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WHO: Situation assessment - 8 September 2014

Re: WHO: Situation assessment - 8 September 2014

Very ugly.
A surging pandemic in an impoverished country recently racked by a civil war.
When the patients do not know till the end whether the illness is a cold or ebola, quarantines seem impossible.
A drug is desperately needed, because the society has no other resources to address the problem. This could become truly gruesome.
 
Re: WHO: Situation assessment - 8 September 2014

full WHO report --- (FT link)

Extracted points from the WHO report

Transmission of the Ebola virus in Liberia is already intense and the number of new cases is increasing exponentially.

Fourteen of Liberia?s 15 counties have now reported confirmed cases.

Some 152 health care workers have been infected and 79 have died. When the outbreak began, Liberia had only 1 doctor to treat nearly 100,000 people in a total population of 4.4 million people. Every infection or death of a doctor or nurse depletes response capacity significantly.


Of all Ebola-affected countries, Liberia has the highest cumulative number of reported cases and deaths, amounting, on 8 September, to nearly two thousand cases and more than one thousand deaths. The case-fatality rate, at 58%, is also among the highest.

Situation in Montserrado county

In Montserrado county, the team estimated that 1000 beds are urgently needed for the treatment of currently infected Ebola patients. At present only 240 beds are available, with an additional 260 beds either planned or in the process of being put in place.

WHO estimates that 200 to 250 medical staff are needed to safely manage an Ebola treatment facility with 70 beds.

The fact that early symptoms of Ebola virus disease mimic those of many other common infectious diseases increases the likelihood that Ebola patients will be treated in the same ward as patients suffering from other infections, putting cases and medical staff alike at very high risk of exposure.

As WHO staff in Liberia confirm, no free beds for Ebola treatment exist anywhere in the country.

When patients are turned away at Ebola treatment centres, they have no choice but to return to their communities and homes, where they inevitably infect others, perpetuating constantly higher flare-ups in the number of cases.

Implications of the investigation


The investigation in Liberia yields 3 important conclusions that need to shape the Ebola response in high-transmission countries.

First, conventional Ebola control interventions are not having an adequate impact in Liberia, though they appear to be working elsewhere in areas of limited transmission, most notably in Nigeria, Senegal, and the Democratic Republic of Congo.

Second, far greater community engagement is the cornerstone of a more effective response.

Third, key development partners who are supporting the response in Liberia and elsewhere need to prepare to scale up their current efforts by three- to four-fold.
 
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