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PostPosted: Fri Aug 22, 2014 8:24 pm 
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WHO issues press release on UN intensifying Ebola Response in Liberia.

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PostPosted: Fri Aug 22, 2014 8:24 pm 
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From: <WorldHealthOrganizationNews@who.int>
Date: August 22, 2014 at 7:07:49 PM EDT
To: undisclosed-recipients:;
Subject: World Health Organization: UN intensifies Ebola response in Liberia

Please receive this press release from the WHO country office in Liberia. Regards, WHO Media Team WHO press release UN intensifies Ebola response in Liberia Coordinated response bringing more resources and access to care

MONROVIA, Liberia | 22 August 2014 – As Liberia continues to struggle with the largest and most complex outbreak of Ebola in history, the World Health Organization (WHO) is working with the UN, the government and other partners to intensify the Ebola response by injecting new assets into Liberia’s health sector and beyond.

The announcement comes following the UN high level delegation’s meetings with government officials, NGOs and other partners to review and fill the gaps in the ongoing Ebola response. “Ebola in Liberia must be addressed to ensure a stable economy, future and society,” says Karin Landgren, the Special Representative to the UN Secretary-General. “The magnitude of this outbreak requires a higher level of coordination than previous responses and the UN Mission in Liberia will play a strong role in this effort.”

The outbreak in Liberia continues to expand. As of 22 August, there have been 1,082 cases and 624 deaths reported. Ebola virus disease is putting strains on society and areas outside the disease itself. Systems for common and sometimes serious health conditions are not functioning as they should. Increasingly, mothers and children cannot access the care they need. “This extraordinary outbreak requires an unprecedented response in all dimensions,” says Dr David Nabarro, the UN Secretary-General’s Coordinator for the Ebola response working in close collaboration with WHO. “The new coordinating platform that engages government, partners and the UN will bring a new level of accountability, and integrate effective action so we can ensure the right resources get to the areas they are needed most.”

Stepping up the health aspects of the outbreak are the key to stopping it. First, identifying those who are sick early, caring for them in health facilities and protecting others so this disease does not spread to any more people. But the number of patient beds available in care centres in Monrovia are insufficient for the numbers of patients expected. “We have seen some of the available current care centres in Monrovia that have been set up by the Ministry of Health and Social Welfare, Medecins Sans Frontier and other partners, and we recognize containing this outbreak will require many more areas like this,” says Dr Keiji Fukuda, Assistant Director-General for WHO and one of the leaders of the UN high-level delegation in Monrovia this week.

“Therefore, today, WHO is committing to step up its work with partners to build additional care facilities around Monrovia to expand the number of Ebola care beds by as many as 500 in the next 6 weeks.” Although Ebola has a high fatality rate, experience has shown that even without new medicines, proper treatment of persons increases chance of survival. In addition, if it continues unabated, the Ebola outbreak could pose an additional risk to other health issues. Some health clinics have closed and resources have been shifted to the Ebola response.

The UN delegation will continue to work with the government and other UN partners in the coming days to finalize the development of the coordinating platform and solidify the details of the additional assets needed to fill the gaps in the Ebola response plan.

Media contacts:

Maricel Seeger +231.880.048.865 Communications Officer

Christy Feig +41.79.251.7055 (In Liberia until Monday, 25 August)

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PostPosted: Fri Aug 22, 2014 10:52 pm 
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As Ebola outbreak grows, WHO notes case-count difficulties
Filed Under: Ebola; VHF
Robert Roos | News Editor | CIDRAP News | Aug 22, 2014

Image
Ebola treatment center
CDC
As West Africa's Ebola toll climbed by another 142 cases and 77 deaths today, the World Health Organization (WHO) conceded that the size of the epidemic has been underestimated and cited a list of reasons for that, from concealment and denial of cases to the closing of treatment centers and clinics.

Also today, the WHO's Keiji Fukuda, MD, MPH, speaking at a press conference in Monrovia, Liberia, estimated it will take 6 to 9 months to bring the outbreak under control. He and a United Nations (UN) official promised to scale up WHO support for the Ebola-stricken countries.

Death toll tops 1,400
With the latest cases, reported on Aug 19 and 20, the WHO's Ebola virus disease (EVD) count reached 2,615, including 1,427 deaths. The numbers include confirmed, probable, and suspected cases.

Liberia accounted for most of the increase, with 110 new cases and 48 deaths, for a total of 1,082 cases and 624 fatalities, the WHO reported. Guinea cited 28 cases and 10 deaths, raising its totals to 607 and 406, while 3 new cases and 18 deaths in Sierra Leone raised the country's count to 910 cases and 392 deaths.

A report from Liberia's Ministry of Health and Social Welfare said today that EVD has hit 117 healthcare workers in the country, killing 63 of them.

The WHO report showed just one new case and one death in Nigeria, for a total there of 16 illnesses and 5 deaths.

Nigerian cases spark concern
Meanwhile, the media today reported two newly confirmed cases in Nigeria. A Reuters story said cases were confirmed in the spouses of a man and a woman who died of the disease after helping to care for the country's first Ebola case-patient, Patrick Sawyer, who died of EVD after flying to Nigeria from Liberia in July.

The story called the two new cases "an alarming development," because the patients are outside the group of caregivers who had direct contact with Sawyer. On Aug 19 the WHO said the 12 confirmed cases in Nigeria at that point all involved individuals who had contact with Sawyer.

The Reuters story said the new illnesses raise Nigeria's tally of confirmed cases to 14. Today's WHO update says that 12 of the 16 cases in Nigeria have been confirmed. Of the 14 confirmed cases, 5 patients have died, 5 have recovered, and 4 are still being treated, according to Reuters.

The WHO noted that it continues to hear of rumored and suspected Ebola cases around the world and that "systematic verification" of them is ongoing. No new EVD cases have been confirmed outside Guinea, Liberia, Sierra Leone, and Nigeria.

In that vein, California officials announced late yesterday that a hospital patient in Sacramento tested negative for the disease. The patient had an illness that raised suspicion of EVD, but he or she was regarded as low risk on the basis of history and symptoms, officials said 2 days ago.

The US Centers for Disease Control and Prevention (CDC) tested a sample from the patient, with negative results, the California Department of Public Health said in a statement. The agency gave no details about the patient or his or her illness.

Why the epidemic has been underestimated
In a separate statement today, the WHO acknowledged that the scale of the Ebola epidemic has been underestimated and listed a number of factors that have made it hard to get an accurate assessment. The agency, which declared the epidemic an international public health emergency on Aug 8, has been accused of responding too slowly to the epidemic.

Some of the items the agency listed are not new. For example, it said many families hide sick loved ones at home, believing they can't be helped and will be more comfortable dying at home. Other families deny that a person has Ebola and fear that care in an isolation ward will lead to infection and death.

Other factors cited by the WHO:

Many treatment centers and general clinics have closed, as fear keeps patients away and causes staff members to flee
"In rural villages, corpses are buried without notifying health officials and with no investigation of the cause of death."
There are many villages with rumors of Ebola cases and deaths, but they can't be investigated because of community resistance or a lack of personnel vehicles. The WHO referred to these as "shadow zones."
The WHO also said that in parts of Liberia, newly opened treatment facilities have been immediately flooded with patients, many of whom were not previously identified. "This phenomenon strongly suggests the existence of an invisible caseload of patients who are not being detected by the surveillance system."

For example, a 20-bed Ebola treatment center in Monrovia opened last week and was immediately overwhelmed with more than 70 patients, the agency said.

WHO, UN promise more help
At the Monrovia press conference today, Fukuda of the WHO and David Nabarro, MD, of the UN sought to provide reassurance and promised more aid to West Africa. The two were wrapping up the first leg of a visit to all the affected West African countries, according to a UN statement.

Nabarro, senior UN System Coordinator for Ebola, told reporters at the end of his 2-day visit that more health workers will be brought to the country to deal with the outbreak, saying, "The United Nations is looking at ways to radically scale up support to fight Ebola," according to the UN statement.

The two officials promised that the WHO will provide 500 more treatment beds for Ebola patients in Monrovia within the next 6 weeks, according to a USA Today story today.

Fukuda, the WHO's assistant director-general for health security and environment, told reporters, "This is not a hopeless situation," the UN statement said. But he estimated it will take 6 to 9 months to tame the epidemic, according to USA Today. "We expect several months of very hard work," he said.

The two officials also said they would be increasing efforts to provide other medical care to Liberians and to support the nation's economy, the newspaper reported.

At the same press conference, Karin Landgren, special representative of the UN secretary-general and coordinator of UN operations in Liberia, said that UN peacekeepers were not involved in quarantining people because of Ebola, according to the UN statement.

CDC chief to visit West Africa
In other developments, the Associated Press (AP) reported that CDC Director Tom Frieden, MD, MPH, plans to visit West Africa to get a firsthand look at the Ebola situation. He will visit Liberia, Sierra Leone, and Guinea next week.

Frieden wants to meet African and international health leaders fighting the epidemic and to hear what help they need, the story said. He also plans to visit hospitals treating Ebola patients.

See also:

Aug 22 WHO update

Aug 22 Liberian health ministry report

Aug 22 Reuters story on Nigerian cases

Aug 21 CDPH statement

Aug 22 WHO statement on factors in underestimation of epidemic

Aug 22 UN statement on press conference

Aug 22USA Today story

Aug 22 AP story on Frieden visit

http://www.cidrap.umn.edu/news-perspect ... fficulties

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