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Sierra Leone - Ebola outbreak: 13 155 clinical cases including 3 940 deaths (WHO, July 8, 2015)

Re: Sierra Leone - Ebola outbreak 2014 - 525 clinical cases , 224 deaths as of July 23, 2014 (WHO)

Re: Sierra Leone - Ebola outbreak 2014 - 525 clinical cases , 224 deaths as of July 23, 2014 (WHO)

Sierra Leone's top Ebola doctor dies from virus

By Umaru Fofana and Adam Bailes
FREETOWN Tue Jul 29, 2014 7:37pm BST

(Reuters) - The doctor leading Sierra Leone's fight against the worst Ebola outbreak on record died from the virus on Tuesday, the country's chief medical officer said.

The death of Sheik Umar Khan, who was credited with treating more than 100 patients, follows the deaths of dozens of local health workers and the infection of two American medics in neighbouring Liberia, highlighting the dangers faced by staff trying to halt the disease's spread across West Africa.
...
The 39-year-old Khan, hailed as a "national hero" by the Health Ministry, had been moved to a treatment ward run by the medical charity Medecins Sans Frontieres in the far north of Sierra Leone.

He died on Tuesday afternoon, less than a week after his diagnosis was announced, and on the same day that President Ernest Bai Koroma was due to visit his treatment centre in the northeastern town of Kailahun.

"It is a big and irreparable loss to Sierra Leone as he was the only specialist the country had in viral haemorrhagic fevers," said the chief medical officer, Brima Kargbo.
...
http://uk.reuters.com/article/2014/07/29/uk-health-ebola-doctor-idUKKBN0FY1Z120140729
 
Sierra Leone - Ebola outbreak 2014: Update - 525 cases (419 confirmed, 56 probable, and 50 suspected) and 224 deaths (188 confirmed, 33 probable, and 3 suspected) via WHO July 25, 2014

Sierra Leone - Ebola outbreak 2014: Update - 525 cases (419 confirmed, 56 probable, and 50 suspected) and 224 deaths (188 confirmed, 33 probable, and 3 suspected) via WHO July 25, 2014

hat tip to Donners for the link

Ebola Update July 29, 2014

• 129 patients have survived the disease and have been discharged from the treatment centers in Kenema and Kailahun.
• The cumulative number of Laboratory confirmed cases are 500 and 167 confirmed deaths
• Eighty (70) patients are currently admitted at the treatment centers in Kenema and Kailahun
• It is with heavy heart that the Ministry of Health and Sanitations informs the general public that Sierra Leone’s only virologist Dr. Shiekh Umarr Khan passed away this afternoon at the treatment Center in Kailahun. His body has been conveyed at the Lassa Fever Mortuary in Kenema and plans are underway for his befitting burial on Thursday

Ebola Viral Disease Situation Report – Ministry of Health and Sanitation, Sierra Leone
For more information please contact – District Health Management Team at District level
National level - Directorate of Disease Prevention and Control: dpcsurveillance@gmail.com
Mobile:- +23276913000


https://www.facebook.com/pages/Mini...ra-Leone/281064805403702?hc_location=timeline
 
Re: Sierra Leone - Ebola outbreak 2014: Update - 525 cases (419 confirmed, 56 probable, and 50 suspected) and 224 deaths (188 confirmed, 33 probable, and 3 suspected) via WHO July 25, 2014

Re: Sierra Leone - Ebola outbreak 2014: Update - 525 cases (419 confirmed, 56 probable, and 50 suspected) and 224 deaths (188 confirmed, 33 probable, and 3 suspected) via WHO July 25, 2014

Ebola virus disease, West Africa ? update 29 July 2014
Epidemiology and surveillance

The World Health Organization (WHO) continues to monitor the evolution of the Ebola virus disease (EVD) outbreak in Sierra Leone, Liberia, Guinea and Nigeria. The Ebola epidemic trend in Sierra Leone, Liberia, and Guinea remains precarious, with continuing community and health-facility transmissions of infection.

Between 24 and 27 July 2014, a total of 122 new cases (suspect, probable, and laboratory-confirmed cases) as well as 57 deaths were reported from Liberia, Sierra Leone, Guinea and Nigeria.

The surge in the number of new EVD cases especially in Liberia, Sierra Leone and Guinea calls for concentrated efforts by all to address the identified problems such as health facility transmission and effective contact tracing.

In Nigeria, IHR focal person report confirms that the probable case notified was symptomatic at the time of arrival in Nigeria and that 59 contacts (15 from among the airport staff and 44 from the hospital) have been identified so far. The report also confirms that the patient travelled by air and arrived in Lagos, Nigeria, on 20th July via Lom?, Togo and Accra, Ghana.

The sample from this case is yet to be sent to the WHO Collaborating Centre at the Institute Pasteur in Dakar, Senegal, due to refusal by courier companies to transport this sample. Though only one probable case has been detected so far in Nigeria, Ebola virus infection in this country represents a significant development in the course of this outbreak.

The national authority in Nigeria, Togo and Ghana continue to work closely with WHO and partners in identification of contact and contact tracing as well as in preparing response plans.

Health sector response

In an effort to accelerate the response to the current EVD outbreak in West Africa, the Director General of WHO and other senior managers continue to hold discussions with the donor community, development partners as well as international agencies at a global level. Focus of discussion has centered among others on the need to rapidly deploy additional resources (human and financial) that will help interrupt Ebola transmission.

Efforts are currently ongoing to scale up and strengthen all aspects of the response in the four countries, including epidemiologic investigations, contact tracing, public information and community mobilization, case management and infection prevention and control, coordination and staff security. WHO is also working closely with various partners to finalize the national response plans that define urgent response needs in line with the Accra?s strategy adopted by Member States.

WHO and Partners (CDC, MSF, UNICEF, IFRC, Institute Pasteur of Dakar, Save the Children, Plan Guinea and others) continue to work together through the Sub-regional Ebola Outbreak Coordination Center (SEOCC) in Conakry in accelerating the control of this outbreak.

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

Disease update

New cases and deaths attributable to EVD continue to be reported by the Ministries of Health in the four West African countries of Guinea, Liberia, Nigeria and Sierra Leone. Between 24 and 27 July 2014, 122 new cases (laboratory-confirmed, probable, and suspect cases) of EVD, and 57 deaths, were reported from the four countries as follows: Guinea, 33 new cases and 20 deaths; Liberia, 80 new cases and 27 deaths; Sierra Leone, 8 new cases and 9 deaths; and Nigeria, 1 new case who died.

As of 27 July 2014, the cumulative number of cases attributed to EVD in the four countries stands at 1323 including 729 deaths. The distribution and classification of the cases are as follows: Guinea, 460 cases (336 confirmed, 109 probable, and 15 suspected) including 339 deaths; Liberia, 329 cases (100 confirmed, 128 probable, and 101 suspected) including 156 deaths; Sierra Leone, 533 cases (473 confirmed, 38 probable, and 22 suspected) including 233 deaths; and Nigeria, 1 probable case who died.

Confirmed, probable, and suspect cases and deaths from Ebola virus disease in Guinea, Liberia, Sierra Leone and Nigeria as of 27 July 2014
Ebola.png
http://www.afro.who.int/en/clusters...a-virus-disease-west-africa-29-july-2014.html
 
Re: Sierra Leone declares emergency

Re: Sierra Leone declares emergency

Nordica said:
Freetown - Sierra Leone has declared a state of public emergency to tackle the worst ever outbreak of Ebola and will call in security forces to quarantine epicentres of the deadly virus, President Ernest Bai Koroma said in a statement.

http://www.iol.co.za/news/africa/ebola-koroma-declares-emergency-1.1728549
Click to expand...

Thanks Nordica! Also this, hat tip Michael Coston for the link:

ADDRESS TO THE NATION ON THE EBOLA OUTBREAK BY HIS EXCELLENCY THE PRESIDENT DR. ERNEST BAI KOROMA JULY 30, 2014

Today, I ask the entire nation to mourn with the families of our national heroes including Dr. Sheik Humarru Khan who lost their lives battling the Ebola outbreak in our country.

They were true patriots, paragons of service. We must win this fight in honor of their memory, and with prayers in our hearts, for all our compatriots who are victims of this deadly disease.

Since the outbreak, my government, in collaboration with development partners has continued to mobilize and deploy resources and expertise nationally and internationally to fight the disease.

I have been in contact with world leaders and global partners to meet the challenges; we have set up coordinating mechanisms with the World Health Organization and other international bodies; we set up an inter-ministerial committee to mobilize MDA support activities; trained and deployed hundreds of health workers, contact tracers and burial teams; and facilitated awareness raising on the disease by paramount chiefs, religious leaders, non-governmental organizations, civil society organizations, musicians, okada riders, market women, the media and ordinary citizens.

The disease is beyond the scope of any one country, or community to defeat. Its social, economic, psychological and security implications require scaling up measures at international, national, inter-agency and community levels.

Extra-ordinary challenges require extra-ordinary measures. The Ebola Virus Disease (EVD) poses an extra-ordinary challenge to our nation.

Consequently, and in line with the Constitution of Sierra Leone Act Number 6 of 1991, I hereby proclaim a State of Public Emergency to enable us take a more robust approach to deal with the Ebola outbreak.

In order to continue to take direct control of the situation, I have cancelled my trip to the US-Africa Summit in the United States of America. On Friday, I will be travelling to Conakry, Guinea to meet with my colleague Heads of State of the Mano River Union to discuss our sub-regional strategies to defeat the disease.

We are launching a National Response Plan to inaugurate Phase Two of our fight against the disease. I also hereby establish a Presidential Task Force on Ebola which I will chair to champion the implementation of the following:

All epicenters of the disease will be quarantined;

The police and the military will give support to health officers and NGOs to do their work unhindered and restrict movements to and from epicenters;

Localities and homes where the disease is identified will be quarantined until cleared by medical teams;

Public meetings and gatherings will be restricted with the exception of essential meetings related to Ebola sensitization and education;

Active surveillance and house-to-house searches shall be conducted to trace and quarantine Ebola victims and suspects;

Parliament is recalled to promote MPs leadership at constituency levels;

Paramount chiefs are required to establish bye-laws that would complement other efforts to deal with the Ebola outbreak;

Mayors, chairmen of councils and councilors are hereby required to support Ebola control measures in their local government areas;

All deaths must be reported authorities before burial;

New protocols for arriving and departing passengers have been instituted at the Lungi International Airport;

Cancellation of all foreign trips by ministers and other government officials except absolutely essential engagements.

These measures will initially be implemented for a period of 60 to 90 days, and subsequent measures will be announced as and when necessary.

In addition, Government is establishing a special account for donations from corporate interests, organizations, the Diaspora and the general public to support the fight against Ebola.

I also hereby declare Monday August 4, 2014 a National Stay at Home Day for Family Reflection, Education and Prayers on the Ebola outbreak.

Fellow citizens, this is a national fight, and it behoves all of us to stand together to promote the truth about this deadly disease. Ebola is real, and we must stop its transmission. There have been over 130 survivors of the disease. There is hope that early detection of the virus in persons can boost their chances of survival. This is why it is very necessary to get those with the virus to treatment centers not only to prevent others from contracting the virus, but also increasing their own chances of survival.

Fellow citizens, Sierra Leone is in a great fight. We are a resilient people. And we must not fail. The sustainability of our actions for prosperity depends on winning this fight. Failure is not an option. We all need to come together to win this battle.

Thank you for listening and God Bless Sierra Leone.

http://www.statehouse.gov.sl/index....e-president-dr-ernest-bai-koroma-july-30-2014
 
Re: Liberia - Ebola: 329 suspect/confirmed/prob cases, 156 deaths as of July 29, 2014 (WHO)

Re: Liberia - Ebola: 329 suspect/confirmed/prob cases, 156 deaths as of July 29, 2014 (WHO)

Ebola virus disease, West Africa ? update

Disease outbreak news
31 July 2014

Epidemiology and surveillance

Between 24 and 27 July 2014, a total of 122 new cases of Ebola virus disease (EVD; laboratory-confirmed, probable, and suspect cases) as well as 57 deaths were reported from Guinea, Liberia, Nigeria, and Sierra Leone. The Ebola epidemic trend in Guinea, Liberia, and Sierra Leone remains precarious with ongoing community and health-facility transmissions of infection. The surge in the number of new EVD cases calls for concentrated efforts by all to address the identified problems, such as health facility transmission and effective contact tracing.
On 29 July 2014, the National IHR Focal Point for Nigeria confirmed that the probable EVD case notified to WHO on 27 July 2014 was symptomatic at the time of arrival in Nigeria and that 59 contacts (15 from among the airport staff and 44 from the hospital) have been identified so far. The report also confirms that the patient travelled by air and arrived in Lagos, Nigeria, on 20 July via Lom?, Togo, and Accra, Ghana. The sample from this case is yet to be sent to the WHO Collaborating Centre at the Institute Pasteur in Dakar, Senegal, due to refusal by courier companies to transport this sample. Though only one probable case has been detected so far in Nigeria, Ebola virus infection in this country represents a significant development in the course of this outbreak.
National authorities in Ghana, Nigeria, and Togo continue to work closely with WHO and it partners in identification of contacts and contact tracing as well as in preparing response plans.
Health sector response

In an effort to accelerate the response to the current EVD outbreak in West Africa, the Director General of WHO and other senior managers continue to hold discussions with the donor community, development partners, and international agencies at a global level. Focus of the discussion has centered on the need to rapidly deploy additional human and financial resources that will help interrupt Ebola transmission and end the outbreak.
Efforts are currently ongoing to scale up and strengthen all aspects of the response in the four countries, including epidemiologic investigations, contact tracing, public information and community mobilization, case management and infection prevention and control, coordination, and staff security. WHO is also working closely with various partners to finalize the national response plans that define urgent response needs in line with the Accra strategy adopted by Member States.
WHO and it partners ? GOARN, CDC, MSF, UNICEF, IFRC, Institute Pasteur of Dakar, Save the Children, Plan Guinea, and others ? continue to work together through the Sub-regional Ebola Outbreak Coordination Center (SEOCC) in Conakry to accelerate the control of this outbreak.
WHO does not recommend any travel or trade restrictions is applied to Guinea, Liberia, Nigeria, or Sierra Leone based on the current information available for this event.
Disease update

New cases and deaths attributable to EVD continue to be reported by the Ministries of Health in the four West African countries of Guinea, Liberia, Nigeria and Sierra Leone. Between 24 and 27 July 2014, 122 new cases (laboratory-confirmed, probable, and suspect cases) of EVD and 57 deaths were reported from the four countries as follows: Guinea, 33 new cases and 20 deaths; Liberia, 80 new cases and 27 deaths; Nigeria, 1 case and 1 death; Sierra Leone, 8 new cases and 9 deaths.
As of 27 July 2014, the cumulative number of cases attributed to EVD in the four countries stands at 1 323 including 729 deaths. The distribution and classification of the cases are as follows: Guinea, 460 cases (336 confirmed, 109 probable, and 15 suspected) including 339 deaths; Liberia, 329 cases (100 confirmed, 128 probable, and 101 suspected) including 156 deaths; Nigeria, 1 case (1 probable who died); and Sierra Leone, 533 cases (473 confirmed, 38 probable, and 22 suspected) including 233 deaths.
Confirmed, probable, and suspect cases and deaths from Ebola virus disease in Guinea, Liberia, and Sierra Leone, as of 27 July 2014


<table class="borderOn"> <thead> <tr> <td class="RightAlign" rowspan="2">
</td> <td class="CenterAlign" rowspan="2">New (1)</td> <td class="CenterAlign" rowspan="2">Confirmed</td> <td class="CenterAlign" rowspan="2">Probable</td> <td class="CenterAlign" rowspan="2">Suspect</td> <td class="CenterAlign" rowspan="2">Totals by country</td> </tr></thead><tbody><tr> </tr> <tr> <td>Guinea</td> <td class="CenterAlign">
</td> <td class="CenterAlign">
</td> <td class="CenterAlign">
</td> <td class="CenterAlign">
</td> <td class="CenterAlign">
</td> </tr> <tr> <td class="RightAlign">Cases</td> <td class="CenterAlign">33</td> <td class="CenterAlign">336</td> <td class="CenterAlign">109</td> <td class="CenterAlign">15</td> <td class="CenterAlign">460</td> </tr> <tr> <td class="RightAlign">Deaths</td> <td class="CenterAlign">20</td> <td class="CenterAlign">218</td> <td class="CenterAlign">109</td> <td class="CenterAlign">12</td> <td class="CenterAlign">339</td> </tr> <tr> <td>Liberia </td> <td class="RightAlign">
</td> <td class="RightAlign">
</td> <td class="RightAlign">
</td> <td class="RightAlign">
</td> <td class="RightAlign">
</td> </tr> <tr> <td class="RightAlign">Cases</td> <td class="CenterAlign">80</td> <td class="CenterAlign">100</td> <td class="CenterAlign">128</td> <td class="CenterAlign">101</td> <td class="CenterAlign">329</td> </tr> <tr> <td class="RightAlign">Deaths</td> <td class="CenterAlign">27</td> <td class="CenterAlign">72</td> <td class="CenterAlign">62</td> <td class="CenterAlign">22</td> <td class="CenterAlign">156</td> </tr> <tr> <td>Nigeria</td> <td class="RightAlign">
</td> <td class="RightAlign">
</td> <td class="RightAlign">
</td> <td class="RightAlign">
</td> <td class="RightAlign">
</td> </tr> <tr> <td class="RightAlign">Cases</td> <td class="CenterAlign">1</td> <td class="CenterAlign">0</td> <td class="CenterAlign">1</td> <td class="CenterAlign">0</td> <td class="CenterAlign">1</td> </tr> <tr> <td class="RightAlign">Deaths</td> <td class="CenterAlign">1</td> <td class="CenterAlign">0</td> <td class="CenterAlign">1</td> <td class="CenterAlign">0</td> <td class="CenterAlign">1</td> </tr> <tr> <td>Sierra Leone</td> <td class="RightAlign">
</td> <td class="RightAlign">
</td> <td class="RightAlign">
</td> <td class="RightAlign">
</td> <td class="RightAlign">
</td> </tr> <tr> <td class="RightAlign">Cases</td> <td class="CenterAlign">8</td> <td class="CenterAlign">473</td> <td class="CenterAlign">38</td> <td class="CenterAlign">22</td> <td class="CenterAlign">533</td> </tr> <tr> <td class="RightAlign">Deaths</td> <td class="CenterAlign">9</td> <td class="CenterAlign">195</td> <td class="CenterAlign">33</td> <td class="CenterAlign">5</td> <td class="CenterAlign">233</td> </tr> <tr> <td>Totals</td> <td class="RightAlign">
</td> <td class="RightAlign">
</td> <td class="RightAlign">
</td> <td class="RightAlign">
</td> <td class="RightAlign">
</td> </tr> <tr> <td class="RightAlign">Cases</td> <td class="CenterAlign">122</td> <td class="CenterAlign">909</td> <td class="CenterAlign">276</td> <td class="CenterAlign">138</td> <td class="CenterAlign">1323</td> </tr> <tr> <td class="RightAlign">Deaths</td> <td class="CenterAlign">57</td> <td class="CenterAlign">485</td> <td class="CenterAlign">205</td> <td class="CenterAlign">39</td> <td class="CenterAlign">729</td> </tr> <tr> <td>
</td> <td>
</td> <td>
</td> <td>
</td> <td>
</td> <td>
</td> </tr> <tr> <td colspan="6">1. New cases were reported between 24 and 27 July 2014.</td> </tr> </tbody> </table> The total number of cases is subject to change due to reclassification, retrospective investigation, consolidation of cases and laboratory data, and enhanced surveillance. Data reported in the Disease Outbreak News are based on best available information reported by Ministries of Health.


http://www.who.int/csr/don/2014_07_31_ebola/en/
 
Re: Sierra Leone - Ebola outbreak 2014: Update - 533 cases (473 confirmed, 38 probable, and 22 suspected) and 233 deaths (195 confirmed, 33 probable, and 5 suspected) via WHO July 29, 2014

Re: Sierra Leone - Ebola outbreak 2014: Update - 533 cases (473 confirmed, 38 probable, and 22 suspected) and 233 deaths (195 confirmed, 33 probable, and 5 suspected) via WHO July 29, 2014

IFRC-logo.gif


Red Cross Red Crescent calls for immediate scale-up of efforts in support of WHO and West African governments’ plan to tackle Ebola epidemic

Published on 02 Aug 2014

Geneva, 2 August 2014 – The joint 100 million US dollars plan, announced by WHO and the West African nations affected by the Ebola virus disease, is a positive step forward in affording the crucial means to tackle the spread of the deadly disease. However, the International Federation of Red Cross and Red Crescent Societies (IFRC) is gravely concerned over the slow and negligible response from international community and is calling for an immediate scale-up of efforts.

Only concerted action from the international community will enable the containment of this deadly virus. However, there is prevalent fear not only within the affected communities, but also within the international community to respond to the situation, which may hinder the rapid control the outbreak.

(.............)

“The spread of the virus can only be halted with scaled-up support and coordinated action by all parties – governments, corporations, donors and aid organizations. We cannot continue to turn a blind eye on what is happening in western Africa. Inaction will cause the further spread of this deadly virus across the borders of this remote region, making true our fears.” Saaristo adds.
Click to expand...

IFRC
 
Re: Sierra Leone - Ebola outbreak 2014: Update - 533 cases (473 confirmed, 38 probable, and 22 suspected) and 233 deaths (195 confirmed, 33 probable, and 5 suspected) via WHO July 29, 2014

Re: Sierra Leone - Ebola outbreak 2014: Update - 533 cases (473 confirmed, 38 probable, and 22 suspected) and 233 deaths (195 confirmed, 33 probable, and 5 suspected) via WHO July 29, 2014

Comment: I have read elsewhere that many govt departments, including the WHO and some NGOs have become principally fundraising and policy making organisations, with few actual teams of 'boots on the ground' capable of exercising a response.

I am not sure that the international response is being limited by a lack of international concern, rather that there simply are not the teams of employed staff, with the correct expertise, to send. The only exceptions to this will be military medical teams who are part of armed services, but who will be less expert in the management of ebola, and can be ordered over as part of their military contract of service.

To find additional specialist personnel, it will require truly compassionate individuals and/or medics currently working in other parts of the world to be prepared to give up their current jobs and volounteer to be part of expert teams sent to the region, in full knowledge of the high risks. I would like to think that such individuals exist, but do they exist in sufficient numbers to make the difference that is required?
 
Re: Sierra Leone - Ebola outbreak 2014: Update - 533 cases (473 confirmed, 38 probable, and 22 suspected) and 233 deaths (195 confirmed, 33 probable, and 5 suspected) via WHO July 29, 2014

Re: Sierra Leone - Ebola outbreak 2014: Update - 533 cases (473 confirmed, 38 probable, and 22 suspected) and 233 deaths (195 confirmed, 33 probable, and 5 suspected) via WHO July 29, 2014

'It couldn?t be Ebola, could it??

Dr Naomi Platt, 27, who has just returned from working in a hospital in Sierra Leone, on the fear now rife in rural communities with few resources

By Dr Naomi Platt
7:05AM BST 03 Aug 2014

Am I the first person to be told that they have malaria and feel a sense of relief? Possibly. However, my diagnosis five weeks ago was given while I was working in a small rural hospital in Sierra Leone, where contact with the Ebola virus was a real possibility.
...
My colleagues and I were working at the 100-bed Masanga hospital in the rural district of Tonkolili, which borders Kenema, the region where the Ebola virus is most prevalent.
...
The infrastructure had been damaged during a civil war that ended in 2002. There was no running water and a generator provided power for two hours a day and during operations. There was no isolation unit and many common drugs were not available. If someone came in with a non-specific set of symptoms, such as fever, abdominal pain or diarrhoea ? which are also signs of Ebola ? we would treat them with antibiotics for sepsis or typhoid, antimalarials, paracetamol for fever, and fluids or oral rehydration salts for diarrhoea. We could send blood for testing to Kenema, Sierra Leone?s main treatment centre, but samples sometimes went astray, as happened with those from one of our suspected Ebola patients. Waiting for the results could mean delaying alternative, potentially life-saving treatments.
...
As rumours reached us that the disease was spreading towards our region, we began to feel very vulnerable. We?d talk about it at night, and senior doctors kept us updated with the latest information from the Sierra Leone government, but it was obvious that the hospital needed to prepare for infection control.

We asked for additional gowns, aprons and masks. I had visions of head-to-toe boiler suits, thick gloves and full-face masks, with not a glimpse of bare skin. The reality was thin gowns, latex gloves, hairnets and goggles like those worn in science lessons at school. Better equipment was being sent from Europe, but shipments invariably took weeks to arrive.

To control properly any infection, you need chlorinated running water; for the entire isolation unit and decontamination area that we rapidly set up, we had only nine buckets of it.

Perhaps our biggest problem, however, was the refusal of locals to believe in the existence of Ebola. I met some who simply dismissed the disease, and even learnt of one health officer who would not take precautions. Sadly, he contracted the disease in June and died.
...
Being in Sierra Leone has taught me that you can learn from these situations as long as you respect the diseases and don?t think you are invincible. Medical staff are at real risk ? Dr Sheik Umar Khan, who died in Sierra Leone last week, was one of the local experts we consulted when we had a suspected case....

Masanga hospital has had to close to new patients, because of the crisis. Knowing the staff as I do, they will struggle to turn away anyone who requires treatment; however, there simply aren?t the facilities to cope. It will take a mammoth effort, co-ordinated on a global scale, to get this epidemic under control.

Full text:
http://www.telegraph.co.uk/health/11007707/It-couldnt-be-Ebola-could-it.html
 
Re: Sierra Leone - Ebola outbreak 2014: Update - 533 cases (473 confirmed, 38 probable, and 22 suspected) and 233 deaths (195 confirmed, 33 probable, and 5 suspected) via WHO July 29, 2014

Re: Sierra Leone - Ebola outbreak 2014: Update - 533 cases (473 confirmed, 38 probable, and 22 suspected) and 233 deaths (195 confirmed, 33 probable, and 5 suspected) via WHO July 29, 2014

Ebola patient dies at Chinese Hospital

By: SEM Contributor on August 4, 2014.

The deadly Ebola virus has killed a 40 year-old woman only known as Aminata of Father Street, Lunsar at the Chinese Hospital, Jui on 1st August 2014.
...
Mabesseneh Hospital Head of Communication, Joshua Sandy disclosed that Aminata was admitted at the hospital for diarrhea and vomiting which caused her blood sample to be taken to Kenema for testing for Ebola but that by the time they knew the result she had disappeared only to later learn that she had been admitted at the Magbinteh Hospital in Makeni.

He continued that the management of Mabesseneh Hospital informed the Port Loko District Health Management Team (DHMT) and the Chiefdom Public Health Team about the development before he heard that she has died at the Chinese Friendship Hospital in Jui.
...
Sources at the Chinese Friendship Hospital revealed to this medium that three relatives of the late Aminata and the health workers who had contact with her have been quarantined to be observed for twenty-one days.
...
The Chinese Friendship Hospital has been closed as investigations into the matter continue.

http://www.sierraexpressmedia.com/?p=69637
 
Re: Sierra Leone - Ebola outbreak: 646 cases (540 confirmed, 46 probable, and 60 suspected) including 273 deaths as of August 1, 2014 (WHO)

Re: Sierra Leone - Ebola outbreak: 646 cases (540 confirmed, 46 probable, and 60 suspected) including 273 deaths as of August 1, 2014 (WHO)

Hattip Sharon Sanders

Ebola virus disease update - West Africa

Disease outbreak news
4 August 2014
...
Disease update

New cases and deaths attributable to EVD continue to be reported by the Ministries of Health in the four West African countries of Guinea, Liberia, Nigeria and Sierra Leone. Between 31 July and 1 August 2014, 163 new cases (laboratory-confirmed, probable, and suspect cases) of EVD and 61 deaths were reported from the four countries as follows: Guinea, 13 new cases and 12 deaths; Liberia, 77 new cases and 28 deaths; Nigeria, 1 cases and 0 deaths; Sierra Leone, 72 new cases and 21 deaths.
...
As of 1 August 2014, the cumulative number of cases attributed to EVD in the four countries stands at 1 603 including 887 deaths. The distribution and classification of the cases are as follows: Guinea, 485 cases (340 confirmed, 133 probable, and 12 suspected) including 358 deaths; Liberia, 468 cases (129 confirmed, 234 probable, and 105 suspected) including 255 deaths; Nigeria, 4 cases (0 confirmed, 3 probable, 1 suspected) including 1 death; and Sierra Leone, 646 cases (540 confirmed, 46 probable, and 60 suspected) including 273 deaths.
...
http://www.who.int/csr/don/2014_08_04_ebola/en/
 
Re: Sierra Leone - Ebola outbreak: 646 cases (540 confirmed, 46 probable, and 60 suspected) including 273 deaths as of August 1, 2014 (WHO)

Re: Sierra Leone - Ebola outbreak: 646 cases (540 confirmed, 46 probable, and 60 suspected) including 273 deaths as of August 1, 2014 (WHO)

Sierra Leone ?not able to deal? with Ebola outbreak, says Doctors Without Borders

August 5th, 2014
02:57 PM ET
By Mick Krever and Annabel Archer, CNN

Sierra Leone?s government ?is not able to deal with this outbreak? of Ebola, an emergency coordinator for Doctors Without Borders told CNN?s Fred Pleitgen from the epicenter of the largest-ever outbreak of the virus.
...
There is a desperate need for international organizations ?to send more infection control specialists, to send more epidemiologists here in Kailahun District.?
...
With a population of 470,000 in the area, many more people are needed to help spread the ?right message? about fighting Ebola.

?It?s really tragic,? she said. ?On Sunday we got the last four people from one community. The whole community died [of] Ebola or is now in our case management center.?

?From one community we got in the last two weeks around thirty patients, because they were attending unsafe burials ? thirty patients from a community of two hundred people ? it?s a disaster.?

?And especially we have also to look about the future, because now the impact is [that] everybody gets sick, but who is caring about the sick people? It?s the young people, it?s the women. Now we have a lot of people who cannot do agriculture. What is the future? What [will] we have to eat here in the future also??
...
http://amanpour.blogs.cnn.com/2014/...-ebola-outbreak-says-doctors-without-borders/
 
Re: Sierra Leone - Ebola outbreak: 646 cases (540 confirmed, 46 probable, and 60 suspected) including 273 deaths as of August 1, 2014 (WHO)

Re: Sierra Leone - Ebola outbreak: 646 cases (540 confirmed, 46 probable, and 60 suspected) including 273 deaths as of August 1, 2014 (WHO)

Sierra Leonean Former Minister Loses Nine Family Members to Ebola

05 Aug 2014

A former government minister in Sierra Leone said on Tuesday that he has lost nine members of his family to the Ebola epidemic raging in West Africa. Lansana Nyallah told state television the dead included his brothers and sisters in the eastern village of Daru, at the epicentre of the outbreak. "To those who still believe that Ebola does not exist, please take heed," the former youth and education minister told the Sierra Leone Broadcasting Corporation.

Ebola has claimed 273 lives in Sierra Leone. Overall almost 900 people have been killed by the pathogen, which is spread through contact with bodily fluids, since this worst-ever outbreak began at the start of the year. "Nine members of my family including my brothers and sisters are now dead from the virus," said Nyallah, who was replaced in a cabinet reshuffle last year after several years in President Ernest Bai Koroma's government.

"One of them was an imam who was also a radio journalist working for a community radio station in Daru," he said. "Our house is now empty as no one lives there," he added. Described as a "molecular shark" in medical literature, Ebola causes extreme fever before breaking down its victims' internal organs, which bleed out through the body in the most severe cases. Myths surrounding the virus have proved an obstacle to treatment and prevention.
...
http://www.thisdaylive.com/articles...er-loses-nine-family-members-to-ebola/185447/
 
Re: Sierra Leone - Ebola outbreak: 646 cases (540 confirmed, 46 probable, and 60 suspected) including 273 deaths as of August 1, 2014 (WHO)

Re: Sierra Leone - Ebola outbreak: 646 cases (540 confirmed, 46 probable, and 60 suspected) including 273 deaths as of August 1, 2014 (WHO)

Ebola virus disease, West Africa ? update 6 August 2014 E-mail Print
Epidemiology and surveillance

Between 2 and 4 August 2014, a total of 108 new cases of Ebola virus disease (laboratory-confirmed, probable, and suspect cases) as well as 45 deaths were reported from Guinea, Liberia, Nigeria, and Sierra Leone.

Health sector response

A mission briefing with representatives from Member States was held on 5 August at the World Health Organization (WHO). Information about the nature of Ebola virus disease (EVD) was highlighted. This was followed by outlining the essential components for control, including the need for national leadership, improved care and case management, identifying transmission chains and stopping disease spread, and preventing further outbreaks. Among the critical issues are: cross-border infections and travelers; partners reaching the limits of their capacity and ability to respond rapidly, safely, and effectively; and concerns about the socio-economic impact of continued transmission.

The Director-General also shared information from her recent meetings in Guinea with Member States of the Mano River Union ? C?te d?Ivoire, Guinea, Liberia, and Sierra Leone. She outlined that the response in West Africa would focus on three areas:

Treatment of Gu?ck?dou, Kenema, and Foya as a unified sector, which will include public health measures meant to reduce movement in and out of the area.
Intensifying current measures in Guinea, Liberia, Nigeria, and Sierra Leone.
Taking steps to reduce international spread to other countries in Africa and outside of the African Region.
The Sub-regional Ebola Operations Coordination Centre (SEOCC) in Conakry reported on 5 August that the following actions are underway in the four affected countries:

In Guinea, new foci have emerged and case management facilities will be needed. Exit screening is currently being tested in Conakry, in partnership with the US CDC.
In Liberia, security issues continue to be of concern, notwithstanding the commitment of the Government. Community resistance remains high.
In Nigeria, the Government is focused on following up the contacts from the index case. Clinical support is urgently needed and a treatment centre is being set up for managing cases of EVD.
In Sierra Leone, efforts are underway to map where treatment centres are most needed and getting those set up. A similar exercise is underway for laboratories.
The SEOCC is assisting countries with these and many other response measures.

On 6 August, WHO is convening an Emergency Committee of international experts to review the outbreak and advise the Director-General, in accordance with the International Health Regulations, whether the Ebola virus disease outbreak constitutes a Public Health Emergency of International Concern (PHEIC). Experts will receive an epidemiological briefing and will determine whether the criteria for a PHEIC have been met. If the Emergency Committee agrees that this is a PHEIC, they will then advise the Director-General on temporary recommendations. A summary of the meeting will be made public and a press briefing will be held on Friday, 8 August.

Disease update

New cases and deaths attributable to EVD continue to be reported by the Ministries of Health in Guinea, Liberia, Nigeria, and Sierra Leone. Between 2 and 4 August 2014, 108 new cases (laboratory-confirmed, probable, and suspect cases) of EVD and 45 deaths were reported from the four countries as follows: Guinea, 10 new cases and 5 deaths; Liberia, 48 new cases and 27 deaths; Nigeria, 5 new cases and 0 death; and Sierra Leone, 45 new cases and 13 deaths.

As of 4 August 2014, the cumulative number of cases attributed to EVD in the four countries stands at 1 711, including 932 deaths. The distribution and classification of the cases are as follows: Guinea, 495 cases (351 confirmed, 133 probable, and 11 suspected), including 363 deaths; Liberia, 516 cases (143 confirmed, 252 probable, and 121 suspected), including 282 deaths; Nigeria, 9 cases (0 confirmed, 2 probable, and 7 suspected), including 1 death; and Sierra Leone, 691 cases (576 confirmed, 49 probable, and 66 suspected), including 286 deaths.

Ebola.png

http://www.afro.who.int/en/clusters...-virus-disease-west-africa-6-august-2014.html
 
Re: Sierra Leone - Ebola outbreak: 717 cases (631 confirmed, 38 probable, and 48 suspected) including 298 deaths as of August 6, 2014 (WHO)

Re: Sierra Leone - Ebola outbreak: 717 cases (631 confirmed, 38 probable, and 48 suspected) including 298 deaths as of August 6, 2014 (WHO)

Hattip Shiloh

Ebola virus disease, West Africa ? update 8 August 2014
...
Disease update

New cases and deaths attributable to EVD continue to be reported by the Ministries of Health in Guinea, Liberia, Nigeria, and Sierra Leone. Between 5 and 6 August 2014, 68 new cases (laboratory-confirmed, probable, and suspect cases) of EVD and 29 deaths were reported from the four countries as follows: Guinea, 0 new cases and 4 deaths; Liberia, 38 new cases and 12 deaths; Nigeria, 4 new cases and 1 death; and Sierra Leone, 26 new cases and 12 deaths.

As of 6 August 2014, the cumulative number of cases attributed to EVD in the four countries stands at 1 779, including 961 deaths. The distribution and classification of the cases are as follows: Guinea, 495 cases (355 confirmed, 133 probable, and 7 suspected), including 367 deaths; Liberia, 554 cases (148 confirmed, 274 probable, and 132 suspected), including 294 deaths; Nigeria, 13 cases (0 confirmed, 7 probable, and 6 suspected), including 2 deaths; and Sierra Leone, 717 cases (631 confirmed, 38 probable, and 48 suspected), including 298 deaths.
...
http://www.afro.who.int/en/clusters...-virus-disease-west-africa-8-august-2014.html
 
Re: Sierra Leone - Ebola outbreak: 717 cases (631 confirmed, 38 probable, and 48 suspected) including 298 deaths as of August 6, 2014 (WHO)

Re: Sierra Leone - Ebola outbreak: 717 cases (631 confirmed, 38 probable, and 48 suspected) including 298 deaths as of August 6, 2014 (WHO)

Eight Chinese quarantined in Ebola-hit Sierra Leone



FREETOWN: Eight Chinese medical workers who treated patients suffering from the deadly Ebola virus have been placed in quarantine in Sierra Leone, the Chinese ambassador in Freetown said on Monday (Aug 11).

Seven Chinese doctors and one nurse, as well as five local nurses who treated Ebola patients, have been placed in quarantine, said ambassador Zhao Yanbo.

http://www.channelnewsasia.com/news/eight-chinese-quarantined/1307530.html
 
Re: Sierra Leone - Ebola outbreak: 717 cases (631 confirmed, 38 probable, and 48 suspected) including 298 deaths as of August 6, 2014 (WHO)

Re: Sierra Leone - Ebola outbreak: 717 cases (631 confirmed, 38 probable, and 48 suspected) including 298 deaths as of August 6, 2014 (WHO)

"Six Chinese doctors and one nurse as well as five local nurses treated an Ebola patient at the Jui Hospital who later died of the virus," said ambassador Zhao Yanbo.
"All of them who came in contact with the patient have been quarantined for the past two weeks under observation while the hospital has been fumigated and closed temporarily."
Yanbo said another Chinese doctor who treated an Ebola patient at the Kingharman Road Hospital had also been quarantined.:tiphat:http://news.yahoo.com/eight-chinese-quarantined-ebola-hit-leone-184831106.html
 
Re: Sierra Leone - Ebola outbreak: 730 clinical cases including 315 deaths as of August 9, 2014 (WHO)

Re: Sierra Leone - Ebola outbreak: 730 clinical cases including 315 deaths as of August 9, 2014 (WHO)

Hattip Shiloh

Ebola virus disease, West Africa ? update 11 August 2014
...
New cases and deaths attributable to EVD continue to be reported by the Ministries of Health in Guinea, Liberia, Nigeria, and Sierra Leone. Between 7 and 9 August 2014, 69 new cases (laboratory-confirmed, probable, and suspect cases) of EVD and 52 deaths were reported from the four countries as follows: Guinea, 11 new cases and 6 deaths; Liberia, 45 new cases and 29 deaths; Nigeria, 0 new cases and 0 deaths; and Sierra Leone, 13 new cases and 17 deaths.

Confirmed, probable, and suspect cases and deaths from Ebola virus disease in Guinea, Liberia, Nigeria, and Sierra Leone, as of 9 August 2014



<TABLE style="BORDER-BOTTOM: rgb(0,0,0) 1px solid; BORDER-LEFT: rgb(0,0,0) 1px solid; WIDTH: 450px; BORDER-TOP: rgb(0,0,0) 1px solid; BORDER-RIGHT: rgb(0,0,0) 1px solid" cellSpacing=0 cellPadding=0><TBODY><TR style="BACKGROUND-COLOR: rgb(192,192,192)"><TD vAlign=bottom noWrap></TD><TD vAlign=bottom noWrap>New <SUP>1</SUP>




</TD><TD vAlign=bottom noWrap>Confirmed




</TD><TD vAlign=bottom noWrap>Probable




</TD><TD vAlign=bottom noWrap>Suspect




</TD><TD vAlign=bottom>Totals
(by Country)​






​
</TD></TR><TR style="BACKGROUND-COLOR: rgb(230,230,250)"><TD vAlign=bottom noWrap>Guinea



​
</TD><TD vAlign=bottom noWrap>



​
</TD><TD vAlign=bottom noWrap>



​
</TD><TD vAlign=bottom noWrap>



​
</TD><TD vAlign=bottom noWrap>



​
</TD><TD vAlign=bottom noWrap>



​
</TD></TR><TR><TD vAlign=bottom noWrap>Cases



​
</TD><TD noWrap>11



​
</TD><TD noWrap>362



​
</TD><TD noWrap>133



​
</TD><TD noWrap>11



​
</TD><TD noWrap>506



​
</TD></TR><TR><TD vAlign=bottom noWrap>Deaths



​
</TD><TD noWrap>6



​
</TD><TD noWrap>238



​
</TD><TD noWrap>133



​
</TD><TD noWrap>2



​
</TD><TD noWrap>373



​
</TD></TR><TR style="BACKGROUND-COLOR: rgb(230,230,250)"><TD vAlign=bottom noWrap>Liberia



​
</TD><TD noWrap>



​
</TD><TD noWrap>



​
</TD><TD noWrap>



​
</TD><TD noWrap>



​
</TD><TD noWrap>



​
</TD></TR><TR><TD vAlign=bottom noWrap>Cases



​
</TD><TD noWrap>45



​
</TD><TD noWrap>158



​
</TD><TD noWrap>306



​
</TD><TD noWrap>135



​
</TD><TD noWrap>599



​
</TD></TR><TR><TD vAlign=bottom noWrap>Deaths



​
</TD><TD noWrap>29



​
</TD><TD noWrap>146



​
</TD><TD noWrap>125



​
</TD><TD noWrap>52



​
</TD><TD noWrap>323



​
</TD></TR><TR style="BACKGROUND-COLOR: rgb(230,230,250)"><TD vAlign=bottom noWrap>Nigeria



​
</TD><TD noWrap>



​
</TD><TD noWrap>



​
</TD><TD noWrap>



​
</TD><TD noWrap>



​
</TD><TD noWrap>



​
</TD></TR><TR><TD vAlign=bottom noWrap>Cases



​
</TD><TD noWrap>0



​
</TD><TD noWrap>0



​
</TD><TD noWrap>10



​
</TD><TD noWrap>3



​
</TD><TD noWrap>13



​
</TD></TR><TR><TD vAlign=bottom noWrap>Deaths



​
</TD><TD noWrap>0



​
</TD><TD noWrap>0



​
</TD><TD noWrap>2



​
</TD><TD noWrap>0



​
</TD><TD noWrap>2



​
</TD></TR><TR style="BACKGROUND-COLOR: rgb(230,230,250)"><TD vAlign=bottom noWrap>Sierra Leone



​
</TD><TD noWrap>



​
</TD><TD noWrap>



​
</TD><TD noWrap>



​
</TD><TD noWrap>



​
</TD><TD noWrap>



​
</TD></TR><TR><TD vAlign=bottom noWrap>Cases



​
</TD><TD noWrap>13



​
</TD><TD noWrap>656



​
</TD><TD noWrap>37



​
</TD><TD noWrap>37



​
</TD><TD noWrap>730



​
</TD></TR><TR><TD vAlign=bottom noWrap>Deaths



​
</TD><TD noWrap>17



​
</TD><TD noWrap>276



​
</TD><TD noWrap>34



​
</TD><TD noWrap>5



​
</TD><TD noWrap>315



​
</TD></TR><TR style="BACKGROUND-COLOR: rgb(230,230,250)"><TD vAlign=bottom noWrap>Totals



​
</TD><TD vAlign=bottom noWrap>



​
</TD><TD vAlign=bottom noWrap>



​
</TD><TD vAlign=bottom noWrap>



​
</TD><TD vAlign=bottom noWrap>



​
</TD><TD vAlign=bottom noWrap>



​
</TD></TR><TR><TD vAlign=bottom noWrap>Cases



​
</TD><TD vAlign=bottom noWrap>69



​
</TD><TD vAlign=bottom noWrap>1176



​
</TD><TD vAlign=bottom noWrap>486



​
</TD><TD vAlign=bottom noWrap>186



​
</TD><TD vAlign=bottom noWrap>1848



​
</TD></TR><TR><TD vAlign=bottom noWrap>Deaths



​
</TD><TD vAlign=bottom noWrap>52



​
</TD><TD vAlign=bottom noWrap>660



​
</TD><TD vAlign=bottom noWrap>294



​
</TD><TD vAlign=bottom noWrap>59



​
</TD><TD vAlign=bottom noWrap>1013



​
</TD></TR><TR><TD vAlign=bottom width=360 colSpan=4 noWrap>1. New cases were reported between 7 and 9 August 2014.



​
</TD><TD vAlign=bottom noWrap>



​
</TD></TR></TBODY></TABLE>​
...
http://www.afro.who.int/fr/groupes-...virus-disease-west-africa-11-august-2014.html
 
Re: Sierra Leone - Ebola outbreak: 730 clinical cases including 315 deaths as of August 9, 2014 (WHO)

Re: Sierra Leone - Ebola outbreak: 730 clinical cases including 315 deaths as of August 9, 2014 (WHO)

At Heart of Ebola Outbreak, a Village Frozen by Fear and Death

By ADAM NOSSITERAUG. 11, 2014
...
The Sierra Leone government, desperate to contain an epidemic that has claimed about 300 lives in this nation alone, has effectively cordoned off this part of the country, deploying troops and setting up roadblocks in the hardest-hit areas. Two districts here in the east ? an area with about one million people ? were put under quarantine by the government late last week, shutting down much of the traffic on the muddy road cutting through the Ebola zone.

Now, a region roughly the size of Jamaica has been cut off from the rest of the country because of the roadblocks, warned a local leader, David Keili-Coomber, the paramount chief ? raising worries that if the epidemic does not decimate the region, a subsequent shortage of food, trade and supplies will.
...
Even at the Doctors Without Borders treatment center outside Kailahun, the doctors say they are not keeping pace with the epidemic, despite a staff of over 300, 10 tents, more than 2,000 protective suits and a mathematically precise layout to reduce the risk of infection.

?I think we are two steps behind,? Dr. Wolz said.

?We are still discovering villages,? she said, where Ebola victims are dying at home, rather than in isolation, risking new infections. There have been up to 140 new cases at the treatment center over the last three weeks, she said.
...
Dr. Wolz said the outbreak would not end this year. ?Everybody sends experts,? she said. ?They sit in offices and go to meetings. We need people to go into the field.?

Full text:
http://www.nytimes.com/2014/08/12/w...-a-village-frozen-by-fear-and-death.html?_r=0
 
Re: Sierra Leone - Ebola outbreak: 730 clinical cases including 315 deaths as of August 9, 2014 (WHO)

Re: Sierra Leone - Ebola outbreak: 730 clinical cases including 315 deaths as of August 9, 2014 (WHO)

Source: http://www.cbc.ca/news/health/ebola-kills-leading-sierra-leone-doctor-modupeh-cole-1.2735161



Ebola kills leading Sierra Leone doctor Modupeh Cole
Ebola has killed more than 1,000 during West African outbreak
The Associated Press Posted: Aug 13, 2014 9:37 AM ET Last Updated: Aug 13, 2014 9:37 AM ET

...Sidie Yayah Tunis, director of communications for the Ministry of Health and Sanitation, announced that Modupeh Cole died Wednesday. The U.S.-trained Cole was one of the lead doctors working in the Ebola isolation ward in Connaught Hospital in Freetown, the capital.

Cole's death comes on the heels of that of another physician who was leading Sierra Leone's fight against Ebola, Sheik Humarr Khan.
 
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