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PostPosted: Fri Aug 29, 2014 10:06 am 
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WHO has issued its first report on Ebola Response Roadmap Situation Report 1

http://www.who.int/csr/disease/ebola/si ... 4.pdf?ua=1

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PostPosted: Fri Aug 29, 2014 10:11 am 
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This is the first in a series of regular updates on the Ebola Response Roadmap. The update contains a
review of the epidemiological situation and response monitoring. This first update provides a
baseline against which progress on the full implementation of the roadmap can be measured against
core Roadmap indicators over time. Additional indicators will be reported as data are consolidated.
The data contained in this report are based on the best information currently available. Substantial
efforts are being made to improve the availability and accuracy of information about both the
epidemiological situation and the response implementation.
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); and those sharing land borders with areas of active
transmission (Benin, Burkina Faso, Côte d’Ivoire, Guinea-Bissau, Mali, Senegal) and those with
international transportation hubs.
The total number of probable, confirmed and suspect cases in the current outbreak of Ebola virus
disease (EVD) in West Africa is 3052, with 1546 deaths. Countries affected are Guinea, Liberia,
Nigeria, and Sierra Leone.
1
The figure below shows the number of cases by country that have been
reported between the beginning of January 2014 (epidemiological week 1) and 25 August 2014
(epidemiological week 34).

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PostPosted: Fri Aug 29, 2014 10:12 am 
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COUNTRIES WITH WIDESPREAD AND INTENSE TRANSMISSION
In the past six weeks, cases have continued to increase. Although the numbers of new cases
reported in Guinea and Sierra Leone had been relatively stable, last week saw the highest weekly
increase yet in all three affected countries. This highlights the urgent need to reinforce control
measures and increase capacity for case management.

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PostPosted: Fri Aug 29, 2014 10:13 am 
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GUINEA
These data indicate that the reporting of cases in Guinea appears to have been relatively stable, but
with a marked increase in the recent week. Priorities continue to be to reduce incidence in the
epicentre (Gueckedou), and to address threatening foci in Conakry.

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PostPosted: Fri Aug 29, 2014 10:13 am 
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SIERRA LEONE
The incidence of cases in Sierra Leone has been relatively flat, although with increases in the past
week. Problems in scaling up response measures persist, notably in two districts, Kenema and
Kailahun. Numbers of cases increased in the capital, Freetown.

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PostPosted: Fri Aug 29, 2014 10:14 am 
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LIBERIA
By contrast, in Liberia, cases are increasing in the epicentre (Lofa) and in the capital, Monrovia.

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PostPosted: Fri Aug 29, 2014 10:15 am 
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A full understanding of the outbreak that will lead to improved response requires detailed analysis of
exactly where transmission is occurring (by district level), and of time trends. This analysis is ongoing.
Preliminary results show that cases are still concentrated (62% of all reported cases since the
beginning of the outbreak) in the epicentre of the outbreak, in Gueckedou (Guinea); Lofa (Liberia),
where cases continue to rise; and Kenema and Kailahun (Sierra Leone). Capital cities are of particular
concern, owing to their population density and repercussions for travel and trade.
The outbreak continues to escalate. Over 40% of the total number of cases have occurred within the
past 21 days. However, most cases are concentrated in only a few places.
The overall case fatality rate is 51%. It ranges from 41% in Sierra Leone to 66% in Guinea.

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