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PostPosted: Mon Sep 22, 2014 1:07 pm 
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WHO has issued a new Ebola Road Map which includes 5843 cases and 2803 deaths in the three west Africa countries hit hardest.

http://apps.who.int/iris/bitstream/1066 ... g.pdf?ua=1

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PostPosted: Mon Sep 22, 2014 1:11 pm 
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WHO: EBOLA RESPONSE ROADMAP UPDATE
22 September 2014
Following the roadmap structure1
, country reports fall into two categories: those with widespread
and intense transmission (Guinea, Liberia, and Sierra Leone); and those with an initial case or cases,
or with localized transmission (Nigeria, Senegal). An overview of the situation in the Democratic
Republic of the Congo, where a separate, unrelated outbreak of Ebola virus disease (EVD) is
occurring, is also provided (see Annex 1).
1. COUNTRIES WITH WIDESPREAD AND INTENSE TRANSMISSION
5843 (probable, confirmed and suspected; see Annex 2) cases and 2803 deaths have been reported
in the current outbreak of EVD as at 20 September 2014 by the Ministry of Health of Guinea, as at 17
September 2014 by the Ministry of Health of Liberia, and as at 19 September 2014 by the Ministry of
Health of Sierra Leone (table 1).

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PostPosted: Mon Sep 22, 2014 1:12 pm 
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Table 1: Cases of Ebola virus disease in Guinea, Liberia, and Sierra Leone
Country Case definition Cases Deaths
Guinea
Confirmed 818 465
Probable 162 162
Suspected 28 5
All 1008 632
Liberia
Confirmed 863 670
Probable 1342 544
Suspected 817 364
All 3022 1578
Sierra Leone
Confirmed 1640 545
Probable 37 37
Suspected 136 11
All 1813 593
Total 5843 2803
Data are based on official information reported by Ministries of Health up to the end of 20 September 2014 for Guinea, 17
September for Liberia, and 19 September for Sierra Leone. These numbers are subject to change due to on-going
reclassification, retrospective investigation and availability of laboratory results.

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PostPosted: Mon Sep 22, 2014 1:13 pm 
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Exposure of health-care workers (HCWs) to EVD continues to be an alarming feature of this outbreak. As of 22 September 2014, 348 HCWs are known to have developed EVD (67 in Guinea, 174 in Liberia, 11 in Nigeria, and 96 in Sierra Leone). 186 HCWs have died as a result of EVD infection (35 in Guinea, 85 in Liberia, 5 in Nigeria, and 61 in Sierra Leone).

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PostPosted: Mon Sep 22, 2014 1:17 pm 
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2. COUNTRIES WITH AN INITIAL CASE OR CASES, OR WITH LOCALIZED TRANSMISSION
Two countries, Nigeria and Senegal, have now reported a case or cases imported from a country with widespread and intense transmission. In Nigeria, there have been 20 cases and eight deaths. In Senegal, there has been one case, but as yet there have been no deaths or further suspected cases attributable to Ebola (table 2).
Contact tracing and follow-up is ongoing. In Nigeria, 696 contacts have now completed 21-day follow-up (348 contacts in Lagos, 348 contacts in Port Harcourt). Of the three contacts who are still being monitored in Lagos, all were seen on 20 September. Of the 175 contacts who are still being monitored in Port Harcourt, 165 (94%) were seen on 20 September.
In Senegal, all contacts have now completed 21-day follow-up, with no further cases of EVD reported.
Table 2: Cases of Ebola virus disease in Nigeria and Senegal
Country Case definition Cases Deaths
Nigeria
Confirmed 19 7
Probable 1 1
Suspected 0 0
All 20 8
Senegal
Confirmed 1 0
Probable 0 0
Suspected 0 0
All 1 0
Total 21 8
Data reported are based on official information reported by Ministries of Health. These numbers are subject to change due
to on-going reclassification, retrospective investigation and availability of laboratory results. There are several points to be considered when interpreting epidemiological data for the EVD outbreak. Many of the deaths attributed to EVD in this outbreak occurred in people who were suspected, but not confirmed, to have died from the disease. EVD cases are only confirmed when a
sample tests positive in the laboratory. If samples taken from a body test negative for EVD, that person is no longer counted among EVD deaths and the figures are adjusted accordingly. However, because laboratory services and treatment centres are currently overwhelmed in several countries, the numbers of probable and suspected cases, together with those confirmed, may be a more
accurate reflection of case numbers. Work is also on going to resolve discrepancies between different sources of data, which may lead to a revision of the numbers of cases and deaths in the future.

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PostPosted: Mon Sep 22, 2014 1:17 pm 
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ANNEX 1. EBOLA OUTBREAK IN THE DEMOCRATIC REPUBLIC OF THE CONGO
As at 18 September 2014, there have been 68 cases (28 confirmed, 26 probable, 14 suspected) of Ebola virus disease (EVD) reported in the Democratic Republic of the Congo, including eight among health-care workers (HCWs). In total, 41 deaths have been reported, including eight among HCWs.
432 contacts have now completed 21-day follow-up. Of 488 contacts currently being monitored, 468 (96%) were seen on 18 September, the last date for which data has been reported. This outbreak is unrelated to that affecting Guinea, Liberia, Nigeria, Senegal and Sierra Leone.

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PostPosted: Mon Sep 22, 2014 1:18 pm 
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ANNEX 2. CRITERIA USED TO CLASSIFY EBOLA CASES
Ebola cases are classified as suspected, probable, or confirmed depending on whether they meet certain criteria (table 3).
Table 3: Ebola case-classification criteria
Classification Criteria

Suspected
Any person, alive or dead, who has (or had) sudden onset of high fever and had contact with a suspected, probable or confirmed Ebola case, or a dead or sick animal
OR any person with sudden onset of high fever and at least three of the following symptoms: headache, vomiting, anorexia/ loss of appetite, diarrhoea, lethargy, stomach pain, aching muscles or joints, difficulty swallowing, breathing difficulties, or hiccup; or any person with unexplained bleeding
OR any sudden, unexplained death.

Probable
Any suspected case evaluated by a clinician
OR any person who died from ‘suspected’ Ebola and had an epidemiological link to a confirmed case but was not tested and did not have laboratory confirmation of the disease.

Confirmed
A probable or suspected case is classified as confirmed when a sample from that person tests positive for Ebola virus in the laboratory.

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PostPosted: Mon Sep 22, 2014 2:44 pm 
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niman wrote:
Table 1: Cases of Ebola virus disease in Guinea, Liberia, and Sierra Leone
Country Case definition Cases Deaths
Guinea
Confirmed 818 465
Probable 162 162
Suspected 28 5
All 1008 632
Liberia
Confirmed 863 670
Probable 1342 544
Suspected 817 364
All 3022 1578
Sierra Leone
Confirmed 1640 545
Probable 37 37
Suspected 136 11
All 1813 593
Total 5843 2803
Data are based on official information reported by Ministries of Health up to the end of 20 September 2014 for Guinea, 17
September for Liberia, and 19 September for Sierra Leone. These numbers are subject to change due to on-going
reclassification, retrospective investigation and availability of laboratory results.

Above Sept 17 totals for Liberia match the Sept 17 numbers released last week by Liberia

viewtopic.php?f=5&t=12329

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