Category Archives: Sierra Leone

Lowest Number of New Ebola Cases Recorded Since May 2014

According to the latest figures released by the World Health Organization (WHO) this week, data shows the lowest weekly cases of Ebola since May 2014.

In the week leading up to 5 April, a total of 30 confirmed cases of Ebola virus disease (EVD) were recorded. This is the lowest weekly total since the third week of May 2014. Of the total 55 districts in Guinea, Liberia and Sierra Leone that have reported at least one confirmed case of EVD since the outbreak began, 35 have not reported a case in over six weeks.

While Liberia and Sierra Leone have begun to decommission some treatment centres, the WHO has warned that there has been an increase in unsafe burials, particularly in Guinea, which could lead to more cases.

There have been a total of 25,515 confirmed, probable and suspected cases of EVD in Guinea, Liberia and Sierra Leone, with 10,572 deaths. In the past 21 days, a total of 191 EVD cases were recorded in the three countries.

Liberia

Since recording one Ebola case in late March, Liberia has not recorded any new cases of the deadly disease since. The last confirmed case passed away on 27 March and Liberia is currently conducting the 42-day countdown to being officially declared free of the disease.

Guinea

Guinea recorded 21 cases of EVD during this reporting period, compared to 57 confirmed the previous week. A total of six Guinean prefectures reported at least one confirmed case of EVD during this reporting period, a decline from the 7 prefectures that reported a case in the previous week. Affected prefectures are in the western area and include the capital city Conakry, which recorded 8 confirmed cases during this reporting period. The nearby prefectures of Coyah (1 case), Dubreka (1 case); Forecariah (6 cases), Fria (1 case) and Kindia (4 cases) also reported cases.

Sierra Leone 

Sierra Leone reported a fifth consecutive weekly decrease from 25 confirmed cases in the week leading to 29 March, to 9 during this reporting period. Over this reporting period, Sierra Leone reported zero cases on 3 days.

Cases were reported in four western districts: Kambia (2 cases), Port Loko (1 case), Western Area Rural (1 case) and Western Area Urban (5 cases), which includes the capital city Freetown.

Ebola Situation Update (18 March 2015)

In total, there have been 24,701 confirmed, probable and suspected cases of Ebola Virus Disease (EVD) reported in Guinea, Liberia and Sierra Leone, with 10,194 deaths reported.

In the seven days leading up to 15 March, a total of 150 new confirmed cases of EVD were reported, compared with 116 that were reported in the previous week. Guinea reported 95 new confirmed cases, the highest weekly total for the country this year. Sierra Leone reported 55 new confirmed cases over the same period, which is the country’s lowest weekly total since late June 2014. Liberia reported no new confirmed cases of EVD for the third consecutive week.

A total of twelve districts in Guinea and neighbouring Sierra Leone reported a confirmed case during this reporting period. According to officials, all these districts lie on a “geographically contiguous arc in and around Conakry to the north and Freetown to the south.” While transmission is currently confined to this geographic corridor, the population is this region is highly mobile and there is a great deal of movement throughout the surrounding districts and countries.

Guinea

In the week leading up to 15 March, 95 confirmed cases of EVD were reported, compared with 58 that were reported in the week before.

According to World Health Organization (WHO) officials, the current transmission has been confined to an area in and around the capital city Conakry (25 confirmed cases) as well as the nearby prefectures of Boffa (3 cases), Coyah (20 cases), Dubreka (2 cases), Forecariah (42 cases), and Kindia (3 cases). 

Sierra Leone 

In the seven days leading up to 15 March, Sierra Leone reported a total of 55 confirmed cases of EVD, compared with 58 that were reported in the previous week.

Cases were reported from six northern and western districts in and around the capital city Freetown, which reported 29 new confirmed cases during this reporting period. The following neighbouring districts also reported cases: Bombali (6 cases), Kambia (4 cases), Port Loko (11 cases) and Western Rural (3 cases).

Liberia

No counties in Liberia have reported a confirmed case of EVD within the past 21 days.

The 15^th of March was day 12 since the final patient in Liberia tested negative for EVD for a second time. Forty-two days must pass before transmission can be considered to have ended and Liberia can be declared Ebola-free, however an additional period of heightened vigilance will be required in order to aid in preventing another outbreak.

Liberia Reports No New Ebola Cases for More Than Two Weeks

World Health Organization (WHO) officials disclosed Wednesday that Liberia has not registered any new Ebola cases since 19 February, adding that there have also been some improving signs in neighbouring Guinea and Sierra Leone.

According to latest figures released by the WHO, since the outbreak began in December 2013, 24,282 people in nine countries have been infected with the virus and 9,976 of them have died. All but fifteen of those deaths occurred in the three West African countries. In the week leading up to 8 March, a total of 116 new confirmed cases of Ebola were reported, compared with 132 that were registered in the previous week.

Liberia

The tide in Liberia, which six months ago was reporting more than 300 new cases per week, appears to have turned. According to Bruce Aylward, who heads the WHO’s Ebola response, Liberia “has now gone well over two weeks without a new reported case.” Last week, the West African nation released its last confirmed Ebola patient, who had tested negative for the deadly virus for the second time on 3 March. On 4 March, Liberia effectively began its 42-day, or two incubation-period, countdown towards being considered Ebola-free. Liberia has been one of the hardest hit countries in the Ebola epidemic and still counts the most deaths in the outbreak, at 4,162.

Guinea and Sierra Leone

While neighbouring Guinea and Sierra Leone continue to report new cases, Aylward has highlighted some positive signs.

In the week leading up to 8 March, Guinea reported 58 new confirmed cases, compared with 51 cases that were reported in the previous week. Cases were clustered in an area in and around the capital city Conakry (13 cases) as well as in the nearby prefectures of Boffa (2 cases), Coyah (8 cases), Dubreka (5 cases); Forecariah (28 cases) and Kindia (2 cases). In the forest region of Guinea, where the deadly outbreak first began 15 months ago, no new cases have been reported in the last ten days.

While in Sierra Leone, which currently counts the most cases of the virus at 11,619, only 58 new confirmed cases were reported over the last week – the lowest number to be reported since June 2014. Eighty-one cases were reported in the previous week. Cases were reported in 5 northern and western districts located around the capital Freetown, which reported 27 new confirmed cases. The neighbouring districts of Bombali (6 cases), Kambia (7 cases), Port Loko (12 cases) and Western Rural (6 cases). With the exception of 4 districts in the southern region of the country, all districts in Sierra Leone have reported a confirmed case of Ebola over the past 21 days.

Officials at the WHO have warned that while they are seeing improvements in Guinea and Sierra Leone, if international attention, determination and funding to end the outbreak declines, “there is a huge risk of failing to do so.” Furthermore, continued resistance within some communities in Sierra Leone and Guinea is also threatening progress. WHO officials have noted that in both countries, some Ebola patients are still not being isolated and treated while some unsafe burials are still going on.

Liberia Records No New Cases of Ebola

Liberia has released its last Ebola patient as the World Health Organization (WHO) announced that the West African country has gone a week without reporting any new Ebola Virus Disease (EVD) cases.

Beatrice Yardolo, 58, has been released from a Chinese-run treatment centre in the capital Monrovia’s Paynesville district after receiving two weeks of treatment. She was the last patient undergoing treatment for the disease in Liberia.

According to new figures released by the WHO this week, there were 132 new cases reported in Guinea and Sierra Leone in the week leading up to 1 March. For the first time since May 2014, Liberia reported no new cases of the deadly virus. While the West African country has now effectively begun its count towards being declared Ebola-free, WHO officials have warned that due to populations being mobile in the region, there could easily be a new outbreak in Liberia. According to WHO spokesman Gregory Hartl, “we look at the three countries as really a single country, so while its good news that Liberia itself has no new cases, the populations are so mobile in that region that there could easily be re-importations of cases… We have to get down to zero in all three countries before we can consider the thing beaten.”

In the week leading up to 1 March, Sierra Leone registered 81 new confirmed cases, up from the 65 that were reported the week before. According to the WHO, transmission in the country “remains widespread,” with officials highlighting that new cases emerged in eight different districts across the country, with rising numbers in the capital city Freetown, as well as in the Western Rural district and in the northern district of Bombali. WHO officials have indicated that the outbreak in Bombali is reportedly linked to a cluster of cases in the Aberdeen fishing community in Freetown. Efforts are currently underway in order to trace over 2,000 contacts associated with that cluster.

Last week, Guinea registered 51 new confirmed cases of EVD, marking a significant increase from the 35 new cases that had been reported during the previous seven-day period. The country, which in total has recorded 3,219 cases and 2,129 deaths, also saw an increase in the number of new cases recorded in the capital city Conakry and in the nearby district of Forecariah.

The WHO has reported that over the past week, both Guinea and Sierra Leone continued to see high numbers of people dying of Ebola in their communities, “suggesting that the need for early isolation and treatment is not yet understood, accepted or acted upon.” More than half of the 32 confirmed Ebola deaths recorded in Guinea over the last week occurred in the community rather than in treatment centres, while 16 percent did in Sierra Leone. WHO officials have also noted that unsafe burials continue to be a problem in the two West African countries, with 16 registered in the last week.

Since the outbreak began in December 2013, 23,969 people in nine countries have been infected with the virus, and 9,807 have died.

Ebola Situation Update: 16 February 2015

Total weekly case incidence has increased for the second consecutive week, with 144 new confirmed cases reported during the week leading up to 8 February. Guinea reported a sharp increase in cases, with 65 new confirmed cases during this reporting period, compared with 39 the week before. Transmission in Sierra Leone remains widespread, with 76 new confirmed cases during the reporting period. The resurgence of cases in the western district of Port Loko continued for a second week. Liberia continues to report a low number of new confirmed cases.

According to the World Health Organization (WHO) “despite improvements in case finding and management, burial practices and community engagement, the decline in case incidence has stalled,” adding that “the spike in cases in Guinea and continued widespread transmission in Sierra Leone underline the considerable challenges that must still be overcome to get to zero cases.”

WHO officials have disclosed that follow-up preparedness missions are planned for Mali and Senegal and will take place later this month. The missions will culminate in a meeting between Guinea, Mali and Senegal, which will focus on strengthening cross-border surveillance.

On 15 February, the leaders of the three worst affected West African countries vowed to eradicate Ebola by mid-April. At a summit in the Guinean capital, Conakry, the country’s president Alpha Conde, along with his Liberian and Sierra Leonean counterparts Ellen Johnson Sirleaf and Ernest Bai Koroma, made the pledge. Hadja Saran Daraba Kaba, the secretary-general of the Mano River Union bloc, which groups the countries, confirmed that the presidents of the three states “commit to achieving zero Ebola infections within 60 days effective today.” Reading a joint declaration from the three leaders, Mr Kaba stated that they “recognized the efforts that have been made by the member states and the international community, which have resulted in the decline of Ebola infections and death rates.” The West African leaders agreed to formulate a joint economic recovery, which will be presented at a conference on Ebola, to be held by the European Union in Brussels on 3 March. According to a statement released by the Guinean presidency, “this comprehensive plan covers topics that affect virtually all key areas of development: education, agriculture, industry, trade, health and social action that will focus on the issue of the management of Ebola orphans and impoverished families.” In January, the World Bank disclosed that the economic damage of the Ebola outbreak could run to US $6.2 billion, adding that the epidemic “will continue to cripple the economies of Guinea, Liberia and Sierra Leone even as transmission rates in the three countries show significant signs of slowing.” Earlier this month, the International Monetary Fund (IMF) announced US $100 million in debt relief for the three affected countries, with officials stating that they are preparing another US $160 million in concessional loans.

Guinea

For a third week in a row, Guinea has reported an increase in case incidence. A total of eight prefectures reported a confirmed or probable case of Ebola during this reporting period.

The rise in new confirmed cases reported in Guinea was driven primarily by continued transmission in the capital city, Conakry, which reported 21 new confirmed cases during this reporting period; and the western prefecture of Forecariah, which reported 26 new confirmed cases. The east-Guinean prefecture of Lola reported seven new confirmed cases during this reporting period. The district of Kambia reported 11 confirmed cases. The north Guinean prefecture of Mali, which borders Senegal, reported its second confirmed case.

Officials have disclosed that a field team has been deployed to neighbouring Ivory Coast in order to assess the state of preparedness in the western region of the country, which borders Lola. According to the WHO, almost one-third of Guinea’s Ebola-affected prefectures reported at least one security incident in the week running up to 8 February.

Liberia

Liberia reported a total of 3 confirmed cases during this reporting period. All of the cases originated in Montserrado county, which includes the capital Monrovia, and have been linked to a single chain of transmission.  Eleven districts in Liberia have not reported a confirmed case of Ebola in over 42 days.

On Monday, schools in Liberia reopened after being delayed for months by the Ebola outbreak. A UNICEF spokeswoman disclosed Monday “here in Monrovia, children were coming back to school today. We went to one school this morning and saw how the school has implemented the protocols… The youth were washing their hands before entering the school premises and their temperature was checked. The teachers were also talking to the students about how to stay safe, and Ebola preventative measures.” UNICEF has been at the forefront of introducing safety measures aimed at combatting the spread of the deadly disease. Teachers have been trained to implement and monitor the safety measures, while soap and other hygiene materials have been distributed and mass mobilisation campaigns on Ebola prevention have been conducted nationwide.

Sierra Leone

Following a steep decline in case incidence from December until the end of January, transmission in Sierra Leone remains widespread. During the week leading up to 8 February, Sierra Leone reported a total of 76 cases, a decrease from the 80 cases that were confirmed in the week before however higher than the 65 confirmed cases that were reported in the week leading up to 25 January. A total of seven districts have reported new confirmed cases. The districts of Bo, Bonthe, Kailahun and Pujehun have all reported no cases for more than 21 days.

Transmission remains the most intense in the western region of the country. The capital city, Freetown, reported 19 new confirmed cases during this reporting period, compared with 22 the previous week. The neighbouring district of Port Loko saw a continuation of its recent resurgence of cases, with 28 new confirmed cases, compared with 36 cases that were reported during the previous week. The district of Kambia, which borders the Guinean prefecture of Forecariah, reported 11 new confirmed cases.

On 13 February, Sierra Leonean officials have placed hundreds of homes in the capital city under quarantine, in what is likely to be a huge blow to the country’s recover from the Ebola outbreak less than a month after the president lifted all travel restrictions. Obi Sesay, of the government’s National Ebola Response Centre, announced Friday “some 700 homes have been quarantined for 21 days in the tourism and fishing community of Aberdeen in the west of the capital Freetown, after the death of a fisherman who was later diagnosed Ebola positive.” Speaking to reporters, Sesay stated “twenty or more confirmed cases have been discovered in the last few days and we have opened a control center to deal with the crisis,” adding that officials “…are on top of the situation and people should not panic.” The Aberdeen area, which includes the popular Lumley Beach tourist resort, has been “flooded” with surveillance officers and contact tracers in a bid to ensure that the death does not turn into a serious outbreak. This new quarantine comes less than a month after President Ernest Bai Koroma revealed a “steady downward trend” in new Ebola cases, which resulted in him lifting country-wide quarantines and travel bans. When ending the measures on 23 January, which impacted half the country’s population, the president stated, “victory is in sight.” However officials on Wednesday reported that Sierra Leone has experienced a rise in new Ebola cases for the second week running. According to the World Health Organization (WHO), transmission remains “widespread” in Sierra Leone, which reported 76 new confirmed cases in the week leading up to 8 February.