea - Hemorrhagic fever killed 70 people with 111 suspected cases - Ebola lab confirmed in 19 cases

Re: Guinea - Hemorrhagic fever killed 70 people with 111 suspected cases - Ebola lab confirmed in 19 cases

Ebola: SENEGAL THE FARM SA BORDER WITH GUINEA

LAST MINUTE ORDER OF THE GOVERNOR OF KOLDA

http://translate.googleusercontent....ps.sn/&usg=ALkJrhgLK04_YjLaS6hdOG-UX-_rxnkEcQ
Published 03/29/2014
[/URL]
Kolda, March 29 (APS) - The governor of the Kolda region (south) issued an order authorizing the closed areas crossing the border between Senegal and Guinea, following the emergence of Ebola virus in this country neighbor learned the corresponding APS administrative source.
"For prevention and protection of populations, we issued an order closing the walkways at the border with Guinea until further notice," the source said.
"This follows the emergence of Ebola virus'' in Guinea where concurrent suspected cases recorded from January to March 28, 2014 (Friday) for a total of 111 suspected cases including 70 deaths, according to the Guinean Ministry of health.
Eight cases of hemorrhagic fever, including one death, were recorded and the last two days in Con..:tiphat:http://translate.google.com/transla...l-ferme-sa-fronti%C3%A8re-avec-la-guin%C3%A9e

 

[Treyfish]

Re: Guinea - Hemorrhagic fever killed 70 people with 111 suspected cases - Ebola lab confirmed in 19 cases

Re: Guinea - Hemorrhagic fever killed 70 people with 111 suspected cases - Ebola lab confirmed in 19 cases

SENEGAL-HEALTH-PREVENTION Kolda: the border with Guinea closed by order of the Governor

2014-03-29 11:37:24 GMT
Kolda, March 29 (APS) - The governor of the Kolda region (south) issued an order authorizing the closed areas crossing the border between Senegal and Guinea, following the emergence of Ebola virus in this country neighbor learned the corresponding APS administrative source.
"For prevention and protection of populations, we issued an order closing the walkways at the border with Guinea until further notice," the source said.

"This follows the emergence of Ebola virus'' in Guinea where concurrent suspected cases recorded from January to March 28, 2014 (Friday) for a total of 111 suspected cases including 70 deaths, according to the Guinean Ministry of health.

Eight cases of hemorrhagic fever, including one death, were recorded and the last two days in Co....

The prefect of V?lingara had already decided to close the weekly market Diaob?, one of the most famous in the sub-region, where thousands of people gather each week from the Gambia, Guinea, Guinea- Bissau and Senegal.

MG / BK:tiphat:http://translate.google.com/transla...p://www.aps.sn/articles.php?id_article=126570