----______Daily EVD Situational Report Kambia District, : 1st. August, 2015

Epidemiological Updates as of 1st August, 2015

1. Epidemiological Highlights  There are no more quarantine homes in Kambia district  There were no new EVD positive cases reported by Kambia district today  The last EVD positive case in Kambia district was reported on 10.07.2015  The last EVD positive case was discharged from Kambia ETC with a negative test on 19.07.2015  Today 10 deaths alerts were reported to the DERC and were all processed. No live alerts  Today all the 17 samples which were sent to the Kambia based laboratory yesterday were processed and found negative for EVD

2. Epidemiological Situation as of 1 August, 2015

Table 1: EVD cases and deaths

New cases Cumulative figures ( Since out break) Case categorization Cases Deaths Cases Deaths

Confirmed cases 0 0 253 157

Probable cases 0 0 9 9

Suspected cases 0 0 202 7

Total 0 0 464 173

Today, no live alerts were made to the DERC. The CFR for Kambia still remains 62.1% (157/253*100)

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3. Status of Alerts

3.1 Today’s Alerts made in Kambia district Table 2: Alerts reported to the DERC

Contacts Number

01 Number of live alerts made today 0

02 Number of live alerts responded to today 0

03 Number of live alerts meeting the case definition 0 04 Number of live alerts sent to ETC today 0

05 Number of community death alerts made today 10

06 Number of safe burials conducted today 10 07 Number of unsafe burials conducted today 0

A total of 10 death alerts were made to the Kambia DERC today and were all given a safe a decent burial. No live alert were made today throughout the entire district.

3.2 Distribution of Alerts by Chiefdom

Table 3: Alerts made to the DERC in the last 24 hours and in the past seven days per chiefdom

Death Death Alerts Live Live alerts Live Alerts Chiefdoms Alerts during the last 7 Alerts meeting Case during the last Today days Today definition 7 days Tonko Limba 2 16 0 0 3 Mambolo 1 13 0 0 0 Masungbala 2 10 0 0 1 Magbema 0 16 0 0 4 Gbinleh-Dixon 2 08 0 0 3 Samu 2 15 0 0 2 Bramaia 1 05 0 0 3 Total 10 83 0 0 16

Generally, the magnitude of alerts made in Kambia district keep diminishing over time. No death alerts were made throughout the entire district of Kambia today, whereas the highest number of death alerts made by most chiefdoms was two (2) cases. There were no death alerts from . 2

4. Laboratory Work-Load

4.1. Summary of Kambia Laboratory Work-Load

Table 4: Samples tested by Kambia laboratory in the last 24 hours and for the past seven days

Samples tested Samples tested Samples tested Samples tested during positive during today positive today last 7 days last 7 days

Chiefdom

Live Live

Total Total Total Total

Swab Swab Swab

Blood Blood Blood Blood

Swabs Swabs

Bramaia 0 1 1 0 0 0 1 10 0 11 0 0 0

Gbinle Dixing 0 1 1 0 0 0 0 06 0 06 0 0 0

Magbema 1 3 4 0 0 0 2 21 0 23 0 0 0

Mambolo 0 3 3 0 0 0 1 12 0 13 0 0 0

Masungbala 0 0 0 0 0 0 1 08 0 09 0 0 0

Samu 0 4 4 0 0 0 1 16 0 17 0 0 0

Tonko Limba 1 3 4 0 0 0 2 20 0 22 0 0 0 Others 0 0 0 0 0 0 0 00 0 00 0 0 0 Total 2 15 17 0 0 0 8 93 0 101 0 0 0

All the seventeen samples which were sent to the laboratory yesterday tested negative for EVD today. A total of 101 samples were processed by the laboratory during the past seven days, among which the majority 92.07% (93/101*100) were swabs. There has been no positive EVD result over the past seven days.

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5. Quarantine Status in Kambia District

Table 5: People under Quarantine

Variable Number

01 Total number of homes under quarantine by today morning 00 02 New number of quarantine homes added today 00 03 Number of homes released from quarantine today 00 04 Number of homes under quarantine by the end of today 00 05 Number of new people registered under quarantine as of today 00 06 Number of people missing from quarantine homes today 00 07 Number of people not seen in quarantine homes today 00 08 Number of people discharged from quarantine today 00 09 Number of contacts presenting with signs & symptoms of EVD 00 10 Number of contacts evacuated to the ETC 00 11 Number of pregnant women in quarantine homes 00 12 Number of pregnant women at term in quarantine homes 00 13 Number of at term pregnant women evacuated for delivery 00 14 Number of pregnant women delivering in quarantine home 00

There are no more quarantine homes in Kambia and no contacts to follow up

6. Case management update, Kambia district

Table 6: The trend of admissions and outcome at Kambia ETC

Date (2015) Category July August 26 27 28 29 30 31 1 New admission of suspected cases in ETC today 1 0 0 1 2 2 0 Total EVD positive cases in ETC today 0 0 0 0 0 0 0 Deaths of EVD positive cases in ETC 0 0 0 0 0 0 0 EVD suspected cases discharged after testing negative 1 1 0 0 0 0 0

EVD cases discharged after testing negative (survivors) 0 0 0 0 0 0 0 EVD suspected cases died after testing EVD negative 0 0 0 0 0 0 0

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7. Cross Border / Inter-district Surveillance

i. Inter-district Surveillance

 There were no new EVD cases reported by Port Loko today.  The last EVD confirmed case from Port Loko was reported on 13.07.2015

Other bordering districts o None of the districts neighbouring Kambia reported any EVD positive case today

ii. Cross-border Surveillance

 Forecariah Prefecture o There were no new EVD cases reported by Forecariah as of today o The last EVD positive case in Forecariah was reported on 15.07.2015

8. Today’s activities  Today, the surveillance teams responded to the information from the neighbouring Republic of that one of the suspects who got lost from follow up in and went hiding in Kambia district, re-appeared and tested positive for EVD. The teams spent most of the day in the border districts of Bramaia and Samu, where she is suspected to have been hiding in search of potential suspects, but in vain

 The teams also maintained the routine active case finding activities throughout the entire district, in addition to responding to live and death alerts

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Partner Organizations

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