Rhiza Labs FluTracker Forum

The place to discuss the flu
It is currently Wed Oct 18, 2017 1:40 am

All times are UTC - 5 hours [ DST ]




Post new topic Reply to topic  [ 12 posts ]  Go to page 1, 2  Next
Author Message
PostPosted: Fri Sep 12, 2014 7:50 am 
Offline

Joined: Wed Aug 19, 2009 10:42 am
Posts: 56044
Location: Pittsburgh, PA USA
WHO has issued a new road map update Sept 12 cites 4366 cases & 2218 cases.

_________________
www.twitter.com/hniman


Top
 Profile  
 
PostPosted: Fri Sep 12, 2014 7:51 am 
Offline

Joined: Wed Aug 19, 2009 10:42 am
Posts: 56044
Location: Pittsburgh, PA USA
WHO: Ebola Response Roadmap Situation Report 3
12 September 2014
This is the third in a series of regular situation reports on the Ebola Response Roadmap1
. The report
contains a review of the epidemiological situation, and an assessment of the response measured against the
core Roadmap indicators where available. Additional indicators will be reported as data are consolidated.
The data contained in this report are based on the best information available. Substantial efforts are
ongoing to improve the availability and accuracy of information about both the epidemiological situation
and the implementation of the response.
Following the roadmap structure, country reports fall into three categories: those with widespread and
intense transmission (Guinea, Liberia, and Sierra Leone); those with an initial case or cases, or with localized
transmission (Nigeria, Senegal); and those countries that neighbour areas of active transmission (Benin,
Burkina Faso, Côte d’Ivoire, Guinea-Bissau, Mali, Senegal).
OVERVIEW
The total number of probable, confirmed and suspected cases in the current outbreak of Ebola virus disease
(EVD) in West Africa was 4366, with 2218 deaths, as at 7 September 2014 (see table 1). Countries affected
are Guinea, Liberia, Nigeria, Senegal and Sierra Leone. Figure 1 below shows the total number of cases by
country that have been reported between the start of 30 December 2013 (epidemiological week 1) and end
7 September 2014 (epidemiological week 36).

_________________
www.twitter.com/hniman


Top
 Profile  
 
PostPosted: Fri Sep 12, 2014 7:58 am 
Offline

Joined: Wed Aug 19, 2009 10:42 am
Posts: 56044
Location: Pittsburgh, PA USA
Table 1: Total number of probable, confirmed, and suspected cases in Guinea, Liberia, and Sierra Leone as
at end 7 September 2014
The figures below show the numbers of confirmed and probable new cases over time in each of the
countries with widespread and intense transmission, accompanied by numbers of cases over time in capital
cities. For Liberia, it is notable that the proportion of suspected cases that result in death is high (211 deaths
from 453 suspected cases; 47%), which suggests that many of the suspected cases are in fact genuine cases.

Country
Case definition Cases Deaths Total Last 21 days Last 21 days/Total (%) Total Total deaths/Total cases (%)
Guinea
Confirmed 678 285 42 403 59
Probable 151 12 8 150 99
Suspected 32 27 84 4 12
All 861 324 38 557 65
Liberia
Confirmed 654 394 60 498 76
Probable 974 506 52 428 44
Suspected 453 286 63 211 47
All 2081 1186 57 1137 55
Sierra Leone
Confirmed 1287 518 40 478 37
Probable 37 3 8 34 92
Suspected 100 65 65 12 12
All 1424 586 41 524 37
Total 4366 2096 48 2218 51

_________________
www.twitter.com/hniman


Top
 Profile  
 
PostPosted: Fri Sep 12, 2014 8:00 am 
Offline

Joined: Wed Aug 19, 2009 10:42 am
Posts: 56044
Location: Pittsburgh, PA USA
GUINEA
In line with the past two weeks, there continues to be a high number of confirmed new cases, with just over
100 cases newly reported in the 7 days up to the end of 7 September (epidemiological week 36; figure 2).
Most new cases have been reported in Macenta. Persistent transmission is ongoing in Gueckedou, which
borders Macenta and was the origin of the outbreak, and in areas in and around the capital Conakry. In
contrast with Liberia and Sierra Leone, several districts have not reported any cases, or have no newly
reported cases in epidemiological week 36.
Figure 2: Epidemiological histogram and curve for Guinea and Conakry

_________________
www.twitter.com/hniman


Top
 Profile  
 
PostPosted: Fri Sep 12, 2014 8:01 am 
Offline

Joined: Wed Aug 19, 2009 10:42 am
Posts: 56044
Location: Pittsburgh, PA USA
LIBERIA
Liberia has reported the most cases and deaths of any affected country in the outbreak, and reported a
marked increase in cases during epidemiological week 36 (figure 3). The past week has seen almost 400
confirmed and probable cases reported―almost double the number of newly reported cases in the
preceding week. The sharp increase has mainly been driven by a surge in cases in the capital, Monrovia.
There is also evidence of substantial underreporting of cases and deaths and this is being investigated.
There continues to be a high number of new cases in Lofa county, which borders the Guinean districts of
Macenta and Gueckedou. An increase in new cases has also been reported in districts throughout the
country, including Bong, Bomi, Grand Bassa, Margibi and Nimba.
Figure 3: Epidemiological histogram and curve for Liberia and Monrovia

_________________
www.twitter.com/hniman


Top
 Profile  
 
PostPosted: Fri Sep 12, 2014 8:01 am 
Offline

Joined: Wed Aug 19, 2009 10:42 am
Posts: 56044
Location: Pittsburgh, PA USA
SIERRA LEONE
The incidence of EVD in Sierra Leone remains very high, with almost 200 new cases reported in the past
week (figure 4). Transmission remains high in the capital, Freetown, and is stable and high in Kailahun and
Kenema. There has been an increase in the number of new cases reported in the districts of Bo, Bombali,
and Port Loko.
Figure 4: Epidemiological histogram and curve for Sierra Leone and Freetown

_________________
www.twitter.com/hniman


Top
 Profile  
 
PostPosted: Fri Sep 12, 2014 8:02 am 
Offline

Joined: Wed Aug 19, 2009 10:42 am
Posts: 56044
Location: Pittsburgh, PA USA
GEOGRAPHICAL DISTRIBUTION
Figure 5 below shows the location of cases throughout the countries with widespread and intense
transmission (see also table 1). The cumulative number of cases to date in each area are shown (grey
circles), together with the number of cases that have occurred within the past 21 days (red circles).
Figure 5: Geographical distribution of new cases and total cases in Guinea, Liberia, and Sierra Leone
Eight districts in which previous cases were confirmed have reported no cases during the 21 days prior to
the end of 7 September (four districts in Guinea, three in Sierra Leone, and one in Liberia). Two previously
uninfected areas reported initial cases during the seven days prior to the end of 7 September. In Liberia, six
suspected cases and three probable cases were reported in the River Gee area. In Guinea, five confirmed
cases and one suspected case were reported in the Coyah area.

_________________
www.twitter.com/hniman


Top
 Profile  
 
PostPosted: Fri Sep 12, 2014 8:03 am 
Offline

Joined: Wed Aug 19, 2009 10:42 am
Posts: 56044
Location: Pittsburgh, PA USA
RESPONSE IN COUNTRIES WITH WIDESPREAD AND INTENSE TRANSMISSION
Increases in demand for Ebola Treatment Centre (ETC) beds and referral unit places are continuing to
outstrip capacity in Guinea, Liberia, and Sierra Leone. In Guinea, additional support is needed in Macenta
(N’Zerekoré prefecture) and Forcariah (Kindia prefecture). In Liberia, the need for new treatment and
referral centres is critical in the capital, Monrovia, in Nimba, and Margibi counties (figure 6). In Sierra Leone
there remains a need for additional support in the capital, Freetown and in Port Loko. WHO continues to
mobilise partners in response to these needs.
Infections among healthcare workers continue to be a concern during this outbreak (see table 2). To date,
301 healthcare workers have developed the disease, almost half of whom have died. Lead national staff for
Infection Prevention and Control (IPC), along with additional IPC staff for key ETCs, have now been deployed
in Guinea, Liberia, and Sierra Leone. Coordination is under way to initiate global training plans for IPC in
affected and countries and those neighbouring affected countries.

_________________
www.twitter.com/hniman


Top
 Profile  
 
PostPosted: Fri Sep 12, 2014 8:06 am 
Offline

Joined: Wed Aug 19, 2009 10:42 am
Posts: 56044
Location: Pittsburgh, PA USA
Table 2: Total number of probable, confirmed, and suspected cases in healthcare workers in Guinea,
Liberia, and Sierra Leone as at end 7 September 2014
Country
Case definition Cases Deaths Total Last 21 days Last 21 days/total cases (%) Total Deaths/total cases (%)
Guinea
Confirmed 45 12 27 19 42
Probable 8 0 0 8 100
Suspected 1 1 100 0 0
All 54 13 24 27 50
Liberia
Confirmed 63 3 5 54 86
Probable 80 42 52 25 31
Suspected 19 1 5 2 10
All 162 46 28 81 50
Sierra Leone
Confirmed 71 3 4 30 42
Probable 1 0 0 1 100
Suspected 2 2 100 0 0
All 74 5 7 31 42
Total 301 66 22 144 48


All cases are now being confirmed by WHO collaborating centre labs or labs under WHO collaborating
centre supervision. The European Union mobile lab team has been deployed to Foya (Lofa county), Liberia,
and should be operational by the end of the week. In Sierra Leone, Public Health Agency Canada's mobile
lab in Kailahun will restart operations.
The capacity for contact tracing in Guinea, Liberia, and Sierra Leone is under extreme pressure, and needs
to be further assessed; particularly in areas facing a surge in cases. Although the number of burial teams
and the number of districts where safe burials are being done are increasing, the capacity of burial teams to
cope with increased demand in the affected countries must be assessed.
Interagency coordination is being strengthened in order to review strategies and align them with increasing
needs at all levels. The World Food Programme (WFP) continues to scale-up its Ebola response through the
provision of food, common services and logistical assistance to support the treatment of Ebola patients and
mitigate the risk of the virus moving into new areas.
WFP’s response is targeting up to 1.3 million people in Guinea, Liberia and Sierra Leone. WFP is deploying
50 additional staff across the three affected countries, while the United Nations Humanitarian Air Service,
managed by WFP, has deployed a 19-seat airplane and a helicopter to allow vital access for humanitarian
personnel and the cargo delivery to the three affected countries. The UN Humanitarian Response Depot
(UNHRD) continues to support response efforts..

_________________
www.twitter.com/hniman


Top
 Profile  
 
PostPosted: Fri Sep 12, 2014 8:07 am 
Offline

Joined: Wed Aug 19, 2009 10:42 am
Posts: 56044
Location: Pittsburgh, PA USA
3. PREPAREDNESS OF COUNTRIES TO RAPIDLY DETECT AND RESPOND TO AN EBOLA EXPOSURE
Forty of 41 countries in the WHO African Region have now responded to a preparedness assessment (the
six countries affected by Ebola were excluded from the survey; Mozambique has not yet responded).
Putting in place fully functional protocols for contact tracing and monitoring, and for managing travellers
arriving at major border crossings with febrile illness appear to be the priority areas that need to be
addressed.
Twenty-three of the 40 (58%) countries surveyed have a surveillance system in place and functional at
major land border crossings and key locations in the capital city (airport, seaport if any, and major
hospitals). 16 (40%) countries have a system in place but it is not yet functional. 12 of the 40 (33%)
countries have a protocol in place and functional for managing travellers who arrive at major land crossing
points with unexplained febrile illnesses. 17 (43%) countries have a protocol in place but it is not yet
functional.
Fourteen of 39 (35%; South Sudan has missing data for this question) countries have identified functional
facilities that could operate as an isolation unit for Ebola case investigation and management if required. 21
(54%) countries have identified facilities, but they are not yet functional. 27 of 40 (68%) countries have
access to WHO-recognized laboratories, and have procedures for specimen handling and shipment in place
and functional. Eight (20%) countries have a diagnostic protocol in place, but it is not yet functional.
Fourteen of 40 (35%) countries have a fully functional protocol in place for identifying and monitoring the
contacts of any suspected Ebola case. A protocol is in place but not yet functional in 11 (28%) countries.

_________________
www.twitter.com/hniman


Top
 Profile  
 
Display posts from previous:  Sort by  
Post new topic Reply to topic  [ 12 posts ]  Go to page 1, 2  Next

All times are UTC - 5 hours [ DST ]


Who is online

Users browsing this forum: Majestic-12 [Bot] and 64 guests


You cannot post new topics in this forum
You cannot reply to topics in this forum
You cannot edit your posts in this forum
You cannot delete your posts in this forum
You cannot post attachments in this forum

Search for:
Jump to:  
cron
Powered by phpBB® Forum Software © phpBB Group