Guinea - Lassa fever outbreaks 2022

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Ministry of Health and Public Hygiene Guinea

2 hrs ·

HEALTH MINISTER CALLS CRISIS MEETING TO TAKE URGENT ARRANGEMENTS AGAINST SUSPECTED CASE OF LASSA FEVER IN GUÉCKEDOU

To counter the suspected case of Lassa fever detected in Gueckedou, before the confirmation of the sample by a laboratory in Conakry, the Minister of Health chaired this morning a crisis meeting extended to all partners in the health sector.

Objective, take stock of the situation and take all measures to limit the spread of the disease in the event of confirmation.

On the occasion, the ANSS presented the table of the different times when Lassa fever was detected in Guinea, over the period from 2018 to the present day, before placing particular emphasis on the suspected case detected on April 20, 2022 in Gueckedou. The 17-year-old patient is said to be in stable condition.

In its presentation, the ANSS did not fail to highlight some of the difficulties it faces. Among other things, the lack of an emergency fund, of treatment products, of means of rapid transport of samples.

The Minister of Health and the technical and financial partners present praised the responsiveness of the ANSS and the actors in the chain.

Taking into account all the concerns of the ANSS, the Ministry of Health has undertaken, with the support of partners, to provide the ANSS with means of prevention as soon as possible.

Among the recommendations resulting from this crisis meeting, we can note:

- Rapid preparation of a response plan with a budget commensurate with expectations
- Ensure a sense of accountability and transparency in the management of funds
- Design of a communication strategy integrating community awareness on the risks associated with deforestation, the consumption of bushmeat and cohabitation with rodents, potential sources of Lassa fever
- Activations of all alert structures at central and decentralized level
- Start-up of a team of national experts for more information on the ground
- Sharing information with neighboring countries for mutual response action

Before adjourning the session, the Minister of Health, pending confirmation of the samples of the suspected case, wanted to reassure the people not to panic.

The Communication and Public Relations Unit

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National Health Security Agency-ANSS

Yesterday at 7:25 AM ·

#FIEVRELASSA

The Guéckédou DPS reported a confirmed case of Lassa fever. This is a 17-year-old patient from the sub-prefecture of Kassadou, 65 km from the capital of the prefecture.

Therapeutic route:

On April 19, 2022, she was hospitalized in the maternity ward of the Guéckédou prefectural hospital for fever, pelvic and subcostal pain, headache, pruritic fetid leucorrhoea and amenorrhea for 3 months, evolving for 5 days. During the interrogation, she reports having consulted on April 16, at the health post of Yomandou (20 km from Kassadou), where she would have been treated for malaria.

In view of the clinical signs, the diagnosis is oriented towards a suspicion of salmonellosis associated with syphilis and vaginitis. But after 3 days of treatment without success, new research made the diagnosis of lassa fever, confirmed on April 20, 2022, at 5 p.m., by the Guékédou laboratory.

Actions already taken:

The patient is transferred to the CTEPI in Guékédou for treatment.

Local and national authorities are informed;

The COU-SP is activated;

EPARE, made up of a multidisciplinary and multisectoral team, is on alert.

NB: a double confirmation is in progress at the FH laboratory before the official declaration of the government on April 22.


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Detection of a case of Lassa fever, in Guéckédou: the patient is 17 years old!

Mediaguinee
April 22, 2022

The Minister of Health and Public Hygiene Dr Mamadou Pèthè Diallo confirmed in a press release the appearance of a case of Lassa fever in Guéckédou, in the south of Guinea. The 17-year-old patient comes from the Kassadou sub-prefecture.

...
https://mediaguinee.org/detection-dun-cas-de-fievre-de-lassa-a-gueckedou-la-patiente-a-17-ans/

 

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Lassa fever in Guéckédou: 34 contacts identified, research continues (ANSS)

The Guinean government announced Friday, April 22, 2022, the detection of a case of Lassa fever, in the prefecture of Guéckédou.

On this subject, Dr Sory Condé, head of unit and data management and information system at the ANSS surveillance department, specified that to date, 34 contacts have been identified in this area.

“There are already 34 contacts who have been listed. Work continues on the ground. Today, the identification is not all at one time, you start the follow-up, you continue to question with the follow-up sessions of research in the community, you will always find that there are new contacts. We are also continuing to raise awareness in the field, because unfortunately there are no vaccines against Lassa fever. So the strategy is to find cases, isolate them and treat them,” he explained during an interview with mosaiqueguinee.com, this Saturday, April 23.

According to him, in this process of finding cases, the ANSS will look in the consultation registers of the structures to see if patients have passed for complaints that are similar to the disease sought, in Guéckédou.

As a reminder, an investigation has been initiated in the villages concerned, for the identification of all contacts and their follow-up.

Saidou Barry

https://mosaiqueguinee.com/fievre-l...dentifies-les-recherches-se-poursuivent-anss/

 

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Lassa fever in Guéckédou: 88 contacts identified, including 17 health workers (ANSS)

By Mohamed Bangoura 2 hours ago in Health
...
“We have 88 identified contacts, including 17 health workers. Awareness-raising and follow-up of contacts continue in the field, it is our agents who do this work. For the identified contacts, we will follow them for 21 days, if they develop the signs we isolate them, after the 21 days if they do not show signs we release them , "he explained during a meeting. interview with mosaiqueguinee.com , this Tuesday, April 26, 2022.

As a reminder, the confirmed case reported in Guéckédou is a 17-year-old female patient from the sub-prefecture of Kassadougou, 64 km from the capital of the prefecture.

Saidou Barry

https://mosaiqueguinee.com/fievre-l...acts-identifies-dont-17-agents-de-sante-anss/

 

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The director of the ANSS warns: ''the forest region is an endemic area for Lassa fever''

Last Updated Apr 27, 2022

A few days after the official announcement of the appearance of a case of Lasse fever in southern Guinea, the health authorities gave news of the young patient aged 17. The National Health Security Agency (ANSS) announces more than 80 contacts.

“The patient is hospitalized at the Gueckégou epidemic treatment center. His clinical condition is stable. She is under treatment and monitored by the medical team. There are also contacts that have been listed. They are among 88 contacts who are regularly followed by the teams of the prefectural health management, ”says the director general of the National Agency for Health Security.

In the words of Professor Fodé Amara Traoré, ''the forest region is an endemic zone for Lassa fever. So every now and then we have a few flare-ups. It turns out that the forest region, as well as Liberia, Sierra Leone and other countries are areas conducive to the development of Lassa fever''.

It recommends to Guineans the measures to take to protect themselves from this disease. “The first measure is the hygiene measure, keeping the rats away from homes. And especially pay attention to deratization. In case there are suspected cases of people who show signs, they go very quickly to health structures so that the diagnosis can be made and treatment can follow.

Abdoulaye Bella DIALLO, for VisionGuinee.Info

https://www.visionguinee.info/le-di...ere-est-une-zone-dendemie-de-la-fievre-lassa/

 

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IOM Guinea
@OIMGuinee

A 2nd case of #Lassa fever was confirmed on April 30 in the sub-prefecture of #Tokoulo in #Guéckédou .
On the ground, the @OIMGuinee , l'@guinee_oms, l'@UNICEFGuinea and #CDC_AFENET support the Ministry of Health in the investigation & coordination of activities
...
12:12 PM · May 1, 2022·Twitter for Android

https://twitter.com/OIMGuinee/status...28630250795009

 

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Lassa fever in Guéckédou: a second confirmed positive case, more than 100 contacts identified (DPS)

By Mohamed Bangoura 3 hours ago in Health

The prefecture of Guéckédou has just recorded one (1) second confirmed positive case of Lassa fever, on Monday May 2, 2022, in particular in Tokounou.

It is the person in charge of communication at the prefectural direction of Health (DPS) of Guéckédou Moussa Touré, who himself confirmed the information, while specifying that more than 100 contacts have already been identified.

“This is a second case in the sub-prefecture of Tokounou, towards Macenta. It was the day before yesterday, currently there are more than 100 identified contacts, research continues on the ground. These are the contacts of the second confirmed positive case. For the moment, the patient is admitted to the epidemiological treatment center of Guéckédou for care, it is progressing well and awareness continues. The population of Guéckédou collaborates well with the local health authorities,” he explained during an interview with mosaiqueguinee.com on Wednesday.

As a reminder, the Guinean government announced on Friday, April 22, the detection of a case of Lassa fever, in the prefecture of Gueckedou.

Also, an investigation was initiated in the villages concerned, for the census of all the contacts and their follow-up.

Saidou Barry

https://mosaiqueguinee.com/fievre-l...-positif-plus-de-100-contacts-identifies-dps/

 

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WEEKLY BULLETIN ON OUTBREAKS
AND OTHER EMERGENCIES

Week 18: 24 April – 1 May 2022
Data as reported by: 17:00; 1 May 2022
...

Lassa fever Guinea

2 cases
0 Death
0% CFR

EVENT DESCRIPTION

The Ministry of Health and Public Hygiene of Guinea declared
an outbreak of Lassa fever in Guéckédou Province, Nzérékoré
Region on 22 April 2022, following the notification of a confirmed
case of Lassa fever by the Guéckédou provincial Directorate of
Health.

The confirmed case is a 17-year-old female from the Sidakoro
village, Yomadou district in Kassadou sub-prefecture, located
65 km from the urban district of Guéckédou. The case-patient
reported onset of symptoms on 12 April 2022 and later sought
in-patient care at Guéckédou Provincial Maternity Hospital on
19 April 2022, with complaints of fever, costal and pelvic pain,
headache, leucorrhea, amenorrhea, cough, and muscle cramps.
Blood samples collected from the case-patient on 20 April 2022
and analyzed at the Haemorrhagic Fever Laboratory of Guéckédou
using the reverse transcription-polymerase chain reaction (RTPCR)
returned positive for Lassa virus infection. Test results for
other haemorrhagic fevers were negative. A confirmatory test at
the Conakry Reference Laboratory also returned positive for the
Lassa virus. The patient is currently hospitalized in the Epidemic
Diseases Treatment Centre at the Guéckédou Provincial Hospital.
Following the initial epidemiological investigation, a total of 141
contacts including 21 health workers and laboratory staff were
listed. Environmental investigation also confirmed the presence
of infected mastomys rats, reservoir of the Lassa virus, in the
affected area.

On 29 April 2022, a second confirmed case of Lassa fever with
no known epidemiological linkage to the first case was notified
from Tekoulo sub-province, Guéckédou province. The case is a
24-year-old male from Koumassan village, Wokouama sector,
situated 20 km away from Sekoulo sub-province. Epidemiological
investigations are ongoing to determine the likely source of
exposure.

PUBLIC HEALTH ACTIONS

The Ministry of Health and partners are implementing the
following activities to control the ongoing outbreak:
The crisis committee at the National level was activated
to coordinate the Lassa fever response activities and the
declaration of the outbreak was made on 22 April 2022.
Surveillance activities, including in-depth epidemiological
investigation, contact listing and follow up are ongoing in
the affected areas.

Laboratory activities, mainly the testing of suspected
cases are ongoing at the hemorrhagic fever laboratory in
Guéckédou health district

Risk communication and community mobilization activities
through local radio stations are ongoing

Treatment of the cases in Epidemic Diseases Treatment
Centre is ongoing. Infection prevention and control measures
have also been reinforced. Essential medicines for case
management including ribavirin were distributed to the
affected districts.

A multidisciplinary rapid response team involving the
Ministry of Health, WHO, UNICEF, and the Field Epidemiology
Training Program (FETP) has been deployed in the affected
areas to support response activities.

A strategic response plan was finalized and the Ministry of
Health is mobilizing funds to implement planned activities.

SITUATION INTERPRETATION

Lassa fever is endemic in parts of West Africa including Liberia,
Guinea, Sierra Leone, and Nigeria where the natural reservoir of
the Lassa virus, the mastomys rodents, has been found. Sociocultural
practices including hunting for the rodents have been
known risk factors for Lassa fever infection in the region. The
current outbreak comes at a time the health system of Guinea has
been dealing with multiple outbreaks and control capacities are
suboptimal. The authorities will need to quickly investigate the
current outbreak and ensure that communities are sensitized to
the risk of acquiring the infection.

https://apps.who.int/iris/bitstream/handle/10665/353957/OEW18-240401052022.pdf

https://www.afro.who.int/health-topics/disease-outbreaks/outbreaks-and-other-emergencies-updates

 

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Lassa fever: "the first patient came out cured with his contacts..." (DPS Guéckédou)

By Mohamed Bangoura 3 hours ago

After several weeks of follow-up by the health authorities of the prefecture of Guéckédou, the two people declared sick with Lassa fever will be able to go about their business freely.

To date, the very first person to have contracted this disease, has finally recovered and left his hospital bed with all his contacts. The second, she on her side must still wait so that her situation stabilizes.

This is at least the information given by the person in charge of communication of the Prefectural Directorate of Health of Guéckédou.

“We had two patients. The first is healed and has returned home. The second is still with us. The two made 281 contacts. The first came out with his 151 contacts and the second with a hundred contacts will also be free on May 19, 2022, if all goes well ,” reassured Dr Moussa Touré.

Remember that the first case was detected in April 2022 and the second, at the beginning of May.

Mama Adama Sylla

https://mosaiqueguinee.com/fievre-la...-dps-gueckedou

 

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Source: https://www.who.int/emergencies/disease-outbreak-news/item/2022-DON382


Lassa fever - Guinea

13 May 2022

Situation at a glance
On 22 April 2022, the Ministry of Health and Public Hygiene of Guinea declared a Lassa fever outbreak following the laboratory confirmation of two cases from the Guéckédou prefecture in the southeast of Guinea. Lassa fever is endemic in several countries in West Africa and Guinea has previously reported outbreaks as well as sporadic cases. Given that the Guinean health system has been overwhelmed due to several concurrent emerging and re-emerging infectious disease outbreaks since last year, this current outbreak may have a serious public health impact. To date, no deaths have been reported.
Description of the case
On 20 April 2022, local health authorities were notified of a suspected case of hemorrhagic fever in Guéckédou prefecture, southeast Guinea (Figure 1). The case was a 17-year-old female who experienced fever and loss of appetite on 12 April. From 16 to 17 April, the case additionally reported chest pain and physical weakness. On 18 April, the case sought medical care, and was admitted to a hospital on 19 April. The case received home care for five days since symptom onset and consulted two health facilities, which resulted in 141 reported contacts.
On 20 April, a blood sample was collected from the suspected case, and reverse transcriptase polymerase chain reaction (RT-PCR) analyses were performed at the Guéckédou hemorrhagic fever laboratory for Ebola, Marburg and Lassa fever. The case tested negative for Ebola and Marburg on 20 April but was confirmed positive for Lassa fever on 21 April. On 22 April, a second test was conducted at the reference laboratory in Conakry, which tested positive again. On the same day, the Minister of Health and Public Hygiene declared a Lassa fever outbreak. The case is currently receiving care at a health facility in Guéckédou.
On 28 April, a second confirmed case of Lassa fever, with no known epidemiological link to the first case, was reported in Guéckédou prefecture. The case was a 24-year-old male. On 16 April, he presented with chest pain and insomnia and sought care at a private clinic on 18 April. On 28 April, he sought care at the provincial hospital for symptoms including fever, headache, vomiting, thoracic pain and bloody stools. On 29 April, he was confirmed positive for Lassa fever by laboratory testing in a treatment facility in Guéckédou. Epidemiological investigations are underway to determine the source of the infection.

Figure 1. Distribution of confirmed cases (n=2) of Lassa fever reported in Guinea in April 2022
Epidemiology
Lassa fever is an acute viral hemorrhagic disease caused by the Lassa virus. It is primarily transmitted to humans either through direct contact with infected Mastomys rodents, or through food or household items contaminated with the urine or faeces of infected rodents. Although to a lesser extent, transmission can also occur from human-to-human through direct contact with blood or bodily fluids of an infected person, mainly in a hospital setting, due to the lack of adequate infection prevention and control measures. Most cases (approximately 80%) are asymptomatic or mild, but the virus can cause severe disease in the remaining 20% of patients with a case fatality ratio (CFR) of approximately 15% among severely ill patients. Early supportive care for patients is critical and improves survival. There is currently no vaccine that protects against Lassa fever.
Lassa fever is endemic in the West African countries of Benin, Ghana, Guinea, Liberia, Mali, Sierra Leone, and Nigeria, and is likely to be present in other West African countries as well. In Guinea, Lassa fever was first diagnosed in October 2011. Since then, outbreaks and sporadic cases have been reported in Guinea. The last reported outbreak of Lassa fever in Guinea was in 2021, with 8 cases and 7 deaths (88% CFR) reported in the prefectures of N'Zérékoré, Beyla, Guéckédou and Yomou.

Public health response

The Ministry of Health and Public Hygiene, in collaboration with WHO and other partners, has responded to the outbreak by strengthening prevention activities in the region. The Ministry of Health and Public Hygiene has:

• Developed a response plan and is mobilizing funds to finance it.

• Delivered drugs and case management supplies to the field.

• Deployed a rapid response team to support the response activities.

• Implemented standard interventions, including isolation of suspected cases, laboratory confirmation, infection prevention and control in health facilities, and social mobilization and community engagement.

WHO risk assessment

The risk for this outbreak at the national level is considered high, because Lassa virus is endemic in the country associated with the presence of the animal host reservoir, Mastomys rats. In addition, there are limited financial, human and logistical resources and the Guinean health system has been severely overwhelmed since last year. In 2021, Guinea experienced several concurrent emerging and re-emerging infectious diseases such as Ebola, Marburg, Lassa fever, measles, meningitis, yellow fever, vaccine-derived polio type 1, and COVID-19. This outbreak could have a serious impact on public health due to the already fragile health system.
The results of preliminary epidemiological investigations suggest that there is a risk of nosocomial and community transmission from the first case.
At the regional and global level, the risk of spread is considered low due to the primary mode of transmission of the disease, being the exposure to rodents. Although Guéckédou is located in proximity to the international borders with Liberia and Sierra Leone, the risk of cross-border transmission of cases can be considered low. However, since Lassa fever is endemic in Liberia and Sierra Leone due to the presence of Mastomys rodents, the risk of exposure is present in these two countries.

WHO advice

Prevention in communities: Good community hygiene is important to prevent rodents from entering homes. Effective measures include storing grain and other food in rodent-resistant containers, disposing of garbage away from homes, keeping homes clean, and keeping cats.
Health care settings:

• Health care providers should always follow standard precautions for the prevention and control of health care-associated infections, regardless of the presumed diagnosis. These precautions include basic hand hygiene, respiratory hygiene, personal protective equipment, injection safety, and safe funeral practices.

• Health workers caring for suspected or confirmed cases of Lassa fever should take additional infection control measures to avoid contact with the patient's blood or body fluids and contaminated surfaces or materials such as clothing and bed linens. When within one meter of patients, they should wear face protection (face shield or surgical mask and goggles), a clean, non-sterile, long-sleeved gown, and gloves (sterile for certain medical procedures).

Surveillance and clinical management: In all countries where Lassa fever is endemic, it is important to improve early detection and clinical management of cases to reduce case fatality.
Travel: WHO does not recommend any restrictions on travel or trade in Guinea based on the current epidemiological situation...

 

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Lassa fever in Guéckédou: no new case to date, the only patient could be released this Thursday (DPS)

By Doura
3 hours ago News , Latest News , Health

Lassa fever, which resurfaced in the prefecture of Guéckédou last month with two new cases, could be overcome in the coming days, if however new contaminations are not notified.

In any case, to date, no new case has been reported and the second person who was previously under health control would join his family very soon if his body does not show any signs linked to this virus. His contacts who are also closely followed will be free in turn.

In any case, this is what Dr. Moussa Touré, communication officer for the prefectural directorate of Health in Guéckédou, said during a telephone exchange with mosaiqueguinee.com, this Tuesday, May 17, 2022.

“It is the laboratory confirmation that remains. If the laboratory does not say otherwise, on May 19, 2022, the second person will be free. The last check will be tomorrow Wednesday, May 18. She has 134 contacts who are being followed from their respective villages to see if they show signs. They will also be free, if however the laboratory gives the green light. At the moment, there are no known new cases of Lassa fever,” he announced .

It should be added that this last person is a married woman who comes from Koumassan, a locality located in the sub-prefecture of Tékoulo, prefecture of Guéckédou.

Mama Adama Sylla

https://mosaiqueguinee.com/fievre-l...-patiente-pourrait-etre-liberee-ce-jeudi-dps/

 

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Guéckédou: the Minister of Health, Péthé Diallo, announces the end of Lassa fever in Guinea, Liberia and Sierra Leone

It's a sigh of relief for the people of Guéckédou and the surrounding area. This Friday, July 1 , 2022, on the occasion of the second day of the cross-border meeting between Guinea, Sierra Leone and Liberia, the Guinean Minister of Health and Public Hygiene, Mamadou Péthé Diallo, announced the “end of Lassa fever” in this prefecture of Forest Guinea. The virus of this hemorrhagic fever was detected there on April 20 in a 17-year-old patient from Kassadou (a sub-prefecture located about 65 kilometers from the capital of the prefecture of Guéckédou), reports the envoy special from Guineematin.com in Guéckédou.

It was in a speech delivered by videoconference that Minister Mamadou Péthé Diallo announced this good news. And, he took the opportunity to thank the sister countries (Liberia and Sierra Leone) for having coordinated their efforts with the Guinean teams in the fight against this disease.

“Today, there are exactly 42 days since we recorded any new cases of Lassa fever in the prefecture of Guéckédou, after the discharge of the last patient we had at the epidemiological treatment center.

This is the place to thank, congratulate and encourage the health personnel of the prefecture of Guéckédou, the health personnel of the N'Zérékoré region, but also the men and women of the national health security agency ( ANSS) who have been mobilizing for several months to enable us to achieve this victory.

I could extend the same congratulations to our brothers and sisters in Sierra Leone and Liberia who have coordinated their efforts with the Guinean teams to ensure that this victory is not only in the prefecture of Guéckédou, but that it is the victory of the three (3) countries…

I would like to conclude by officially declaring the end of the Lassa fever epidemic in the prefecture of Guéckédou, but also in the three (3) sister countries: Guinea, Liberia and Sierra Leone. An official declaration of the end of the epidemic which, for us, is still a call for the mobilization of our teams, the ANSS, but also of all of our health teams in the districts of Guéckédou”, declared Mamadou Péthé Diallo, while recalling that Guinea, Liberia and Sierra Leone are in an area where there are regular resurgences of the three fevers (Ebola, Lassa and Malburg) which mourn the populations.

To be continued !

From Guéckédou, Mamadou Yahya Petel Diallo special correspondent for Guineematin.com

Guineematin.com
PUBLISHED BY :
GUINEEMATIN.COM
JULY 1, 2022

https://guineematin.com/2022/07/01/...assa-en-guinee-au-liberia-et-en-sierra-leone/
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Ministry of Health and Public Hygiene Guinea
21 hrs ·

END OF THE LASSA FEVER EPIDEMIC IN GUINEA.

This Friday, July 1, 2022, the Minister of Health and Hygiene officially declared the end of the Lassa fever epidemic in Guinea.

The ceremony mobilized in Guéckédou, actors from the country's health chain, technical and financial partners, representatives of brotherly and friendly countries, Liberia and Sierra Leone around forest populations, directly in liaison with the Minister of Health and Public Hygiene by videoconference.

On behalf of the Head of State, the Minister of Health took the opportunity to greet and thank all those involved in this victory against Lassa fever, before inviting them to be more vigilant and not to lower their keep.

Dr. Mamadou Péthè Diallo strongly commended and encouraged cross-border collaboration, without which it would be difficult to defeat this epidemic.

It is under notes of satisfaction vis-à-vis the soldiers of the ANSS, the technical and financial partners, the populations and the brotherly and friendly countries, of Liberia and the Sierra, that Dr. Mamadou Péthè, at the name President of the transition, Col. Mamadi Doumbouya, officially declared the end of the Lassa fever epidemic in Guinea.

The Communication & Public Relations Unit.

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