Tag Archives: Ebola

Ebola Situation Report (10 December 2014)

Up to the end of 7 December 2014, there has been a total of 17,942 confirmed, probable and suspected cases of Ebola virus disease (EVD) reported in five affected countries: Guinea, Liberia, Mali, Sierra Leona and the United States of America. The region has recorded 6,388 deaths.

In the week leading up to December 7, reported case incidence in Guinea increased, with 103 confirmed and probable cases; in Liberia, reported case incidence is declining, with 29 new confirmed cases over a period of three days leading up to 3 December. The situation in Sierra Leone is still worsening, with 397 new confirmed cases in the week leading up to 7 December. The case fatality rate across the three most-affected countries currently stands at 76%.

Guinea

A total of 103 new confirmed and probable cases of EVD were reported across the country in the week leading up to 7 December. Since early October, the national trend in Ebola cases has been increasing, with between 75 and 148 confirmed cases reported in each of the past seven weeks.

The previously reported surge of new cases in the eastern district of N’Zerekore, which had only 4 new confirmed cases in the week leading up to 7 December, appears to have abated however transmission in the neighbouring district of Macenta continues to be intense, with 15 new confirmed cases. Several districts in central and northern Guinea have reported persistent transmission. These include Faranah, with 8 confirmed and probable cases; and Kankan, with 4 new confirmed cases. In the western region of the country, the capital city Conakry reported 16 new confirmed cases in the week leading up to 7 December. Along with the neighbouring district of Coyah, which confirmed 18 new cases in the week leading up 7 December, Conakry has now reported an increase in the number of new confirmed cases during each of the past three weeks. Telimele has reported a case for the first time in over twelve weeks.

While ten of Guinea’s districts have yet to report a case of EVD, according to the World Health Organization (WHO), “there has been a geographical expansion in transmission: as of 1 October, 9 districts had reported a confirmed or probable case during the past 7 days; as of 1 December, 14 districts reported a case during the past 7 days.

Liberia

Over the past four weeks, case incidence in Liberia has been on the decline, with five districts reporting new cases in the three days leading up to 3 December. In the three days leading up to 3 December, there were a total of 29 confirmed cases reported across Liberia.

The district of Montserrado, which includes the capital Monrovia, reported 15 confirmed cases and accounted for more than half of all confirmed cases nationally over the reporting period. The other districts to report a case during this period include Bong, with 1 confirmed case; Grand Bassa, 7 confirmed cases; Grand Cape Mount, 5 confirmed cases; and Sinoe, with 1 confirmed case. The district of Lofa, which is located in the northern region of the country near the border with Guinea and Sierra Leone, reported no cases for the sixth consecutive week.

Sierra Leone

EVD transmission across Sierra Leone remains intense with 397 new confirmed cases reported in the week leading up to 7 December. This is three times as many as Guinea and Liberia combined.

The worst affected area remains the capital city, Freetown, which reported 133, or one-third, of all new confirmed cases during this reporting period. Transmission remains persistent and intense in other areas of the country, including in the districts of Bo, 14 cases; Bombali, 57 cases; Kambia, 10 cases; Kono, 24 cases; Koinadugu, 2 cases; Moyamba, 10 cases; Port Loko, 76 cases; Tonkolili, 13 cases; and the Western Rural Area, 57 cases. In the southern districts of the country, Kenema and Kailahun reported zero cases. Since 1 November, Kenema has reported only one case of EVD. Pujehun was the only other district not to report a new case. Bonthe, which over the past two weeks had previously not reported any cases, reported a single confirmed case of EVD in the week leading up to 7 December.

On 10 December, Sierra Leonean authorities imposed a two-week lockdown on the eastern diamond-mining district of Kono after eight cases of Ebola were confirmed in one day. The lockdown will effectively limit residents’ movements until 23 December. Only essential vehicles, including fuel-carrying tankers, military, police, NGO workers and UN-associated vehicles will be allowed through the heavily monitored checkpoints into the district. Private and commercial vehicles and motorcycle taxes will be barred while mining activity has ceased. According to Sierra Leone’s health ministry, Tuesday’s spate of Ebola reports increased the cumulative total of confirmed cases in the region to 119. Officials from the World Health Organization (WHO) and the US Centre for Disease Control are assisting Sierra Leone’s National Ebola Response Centre in preventing the deadly virus from spreading throughout Kono, which has a population of 350,000. While the rapid reaction has helped contain the virus to about half of the fifteen chiefdoms in Kono, WHO teams that arrived in the area ten days ago were taken aback by the situation. According to sources, in the space of eleven days, two WHO teams buried 87 victims, including a nurse and an ambulance driver who were enlisted to help dispose of corpses that were piling up in the local hospital.

Mali

On 12 December, Mali’s Health Ministry reported that the last Ebola patient treated in the West African country has been released from hospital, leaving no known cases of the deadly virus in Mali. A statement released by the ministry disclosed that the last patient was discharged from hospital on Thursday after several Ebola tests came back negative.

The deadly Ebola virus had first entered Mali through an infant girl who died of the disease in October after arriving from neighboring Guinea. Later that month, an imam who also arrived from Guinea with the disease, died in Mali. The recent eight recorded cases of Ebola were all linked to the imam. According to officials from the Health Ministry, the country now has no confirmed or suspected cases of Ebola however authorities are still monitoring twenty-six people who had contact with the sick. The government has warned that because people are still being monitored for symptoms, and with the fact that another sick person could cross the border, all Malians must remain vigilant. Mali will officially be declared Ebola-free forty-two days after the last Ebola patient tested negative for the disease.

3 December – Ebola Situation Report

According to the World Health Organization’s newly released data, as of 3 December there have been 12,145 reported cases of Ebola virus disease (EVD), with 6,070 reported deaths. The WHO has also reported the UN Mission for Ebola Emergency Response (UNMEER) targets of isolating and threating 70 percent of EVD cases and burying 70 percent of EVD-related deaths safely have likely been met in most of the districts in Guinea, Liberia and Sierra Leone. In the three most affected countries, the case fatality rate is at 72% while in hospitalized patients, the case fatality rate stands at 60%.

Guinea

Case incidence in Guinea has slightly increased. In the week leading up to 30 November, there were seventy-seven confirmed cases reported in Guinea, compared with the 148 cases that were reported in the week before.

Since early October, the national transmission trend in Guinea has been slightly increasing, with between 75 and 148 confirmed cases reported in each of the past six weeks. Over the past three weeks, the eastern districts of N’Zerekore, Macenta and Kankan each saw a large number of new cases. In the week to 30 November, N’Zerekore reported 6 new confirmed cases, in comparison to 29 that were reported in the previous week. Macenta saw 15 new confirmed cases and 26 in the previous week; while Kankan saw 7 new confirmed cases, the same number as in the previous week. Officials have indicated that the persistent transmission in Kankan, and in the surrounding areas of Kerouane, Kouroussa and Kissidougou, is of particular concern as local populations infected with Ebola are likely to seek treatment either in the northern region of the country or in neighbouring Mali rather than at the existing facilities, which are located in the nearby south-eastern districts of Gueckedou and Macenta. The first imported Ebola case in Mali travelled from a city in the northern district of Siguiri, which borders Mali, and where there has been persistent transmission since early November. Two new cases were reported in Siguiri this week and between 1 and 3 cases have been reported over the past 7 weeks. According to the WHO, “the lack of established EVD treatment and isolation facilities in this northern, Sahelian zone of the country, combined with a higher than usual degree of resistance among communities to safe burial practices, make this area vulnerable to an increase in cases.”

In the central region of the country, the district of Faranah, which borders the northern Sierra Leonean district of Koinadugu, reported an average of 8 cases per week for each of the past 4 weeks. In the western region of the country, the capital, Conakry, reported 14 new confirmed cases in the week leading up to 30 November. Both Conakry and the neighbouring district of Coyah have reported an increase in the number of new cases during each of the past 2 weeks. In the week to 30 November, Coyah reported 15 new confirmed cases.

Liberia

Over the past five weeks, case incidence in Liberia has stabilized in some regions and is on the decline in others. In the five days leading up to 28 November, Liberia reported 43 new confirmed cases.

The district of Montserrado, which includes the capital Monrovia, reported 34 confirmed cases and accounted for 79% of all confirmed cases reported nationally in the week leading up to 28 November. Bomi (2 confirmed cases); Grand Bassa (4 confirmed cases); Grand Cape Mount (2 confirmed cases); and Margibi (1 confirmed case) are the only other districts to have reported a case/cases during this period.

In the northern region of the country, the district of Lofa, which is located on the border with Guinea and Sierra Leone, reported no cases for a fifth consecutive week.

Sierra Leone

Case incidence may still be increasing in Sierra Leone. In the week leading up to 30 November, officials in Sierra Leone reported 537 new confirmed cases. This is more cases than Guinea and Liberia combined.

The capital Freetown remains the worst affected area, reporting 202 new confirmed cases. Transmission also remains persistent and intense across the country with the exception of the south. The districts of Bo (23 cases); Bombali (66 cases); Kambia (14 cases); Kono (15 cases); Koinadugu (6 cases); Moyamba (3 cases); Port Loko (94 cases); Tonkolili (40 cases); and Western Rural Area (72 cases) continued to report high numbers of new confirmed cases.

In the southern districts of Kenema and Kailahun, both districts reported 0 and 1 case respectively. Since 1 November, Kenema has reported only one case. Bonthe has not reported a case in the past two weeks.

Spain

On 2 December 2014, the WHO declared Spain Ebola free after no new cases were reported since a nurse’s assistant who contracted the virus there tested negative for the deadly disease. Since then, 42 days have passed – effectively double the maximum known incubation period for the virus – without any further confirmed cases.

The WHO Achieves December 1 Ebola Targets

On Monday, World Health Organization (WHO) officials indicated that they have met what they call interim targets that were put in place in October in a bid to end the upward trend in new Ebola cases. While progress has been made, with some countries seeing the spread of the disease either stabilize or decline, reports of new cases in Mali and high transmission levels in some parts of Sierra Leone have shown that more work is required in order to end the worst Ebola outbreak on record.

Two months ago, the WHO launched a plan to stop the Ebola outbreak in West Africa. It aimed to isolate 70 percent of the sick and safely bury 70 percent of the victims in the three hardest hit countries – Guinea, Liberia and Sierra Leone – by 1 December. According to the latest figures released by the UN health agency, both Liberia and Guinea have met the targets, with Sierra Leone likely to fully achieve its goal in the coming weeks.

New figures released Monday indicate that both Liberia and Guinea have met the 1 December target for isolating 70 percent of people infected with Ebola, and have safely buried 70 percent of those who died. Sierra Leone however has not fully met the target. At a news conference in Geneva, the WHO’s Dr Bruce Aylward disclosed that Sierra Leone’s western region probably met the targets and likely will improve to the 70 percent target nationwide “in the coming weeks.” Dr Aylward further disclosed that the WHO’s plan to stop the spread of the deadly Ebola virus had shown that it was possible to quickly reduce the “yawning gap” between disease levels and the capacity to respond.

In recent weeks there have been a number of successes in the fight against Ebola. Amongst these are the fact that Ebola cases in Liberia and Guinea are either stabilizing or are on the decline. The case in Sierra Leone however is quite different as the country’s capital city Freetown and the town of Port Loko are seeing a severe surge in cases. Additionally, a new outbreak in Mali has caused concern that the deadly disease will spread into other West African countries.

When the deadline was first announced in October, Dr. Aylward acknowledged that to reach the 1 December goal would be “really pushing the system hard.” Dr Aylward, who is directing the WHO’s Ebola response, further disclosed “if we don’t do it in 60 days and we take 90 days: No. 1, a lot more people will die that shouldn’t; and No. 2, we will need that much more capacity on the ground to be able to manage the caseload.”

The Ebola outbreak was first reported in Guinea in March of this year. It has since spiralled out of control and was declared a public health emergency in August.   Latest figures released by the WHO indicate that the Ebola virus has sickened more than 16,000 people, of whom 7,000 have died. Tony Banbury, the head of the UN Ebola response mission in West Africa has warned that there is still a “huge risk” that the deadly disease could spread to other parts of the world.

Mali Confirms New Ebola Case

Mali has confirmed a new Ebola case, which is separate from its only other case that was detected last month.

Medical sources disclosed late Tuesday that a nurse who had treated a patient from Guinea has died. According to the head of the Pasteur Clinic in Bamako, one of the capital city’s top medical centres, “the nurse who had been in contact with a Guinean national who died of the illness, died in turn,” adding that tests had confirmed the Ebola virus. A doctor at Pasteur Clinic is also suspected of having contracted the virus.

On Wednesday, authorities in Mali quarantined dozens of people at the home of the 25-year-old nurse and at the clinic where he had treated an imam from Guinea who died with Ebola-like symptoms. The imam, who comes from the border town of Kouremale, died on 27 October and was never tested for EVD. Strict burial procedures implemented for the burial of Ebola patients were not imposed during his burial. Concerns are now growing over the time it took between the imam’s passing and the implementation of steps needed in order to contain the disease.

A government statement released Wednesday confirmed that the nurse had tested positive for EVD and that he died late Tuesday. The statement further disclosed that all necessary steps to identify people who had come into contact with the nurse had been taken. According to Ousmane Doumbia, secretary general of the health ministry, 70 people have been quarantined and the Pasteur Clinic has been locked down by police.

Mali is the sixth West African nation to record Ebola. Officials will now be required to trace a new group of contacts, a similar procedure that was taken last month after a two-year-old girl died of the disease in western Mali.

Ebola Outbreak November Review

As of the end of 27 October 2014, a total of 13,703 confirmed, probable and suspected cases of EVD have been reported in six countries: Guinea, Liberia, Mali, Sierra Leone, Spain and the United States of America. The figure of confirmed, probable and suspected EVD cases includes cases in previously affected countries: Nigeria and Senegal. A total of 4,922 deaths have been reported. The death rate in the current outbreak has risen to 70 percent from the previously estimated mortality rate of 50 percent.

EVD transmission remains persistent and widespread in Guinea, Liberia and Sierra Leone, with World Health Organization (WHO) officials particularly concerned about the spread of the disease in the capital cities – Conakry, Monrovia and Freetown – where people are able to freely move across borders. All administrative districts in Liberia and Sierra Leone have now reported at least one confirmed or probable case of EVD since the outbreak began. According to WHO officials, “new cases continue to explode in areas that looked like they were coming under control,” noting “an unusual characteristic of this epidemic is a persistent cyclical pattern of gradual dips in the number of new cases, followed by sudden flare-ups.” While some regions in these countries have seen the number of EVD cases either stabilize or decrease, this does not mean that the regions are Ebola-free.

Countries with localized transmission, including Mali, Spain and the United States, are currently continuing to monitor potential contacts. On 23 October, Mali confirmed its first EVD case, a 2-year-old girl who died on 24 October.

On 21 October, the single patient with EVD in Spain tested negative for the disease for a second time. Unless a new case of EVD arises during this period, Spain will be declared Ebola-free 42 days after the date of the second negative test. In the United States, two health-care workers have tested negative for Ebola for the second time. They have both been discharged from hospital. Another health-care worker remains in isolation and is receiving treatment. WHO officials declared Senegal and Nigeria Ebola-free on 17 October and 20 October respectively.

The BBC has launched an Ebola public health information service on WhatsApp. The service will provide audio, text message alerts and images in order to help people living in West Africa get the latest public information on how to combat the spread of Ebola in the region. Content will be limited to three times per day and the service will be available in both French and English. To subscribe to this service, add +44 7702 348 651 to your contacts then send ‘JOIN’ to the number via WhatsApp. To unsubscribe, send ‘STOP’ via WhatsApp to the same number. Due to the large volume of requests, the BBC has warned that it may take a little time to be added or removed from the service.

Affected countries currently fall into three categories:

1. Those with widespread and intense transmission: Guinea, Liberia and Sierra Leone;
2. Those with either an initial case or cases, or with localized transmission: Mali, Nigeria, Senegal, Spain and the United States
3. Those countries that either neighbour or have strong trade ties with areas of active transmission: Benin, Burkina Faso, Cameroon, Central African Republic, Democratic Republic of Congo, Gambia, Ghana, Guinea Bissau, Ivory Coast, Mali, Mauritania, Nigeria, Senegal, South Sudan and Togo.

The World Health Organization (WHO) has identified three patterns of transmission:

1. In rural communities, which is facilitated by strong cultural practices and traditional beliefs;
2. In densely populated urban communities;
3. Cross-border transmission

1. Countries with Widespread and Intense Transmission

 Guinea

Guinea currently has 1,906 confirmed, probable and suspected cases of EVD and 997 deaths.  While cases of EVD transmission are the lowest in Guinea, transmission across the country continues to be of concern and is being driven by transmission in four key areas:

• The capital city Conakry – Over the past week, there have been six new confirmed cases of Ebola reported in Conakry. The capital city remains a key area of concern with the nearby district of Coyah reporting 8 new confirmed cases.
• N’Zerekore – Located south-east of Macenta, the district of N’Zerekore reported 10 new confirmed cases over the past week.
• Keouane – Transmission remains strong in this district, with 22 new confirmed cases in the last week, effectively continuing a rapid three-week growth in new cases.
• District of Macenta – The most intense transmission in Guinea is occurring in and around Macenta, which is located in the south-west region of Guinea, near the border with Liberia. Over the past week, the district reported 15 new confirmed cases. Transmission in this district has remained intense for the past 10 weeks.

The outbreak’s epicentre Gueckedou has reported few new cases over the past 7 weeks, with 3 confirmed new cases in the past week, however transmission persists. In contrast to the situation in Liberia and Sierra Leone, several areas in Guinea have not reported a single case of Ebola while seven areas have not reported any new cases over 21 days after reporting an initial case/cases.

Two new districts in Guinea reported a case or cases of Ebola for the first time in October. In the eastern region of the country, on the border with the Ivory Coast and on a major trade route with Mali, the previously unaffected district of Kankan reported 1 new confirmed case. In the central region of the country, the previously unaffected district of Faranah reported 1 confirmed case of Ebola. Faranah borders the newly affected Sierra Leonean district of Koinadugu to the southwest.   The central district of Mamou is currently classified as unaffected.

Land borders with Liberia, Senegal and Sierra Leone have been closed. Health screenings at all border crossings have been set up and all travellers displaying a fever, or EVD-like symptoms, will be subject to quarantine and/or denied entry/exit, from the country. Expect to experience delays at land border crossings. Enhanced screening measures have been introduced for outbound passengers at Conakry airport.

Liberia

Liberia has 6,535 confirmed, probable and suspected cases of EVD and remains the worst affected country in the current outbreak. The country has reported 2,413 deaths.  All administrative districts in Liberia have now reported at least one confirmed or probable case of EVD since the outbreak began.

The most intense transmission continues to occur in the Montserrado area, where in the past week, 30 new probable cases were reported. This area includes the capital city, Monrovia. While the weekly increase in new cases in this area appears to have halted since mid-September, underreporting of cases remains to be an issue across the country, especially in Monrovia, and therefore it is difficult to capture an accurate picture of the current situation. Beyond the capital city, most new reported cases have occurred in the districts of Bong, Margibi and Bomi, which over the past week have each reported 12 probable cases. The district of Grand Gadeh, which previously was considered the only unaffected area in Liberia, now has 2 confirmed and 2 suspected cases of EVD. It must be noted that these new cases may have not occurred in the past week and that reporting of these cases was delayed.

Since 20 August, a state of emergency has been in place, with security forces enforcing a nationwide curfew. Between 11PM and 6AM every night no movement is allowed anywhere in the entire country. Liberian authorities have set up road blocks in a bid to restrict movement around the country while security forces have been deployed in order to enforce quarantine for certain areas, including Lofa county. In Monrovia, the army and police have sealed off the neighbourhood of West Point with the area being placed under quarantine. There have been a number of outbreaks of violence, with civilians rioting at hospitals and attacking health workers.

All borders of Liberia have been closed, with the exception of major entry points, including the Roberts International Airport and James Spriggs Payne Airport. The Bo Waterside Crossing to Sierra Leone remains closed along with the Foya Crossing to Guinea. Any remaining border crossings may be closed with minimal notice. The Liberia Airport Authority has introduced enhanced screening measures for both inbound and outbound travellers at airport facilities.

The Ministry of Health and Social Welfare has established hotlines for the public to get basic information on Ebola: Call 0770198517 or 0777549805 or 0886530260 or 0886549805.

General medical facilities throughout the country are currently under severe strain as a result of the Ebola outbreak. Dedicated healthcare facilities for Ebola are overwhelmed and may not accept further cases.

Sierra Leone

EVD transmission remains intense across Sierra Leone, with 5,235 confirmed, probable and suspected cases and 1,500 deaths. All districts in Sierra Leone have now reported at least one case of EVD.

Over the past week, the capital city Freetown reported 63 new confirmed cases and remains one of the country’s worst affected areas. The western rural region of the country reported 81 new cases over the past week, effectively making it the sixth consecutive weekly rise in the number of new cases in the area. The western districts of Bombali, which confirmed 56 new cases in the past week, and Port Loko, with 47 confirmed new cases, continue to be seriously affected by the outbreak. EVD cases in the district of Tonkolili are of increasing concern as over the past week the area reported 36 confirmed new cases. The neighbouring regions of Kenema and Kailahun reported 13 and 5 new confirmed cases respectively over the last week and remain amongst the worst affected areas of the country.

2. Countries with Initial Case/Cases or Localized Transmission

Five countries – Mali, Nigeria, Senegal, Spain and the United States – have reported a case or cases of EVD imported from a country with widespread and intense transmission.

Mali

On 23 October, Mali confirmed its first EVD case. The patient was a 2-year-old girl who had travelled from the Guinean district of Kissidougou with her grandmother to the city of Kayes, located 600 kilometres (375 miles) from the Malian capital, near the border with Senegal. She had travelled by bus via the capital city Bamako, where she stayed for ten days in the Bagadadji neighbourhood. The patient was symptomatic for much of the journey. On 22 October, the patient was taken to Fousseyni Daou hospital in Kayes, where she died on 24 October.

Currently 82 contacts – 57 in Kayes and 27 in Bamako – are being monitored by officials and efforts to trace additional contacts are on-going. At the time of the confirmation of the first EVD case in Mali, a WHO preparedness team was deployed in the country to assess Mali’s state of readiness for an initial Ebola case. The team was immediately redirected to provide support and expertise to Malian health authorities and to help with contact tracing and the training of healthcare workers.

In the wake of the first confirmed case of Ebola in Mali, neighbouring Mauritania has implemented some border controls. 

Nigeria

On 20 October 2014, the WHO declared Nigeria Ebola-free after six weeks of no new reported cases. For officials to declare the country Ebola-free, Nigeria had to make it 42 days with no new cases, which is double the incubation period, verify that it actively sought out all possible contacts, and show negative test results for any remaining suspected cases.

Nigeria had a total of twenty cases after a Liberian-American man flew into Lagos International Airport on July 20 and collapsed shortly afterwards. The disease later spread to Port Harcourt.

While Nigeria has been declared Ebola-free, Nigerian authorities are preparing for any additional outbreaks as the current Ebola epidemic in West Africa is far from over and spread to additional countries, including to Nigeria, remains possible.

Senegal

On 17 October 2014, the WHO declared Senegal Ebola-free. The assessment was made after the West African country went forty-two days without reporting any new cases. In late August, Senegal confirmed one case of Ebola, an imported one from Guinea, which prompted officials to monitor seventy-four contacts of the patient and increase surveillance at the country’s entry ports.

Spain

A single case in Spain tested negative for EVD on 19 October. A second negative test was obtained on 21 October. A total of 83 contacts are currently being monitored. If no new cases are reported, Spain will be declared Ebola-free 42 days after the date of the second negative test. 

United States

There have been four confirmed EVD cases and one death in the US. Two health-care workers have now tested negative for Ebola twice and have been released from hospital. Another health-care worker has been placed in isolation in New York and is receiving treatment. Of 176 possible contacts, 92 are being monitored and 84 have completed the 21-day monitoring period.

3. Preparedness of Countries to Rapidly Detect and Respond to an Ebola Exposure

The WHO has identified fifteen countries that neighbour countries that either are experiencing widespread and intense EVD transmission or have strong trade and travel ties with countries with current widespread and intense transmission. These countries are: Benin, Burkina Faso, Cameroon, Central African Republic, Democratic Republic of Congo, Gambia, Ghana, Guinea Bissau, Ivory Coast, Mali, Mauritania, Nigeria, Senegal, South Sudan and Togo. The WHO has assessed that Mali and the Ivory Coast are currently at the highest risk of importing the disease.

The WHO and its partners are currently working with these countries in order to help increase their level of preparedness in the event of exposure to EVD. Teams have already been deployed to the Ivory Coast and Mali, where they have been working with health authorities, and over the next week a mission will be deployed to Guinea Bissau. In the remaining countries, WHO teams and partners are working with local authorities to help identify any gaps in their capacity to identify and respond to an initial EVD case.

Ebola Outbreak in Democratic Republic of Congo (DRC)

As of 26 October 2014, there have been 67 cases (38 confirmed, 28 probable, 1 suspected) of Ebola in the Democratic Republic of Congo. The test results for the one suspected case are not yet known. This includes eight cases amongst healthcare workers. In total, there have been 49 deaths reported, including eight healthcare workers. All suspected cases have now been either laboratory confirmed or discarded.

Of a total of 1,121 total contacs, 1,116 have now completed a 21-day follow-up. On 10 October, the last reported cases tested negative for the second time and was discharged. The DRC will thefore be declared Ebola-free 42 days after the date of the second negative test if no new cases are reported. The current outbreak in the DRC is unrelated to that affecting West Africa.