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Liberia - Ebola: 10 212 confirmed cases, 4 573 deaths (WHO, April 22, 2015)

Situation summary
Data published on 05 January 2015
http://apps.who.int/gho/data/view.eb...150105?lang=en
Ebola.png
 
Ebola Situation report

14 January 2015
http://apps.who.int/iris/bitstream/10665/148237/2/roadmapsitrep_14Jan2015_eng.pdf?ua=1
...
Ebola 1.png
...
LIBERIA
Case incidence has declined from a peak of over 300 new confirmed cases per week in August and September 2014 to 8 confirmed cases in the 7 days to 11 January 2015 (figure 2).
The district of Montserrado, which includes the capital Monrovia, continues to report cases. In the 7 days to 11 January, 4 cases were reported in Montserrado, with 4 in Grand Cape Mount. Lofa, which borders Gueckedou, has reported no cases for 78 days.

Figure 2: Confirmed Ebola virus disease cases reported each week from Liberia and Monrovia


Systematic data on laboratory confirmed cases have been available since 3 November nationally, and since 16 November for each district. The patient databases give the best representation of the history of the epidemic. However, data for the most recent weeks are sometimes less complete in the database than in the weekly situation reports. View data ?
...
 
UPDATE 1-Liberia releases last known Ebola patient from care

Thu Mar 5, 2015 12:27pm EST
...
By James Harding Giahyue

MONROVIA, March 5 (Reuters) - Liberia's last Ebola patient left hospital on Thursday to cheers of delight from friends and family, a year after the West African country reported its first case.

Liberia's capital, Monrovia, was once at the heart of an epidemic that has killed nearly 10,000 across West Africa. Liberia has reported no new Ebola cases in 13 days, but can be deemed Ebola-free only after 42 days have passed -- double the normal incubation period for the virus.

Dressed in a bright orange T-shirt and multi-coloured beads, a joyous Beatrice Yardolo greeted a small crowd outside the Chinese Ebola treatment centre in the Paynesville suburb of Monrovia, where she was hospitalised for two weeks.
...
"Today signifies a very great day for our country. When the news was bad, we reported it. We stand here today to signify good news," said Tolbert Nyenswah, head of Liberia's Ebola response.

However, Nyenswah called on Liberians to observe strict measures to eradicate the disease, adding more than 100 Ebola contacts were still under surveillance.
...

http://www.reuters.com/article/2015/03/05/health-ebola-liberia-idUSL5N0W74YN20150305
 
Ebola Situation Report - 18 March 2015
Corrected on 19 March 2015

SUMMARY

A total of 150 new confirmed cases of Ebola virus disease (EVD) were reported in the week to 15 March, compared with 116 the previous week. There were 95 new confirmed cases reported in Guinea: the highest weekly total for the country in 2015. Sierra Leone reported 55 new confirmed cases over the same period: the country’s lowest weekly total since late June 2014. Liberia reported no new confirmed cases for the third consecutive week. March 15 was day 12 since the final patient in Liberia had a second negative test for EVD (42 days must elapse before transmission can be considered to have ended).

A total of 12 districts in Guinea and Sierra Leone reported a confirmed case in the week to 15 March, all of which lie on a geographically contiguous arc in and around Conakry to the north and Freetown to the south. An additional 4 districts have reported a confirmed case in the past 21 days: Kono and Tonkolili in central and eastern Sierra Leone, and Lola and Macenta in eastern Guinea.

Though transmission is currently confined to a relatively narrow geographic corridor, the population is highly mobile, with a great deal of movement throughout surrounding districts and countries. Limiting the movements of cases and contacts is challenging but essential to prevent the seeding of new outbreaks.

Key response indicators for Guinea suggest that there remain significant challenges to overcome before transmission is brought under control. Of 49 total reported EVD deaths in the week to 15 March, almost half (23) were identified post-mortem in the community. In the week to 8 March, a low proportion (28%) of confirmed cases arose from registered contacts, and there were a reported 18 unsafe burials. Taken together, these indicators suggest that the outbreak in Guinea is still being driven by unknown chains of transmission.

In the week to 15 March a total of 125 suspected cases of EVD were reported in Liberia, none of whom tested positive for EVD. All contacts associated with the last known chain of transmission have now completed 21-day follow-up.

By contrast with Guinea, key response indicators for Sierra Leone present a more promising outlook. In the week to 8 March over two-thirds (67%) of confirmed cases came from registered contacts, whilst in the week to 15 March, 6 of 62 total EVD-confirmed deaths were identified post-mortem in the community. There was 1 reported unsafe burial over the same period. However, there are still areas where most new cases arise from unknown chains of transmission. Kambia, a district north of Freetown on the border with the Guinean prefecture of Forecariah, reported 7 new cases in the week to 8 March, 5 of which came from post-mortem testing of people who had died in the community and who were not known to be contacts of a previous case.
...
COUNTRIES WITH WIDESPREAD AND INTENSE TRANSMISSION

There have been over 25 000 reported confirmed, probable, and suspected cases of EVD in Guinea, Liberia and Sierra Leone (table 1), with over 10 000 reported deaths (outcomes for many cases are unknown). A total of 95 new confirmed cases were reported in Guinea, 0 in Liberia, and 55 in Sierra Leone in the 7 days to 15 March.

The total number of confirmed and probable cases is similar in males and females (table 3). Compared with children (people aged 14 years and under), people aged 15 to 44 are approximately three times more likely to be affected. People aged 45 and over are nearly four times more likely to be affected than children.

A total of 852 confirmed health worker infections have been reported in Guinea, Liberia, and Sierra Leone; there have been 492 reported deaths (table 5).

Table 1: Confirmed, probable, and suspected cases reported by Guinea, Liberia, and Sierra Leone [TABLE="width: 1137"]
[TR="class: table-header, bgcolor: #008DC9"]
[/TR]
[TR="bgcolor: transparent"]
[TD]Guinea[/TD]
[TD]Confirmed[/TD]
[TD="align: center"]2966[/TD]
[TD="align: center"]204[/TD]
[TD="align: center"]1829[/TD]
[/TR]
[TR]
[TD]Probable[/TD]
[TD="align: center"]395[/TD]
[TD="align: center"]*[/TD]
[TD="align: center"]395[/TD]
[/TR]
[TR="bgcolor: transparent"]
[TD]Suspected[/TD]
[TD="align: center"]28[/TD]
[TD="align: center"]*[/TD]
[TD="align: center"]‡[/TD]
[/TR]
[TR]
[TD]Total[/TD]
[TD="align: center"]3389[/TD]
[TD="align: center"]204[/TD]
[TD="align: center"]2224[/TD]
[/TR]
[TR="bgcolor: transparent"]
[TD]Liberia**[/TD]
[TD]Confirmed[/TD]
[TD="align: center"]3150[/TD]
[TD="align: center"]0[/TD]
[TD="align: center"]‡[/TD]
[/TR]
[TR]
[TD]Probable[/TD]
[TD="align: center"]1879[/TD]
[TD="align: center"]*[/TD]
[TD="align: center"]‡[/TD]
[/TR]
[TR="bgcolor: transparent"]
[TD]Suspected[/TD]
[TD="align: center"]4497[/TD]
[TD="align: center"]*[/TD]
[TD="align: center"]‡[/TD]
[/TR]
[TR]
[TD]Total[/TD]
[TD="align: center"]9526[/TD]
[TD="align: center"]0[/TD]
[TD="align: center"]4264[/TD]
[/TR]
[TR="bgcolor: transparent"]
[TD]Sierra Leone[/TD]
[TD]Confirmed[/TD]
[TD="align: center"]8487[/TD]
[TD="align: center"]194[/TD]
[TD="align: center"]3325[/TD]
[/TR]
[TR]
[TD]Probable[/TD]
[TD="align: center"]287[/TD]
[TD="align: center"]*[/TD]
[TD="align: center"]208[/TD]
[/TR]
[TR="bgcolor: transparent"]
[TD]Suspected[/TD]
[TD="align: center"]2977[/TD]
[TD="align: center"]*[/TD]
[TD="align: center"]158[/TD]
[/TR]
[TR]
[TD]Total[/TD]
[TD="align: center"]11 751[/TD]
[TD="align: center"]194[/TD]
[TD="align: center"]3691[/TD]
[/TR]
[TR="bgcolor: transparent"]
[TD]Total[/TD]
[TD]Confirmed[/TD]
[TD="align: center"]14 603[/TD]
[TD="align: center"]398[/TD]
[TD="align: center"]‡[/TD]
[/TR]
[TR]
[TD]Probable[/TD]
[TD="align: center"]2561[/TD]
[TD="align: center"]*[/TD]
[TD="align: center"]‡[/TD]
[/TR]
[TR="bgcolor: transparent"]
[TD]Suspected[/TD]
[TD="align: center"]7502[/TD]
[TD="align: center"]*[/TD]
[TD="align: center"]‡[/TD]
[/TR]
[TR]
[TD]Total[/TD]
[TD="align: center"]24 666[/TD]
[TD="align: center"]398[/TD]
[TD="align: center"]10 179[/TD]
[/TR]
[/TABLE]

Data are based on official information reported by ministries of health. These numbers are subject to change due to ongoing reclassification, retrospective investigation and availability of laboratory results. *Not reported due to the high proportion of probable and suspected cases that are reclassified. ‡Data not available. ...

LIBERIA
  • Key performance indicators for the EVD response in Liberia are shown in table 4.
  • No new confirmed cases were reported in the week to 15 March: the third consecutive week in which no new confirmed cases have been reported. March 15 was day 12 since the final patient in Liberia had a second negative test for EVD: 42 days must elapse before transmission can be considered to have ended. Once the 42-day period has elapsed, an additional period of heightened vigilance will be required.
  • No counties have now reported a confirmed case within the past 21 days (figure 5). All contacts associated with the last known chain of transmission have now completed 21-day follow-up. Surveillance and early warning systems detected 125 suspected cases in the week to 15 March, none of whom have tested positive for EVD.
  • Locations of the 18 operational Ebola treatment centres (ETCs) in Liberia are shown in figure 6. All of the 12 that have been assessed met minimum infection prevention and control standards as of February. 12 non-Ebola health-care facilities were also assessed (2 in Montserrado county, 10 in Nimba county): 5 (42%) met minimum IPC standards.
  • Case fatality rates for people hospitalized with confirmed EVD for whom a definitive outcome was reported were 53%, 52% and 50% for the months of October, November and December, respectively. On average, it took 2.6 days between the onset of symptoms and hospitalization of a confirmed, probable or suspected case during February.
  • Locations of the 5 operational laboratories in Liberia are shown in figure 7. A total of 289 samples were tested in the week to 15 March, none of which tested positive for EVD.
  • http://apps.who.int/ebola/current-si...-18-march-2015
 
Liberia official: New patient tests positive for Ebola

Jonathan Paye-Layleh, Associated Press 1:55 p.m. EDT March 20, 2015

MONROVIA, Liberia (AP) ? A patient has tested positive for Ebola in Liberia's capital, officials said Friday, deflating hopes that the country had beaten the disease after weeks with no new cases.
...
Kateh said: "It is confirmed we've got the first test and it is confirmed."

Tolbert Nyenswah, who runs Liberia's Ebola response, also said he had been told the test result was positive. He said the patient has been transferred to an Ebola treatment center in Monrovia.

In a worrying sign, it is not clear where the woman became infected. She doesn't seem to be linked to any of the people on a list of contacts of other Ebola patients, Kateh said.
...
http://www.usatoday.com/story/news/...ls-patient-tests-positive-for-ebola/25087361/
 
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