Tag Archives: Liberia

Cross-Border Isolation Zone Comes into Effect as Nigeria confirms Second Ebola Case

Amidst increasing warnings that the deadly Ebola epidemic is growing out of control, three Ebola-hit West African nations have agreed to impose a cross-border isolation zone at the epicentre of the world’s worst-ever outbreak. Meanwhile officials in Nigeria disclosed Monday that a second Ebola case just three weeks after the first was recorded.

The announcement to impose a cross-border isolation zone came hours after an emergency summit was held in the Guinean capital on Friday, where leaders of the affected states, along with a number of regional heads of state, met to discuss the outbreak. Hadja Saran Darab, the secretary-general of the Mano River Union bloc grouping the nations disclosed “we have agreed to take important and extraordinary actions at the inter-country level to focus on cross-border regions that have more than 70 percent of the epidemic,” adding “these areas will be isolated by police and military. The people in these areas being isolated will be provided with material support.” While Darab did not outline the exact area which will be part of the isolation zone, the epicentre of the outbreak has a diameter of almost 300 kilometres (185 miles), and spreads from Kenema in eastern Sierra Leone to Macenta in southern Guinea, and covers most of Liberia’s extreme northern forests.

During the summit, the leaders of Guinea, Liberia and Sierra Leone launched a US $100 million (£59 million) action plan that will see several hundred more medical staff deployed to battle the epidemic. The three countries will also increase their efforts to prevent and detect suspected cases urge better border surveillance and reinforce the WHO’s sub-regional outbreak coordination centre, which has been set up in Guinea. During the summit, World Health Organization (WHO) chief Margaret Chan also revealed that the response of the three countries to the epidemic had been “woefully inadequate,” adding that the outbreak was now “moving faster than our efforts to control it.”

New data released Friday by the WHO has indicated that the Ebola virus has already killed more than 700 people, with more than 1,000 cases reported in four West African countries. Officials at the WHO are also warning that if the disease continues to spread, it could cause a “catastrophic” loss of life and result in severe economic disruption.

On Monday, officials in Nigeria revealed a second Ebola case, that of one of the doctors who treated a man who died from Ebola after he arrived in Lagos from Liberia.

Nigeria’s Health Minister Onyebuchi Chukwu has indicated that seventy people who may have come into contact with Patrick Sawyer, the man who died of Ebola, have been tracked down and are being monitored, while eight have been placed in quarantine at a facility in Lagos. Patrick Sawyer, an employee of the Liberian finance ministry, had arrived in Lagos from Monrovia after changing planes in Togo’s capital, Lome on 20 July. He died five days later while in quarantine at a private hospital in Lagos. Sources believe that he contracted the virus from his sister.

Liberia Implements New Ebola Measures as Virus Spreads to Fourth Country

Strict Measures Implemented in Liberia

In a bid to halt the continuing spread of the deadly virus, Liberia’s President Ellen Johnson Sirleaf has ordered the closure of most of Liberia’s border crossings and has ordered strict quarantines for those communities affected by the Ebola outbreak. The latest measures come just one month after the Liberian President warned that anyone caught hiding suspected Ebola patients would be prosecuted.

Liberian President Ellen Johnson Sirleaf has announced the closure of most of Liberia’s land borders adding that stringent medical checks are being increased at those airports and major trade routes that will remain open. A statement released by the government indicated, “all borders of Liberia will be closed with the exception of major entry points,” adding that all these entry points will have preventive and testing centres. Three major border crossings, a provincial airport and Monrovia’s international airport are exempted from the closures. The government has also banned public gatherings of any kind, including events and demonstrations. Authorities have not disclosed how the long these closures will remain in place.

The announcement, which occurred late Sunday, came just one day after the Liberian President formed a new taskforce charged with containing the disease that has already killed 129 in the country and more than 670 in the West African region. According to a statement released by the President’s office, the special Ebola task force will ensure that “communities that are seriously affected will be quarantined and travels in and out of such communities restricted.” The new orders include strict observation at the international airport of all outgoing and incoming passengers, who are now liable for inspection and testing. All government facilities and public places will also install public access for washing of hands while all hotels, restaurants, and film centres are to play a five-minute information clip on Ebola awareness and prevention.

While Guinea has borne the brunt of the outbreak, in recent weeks, Liberia has seen a sharp rise in Ebola cases and deaths. Amongst those killed by the deadly virus is prominent Liberian doctor Samuel Brisbane, who died this past weekend after a three-week battle with the virus. Two American aid workers have also fallen ill. Samaritan’s Purse, a Christian charity, confirmed Sunday that its physician Kent Brantly was in stable condition and had been isolated at the group’s Ebola treatment centre at the ELWA hospital in Liberia’s capital Monrovia. The charity further disclosed that Nancy Writtebol, a missionary with the SIM Christian charity that runs that hospital, is also in stable condition. Ms Writtebol had been working as a hygienist responsible for detoxifying protective suits worn by those entering and exiting Ebola isolation centres. Dr Brantly is the medical director of the Samaritan’s Purse Ebola case management centre in Liberia, where the agency is continuing to work with Liberian and international health officials in a bid to contain the outbreak. He began working with the group’s Liberia team in October and since June, he has been focusing on Ebola patients.

Ebola Virus Spreads to Nigeria with first Confirmed Death in Lagos

On Friday, officials in Nigeria disclosed that the Ebola virus has caused the death of a Liberian national who died while in quarantine in Lagos. The announcement confirms that the worst-ever outbreak of the virus has now spread to Africa’s most populous country, which is already battling a deadly militant insurgency in the north.

Nigeria’s Health Minister Onyebuch Chukwu told journalists that “thorough medical tests” had confirmed “the virus of Ebola” as the cause of death. The 40-year-old Liberian national, who died overnight, had worked for the Liberian government and had travelled to Nigeria from Monrovia by air via Togo’s capital Lome. According to the Liberian government, the man’s final destination had been the southern city of Calabar, where he was scheduled to attend a meeting organized by the west African bloc ECOWAS (Economic Community of West African States).

While fears are growing that the Ebola virus may rapidly spread in the populous city of Lagos, Nigeria’s Health Minister has attempted to calm local citizens, noting that upon the man’s arrival, he was transported directly to hospital, noting that the patient “avoided contact with the general public and that there was no time for him to mingle in Lagos.” According to Chukwu, “all the passengers that the patient came in contact with have been traced and are being investigated,” insisting that health officials have made direct contact with everyone on board the flight and are now monitoring their conditions. The patient had been flying on Togo-based ASKY Airlines.

In the wake of the first Ebola death in Nigeria, the country’s largest airline, Arik Air, has suspended all flights to Liberia and Sierra Leone. The company has disclosed that the decision to halt flights is a precautionary measure. A statement released by the airline, which operates routes across West Africa, indicated “we feel especially compelled to take the business decision to immediately suspend flight services into the two Ebola affected countries due to our interest in the well-being of Nigerians,” adding “we humbly suggest that as a first step, all inbound flights into Nigeria which originate from any of the Ebola affected countries, be immediately suspended.”

Nigeria has put all its entry points on red alert after confirming that a Liberian man died of Ebola after arriving at Lagos airport on Tuesday.

First Ebola Death Confirmed in Freetown

Meanwhile in Sierra Leone, a woman suffering from the first confirmed case of Ebola in the country’s capital city died Saturday after her parents forcibly took her from hospital. According to a statement released by the health ministry, Saudatu Koroma, a 32-year-old trainee hairdresser, was admitted to a clinic on July 23 had tested positive for the disease adding “her farther and mother forcibly took her away from the hospital” just two days after she was admitted.

While her disappearance prompted authorities in Freetown to broadcast a nationwide television and radio alert, which eventually persuaded her to return for treatment, Koroma died on Saturday while on her way to an Ebola treatment centre in the country’s east. According to an official, Koroma “…was severely dehydrated and weak and could hardly speak,” adding, “blood samples taken from both the father and mother are now being tested.” The house where Ms Koroma had lived in, in the eastern area of Freetown, has been quarantined over the past twenty-one days.

Sierra Leone’s health ministry confirmed Monday that an Ebola treatment centre has been established at Lakka Hospital, with health staff trained to handle the disease. Surveillance has also been increased throughout the country, with people now being requested to report all suspected cases to local health authorities.

According to the World Health Organization (WHO), as of July 20, the number of Ebola cases recorded in the months-long epidemic stood at 1,093. This includes more than 660 deaths.

WHO Calls for Drastic Action in Ebola Fight

The World Heath Organization (WHO) on Thursday called for “drastic action” in order to fight the deadliest Ebola outbreak on record, and announced an 11-nation meeting to address the growing crisis.

As of Sunday 22 June, 635 cases of hemorrhagic fever, most confirmed to be Ebola, including 399 deaths, have been reported across Guinea, Liberia and Sierra Leone. This effectively makes the outbreak the largest ever “in terms of the number of cases and deaths as well as geographical spread.” A statement released by the UN agency stressed that “drastic action is needed,” and warned of the danger that the virus could jump to other countries. The WHO’s call for drastic action comes just days after medical charity Doctors Without Borders (MSF) indicated that the virus was now “out of control.’

Since the deadly epidemic emerged in Guinea in January, WHO has deployed more than 150 experts in a bid to tackle the crisis. However despite its efforts, and the efforts of other medical charities, over the past three weeks there has been a “significant increase” in the number of cases and deaths reported each day. According to WHO’s regional director for Africa, Dr Luis Sambo, the agency is now “gravely concerned by the on-going cross-border transmission into neighboring countries as well as the potential for further international spread,” adding “this is no longer a country specific outbreak but a sub-regional crisis that requires firm action by governments and partners.”

WHO’s top Ebola specials Pierre Formenty warned last week that the recent surge in cases had likely come in part because efforts to contain the virus had been relaxed too quickly after the outbreak appeared to have slowed down in April. In order to address the on going crisis, officials at the WHO announced Thursday that they will convene a meeting of the health ministers from 11 countries in Accra, Ghana on July 2 – 3 in order “to discuss the best way of tackling the crisis collectively as well as develop a comprehensive inter-country operation response plan.” Ministers from Guinea, where nearly 400 confirmed, suspected and probably cases have surfaced so far, including 280 deaths; and Liberia, which has 63 cases and 41 deaths, will take part in the meeting. Ministers from Sierra Leone will also be present. Additionally, neighboring countries, including Gambia, Ghana, Guinea Bissau, Ivory Coast, Mali and Senegal, and countries as far afield as the Democratic Republic of Congo and Uganda have also been invited. The meeting will also include a range of UN agencies and other aid organizations including MSF and the Red Cross as well as the Western African, British, EU and US centers for disease control.

Meanwhile on Wednesday, officials from the WHO announced that, at the request of the Sierra Leonean government, they were changing the way it reports fatalities from the Ebola outbreak in the country.

Previously, probable and suspected deaths from Ebola were included in the count however from now on, only laboratory confirmed cases will be reported. Therefore this reduces the death toll in Sierra Leone from 58 to 34 as of 24 June 2014. According to WHO spokeswoman Fadel Chaib, the way that deaths are reported in Guinea and Liberia, which are the other two countries affected by the deadly outbreak, will remain unchanged.

The change comes after Sierra Leone’s press had criticized the government for reporting lower death rates than those reported by the WHO. The changes however now bring the WHO figures inline with those released by the Sierra Leone government. The latest Ebola outbreak has now been named by international organizations as the worst Ebola epidemic ever with 635 cases and 399 fatalities occurring in dozens of sites across the three countries, including in major cities and remote areas. Officials from Doctors Without Borders (MSF) have described the outbreak as “out of control,” adding that it had reports of cases in more than 60 sites and that its resources were now stretched to the limit. In light of the on going outbreak, which has worsened in recent weeks, the European Commission announced Tuesday that it was committing an additional 500,000 euros in funding in order to combat the outbreak. This latest funding brings its total contribution to 1.9 million euros.

Ebola Outbreak in West Africa Passes 100 Mark

As Ebola deaths in Guinea pass the 100 mark, World Health Organization (WHO) officials have indicated that the latest outbreak of the deadly virus is the “most challenging.”

On Tuesday, the United Nations World Health Organization stated that the number of people believed to have been killed by the Ebola virus in Guinea has passed 100, adding that it was “one of the most challenging Ebola outbreaks we have ever dealt with,” and noting that it could take another four months to contain the deadly virus.

Officials at the WHO have stated that there are currently 157 cases in Guinea, where 101 people have died. Twenty cases have been reported in Guinea’s capital city, Conakry. Sixty-seven of these cases have been confirmed as Ebola. Liberia has also recorded 21 cases and 10 deaths.

While southern Guinea is the epicentre of the outbreak, with the first case reported last month, porous borders amongst many West African states coupled with people frequently travelling between countries, have led to the virus spreading to Liberia. Officials however did receive some good news earlier this week when tests showed that suspected cases in Ghana and Sierra Leone were not Ebola. Two of nine suspected cases in Mali were also cleared. However Dr Keiji Fukuda of the WHO has warned that it is still too early to say whether the rate of transmission is slowing but that the outbreak is far from over. The geographical spread of the outbreak is continuing to make it particularly challenging to contain as past outbreaks involved much smaller areas.

Meanwhile on Saturday, officials in Guinea appealed for calm in the Ebola-hit southern region of the country after a group of international aid workers battling to contain an outbreak of the deadly virus were attacked by a mob. Sources have indicated that Doctors Without Borders (MSF) was forced to suspend its operations in Macenta, in south-eastern Guinea, on Friday after crowds attacked one of its centres. Officials in Conakry later indicated that the crowd had gathered as rumours circulated in the town that the virus was “imported into Guinea or that Ebola fever does not exist in our country.”

A statement issued by Guinea’s government on Saturday vowed that lawbreakers would be brought to justice and said it was “calling for calm and serenity to enable our partners to support us to eradicate this epidemic.” The statement further noted that “the government has protests against such information and reiterates that only the recognition of the existence of the disease will help fight against it.” In regards to the MSF’s work in Guinea, the statement indicated that “the contribution of MSF and all international organisations that are supporting Guinea in the fight against the pandemic is invaluable and has helped so far to contain the disease,” adding that “without these partners, the disease would not be under control today.” MSF has 52 international experts who are working alongside Guinean staff in Conakry and the provincial towns of Gueckedou and Macenta, which are located in the southern epicentre of the outbreak. The MSF’s spokesman Sam Taylor stated Saturday “”MSF’s head of mission is in Gueckedou to meet with the regional governor, senior health officials and local community leaders. We hope to restart our work as soon as possible.” Sources have indicated that MSF is planning to restart its Macenta operation as soon as possible. Treatment is continuing in Gueckedou, another town that has been badly hit by the outbreak.

Deadly Ebola Virus Spreads to Liberia and Mali

The first cases of the Ebola virus have been confirmed in Liberia, after spreading from neighboring Guinea, where the deadly virus has already killed eighty-four people.  Meanwhile in Mali, officials are on high alert after three suspected cases were reported near the border area with Guinea.

Fears Virus Has Spread to Mali

Officials in Mali on Thursday indicated that they had detected three suspected victims of the Ebola virus, the deadly disease that has killed 84 people in Guinea.  Speaking to reporters in Bamako, Mali’s Health Minister Ousmane Kone stated that “three suspected cases of hemorrhagic fever have been detected in the country.  Samples have been taken and sent abroad for analysis.”  The Health Minister added that pending results from the US Centers for Disease Control and Prevention, where the samples were sent, the patients were isolated and were receiving appropriate medication.  A statement issued by the government has indicated that the patients’ condition was currently improving and that the results of the tests will be made public as soon as they are known. 

Ebola Outbreak Confirmed in Liberia

Seven new patients has brought the total suspected Ebola cases in Liberia to fourteen.  Since reporting its first case of the hemorrhagic fever last month, six people have died, however officials in Liberia indicated Thursday that the first suspected Ebola case is now thought to be unconnected to the ongoing epidemic in neighboring Guinea, noting that the case may have originated separately within its borders.

According to Liberia’s chief medical officer Bernice Dahn, “we have a case in Tapeta where a hunter who has not had any contact with anyone coming from Guinea got sick,” adding “he was rushed to the hospital and died 30 minutes later.  He never had any interaction with someone suspected to be a carrier of the virus and he has never gone to Guinea.  This is an isolated case.”  If confirmed, the case in the eastern town of Tapeta would mark a worrying development in the fight against Ebola, as cases so far have been attributed to people returning with the infection from neighboring Guinea, where 84 people have died.  Tapeta, a small town in the eastern country of Nimba, is located 400 kilometers (250 miles) from the epicenter of the Ebola outbreak in southern Guinea.  It is also at least a five-hour drive and much further from the border than other suspected cases.

Of the six deaths, two were laboratory-confirmed Ebola cases – a woman who died in hospital in the northern county of Lofa and her sister who visited her.  The sister was allowed to return home to Monrovia before being hospitalized in the nearby Firestone Hospital.  Local authorities had isolated her and were monitoring her, her family and others with whom she may have had contact however Mr Dahn has since indicated that “…after being confirmed Ebola virus positive, the lady died this morning.”  He added that “we are now keeping surveillance on 44 people who have been in contact with the cases reported.”  The fruit bat, which is thought to be the host of the highly contagious Ebola virus, is a delicacy in the region that straddles Guinea, Liberia and Sierra Leone, with experts suspecting huntsmen to be the source of the outbreak.

Guinea Outbreak

The outbreak in Guinea had initially centered in the country’s remote south-eastern Forest Region of Nzerekore, where it took officials six weeks to identify the disease, effectively allowing it to spread over the borders and into the more populous regions of the country.  The first symptoms experienced were of a feverish sickness and they were observed on February 9.  The mysterious disease claimed at least 23 lives, out of a total of 36, before officials were able to identify it.  Since then, the outbreak has continued to spread, with officials confirming last week that it had spread to the capital, Conakry, which is a sprawling city of two million.

On Sunday, Guinea’s Health Ministry indicated that the country was now dealing with 122 “suspicious cases” of viral hemorrhagic fever, including at least 80 deaths.  However not all of the cases have been confirmed as the Ebola virus.  Medical Charity Medecins Sans Frontieres (MSF) has since stated that the Ebola outbreak in Guinea is “unprecedented,” adding that the spread of the disease across the country made it very difficult to control.  Guinea is now facing a battle to contain the outbreak after cases were reported in areas that are hundreds of kilometers apart.

Regional Concern

Over the past weekend, there has been a growing concern that the outbreak of the deadly virus may spread throughout West Africa.  According to Tarik Jasarevic, spokesman for the WHO, up to 400 people are identified as potential Ebola contacts in Guinea, Sierra Leone and Liberia.

Fears of the virus spreading further into West Africa prompted officials in Senegal to close the country’s normally busy border with Guinea.  Senegal’s Health Minister Awa Maria Coll-Seck confirmed Monday that the government had decided to close its border with Guinea after receiving confirmation that the virus had reached the country’s capital city Conakry.  According to Ms Coll-Seck, Senegal has also “…closed all weekly markets, known as luma, in the south.  And we’re having some discussions with religious leaders regarding big religious events.”

Officials in Sierra Leone also reported last week some suspected cases of the Ebola virus however these have not yet been confirmed.

The Ebola virus, which is one of the world’s most virulent diseases, was first discovered in the Democratic Republic of Congo (DRC) in 1976.  The DRC has since had eight outbreaks of the disease, with the most recent epidemic, which occurred in the DRC between May and November 2012, infecting 62 people and leaving 34 dead.  Although there have been previous outbreaks amongst humans in Uganda, the Republic of Congo and Gabon, the disease had never before been detected in people in West Africa.  There have also been fears that the disease could one day be used in a biological weapons attack as, according to researches, the virus multiplies quickly, overwhelming the immune system’s ability to fight the infection.

If all cases in Guinea, Sierra Leone, Mali and Liberia are confirmed to be Ebola, this outbreak would be the most deadly epidemic since 187 people died in Luebo, in the Congo’s Kasai Orientale province in 2007.

According to the World Health Organization (WHO), to date, no treatment or vaccine is available for Ebola, which kills between 25 and 90 percent of those who fall sick, depending on the strain of the virus.  The Zaire strain of Ebola, which has a 90 percent death rate, is the one that has been detected in Guinea.

Tagged as: Conakry, Ebola, Forest Region, Guinea, Liberia, Lofa, Mali, Medecins Sans Frontieres, Monrovia, MSF, N'Zerekore, Nimba, Senegal, Sierra Leone, Tapeta, West Africa, WHO, World Health Organization