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EBOLA VIRUS DISEASE Sierra Leone Situation Report (Sitrep) – 24 June 2014

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EBOLA VIRUS DISEASE Sierra Leone Situation Report (Sitrep) – 24 June 2014 EBOLA VIRUS DISEASE Sierra Leone Situation Report (SitRep) – 24 June 2014 1. Current situation As of 23 June 2014, a total of 13 samples from the following districts were received by the Kenema Government Hospital (KGH) VHF Laboratory: Bo (2), Kailahun (7), Kenema (2) and Moyamba (2). Of the 13 samples, all were analysed by the VHF Laboratory. Seven samples tested positive for Ebola (6 from Kailahun, 1 from Bo.) 3 samples (2 from Moyamba, 1 from Bo) were negative. Test results are pending for the remaining 3 cases. The cumulative number of laboratory confirmed cases is 163 while the cumulative number of confirmed deaths is 46. The cumulative number of probable deaths (46) exceeds that of cumulative probable cases due to individuals identified in community through contact tracing. These community-based deaths for which samples are not taken are not included in cumulative number of probable cases. Forty seven (47) cases are currently admitted at the Kenema Government Hospital. 35 patients are from Kailahun and 12 patients are from Kenema. Since the beginning of the outbreak, KGH has discharged a total of fifteen (15) cases. 2. Coordination Daily district meeting held in Kailahun and chaired by District council chairman and co-chaired by WHO Finalized Kailahun district response plan Daily taskforce meeting held Daily sub-committee meetings are held Inter-ministerial committee meeting daily Plans on the way to train community volunteers for contact tracing in Kenema and Kailahun 3. Case Management Clinical management is on-going at the Kenema Government Hospital and Daru Treatment Centre Kenema and Daru treatment centres are full with patients and Koindu holding centre will be fully functional on 19 June 1 | P a g e Table 1: Summary of suspected EVD cases reported from 20 May - 23 June 2014 Koinadugu Moyamba Port Loko Western National Kailahun Kenema Pujehun Tonkolili Bombali Bonthe Kambia Kono Area Bo No. Summary of cases Cases 1 New cases (suspected) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 New cases (probable) 3 1 2 0 0 0 0 0 0 0 0 0 0 0 3 New cases (confirmed) 7 6 0 0 1 0 0 0 0 0 0 0 0 0 4 New non-cases (confirmed) 3 0 0 0 1 0 2 0 0 0 0 0 0 0 5 Cumulative cases (Suspected) 2 0 2 0 0 0 0 0 0 0 0 0 0 0 6 Cumulative cases (Probable) 11 9 2 0 0 0 0 0 0 0 0 0 0 0 7 Cumulative cases (confirmed) 163 142 17 0 1 0 0 0 1 0 2 0 0 0 8 Cumulative non-cases (confirmed) 136 49 19 10 27 0 4 1 1 4 2 3 1 15 Deaths 9 New deaths1 7 6 1 0 0 0 0 0 0 0 0 0 0 0 10 Cumulative number of deaths (Suspected) 5 2 1 0 0 0 0 0 0 0 1 0 0 1 11 Cumulative number of deaths (Probable) 27 27 0 0 0 0 0 0 0 0 0 0 0 0 12 Cumulative number of deaths (Confirmed) 46 42 4 0 0 0 0 0 0 0 0 0 0 0 Admission and discharges 16 Current admissions of Health Care Workers2 1 0 1 0 0 0 0 0 0 0 0 0 0 0 17 Cumulative cases of Health Care Workers 28 27 1 0 0 0 0 0 0 0 0 0 0 0 18 Cumulative deaths of Health Care Workers 9 8 1 0 0 0 0 0 0 0 0 0 0 0 Isolation 19 Total number in isolation3 47 35 12 0 0 0 0 0 0 0 0 0 0 0 20 Suspected4 - - - - - - - - - - - - - - 21 Probable4 - - - - - - - - - - - - - - 22 Confirmed4 47 35 12 0 0 0 0 0 0 0 0 0 0 0 Laboratory 23 Total specimens collected 312 200 40 10 28 0 4 1 2 4 4 3 1 15 24 Total specimens tested 195 192 1 0 0 0 0 0 0 0 1 0 0 1 25 Total specmens pending test result 3 1 2 0 0 0 0 0 0 0 0 0 0 0 1 Number of new deaths is based on confirmed cases isolated at Kenema Government Hospital (KGH) 2 Only includes HCWs isolated at KGH 3 Total number of isolated patients at KGH (the stratified numbers indicate the origin of patients) 4 Information not available 2 | P a g e 4. Surveillance and Laboratory Finalized plan for training of contact tracing of 300 community volunteer on contact tracing Mobile phones provided by Airtel will be given to volunteers for reporting on contact tracing 5. Social mobilization SLRC and IFRC continue sensitization exercise in communities in Kailahun district on Ebola prevention and control activities Community members are calling health staff and requesting them to pick up patients from villages and towns to treatment centres Community members have volunteered to take part in identification of contacts Communities are requesting for chlorine to be used for hand washing and spraying of houses where confirmed cases leave Traditional leaders are involved in community mobilization and have instituted by laws to ensure that all suspected cases are reported immediately; Strangers must report to health authorities before being allowed in the community; all burials must be supervised by health authorities No hand shaking going on in targeted communities 6. Logistics Mapping of partners contribution done by the committee in Kailahun district 7. Travel advice There is no travel restriction to any district or neighbouring countries of Guinea and Liberia. However, the ministry of health is working on setting up screening facilities for passengers going in and out of Kailahun 8. Technical support Urgent need for clinicians to be deployed in the Kenema, Daru and Kailahun treatment centres 3 | P a g e 9. Challenges Contact tracing and data management still remain a challenge Technical support needed for Anthropologist, epidemiologist, data manager, public health specialist and laboratory 10. Planned activities Preparation commence for the training of 300 community volunteers in Kailahun district on contact tracing and reporting Preparation commenced for cross border meeting to be held in Kailahun district on 23 June 2014 Prepare and use EVD survivals for social mobilization as champions to reduce myths about Ebola Distribution of additional PPEs to Kenema and Kailahun districts 11. Resource mobilization CERF proposal approved Awaiting approval for DFID proposal 4 | P a g e .
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