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WHO: Ebola virus disease, West Africa ?update August 05, 2015 - cumulative number of cases stands at 27 862 ; deaths 11 281 total - WHO admits these

Re: WHO: Ebola virus disease, West Africa ? update Nov 5th, 2014 - cumulative number of cases stands at 13,042; deaths total 4,818 - WHO admits these counts are very conservative (Nov 6)

Re: WHO: Ebola virus disease, West Africa ? update Nov 5th, 2014 - cumulative number of cases stands at 13,042; deaths total 4,818 - WHO admits these counts are very conservative (Nov 6)

EBOLA RESPONSE ROADMAP
SITUATION REPORT UPDATE
7 NOVEMBER 2014
http://apps.who.int/iris/bitstream/10665/137592/1/roadmapsitrep_7Nov2014_eng.pdf?ua=1

Ebola.png

SUMMARY
A total of 13 268 confirmed, probable, and suspected cases of Ebola virus disease (EVD) have been reported in six
currently affected countries (Guinea, Liberia, Mali, Sierra Leone, Spain, and the United States of America) and two
previously affected countries (Nigeria, Senegal) up to the end of 4 November 2014. There have been 4960
reported deaths.

Following the WHO Ebola Response Roadmap structure
, country reports fall into two categories: 1) those with
widespread and intense transmission (Guinea, Liberia, and Sierra Leone); and 2) those with or that have had an
initial case or cases, or with localized transmission (Mali, Nigeria, Senegal, Spain, and the United States of
America). An overview of the situation in the Democratic Republic of the Congo, where a separate, unrelated
outbreak of EVD is occurring, is also provided (see Annex 2).
 
Re: WHO: Ebola virus disease, West Africa ? update Nov 7th, 2014 - cumulative number of cases stands at 13,268; deaths total 4,960 - WHO admits these counts are very conservative (Nov 6)

Re: WHO: Ebola virus disease, West Africa ? update Nov 7th, 2014 - cumulative number of cases stands at 13,268; deaths total 4,960 - WHO admits these counts are very conservative (Nov 6)

EBOLA RESPONSE ROADMAP
SITUATION REPORT
12 NOVEMBER 2014
http://apps.who.int/iris/bitstream/10665/141468/1/roadmapsitrep_12Nov2014_eng.pdf?ua=1

Ebola.png

SUMMARY
A total of 14 098 confirmed, probable, and suspected cases of Ebola virus disease (EVD) have been reported in six
affected countries (Guinea, Liberia, Mali, Sierra Leone, Spain and the United States of America) and two previously
affected countries (Nigeria and Senegal) up to the end of 9 November. There have been 5160 reported deaths.

There is some evidence that case incidence is no longer increasing nationally in Guinea and Liberia, but steep
increases persist in Sierra Leone. A mixed picture emerges at the district level. Transmission is consistently high in
Conakry and Macenta in Guinea; Montserrado in Liberia; and in the western and northern areas of Sierra Leone.
Declines in incidence continue in Lofa in Liberia; and Kenema and Kailahun in Sierra Leone. Cases and deaths
continue to be under-reported in this outbreak.

In Mali, there have been 4 reported confirmed and probable cases, and 4 deaths. The most recent cases are not
related to the first EVD-positive patient in Mali, who died on 24 October.

Interventions to contain the disease in the three most affected countries include isolating and treating patients,
identifying their contacts and conducting burials in a safe and dignified manner. In the three most affected
countries, 19 of 53 planned Ebola Treatment Centres are now open. A total of 140 trained burial teams are on the
ground, and more than 4400 burials have reportedly been conducted in a safe and dignified manner since the
outbreak began. Samples from all 53 Ebola-affected districts can be sent to a laboratory within 24 hours by road.

Situation reports are now presented in a web-based format to provide detailed information at the country level,
including data and maps, in a more interactive way.
...
 
Re: WHO: Ebola virus disease, West Africa ? update Nov 12th, 2014 - cumulative number of cases stands at 14,091; deaths total 5,160 - WHO admits these counts are very conservative (Nov 6)

Re: WHO: Ebola virus disease, West Africa ? update Nov 12th, 2014 - cumulative number of cases stands at 14,091; deaths total 5,160 - WHO admits these counts are very conservative (Nov 6)

Ebola response roadmap - Situation report update
14 November 2014
http://apps.who.int/iris/bitstream/10665/143216/1/roadmapsitrep_14Nov2014_eng.pdf?ua=1

Ebola.png

SUMMARY
A total of 14 413 confirmed, probable, and suspected cases of Ebola virus disease (EVD) have been reported in six
affected countries (Guinea, Liberia, Mali, Sierra Leone, Spain, and the United States of America) and two
previously affected countries (Nigeria, Senegal) up to the end of 11 November 2014. There have been 5177
reported deaths.

Following the WHO Ebola Response Roadmap structure1
, country reports fall into two categories: 1) those with
widespread and intense transmission (Guinea, Liberia, and Sierra Leone); and 2) those with or that have had an
initial case or cases, or with localized transmission (Mali, Nigeria, Senegal, Spain, and the United States of
America). An overview of a separate, unrelated outbreak of EVD in the Democratic Republic of the Congo is also
provided (see Annex 2).

In Mali, there have been 4 reported cases, including 3 reported deaths. The Situation Report of 12 November
reported 4 cases (2 confirmed and 2 probable) and 4 deaths in Mali. One probable case and death has been
reclassified and is now excluded from the Mali case count.

Situation reports are now presented in a web-based format to provide detailed information at the country level,
including data and maps, in a more interactive way.
...
 
Re: Ebola - Health-care workers: 570 cases, 324 deaths (WHO Ebola Response Roadmap Nov 14th, 2014)

Re: Ebola - Health-care workers: 570 cases, 324 deaths (WHO Ebola Response Roadmap Nov 14th, 2014)

Ebola response roadmap - Situation report
19 November 2014
http://apps.who.int/iris/bitstream/10665/144032/1/roadmapsitrep_19Nov14_eng.pdf?ua=1

Ebola.png


SUMMARY
A total of 15 145 confirmed, probable, and suspected cases of Ebola virus disease (EVD) have been reported in six affected countries (Guinea, Liberia, Mali, Sierra Leone, Spain and the United States of America) and two previously affected countries (Nigeria and Senegal) up to the end of 16 November. There have been 5420 reported deaths. Cases and deaths continue to be under-reported in this outbreak.

In the three countries with widespread and intense transmission, reported case incidence is no longer increasing nationally in Guinea and Liberia, but is still increasing in Sierra Leone. The outbreaks in Guinea and Liberia now appear to be driven by intense transmission in several key districts, whereas transmission is intense throughout the north and west of Sierra Leone. The number of new cases is highest in N?Zerekore in Guinea; Montserrado in Liberia; and in the western and northern areas of Sierra Leone, particularly the capital, Freetown, and nearby Port Loko. Lofa in Liberia, and Kenema and Kailahun in Sierra Leone have now reported no or a very low number of new cases for several weeks.

In Mali, there have been 6 reported confirmed and probable cases, and 5 deaths. The most recent cases have occurred in the Malian capital Bamako, and are not related to the country?s first EVD-positive patient, who died on 24 October. All identified contacts connected with this initial case have now completed 21-day follow-up.

The response to the EVD outbreak continues to evolve in the three most affected countries. Over 1000 beds are now operational in 18 Ebola Treatment Centres. As this number increases, so does the capacity to isolate patients and prevent further transmission of the disease. The capacity to conduct burials in a safe and dignified manner of patients who have died from EVD is a crucial part of halting EVD transmission. More than 4800 safe and dignified burials have taken place since the outbreak began. Accurate, timely laboratory diagnosis of EVD cases is also an integral part of the response. Samples from all 53 EVD-affected districts of the three most-affected countries can be transported to a laboratory for testing within 24 hours of sample collection.
...
 
Re: WHO: Ebola virus disease, West Africa ? update Nov 19th, 2014 - cumulative number of cases stands at 15,145; deaths total 5,420 - WHO admits these counts are very conservative (Nov 6)

Re: WHO: Ebola virus disease, West Africa ? update Nov 19th, 2014 - cumulative number of cases stands at 15,145; deaths total 5,420 - WHO admits these counts are very conservative (Nov 6)

Ebola response roadmap - Situation report update
21 November 2014
http://www.who.int/iris/bitstream/10665/144117/1/roadmapsitrep_21Nov2014_eng.pdf



SUMMARY
A total of 15 351 confirmed, probable, and suspected cases of Ebola virus disease (EVD) have been reported in six affected countries (Guinea, Liberia, Mali, Sierra Leone, Spain, and the United States of America) and two previously affected countries (Nigeria, Senegal) up to the end of 18 November 2014. There have been 5459 reported deaths.

Following the WHO Ebola Response Roadmap structure[1], country reports fall into two categories: 1) those with widespread and intense transmission (Guinea, Liberia, and Sierra Leone); and 2) those with or that have had an initial case or cases, or with localized transmission (Mali, Nigeria, Senegal, Spain, and the United States of America). A separate, unrelated outbreak of EVD in the Democratic Republic of the Congo has now been declared over.
...
Ebola.png
 
Re: WHO: Ebola virus disease, West Africa ? update Nov 21st, 2014 - cumulative number of cases stands at 15,351; deaths total 5,459 - WHO admits these counts are very conservative (Nov 6)

Re: WHO: Ebola virus disease, West Africa ? update Nov 21st, 2014 - cumulative number of cases stands at 15,351; deaths total 5,459 - WHO admits these counts are very conservative (Nov 6)

Ebola response roadmap - Situation report
26 November 2014
http://apps.who.int/iris/bitstream/10665/144498/1/roadmapsitrep_26Nov2014_eng.pdf?ua=1

Ebola.png

SUMMARY
A total of 15 935 confirmed, probable, and suspected cases of Ebola virus disease (EVD) have been reported in six affected countries (Guinea, Liberia, Mali, Sierra Leone, Spain and the United States of America) and two previously affected countries (Nigeria and Senegal) up to the end of 23 November. There have been 5689 reported deaths. Cases and deaths continue to be under-reported in this outbreak. Reported case incidence is stable in Guinea (148 confirmed cases reported in the week to 23 November), stable or declining in Liberia (67 new confirmed cases in the week to 23 November), and may still be rising in Sierra Leone (385 new confirmed cases in the week to 23 November). The total number of cases reported in Sierra Leone since the outbreak began will soon eclipse the number reported from Liberia. The case fatality rate across the three most-affected countries in patients with a recorded definitive outcome is approximately 60%. Three health-care workers were reported infected with EVD in Guinea in the week to 23 November.

Response activities continue to intensify in line with the UNMEER aim to isolate 70% of EVD cases and safely bury 70% of EVD-related deaths by 1 December. Guinea isolates over 70% of all reported cases of EVD, and has more than 80% of required safe burial teams. Progress on isolation and safe burials has apparently been slower in parts of Liberia and Sierra Leone, although uncertainties in data preclude firm conclusions. At a national level, both countries are apparently unable to isolate 70% of patients, although data on isolation is up to 3 weeks out of date. Every EVD-affected district in the three intense-transmission countries has access to a laboratory for case confirmation within 24 hours of sample collection. All three countries report that more than 80% of registered contacts associated with known cases of EVD are traced, though the low mean number of contacts registered per case suggests that contact tracing is still a challenge in areas of intense transmission.

Ebola 1.png
...
 
Re: WHO: Ebola virus disease, West Africa ? update Nov 26th, 2014 - cumulative number of cases stands at 15,935; deaths total 5,689 - WHO admits these counts are very conservative (Nov 6)

Re: WHO: Ebola virus disease, West Africa ? update Nov 26th, 2014 - cumulative number of cases stands at 15,935; deaths total 5,689 - WHO admits these counts are very conservative (Nov 6)

EBOLA RESPONSE ROADMAP
SITUATION REPORT
3 DECEMBER 2014
http://apps.who.int/iris/bitstream/10665/144806/1/roadmapsitrep_3Dec2014_eng.pdf?ua=1

Ebola.png

SUMMARY
A total of 17 145 confirmed, probable, and suspected cases of Ebola virus disease (EVD) have been reported in five affected countries (Guinea, Liberia, Mali, Sierra Leone, and the United States of America) and three previously affected countries (Nigeria, Senegal and Spain) up to the end of 30 November. There have been 6070 reported deaths. Reported case incidence is slightly increasing in Guinea (77 confirmed cases reported in the week to 30 November), stable or declining in Liberia (43 new confirmed cases in the 5 days to 28 November), and is still rising in Sierra Leone (537 new confirmed cases in the week to 30 November). The case fatality rate across the three most-affected countries in all cases with a recorded definitive outcome is 72%; in hospitalized patients the case fatality rate is 60%.

Response activities in the three intense-transmission countries continue to intensify in line with the UNMEER aim to isolate and treat 70% of EVD cases, and safely bury 70% of EVD-related deaths by 1 December, with the ultimate goal of reaching 100% by 1 January. At a national level, there is now sufficient bed capacity in EVD treatment facilities to treat and isolate all reported EVD cases in each of the three countries, although the uneven distribution of beds and cases means there are serious shortfalls in some areas. Similarly, each country now has sufficient and widespread capacity to bury all reported EVD-related deaths; however, because not all EVD-related deaths are reported, and many reported burials are of non-EVD-related deaths, it is possible that the 70% target has not been met in some areas. Every EVD-affected district in the three intense-transmission countries has access to a laboratory for confirmation within 24 hours of sample collection. All three countries report that more than 85% of registered contacts associated with known cases of EVD are being traced, although contact tracing is still a challenge in areas of intense transmission. Increasing capacity for contact tracing in areas with low levels of transmission will be necessary to end local chains of transmission.

Ebola 1.png
...
 
Re: WHO: Ebola virus disease, West Africa ? update Dec 3rd, 2014 - cumulative number of cases stands at 17,145; deaths total 6,070 - WHO admits these counts are very conservative (Nov 6)

Re: WHO: Ebola virus disease, West Africa ? update Dec 3rd, 2014 - cumulative number of cases stands at 17,145; deaths total 6,070 - WHO admits these counts are very conservative (Nov 6)

05 December 2014
http://apps.who.int/gho/data/view.ebola-sitrep.ebola-summary-20141205?lang=en

Ebola.png
 
Re: WHO: Ebola virus disease, West Africa ? update Dec 5, 2014 - cumulative number of cases stands at 17,517; deaths total 6,187 - WHO admits these counts are very conservative (Nov 6)

Re: WHO: Ebola virus disease, West Africa ? update Dec 5, 2014 - cumulative number of cases stands at 17,517; deaths total 6,187 - WHO admits these counts are very conservative (Nov 6)

Ebola response roadmap - Situation report

10 December 2014
http://apps.who.int/iris/bitstream/10665/145198/1/roadmapsitrep_10Dec2014_eng.pdf?ua=1

Ebola.png

SUMMARY
A total of 17 942 confirmed, probable, and suspected cases of Ebola virus disease (EVD) have been reported in five affected countries (Guinea, Liberia, Mali, Sierra Leone, and the United States of America) and three previously affected countries (Nigeria, Senegal and Spain) up to the end of 7 December. There have been 6388 reported deaths. Reported case incidence is slightly increasing in Guinea (103 confirmed and probable cases reported in the week to 7 December), declining in Liberia (29 new confirmed cases in the 3 days to 3 December), and may still be increasing in Sierra Leone (397 new confirmed cases in the week to 7 December). The case fatality rate across the three most-affected countries in all reported cases with a recorded definitive outcome is 76%; in hospitalized patients the case fatality rate is 61%.

Response activities in the three intense-transmission countries continue to progress in line with the UNMEER aim to isolate and treat 100% of EVD cases and safely bury 100% of EVD-related deaths by 1 January. At a national level, there is now sufficient bed capacity in EVD treatment facilities to treat and isolate all reported EVD cases in each of the three intense-transmission countries, although the uneven distribution of beds and cases means there are serious shortfalls in some areas. Similarly, each country has sufficient and widespread capacity to bury all reported EVD-related deaths; however, because not all EVD-related deaths are reported, and many reported burials are of non-EVD-related deaths, it is possible that some areas still have insufficient burial capacity. Every district that has reported a case of EVD in the three intense-transmission countries has access to a laboratory within 24 hours from sample collection. All three countries report that more than 80% of registered contacts associated with known cases of EVD are being traced, although contact tracing is still a challenge in areas of intense transmission and in areas of community resistance. Rapidly increasing capacity for case finding and contact tracing in areas with low and moderate levels of transmission will be necessary to end local chains of transmission.
...
 
Re: WHO: Ebola virus disease, West Africa ? update Dec 10, 2014 - cumulative number of cases stands at 17,942; deaths total 6,388 - WHO admits these counts are very conservative (Nov 6)

Re: WHO: Ebola virus disease, West Africa ? update Dec 10, 2014 - cumulative number of cases stands at 17,942; deaths total 6,388 - WHO admits these counts are very conservative (Nov 6)

Ebola response roadmap - Situation report
17 December 2014
http://apps.who.int/iris/bitstream/10665/145679/1/roadmapsitrep_17Dec2014_eng.pdf?ua=1

Ebola.png

SUMMARY
A total of 18 603 confirmed, probable, and suspected cases of Ebola virus disease (EVD) have been reported in five affected countries (Guinea, Liberia, Mali, Sierra Leone, and the United States of America) and three previously affected countries (Nigeria, Senegal and Spain) in the seven days to 14 December (week 50). There have been 6915 reported deaths (case definitions are provided in Annex 1).

Reported case incidence is fluctuating in Guinea and declining in Liberia. In Sierra Leone, there are signs the increase in incidence has slowed, and that incidence may no longer be increasing. The case fatality rate in the three intense-transmission countries among all cases for whom a definitive outcome is recorded is 70%. For those patients recorded as hospitalized, the case fatality rate is 60% in each of Guinea and Sierra Leone, and 58% in Liberia.

Interventions in the three most-affected countries continue to progress in line with the UN Mission for Ebola Emergency Response aim to isolate and treat 100% of EVD cases and bury safely and with dignity 100% of EVD-related fatal cases by 1 January, 2015. At a national level, there is now sufficient bed capacity in EVD treatment facilities to treat and isolate all reported EVD cases in each of the three countries, although the uneven distribution of beds and cases means serious shortfalls persist in some districts. At a national level, each country has sufficient capacity to bury all people known to have died from Ebola, although it is possible that in some areas capacity remains inadequate. Every district that has reported a case of EVD in the three intense-transmission countries has access to a laboratory within 24 hours from sample collection. All three countries report that more than 80% of registered contacts associated with known cases of EVD are being traced. Social mobilization continues to be an important component of the response to curb the spread of disease. Community engagement promotes burial practices that are safe and culturally acceptable, and the isolation and appropriate treatment of patients with clinical symptoms of EVD.
 
[h=1]Ebola response roadmap - Situation report[/h] 24 December 2014

Now available in an interactive map journal that shows the evolution of the outbreak and the global response.

Download PDF


Ebola.png
View data ?

SUMMARY
A total of 19 497 confirmed, probable, and suspected cases of Ebola virus disease (EVD) have been reported in four affected countries (Guinea, Liberia, Mali and Sierra Leone) and four previously affected countries (Nigeria, Senegal, Spain and the United States of America) in the seven days to 21 December (week 51). There have been 7588 reported deaths (case definitions are provided in Annex 1).

Reported case incidence is fluctuating in Guinea and declining in Liberia. In Sierra Leone, there are signs that the increase in incidence has slowed, and that incidence may no longer be increasing. The country?s west is now experiencing the most intense transmission in the affected countries, and response efforts have been strengthened to curb the spread of disease in the area. The reported case fatality rate in the three intense-transmission countries among all cases for whom a definitive outcome is known is 70%. Interventions in these countries continue to progress in line with the UN Mission for Ebola Emergency Response (UNMEER) aim to conduct 100% of burials safely and with dignity, and to isolate and treat 100% of EVD cases by 1 January, 2015. At a national level, the capacity to isolate and treat EVD patients has improved in all three countries since the commencement of the emergency response. While every country has sufficient capacity to isolate patients, the uneven geographical distribution of beds and cases means shortfalls persist in some districts. Each country has sufficient capacity to bury all people known to have died from Ebola, although it is possible that capacity is inadequate in some districts. The number of trained burial teams has significantly grown in each of the three countries in the past month. Every district that has reported a case of EVD in the three countries has access to a laboratory within 24 hours from sample collection. All three countries report that more than 90% of registered contacts associated with known cases of EVD are being traced, although there are discrepancies at the district level. The number of contacts traced per EVD case remains low in many districts.

Social mobilization continues to be an important component of the response. Engaging communities promotes burial practices that are safe and culturally acceptable, and the isolation and appropriate treatment of patients with clinical symptoms of EVD.
...
http://www.who.int/csr/disease/ebola/situation-reports/en/
 
Ebola response roadmap - Situation report

31 December 2014
http://www.who.int/csr/disease/ebola/situation-reports/en/

Ebola.png


SUMMARY
A total of 20 206 confirmed, probable, and suspected cases of Ebola virus disease (EVD) have been reported in four affected countries (Guinea, Liberia, Mali and Sierra Leone) and four previously affected countries (Nigeria, Senegal, Spain and the United States of America) in the seven days to 28 December (week 52). There have been 7905 reported deaths (case definitions are provided in Annex 1). On 29 December, the United Kingdom reported its first confirmed EVD case. Reported case incidence has fluctuated between 70 and 160 confirmed cases in Guinea over the past 15 weeks. In Liberia, case incidence has mostly declined in the past six weeks. In Sierra Leone, there are signs that the increase in incidence has slowed, although the country?s west is now experiencing the most intense transmission of all the affected countries. The reported case fatality rate in the three intense-transmission countries among all cases for whom a definitive outcome is known is 71%.

Interventions in the three countries continue to progress in line with the UN Mission for Ebola Emergency Response aim to conduct 100% of burials safely and with dignity, and to isolate and treat 100% of EVD cases by 1 January, 2015. Every country has sufficient capacity to isolate patients, but the uneven geographical distribution of beds and cases means shortfalls persist in some districts. In the past month, the average number of beds per reported patient has grown from 6.6 to 13.9 in Liberia, and 1.4 to 3.6 in Sierra Leone. In Guinea, it has fallen slightly from 2.3 to 1.9 beds per patient, reflecting a small increase in probable and confirmed cases. Each country has sufficient capacity to bury all people known to have died from Ebola, yet the under-reporting of deaths is a persistent challenge. The number of trained safe burial teams has significantly grown in the past month ? from 34 to 64 in Guinea, 56 to 89 in Liberia, and 50 to 101 in Sierra Leone. This is close to the capacity needed in each country. All three countries report that more than 90% of registered contacts associated with known cases of EVD are being traced, although the number of contacts traced per EVD case remains low in many districts. Social mobilization is a vital component of an effective response. Engaging communities promotes burial practices that are safe and culturally acceptable, and the isolation and appropriate treatment of patients with symptoms of EVD.
 
Ebola Situation report

7 January 2015
http://apps.who.int/iris/bitstream/10665/147112/1/roadmapsitrep_7Jan2015_eng.pdf?ua=1

Ebola.png

SUMMARY
? Reported case incidence continues to fluctuate in Guinea, with no identifiable downward trend. Ebola virus disease (EVD) continues to spread geographically within the country, with the prefecture of Fria reporting 2 confirmed cases for the first time. Case incidence has declined to low levels in Liberia. There are signs that incidence has levelled off in Sierra Leone, although transmission remains intense in the west of the country.
? The UN Mission for Ebola Emergency Response (UNMEER) set twin targets of isolating and treating 100% of EVD cases, and conducting 100% of burials safely and with dignity by 1 January, 2015, in Guinea, Liberia, and Sierra Leone.
? Each of the intense-transmission countries has sufficient capacity to isolate and treat patients, with more than 2 treatment beds per reported confirmed and probable case. However, the uneven geographical distribution of beds and cases, and the under-reporting of cases, means that the UNMEER target of isolating and treating 100% of EVD cases is still not met in some areas. An increasing emphasis will be put on the rapid deployment of smaller treatment facilities to ensure that capacity is matched with demand in each area.
? Similarly, each country has sufficient capacity to bury all people known to have died from EVD, though the under-reporting of deaths means that the UNMEER target of 100% safe burial was not met.
? In addition to the two UNMMER targets, there are several other crucial aspects of the response, including rigorous contact tracing, access to laboratory services, and community engagement.
? Guinea, Liberia and Sierra Leone report that more than 90% of registered contacts are monitored, though the number of contacts traced per EVD case remains lower than expected in many districts. In areas where transmission has been driven down to low levels, rigorous contact tracing will be essential to break chains of transmission.
? There are currently 23 laboratories providing case-confirmation services in the three intense-transmission countries. Five more laboratories are planned in order to meet demand.
? Case fatality among hospitalized patients (calculated from all hospitalized patients with a reported definitive outcome) is approximately 60% in the three intense-transmission countries.
? A total of 820 health-care worker infections have been reported in the intense-transmission countries; there have been 488 deaths.
? Many elements of the response to the EVD outbreak, from safe burials to contact tracing, rely on actively engaging affected communities to take ownership of the response. UNICEF leads the community engagement arm of the EVD response. At present, 33 of 38 (87%) of districts in Guinea, 100% of districts in Liberia, and 57% (8 of 14) of districts in Sierra Leone have systems in place to monitor community engagement activities.
...
 
Ebola Situation report

14 January 2015

Now available in an interactive map journal that shows the evolution of the outbreak and the global response.

Download PDF

image_18801.png

SUMMARY
 Guinea reported its lowest weekly total of new confirmed Ebola virus disease (EVD) cases since the week
ending 17 August 2014. Case numbers remain low in Liberia, with no confirmed cases nationally for the final 2
days of the week ending 11 January, and the lowest weekly total of confirmed cases since the first week of
June 2014. Sierra Leone has now reported a decline in case incidence for the second week running, and
recorded its lowest weekly total of new confirmed cases since the week ending 31 August 2014.
 Each of the intense-transmission countries has sufficient capacity to isolate and treat patients, with more than
2 treatment beds per reported confirmed and probable case. However, the uneven geographical distribution
of beds and cases, and the under-reporting of cases, means that not all EVD cases are isolated in several
areas.
 Similarly, each country has sufficient capacity to bury all people known to have died from EVD. However, the
under-reporting of deaths means that not all burials are done safely.
 Guinea, Liberia and Sierra Leone report that between 84% and 99% of registered contacts are monitored,
though the number of contacts traced per EVD case remains lower than expected in many districts. In areas
where transmission has been driven down to low levels, rigorous contact tracing will be essential to break
chains of transmission. In the week to January 11, 15% of new confirmed cases in Guinea arose from known
contacts (equivalent information is not yet available for Liberia and Sierra Leone).
 There are currently 27 laboratories providing case-confirmation services in the 3 intense-transmission
countries. Four more laboratories are planned in order to meet demand.
 Case fatality among hospitalized patients (calculated from all hospitalized patients with a reported definitive
outcome) is between 57% and 60% in the 3 intense-transmission countries.
 A total of 825 health-care worker infections have been reported in the 3 intense-transmission countries; there
have been 493 reported deaths.
 Many elements of the response to the Ebola outbreak, from safe burials to contact tracing, rely on actively
engaging affected communities to take ownership of the response. At present, 33 of 38 (87%) of districts in
Guinea, 100% of districts in Liberia, and 57% (8 of 14) of districts in Sierra Leone have systems in place to
monitor community engagement activities.
...
http://apps.who.int/iris/bitstream/1...5_eng.pdf?ua=1
 
[h=2]Ebola Situation Report - 18 March 2015[/h] Corrected on 19 March 2015

... [h=2]COUNTRIES WITH WIDESPREAD AND INTENSE TRANSMISSION[/h]
  • 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"]
Country Case definition Cumulative cases Cases in past 21 days Cumulative deaths [/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="colspan: 1"]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.

...
http://apps.who.int/ebola/current-situation/ebola-situation-report-18-march-2015




 
Ebola Situation Report - 1 April 2015

SUMMARY

A total of 82 new confirmed cases of Ebola virus disease (EVD) were reported in the week to 29 March, a slight increase compared with 79 cases the previous week. Case incidence in Guinea increased to 57, compared with 45 the previous week. This offset a fourth consecutive weekly fall in case incidence in Sierra Leone, which reported 25 confirmed cases. Liberia reported no confirmed cases over the same period.

In addition to an increase in case incidence in Guinea, the geographic area of transmission also increased. A total of 7 Guinean prefectures reported at least one confirmed case in the week to 29 March, compared with 3 the previous week. Two of the 7 prefectures that reported a new confirmed case, Fria and Siguiri, did so for the first time in over 50 days. Siguiri, which borders Mali, is the first prefecture outside the western area of Guinea to report a confirmed case for over 30 days.

In Sierra Leone, cases were reported from 5 northern and western districts around and including the capital Freetown, which reported 10 new confirmed cases. The neighbouring districts of Bombali (1 case), Kambia (5 cases), Port Loko (6 cases) and Western Rural (3 cases) also reported cases.

Response indicators for Guinea present a mixed picture. Of 35 confirmed deaths from EVD in the week to 29 March, 15 (43%) were identified post-mortem in the community, compared with 10 of 37 (27%) the previous week. This increase may be attributable to improved access to communities in Forecariah prefecture. The proportion of confirmed cases that arose among registered contacts increased from 38% in the week to 15 March to 53% in week to 22 March. A total of 20 unsafe burials were reported in the week to 29 March, compared with 26 the previous week.
A 45-day state of health emergency has been declared in the Guinean prefectures of Forecariah, Coyah, Dubreka, Boffa, and Kindia. The capital, Conakry, will also be subject to emergency measures, which include the restriction of movement in areas of transmission, the temporary closure and quarantine of private hospitals and clinics where EVD cases have been detected, and limitation of burial participation to close relatives only. All corpses will be tested for EVD during the 45-day emergency period.

The last confirmed case in Liberia passed away on 27 March. Investigations are ongoing to establish the origin of infection. A total of 185 contacts associated with the case are being monitored twice a day. Heightened vigilance is being maintained throughout the country. In the week to 29 March, 278 laboratory samples were tested for EVD, with no confirmed cases.
In the week to 29 March, 67% of confirmed cases in Sierra Leone came from registered contacts, compared with 84% the previous week. There was one report of an unsafe burial over the same period. The proportion of confirmed deaths from EVD that were identified in the community increased slightly, from 7 of 56 (13%) in the previous week to 8 of 52 (15%) in the week to 29 March. Heightened surveillance is being maintained: over 100 suspected cases were reported in the week to 29 March, compared with 57 the previous week. The majority of suspected cases (52) were reported during the final 2 days of the 3-day stay-at-home.

There were 8 new health worker infections in the week to 29 March: 7 in Guinea, and 1 in Sierra Leone. This brings the total number of health worker infections reported across the three most-affected countries since the start of the outbreak to 861, with 495 deaths.
... Table 1: Confirmed, probable, and suspected cases reported by Guinea, Liberia, and Sierra Leone [TABLE="width: 1137"]
[TR="class: table-header, bgcolor: #008DC9"]
Country Case definition Cumulative cases Cases in past 21 days Cumulative deaths [/TR]
[TR="bgcolor: transparent"]
[TD]Guinea[/TD]
[TD]Confirmed[/TD]
[TD="align: center"]3068[/TD]
[TD="align: center"]197[/TD]
[TD="align: center"]1900[/TD]
[/TR]
[TR]
[TD]Probable[/TD]
[TD="align: center"]414[/TD]
[TD="align: center"]*[/TD]
[TD="align: center"]414[/TD]
[/TR]
[TR="bgcolor: transparent"]
[TD]Suspected[/TD]
[TD="align: center"]10[/TD]
[TD="align: center"]*[/TD]
[TD="align: center"]?[/TD]
[/TR]
[TR]
[TD]Total[/TD]
[TD="align: center"]3492[/TD]
[TD="align: center"]197[/TD]
[TD="align: center"]2314[/TD]
[/TR]
[TR="bgcolor: transparent"]
[TD]Liberia[/TD]
[TD]Confirmed[/TD]
[TD="align: center"]3151[/TD]
[TD="align: center"]1[/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"]4682[/TD]
[TD="align: center"]*[/TD]
[TD="align: center"]?[/TD]
[/TR]
[TR]
[TD]Total[/TD]
[TD="align: center"]9712[/TD]
[TD="align: center"]1[/TD]
[TD="align: center"]4332[/TD]
[/TR]
[TR="bgcolor: transparent"]
[TD]Sierra Leone[/TD]
[TD]Confirmed[/TD]
[TD="align: center"]8545[/TD]
[TD="align: center"]113[/TD]
[TD="align: center"]3433[/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"]3142[/TD]
[TD="align: center"]*[/TD]
[TD="align: center"]158[/TD]
[/TR]
[TR]
[TD]Total[/TD]
[TD="align: center"]11 974[/TD]
[TD="align: center"]113[/TD]
[TD="align: center"]3799[/TD]
[/TR]
[TR="bgcolor: transparent"]
[TD="colspan: 1"]Total[/TD]
[TD]Confirmed[/TD]
[TD="align: center"]14 764[/TD]
[TD="align: center"]311[/TD]
[TD="align: center"]?[/TD]
[/TR]
[TR]
[TD]Probable[/TD]
[TD="align: center"]2580[/TD]
[TD="align: center"]*[/TD]
[TD="align: center"]?[/TD]
[/TR]
[TR="bgcolor: transparent"]
[TD]Suspected[/TD]
[TD="align: center"]7834[/TD]
[TD="align: center"]*[/TD]
[TD="align: center"]?[/TD]
[/TR]
[TR]
[TD]Total[/TD]
[TD="align: center"]25 178[/TD]
[TD="align: center"]311[/TD]
[TD="align: center"]10 445[/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. ...
http://apps.who.int/ebola/current-situation/ebola-situation-report-1-april-2015-0
 
Ebola Situation Report - 15 April 2015
...
COUNTRIES WITH WIDESPREAD AND INTENSE TRANSMISSION
  • There have been a total of 25 791 reported confirmed, probable, and suspected cases of EVD in Guinea, Liberia and Sierra Leone (figure 1, table 1), with over 10 600 reported deaths (outcomes for many cases are unknown). A total of 28 new confirmed cases were reported in Guinea, 0 in Liberia, and 9 in Sierra Leone in the 7 days to 12 April.
  • The total number of confirmed and probable cases is similar in males and females (table 2). 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 three to five times more likely to be affected than are children.
  • A total of 864 confirmed health worker infections have been reported in Guinea, Liberia, and Sierra Leone; there have been 503 reported deaths (table 5).
data




data



.../
http://apps.who.int/ebola/current-situation/ebola-situation-report-15-april-2015
 
Ebola Situation Report - 22 April 2015
Corrected on 23 April 2015

...
SUMMARY

The decline in confirmed cases of Ebola virus disease (EVD) has halted over the last three weeks. To accelerate the decline towards zero cases will require stronger community engagement, improved contact tracing and earlier case identification. In the week to 19 April, a total of 33 confirmed cases was reported, compared with 37 and 30 in the preceding weeks.

In the week to 19 April, Guinea reported 21 confirmed cases, compared with 28 cases the previous week. Sierra Leone reported 12 confirmed cases, compared with 9 cases reported the previous week. Liberia reported no confirmed cases.

A total of 4 Guinean prefectures reported at least one confirmed case in the week to 19 April, compared with 5 the previous week. Transmission remains confined to the west of the country and is primarily focused on the prefecture of Forecariah, bordering Sierra Leone, which reported 86% of national confirmed cases.

In Sierra Leone, Western Area Urban, which includes the capital Freetown, reported 6 confirmed cases, which represent half of the cases reported nationally, a slight increase from 4 cases the previous week. Koinadugu, which borders Guinea to the north, reported 1 new confirmed case of unknown origin. Other districts reporting new confirmed cases were Kambia (4 cases) and Port Loko (1 case) in the west of the country. In the week to 19 April, 4 districts reported at least one confirmed case compared to 3 districts the previous week.

Response indicators from Sierra Leone present a mixed picture. The number of EVD-positive deaths that were identified in the community after post-mortem testing was 3 (1 in Kambia, 1 in Western Area Urban, 1 in Koinadugu) in the week to 19 April and the percentage of new cases arising from known contacts was below 50% in the week to 12 April (44%). Laboratory indicators reflect heightened vigilance: large numbers of samples were collected (1467) and less than 1% these tested EVD-positive (12 of 1467 samples).

Response indicators for Guinea also present a mixed picture. A total of 6 deaths from EVD in the week to 19 April were identified post-mortem in the community compared with 8 deaths the previous week. The percentage of confirmed cases that arose among registered contacts remained below 50% for the third consecutive week, at 46% in week to 12 April (the most recent week for which data are available), but an increase on 29% reported in the previous week. Laboratory indicators improved with the number of laboratory samples tested increasing for a fifth consecutive week to 565 samples tested in the week to 19 April and the number of positive samples dropping to 6% compared to 10% the previous week.

Community engagement appears to be steadily improving in Guinea and Sierra Leone, but more needs to be done to identify all chains of transmission. A case-finding and community awareness-raising campaign took place in the Guinean prefecture of Forecariah from 12 to 15 April, identifying 12 new confirmed cases, 7 of these from post-mortem testing. This represents 52% (12 of 23) confirmed cases reported in Forecariah during the period 12 to 18 April. A similar campaign is planned for the prefecture of Coyah (expected launch date 24 April) and later in the prefectures of Dubreka, Conakry, Kindia and Boffa.

The last confirmed case in Liberia died on 27 March and was buried on 28 March. Heightened vigilance is being maintained throughout the country. In the 5 days to 19 April, 212 new laboratory samples were tested for EVD, with no confirmed cases. Forty-two days will have elapsed since burial of the last confirmed case on 9 May.
There were no new health worker infections reported in the week to 19 April.

COUNTRIES WITH WIDESPREAD AND INTENSE TRANSMISSION

There have been a total of 26 044 reported confirmed, probable, and suspected cases of EVD in Guinea, Liberia and Sierra Leone (figure 1, table 1), with 10 808 reported deaths (outcomes for many cases are unknown). A total of 21 new confirmed cases were reported in Guinea, 0 in Liberia, and 12 in Sierra Leone in the 7 days to 19 April.

The total number of confirmed and probable cases is similar in males and females (table 2). 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 three to five times more likely to be affected than children.

A total of 865 confirmed health worker infections have been reported in Guinea, Liberia, and Sierra Leone; there have been 504 reported deaths (table 5).
... Table 1: Confirmed, probable, and suspected EVD cases in Guinea, Liberia, and Sierra Leone [TABLE="width: 1137"]
[TR="class: table-header, bgcolor: #008DC9"]
Country Case definition Cumulative cases Cases in past 21 days Cumulative deaths [/TR]
[TR="bgcolor: transparent"]
[TD]Guinea[/TD]
[TD]Confirmed[/TD]
[TD="align: center"]3136[/TD]
[TD="align: center"]70[/TD]
[TD="align: center"]1943[/TD]
[/TR]
[TR]
[TD]Probable[/TD]
[TD="align: center"]415[/TD]
[TD="align: center"]*[/TD]
[TD="align: center"]415[/TD]
[/TR]
[TR="bgcolor: transparent"]
[TD]Suspected[/TD]
[TD="align: center"]14[/TD]
[TD="align: center"]*[/TD]
[TD="align: center"]?[/TD]
[/TR]
[TR]
[TD]Total[/TD]
[TD="align: center"]3565[/TD]
[TD="align: center"]70[/TD]
[TD="align: center"]2358[/TD]
[/TR]
[TR="bgcolor: transparent"]
[TD]Liberia**[/TD]
[TD]Confirmed[/TD]
[TD="align: center"]3151[/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"]5182[/TD]
[TD="align: center"]*[/TD]
[TD="align: center"]?[/TD]
[/TR]
[TR]
[TD]Total[/TD]
[TD="align: center"]10 212[/TD]
[TD="align: center"]0[/TD]
[TD="align: center"]4573[/TD]
[/TR]
[TR="bgcolor: transparent"]
[TD]Sierra Leone[/TD]
[TD]Confirmed[/TD]
[TD="align: center"]8575[/TD]
[TD="align: center"]30[/TD]
[TD="align: center"]3511[/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"]3405[/TD]
[TD="align: center"]*[/TD]
[TD="align: center"]158[/TD]
[/TR]
[TR]
[TD]Total[/TD]
[TD="align: center"]12 267[/TD]
[TD="align: center"]30[/TD]
[TD="align: center"]3877[/TD]
[/TR]
[TR="bgcolor: transparent"]
[TD="colspan: 1"]Total[/TD]
[TD]Confirmed[/TD]
[TD="align: center"]14 862[/TD]
[TD="align: center"]100[/TD]
[TD="align: center"]?[/TD]
[/TR]
[TR]
[TD]Probable[/TD]
[TD="align: center"]2581[/TD]
[TD="align: center"]*[/TD]
[TD="align: center"]?[/TD]
[/TR]
[TR="bgcolor: transparent"]
[TD]Suspected[/TD]
[TD="align: center"]8601[/TD]
[TD="align: center"]*[/TD]
[TD="align: center"]?[/TD]
[/TR]
[TR]
[TD]Total[/TD]
[TD="align: center"]26 044[/TD]
[TD="align: center"]100[/TD]
[TD="align: center"]10 808[/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. **Data is missing for 12-14 April. ...
http://apps.who.int/ebola/current-situation/ebola-situation-report-22-april-2015-0
 
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