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PostPosted: Sun Aug 31, 2014 4:00 am 
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WHO has issued an update on the confirmation of Ebola in Senegal (21M university student from Guinea).

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PostPosted: Sun Aug 31, 2014 4:01 am 
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Ebola virus disease update – Senegal
30/08/2014

Epidemiology and surveillance

On 30 August 2014, Senegal’s Ministry of Public Health and Social Affairs provided WHO with details about a case of Ebola virus disease (EVD) announced in that country on 29 August.

WHO has also received details of the emergency investigation immediately launched by the Government. Testing and confirmation of Ebola were undertaken by a laboratory at the Institut Pasteur in Dakar.

The case is a 21-year-old male native of Guinea, who arrived in Dakar, by road, on 20 August and stayed with relatives at a home in the outskirts of the city.

On 23 August, he sought medical care for symptoms that included fever, diarrhoea, and vomiting. He received treatment for malaria, but did not improve and left the facility.

After leaving the facility, he continued to reside with his relatives. Though the investigation is in its early stages, he is not presently known to have travelled elsewhere.

On 26 August, he was referred to a specialized facility for infectious diseases, still showing the same symptoms, and was hospitalized.

On 27 August, authorities in Conakry, Guinea, issued an alert, informing medical services in Guinea and neighbouring countries, that a person, who was a close contact of a confirmed EVD patient, had escaped the surveillance system.

That alert prompted testing at the Dakar laboratory, launched an investigation, and triggered urgent contact tracing.

Health sector response

WHO is treating this first case in Senegal as a top priority emergency. Key operational personnel were dispatched to Dakar today; others will follow.

The Government of Senegal has informed WHO of the urgent need for epidemiological support, personal protective equipment, and hygiene kits. These needs will be met with the fastest possible speed.

http://who.int/csr/don/don_updates/en/

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PostPosted: Sun Aug 31, 2014 4:15 am 
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Since the confirmation of the presence Friday in Dakar of a Guinean student infected with the virus, the Senegalese and Guinean authorities to trace his route to stop the possible spread of the disease.

Dr. Daogo Zombre Sosthenes, WHO coordinator / Ebola in Guinea has investigated the family of the virus carrier who imported the disease in Senegal student. Patient is currently in quarantine in hospital Fann in Dakar.

Contaminated by his brother

" Guinean student at the University of General Lansana Conté Sonfonia of the Department of Sociology who séjournée in Forecariah (on the border with Sierra Leone) in his family had contact on Aug. 8 with his sick brother from Sierra Leone, says the doctor. The latter died on August 10 at Laya, Forecariah prefecture. His funeral was held on August 11. "

The Guinean student left the Guinea on August 15 after attending the funeral of his brother to go on holiday in Senegal.

" On August 15, said Dr Daogo Zombre Sosthenes, the Guinean student began to show signs. Four members of his family were transferred to the treatment center Donka in Conakry on 26 August. The mother of the student and one of his daughters died there. Two of his brothers who had positive samples are currently isolated treatment center Ebola Donka hospital. "

The question is how many people have come into contact with the Guinean student Senegal. In March, Senegal had decided to close its border with the announcement of the existence of an Ebola outbreak in neighboring Guinea. In early May, after several weeks of surveillance, Dakar had decided to reopen its border .

Guinea-Bissau "alert"

Guinea-Bissau is "on alert" after the confirmation of a neighboring Senegal confirmed Ebola cases. The Guinea-Bissau government launched a campaign to clean and disinfect public places across the country every last Saturday of the month. " Our country must be alert because Ebola is already upon us , "said Mr. Pereira to the launch of this operation in Farim (north), a town near the border with Senegal.

Riots in Guinea

Riots broke out Thursday and Friday N'Zérékoré because of rumors related to the existence of the Ebola virus. 55 people were injured. The curfew was imposed. Demonstrators had attacked the hospital. N'Zérékoré, the second largest city of Guinea is at the heart of the worst hit by the Ebola epidemic in West Africa area.

Liberia, where health authorities are overwhelmed by the scale of the epidemic, prohibits sailors from landing in its ports. Finally, Morocco expressed solidarity with countries affected by the epidemic. It is the only country to continue to serve airports in Sierra Leone, Liberia and Guinea.

http://www.rfi.fr/afrique/20140830-ebol ... ria-maroc/

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PostPosted: Sun Aug 31, 2014 4:23 am 
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FIRST PUBLISHED: SUN, AUG 31 2014. 01 30 PM IST

Ebola outbreak: Senegal puts 20 people under watch after first case A 21-year-old college student from Guinea infected by the virus came into the country about three weeks ago and is expected to recover

Abidjan: Senegal placed 20 people who were exposed to the nation’s first Ebola case under surveillance, including the patient’s family and medical workers, minister of health Awa Marie Coll Seck said.

The 21-year-old college student from Guinea came in a six-passenger vehicle across a land border about three weeks ago, Seck said by phone from Dakar, Senegal’s capital, on Saturday.

The man no longer has a fever and is expected to recover after being treated with antibiotics and hydration solutions, she said.

He got sick after the funeral of a relative who died of the disease. “Our biggest problem is to manage to track down all the persons he has been in touch with since the signs have appeared,” said Seck, a former director of the United Nations programme on HIV and AIDS. “We don’t want to miss anyone. The most important moment is now.” Senegal moved quickly to identify the patient’s contacts and limit the impact after the worst-ever outbreak of the viral disease spread to a fifth country.

The World Health Organization (WHO) said this week that $490 million will be needed to contain the epidemic, which has killed almost as many people as all previous outbreaks combined. Food shortages and closed borders are complicating the World Food Programme’s efforts to feed 1.3 million in the region.

Scientists are accelerating clinical trials for vaccines and treatments as the outbreak has left more than 1,550 people dead since December in Guinea, Sierra Leone and Liberia.

A Liberian-American man travelled to Lagos, Nigeria’s commercial capital, in July and died of the disease there. Five others have died in Nigeria, Africa’s largest economy and most populous nation with about 170 million people.

Family funeral The Guinean patient in Senegal, whose name has not been released, is related to someone from Sierra Leone who died from Ebola on 10 August, Guinea’s ministry of health said in a statement handed to reporters on Saturday. The patient travelled to the funeral 100km south of Conakry, the capital, the ministry said. Five days after the funeral, he travelled to Senegal.

The man’s mother and sister died this week of Ebola and two of his brothers have tested positive for the disease, the Guinean ministry said. He had helped care for sick family members. Senegal’s Seck said that the man initially denied he had been exposed to Ebola when he went to Dakar’s main Fann Hospital this week.

Scientists have been trying to speed up research into potential Ebola treatments. France’s state health institute is in talks with Guinea to start the first drug trials using infected people there, while the US National Institutes of Health will begin enrolling patients next week in an early-stage trial of GlaxoSmithKline Plc’s experimental vaccine.

Monkeys with Ebola survived after being treated with Mapp Biopharmaceutical Inc.’s experimental drug, according to results published in the journal Nature. The drug had been given to two infected Americans who then recovered from Ebola, though it’s not known whether or how much the treatment helped them.

Bloomberg

Read more at: http://www.livemint.com/Politics/vasLyR ... ource=copy

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PostPosted: Sun Aug 31, 2014 12:07 pm 
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WHO says equipment needed to contain Ebola in Senegal, calling case 'a top priority emergency'
The Associated Press
Image
In this photo taken on Friday, Aug. 29, 2014, a health worker measures a patient's temperature at the Connaught Hospital, which has suffered the loss of medical workers in the past from the Ebola virus, in Freetown, Sierra Leone. Dr. Sheik Humarr Khan was one of those on the front lines of the Ebola outbreak. The tireless Khan was jovial but forceful, doling out praise and criticism to junior doctors at his hospital. But Khan became infected and died, and so have at least 120 other medical workers in Sierra Leone and in three other countries, creating immediate and long-term impacts in a region that already had an understaffed and under equipped health care system. (AP Photo/ Michael Duff)


Associated Press Aug. 31, 2014 | 11:46 a.m. EDT + More

By BABACAR DIONE, Associated Press

DAKAR, Senegal (AP) — The effort to contain Ebola in Senegal is "a top priority emergency," the World Health Organization said Sunday, as the government continued tracing everyone who came in contact with a Guinean student who has tested positive for the deadly disease in the capital, Dakar.

Senegal faces an "urgent need" for support and supplies including hygiene kits and personal protective equipment for health workers, the WHO said in a statement Sunday.

"These needs will be met with the fastest possible speed," the WHO said.

The U.N. health agency provided new information on the movements of the 21-year-old student in the city before he was diagnosed with Ebola.

Senegal confirmed that the student had tested positive for Ebola on Friday, making the country the fifth in West Africa to be affected by an outbreak that has killed more than 1,500 people.

The student showed up at a hospital in Dakar on Aug. 26 but did not reveal that he had been in contact with other Ebola victims, said Health Minister Awa Marie Coll Seck.

The next day, an epidemiological surveillance team in neighboring Guinea alerted Senegalese authorities that it had lost track of a person it was monitoring three weeks earlier, and that the person may have crossed into Senegal.

The student was tracked to the hospital in Dakar that same day and was immediately quarantined, and a test confirmed he had Ebola, Seck said.

In Sunday's statement, the WHO said the student arrived in Dakar by road on Aug. 20 and was staying with relatives "in the outskirts of the city."

It said that on Aug. 23, he went to a medical facility seeking treatment for fever, diarrhea and vomiting, all symptoms of Ebola.

He was treated for malaria, however, and continued to stay with his relatives before turning up at the Dakar hospital on Aug. 26.

"Though the investigation is in its early stages, he is not presently known to have traveled elsewhere," said the WHO, which received its information from Senegal's health ministry.

The presence of Ebola in Senegal, a tourist and transport hub, could complicate efforts to bring the outbreak under control. The country has already closed its land border with Guinea, where the outbreak originated, and barred air and sea travel from Sierra Leone and Liberia in an attempt to keep the disease out.

In Dakar on Sunday, at least one pharmacy was limiting purchases of hand sanitizer to one small bottle per person because of rising demand — underscoring fears that the number of cases in the city could soon multiply.

Senegalese authorities have isolated the house where the Guinean student was staying as well as the medical facility where he sought treatment prior to visiting the Dakar hospital.

There is no cure or licensed treatment for Ebola, so health workers can only provide supportive care to patients such as keeping them hydrated.

The Guinean student "is doing very well," a doctor monitoring his case in Dakar said Sunday.

"This morning when I called the hospital, the doctor told me that the patient had no complaints and that his fever had disappeared," said Dr. Gallaye Ka in an interview with the private radio station RFM.

Health care workers are especially vulnerable to infection. The WHO says 240 health workers have contracted the disease during the current outbreak and more than half of those have died.

In Sierra Leone on Sunday, officials said they had avoided a strike threatened by workers at an Ebola treatment center in the east of the country, the region hardest hit by the outbreak.

Protective equipment is being sent to the health workers and a "monthly incentive allowance" will be paid on Monday, health ministry spokesman Sidie Yahya Tunis told The Associated Press.

___

Associated Press writer Clarence Roy-Macaulay contributed reporting from Freetown, Sierra Leone.
http://www.usnews.com/news/world/articl ... -emergency

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PostPosted: Sun Aug 31, 2014 2:51 pm 
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WHO: Senegal Ebola case 'a top priority emergency' (Update)

by Babacar Dione

The effort to contain Ebola in Senegal is "a top priority emergency," the World Health Organization said Sunday, as the government continued tracing everyone who came in contact with a Guinean student who has tested positive for the deadly disease in the capital, Dakar.




Senegal faces an "urgent need" for support and supplies including hygiene kits and personal protective equipment for health workers, the WHO said in a statement Sunday.

"These needs will be met with the fastest possible speed," the WHO said.

The U.N. health agency provided new information on the movements of the 21-year-old student in the city before he was diagnosed with Ebola.

Senegal confirmed that the student had tested positive for Ebola on Friday, making the country the fifth in West Africa to be affected by an outbreak that has killed more than 1,500 people.

The student showed up at a hospital in Dakar on Aug. 26 but did not reveal that he had been in contact with other Ebola victims, said Health Minister Awa Marie Coll Seck.

The next day, an epidemiological surveillance team in neighboring Guinea alerted Senegalese authorities that it had lost track of a person it was monitoring three weeks earlier, and that the person may have crossed into Senegal.

The student was tracked to the hospital in Dakar that same day and was immediately quarantined, and a test confirmed he had Ebola, Seck said.

In Sunday's statement, the WHO said the student arrived in Dakar by road on Aug. 20 and was staying with relatives "in the outskirts of the city."

It said that on Aug. 23, he went to a medical facility seeking treatment for fever, diarrhea and vomiting, all symptoms of Ebola.

He was treated for malaria, however, and continued to stay with his relatives before turning up at the Dakar hospital on Aug. 26.

"Though the investigation is in its early stages, he is not presently known to have traveled elsewhere," said the WHO, which received its information from Senegal's health ministry.

The presence of Ebola in Senegal, a tourist and transport hub, could complicate efforts to bring the outbreak under control. The country has already closed its land border with Guinea, where the outbreak originated, and barred air and sea travel from Sierra Leone and Liberia in an attempt to keep the disease out.

In Dakar on Sunday, at least one pharmacy was limiting purchases of hand sanitizer to one small bottle per person because of rising demand—underscoring fears that the number of cases in the city could soon multiply.

Senegalese authorities have isolated the house where the Guinean student was staying as well as the medical facility where he sought treatment prior to visiting the Dakar hospital.

There is no cure or licensed treatment for Ebola, so health workers can only provide supportive care to patients such as keeping them hydrated.

The Guinean student "is doing very well," a doctor monitoring his case in Dakar said Sunday.

"This morning when I called the hospital, the doctor told me that the patient had no complaints and that his fever had disappeared," said Dr. Gallaye Ka in an interview with the private radio station RFM.

Health care workers are especially vulnerable to infection. The WHO says 240 health workers have contracted the disease during the current outbreak and more than half of those have died.

In Sierra Leone on Sunday, officials said they had avoided a strike threatened by workers at an Ebola treatment center in the east of the country, the region hardest hit by the outbreak.

Protective equipment is being sent to the health workers and a "monthly incentive allowance" will be paid on Monday, health ministry spokesman Sidie Yahya Tunis told The Associated Press.

On Friday, Sierra Leone President Ernest Bai Koroma replaced Health Minister Miatta Kargbo with Abu Bakarr Fofanah, a move his office described as necessary to more efficiently combat the outbreak. Kargbo was recalled to work in the president's office.


Explore further: Ebola arrives in Senegal as outbreak accelerates (Update 3)

http://medicalxpress.com/news/2014-08-s ... gency.html

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PostPosted: Mon Sep 01, 2014 7:47 am 
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niman wrote:
Ebola virus disease update – Senegal
30/08/2014

Epidemiology and surveillance

On 30 August 2014, Senegal’s Ministry of Public Health and Social Affairs provided WHO with details about a case of Ebola virus disease (EVD) announced in that country on 29 August.

WHO has also received details of the emergency investigation immediately launched by the Government. Testing and confirmation of Ebola were undertaken by a laboratory at the Institut Pasteur in Dakar.

The case is a 21-year-old male native of Guinea, who arrived in Dakar, by road, on 20 August and stayed with relatives at a home in the outskirts of the city.

On 23 August, he sought medical care for symptoms that included fever, diarrhoea, and vomiting. He received treatment for malaria, but did not improve and left the facility.

After leaving the facility, he continued to reside with his relatives. Though the investigation is in its early stages, he is not presently known to have travelled elsewhere.

On 26 August, he was referred to a specialized facility for infectious diseases, still showing the same symptoms, and was hospitalized.

On 27 August, authorities in Conakry, Guinea, issued an alert, informing medical services in Guinea and neighbouring countries, that a person, who was a close contact of a confirmed EVD patient, had escaped the surveillance system.

That alert prompted testing at the Dakar laboratory, launched an investigation, and triggered urgent contact tracing.

Health sector response

WHO is treating this first case in Senegal as a top priority emergency. Key operational personnel were dispatched to Dakar today; others will follow.

The Government of Senegal has informed WHO of the urgent need for epidemiological support, personal protective equipment, and hygiene kits. These needs will be met with the fastest possible speed.

http://who.int/csr/don/don_updates/en/

http://www.who.int/csr/don/2014_08_30_ebola/en/

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PostPosted: Fri Sep 12, 2014 1:01 pm 
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Ebola Situation in Senegal remains stable

Situation assessment - 12 September 2014

The situation in Senegal, which confirmed its first case of Ebola virus disease on 29 August, remains stable. To date, 67 close contacts of the initial case have been identified and monitored twice daily.

2 of these contacts who developed symptoms were tested for Ebola. Test results were negative. An additional 3 suspected cases across the country were also tested, with negative results.

Starting from 29 August, forty-two days – twice the maximum incubation period – must pass with good surveillance in place and no additional cases reported, before WHO can declare Senegal transmission-free.

However, intense virus transmission in other countries within the sub-region creates a high risk that Senegal will experience additional introductions of Ebola cases.

Responding to the outbreak

The investigation in Senegal benefits from the presence of an Institut Pasteur laboratory in Dakar, where the initial case was identified. This WHO-approved collaborating centre has excellent facilities and staff.

Work undertaken by the Ministry of Health has been supported from the start by two senior WHO epidemiologists, senior staff from Doctors without Borders (MSF), and a team from the US Centers for Disease Control and Prevention.

All have extensive experience responding to previous outbreaks of Ebola virus disease and the related Marburg haemorrhagic fever.

Optimism about the further evolution of the outbreak in Senegal is justified but must be tempered with several cautions and reservations.

Preventing further transmission of Ebola

As in every outbreak investigation, doubts remain about whether all contacts have been identified. Aggressive efforts to identify additional contacts continue, aiming to ensure that no one has been missed.

As elsewhere, the investigation and response teams face difficulties in keeping close contacts in isolation for the 21-day monitoring period.

Contacts have remained in their homes, usually with their families, where they are checked twice daily for symptoms and tested if symptoms develop. Some contacts have resisted monitoring, but none has been lost to follow-up.

Although Senegal has banned all flights from other affected countries, road travellers from Guinea and elsewhere can cross the country’s porous borders. WHO has repeatedly advised countries not to issue travel bans, which are ineffective and needlessly disruptive.

The history of Senegal’s initial case, who arrived in Dakar by road on 20 August, reveals multiple opportunities for high-risk exposure. Continued high-level vigilance is essential; the risk of similar imported cases remains high.

Fortunately, the initial case has now fully recovered; his last 2 blood samples have tested negative for Ebola virus. He will be released soon from hospital, raising questions about his reintegration into a social situation characterized by high yet irrational fear and widespread misinformation about the risk of Ebola transmission for the general population.

Scientists do not fully understand why some Ebola patients recover and others succumb. Prior to the current outbreak, Ebola was considered a rare disease and clinical information is limited.

Some anecdotal case reports from the current outbreak in west Africa suggest that age and the presence of comorbidities are associated with a poor prognosis.

To support the global response to the current outbreak in west Africa, Senegal has agreed to open a humanitarian corridor to facilitate the transport and delivery of international personnel and supplies to affected countries.

WHO media contacts:

Fadéla Chaib
Telephone: + 41 22 791 3228
Mobile:+ 41 79 475 55 56
Email: chaibf@who.int

Tarik Jasarevic
Mobile: +41 793 676 214
Tel: +41 22 791 5099
E-mail: jasarevict@who.int

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