Tag Archives: Sierra Leone

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.

Ebola Situation Report (17 December 2014)

In the days leading up to 14 December, there has been a total of 18,603 confirmed, probable and suspected cases of Ebola virus disease (EVD) that have been reported in five affected countries: Guinea, Liberia, Mali, Sierra Leone and the United States; and three previously affected countries: Nigeria, Senegal and Spain. There have been 6,915 reported deaths. Reported case incidence in Guinea is fluctuating and is on the decline in Liberia. In neighbouring Sierra Leone, there are signs that the increase in incidence is beginning to slow. The case fatality rate in the three intense-transmission countries remains at 70%.

Guinea

In the week leading up to 14 December, a total of 76 new confirmed cases were reported. Since September, the national trend in case reporting across Guinea has been fluctuating, with between 75 and 148 confirmed cases reported each week. World Health Organization (WHO) officials have reported that currently, there is no clear upward or downward trend in national case incidence.

Transmission remains high in the capital city of Conakry, which reported 18 confirmed cases in the week leading up to 14 December. EVD transmission remains high in the neighbouring district of Coyah, with 14 confirmed new cases. South of capital city, in Forecariah, officials have reported a surge in new cases, with 13 new confirmed cases in the past week. The district had reported its first case 12 weeks ago and until now, had reported no more than 4 confirmed cases each week.

Transmission remains persistent in the eastern district of N’Zerekore, with 6 new confirmed cases reported in the week leading up to 14 December. The district of Dubreka reported 3 confirmed cases, while new cases continue to be reported in the outbreak’s epicentre of Gueckedou (2 confirmed cases); Kerouane (5 confirmed cases) and Lola and Kouroussa (2 confirmed cases in each district). In the past week, Macenta reported only three confirmed cases, a sharp decline from the 15 cases that were reported in each of the two previous weeks. WHO officials however have warned that it remains too early to draw conclusions whether this decline in reporting in this district will be sustained. After reporting last week its first case since June, Telimele reported 5 new confirmed cases. While the districts of Kindia and Faranah did not report any new confirmed cases, officials in these two districts reported 21 and 12 probable cases respectively. The northern district of Siguiri reported 4 probable cases. This area requires continued vigilance, particularly due to its proximity to Mali.

Officials in the Guinean capital of Conakry have banned all public Christmas and New Year celebrations in a bid to curb the spread of EVD. A statement issued by Conakry governor Soriba Sorel Camara on 16 December indicated that “large-scale gatherings in public places are suspended for the moment,” adding “beaches will remain closed” and firecrackers and fireworks will also be banned. The capital city’s governor has appealed to residents to “refrain from anything” that would compromise efforts to contain the spread of Ebola. This means avoiding “all gatherings in markets, bus stations, ferry landing stages, hospital and the airport.”

Liberia

At the national level, case incidence in Liberia has been on the decline, with 6 districts reporting new confirmed or probable cases in the week leading up to 14 December.

Transmission remains intense in Montserrado, which includes the capital Monrovia. The district reported 3 confirmed cases and 9 probable cases. Grand Bassa experienced a decline in cases, reporting only one confirmed case after having reported 7 in the previous week. The other districts to report confirmed cases during this period included Bong (1 confirmed case); Grand Cape Mount (2 confirmed cases) and Marigibi (1 confirmed case). In the northern region of the country, Lofa reported no cases for the seventh consecutive week. This is likely due to the strength of response efforts being carried out across the district.

Sierra Leone

EVD transmission across Sierra Leone remains intense, with the country reporting 327 new confirmed cases in the week leading up to 14 December. While WHO officials have reported that there are signs that the increase in case incidence has slowed, and that the incidence may no longer be on the rise, the country reported the highest number of confirmed cases in epidemiological week 50.

EVD transmission remains most intense and persistent in the western and northern districts of the country. The capital city Freetown accounted for 125 of all new confirmed cases. Other western districts that reported new confirmed cases include Port Loko (56 cases); Western Rural Area (52 cases); Bombali (23 cases) and Kambia (11 cases).

In the country’s eastern region, the district of Kono, which has experienced high transmission over the past five weeks, reported 12 confirmed cases in the week leading to 14 December. The neighbouring district of Koinadugu in the northeast reported three cases. Although transmission has been intense in Tonkolili for the past three weeks, in recent weeks the number of new weekly cases has declined from a peak of 56 four weeks ago to 14 cases over the past week. In the southern region of the country, the district of Bo continues to report a high number of new cases, with 24 confirmed cases in the week leading up to 14 December. By contrast, the south-eastern districts of Kenema and Kailahun reported 1 and 3 new cases respectively. Only two districts in Sierra Leone did not report any new cases during this reporting period: Bonthe and Pujehun.

Officials in Sierra Leone have banned any public Christmas celebrations in a bid to halt the spread of EVD. According to the government’s Ebola response unit, soldiers will be deployed across the country throughout the holiday period to ensure that all residents remain indoors. Officials in Sierra Leone have also imposed a two-week lockdown on the eastern diamond-mining district of Kono. The lockdown will effectively limit residents’ movements until 23 December.

Countries with an Initial Case/Cases or with Localized Transmission

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

In Mali, a total of 8 cases (7 confirmed and 1 probable) including 6 deaths (5 confirmed and 1 probable) have been reported. The most recent seven cases were reported in the Malian capital Bamako and are not related to the country’s first EVD case, which was reported in Kayes on 24 October. The last confirmed case tested negative for the second time on 6 December and was discharged from hospital on 11 December. All identified contacts of both the initial case and the outbreak in Bamako have now completed the 21-day-follow up. If there are no more reported cases of EVD in Mali, the West African country will be declared Ebola-free by the WHO in mid January.

In the United States, there have been four confirmed cases of EVD and 1 death. All contacts in the country have now completed the 21-day follow-up period. If no further cases are reported in the US, the country will be declared Ebola-free at the end of December.

Nigeria, Senegal and Spain have all been declared Ebola free by the WHO.

Guinea-Bissau Confirms Possible Ebola Case While Sierra Leone Cancels Christmas Festivities

A medical official in Guinea-Bissau reported Friday that a man, who had entered the West African country from Guinea one day after the border reopened, is now being treated for suspected Ebola. Meanwhile in Sierra Leone, which recently surpassed Liberia to report the most cases of the deadly disease, officials have banned any Christmas celebrations as the caseload of Ebola infections continues to spread at an alarming rate.

On Friday, a medical official in Guinea-Bissau reported that a traveller was placed under surveillance as he attempted to pass through the Fulamori border crossing on Wednesday. Sources have reported that the traveller, who had a high fever, had taken advantage of the lax security amongst border guards in order to escape observation. He later boarded a bus and headed for the eastern city of Gabu, where he was apprehended. The traveller, along with eight fellow passengers on board the bus, has been quarantined.

On Tuesday, the government in Guinea-Bissau reopened the country’s 300-kilometre (185-mile) land border with Guinea after officials closed it on 12 August due to the Ebola outbreak. In November, a team from the World Health Organization (WHO) included Guinea-Bissau on its list of fifteen countries at risk of an Ebola outbreak, concluding that the West African country had an “inefficient health system, which would not be able to cope with an outbreak of Ebola.” So far, Guinea-Bissau has not reported any cases of Ebola and a confirmed Ebola case would demonstrate that the outbreak is continuing to spread, nearly one year after it was first identified.

Officials in Sierra Leone have banned any public Christmas celebrations as the caseload of Ebola infections continues to spread at an alarming rate. According to the government’s Ebola response unit, soldiers will be deployed across the country throughout the holiday period to ensure that all residents remain indoors. Palo Conteh, head of the department, has not disclosed the exact dates or specified any exceptions however during previous local and nationwide anti-Ebola curfews, people have been allowed out in order to worship and for “essential business.” Under the current emergency regulations, bars and nightspots have been shut down while public gatherings have been outlawed however there is currently no general ban on walking outdoors or working. Sierra Leone, which has now overtaken Liberia to report the most cases of the deadly virus, has in the past three weeks recorded 1,319 new cases.

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.