Liberia Ebola SitRep no. 141

Ministry of Health and Social Welfare Oct. 3rd, 2014

Cases

County

National

Grand Kru Grand

Lofa County Lofa

Grand Bassa Grand

Bong County Bong

Bomi County Bomi

Grand Gedeh Grand County Sinoe

Nimba County Nimba

Margibi County Margibi

Gbarpolu County Gbarpolu

RiverCess

River Gee County Gee River

Maryland County Maryland

Grand Cape Mount Cape Grand Montserrado

New Case/s (Suspected) 29 0 0 0 0 0 0 0 0 1 0 28 0 0 0 0 New Case/s (Probable) 27 0 0 0 0 1 0 0 1 12 0 13 0 0 0 0 New case/s (confirmed) 2 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 Total suspected cases 1167 7 217 1 38 6 3 6 57 185 3 588 34 12 3 7 Total probable cases 1782 47 72 0 45 6 0 8 450 338 5 667 134 4 3 3 Total confirmed cases 930 33 68 0 47 6 0 6 285 39 0 358 77 3 4 4

Total Number of Confirmed Cases of Sierra Leonean Nationality 13 0 0 0 0 1 0 0 11 1 0 0 0 0 0 0

Total Number of Confirmed Cases of Guinean Nationality 4 3 0 0 0 0 0 0 0 0 0 1 0 0 0 0

Cumulative (confirmed, probable, suspected) cases 3879 87 357 1 130 18 3 20 792 562 8 1613 245 19 10 14

Cases among HCWs

Kru

County

National

Grand

Lofa County Lofa

Grand Bassa Grand

Bong County Bong

Bomi County Bomi

Sinoe County Sinoe

Grand Gedeh Grand

NimbaCounty

Margibi County Margibi

GbarpoluCounty

RiverCess

River Gee County Gee River

MarylandCounty

Grand Cape Mount Cape Grand Montserrado County Montserrado

Newly Reported Cases in HCW on Oct 3rd. 2014 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 Cumulative cases among HCW 189 6 26 0 3 3 0 0 23 42 0 75 10 1 0 0

Newly Reported deaths in HCW on Oct 3rd. 2014 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cumulative deaths among HCW 92 5 7 0 1 0 0 0 18 20 0 33 8 0 0 0

Isolation and Discharges

National

Grand Kru Grand

Lofa County Lofa

Grand Bassa Grand

Bong County Bong

Bomi County Bomi

Grand Gedeh Grand County Sinoe

Nimba County Nimba

Margibi County Margibi

Gbarpolu County Gbarpolu

RiverCess County RiverCess

River Gee County Gee River

Maryland County Maryland

Grand Cape Mount Cape Grand Montserrado County Montserrado

New Admission on Oct 3rd. 2014 86 0 0 0 0 0 0 0 1 0 0 85 0 0 0 0

Total no. currently in Treatment Units 478 0 32 0 9 0 0 0 9 0 0 425 0 0 1 2

Total discharges on Oct 3rd. 2014 9 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0

Deaths

County

National

Grand Kru Grand

Lofa County Lofa

Grand Bassa Grand

Bong County

BomiCounty

SinoeCounty

Grand Gedeh Grand

Nimba County Nimba

Margibi County Margibi

Gbarpolu

RiverCess County RiverCess

River Gee County Gee River

Maryland Maryland County

Grand Cape Mount Grand Montserrado County Montserrado

Newly reported deaths Oct 3rd. 2014 38 0 4 0 0 0 0 0 3 3 27 1 0 0 0 Total death/s in confirmed cases 992 30 14 0 21 6 0 5 191 41 0 630 49 0 3 2 Total death/s in probable cases 693 33 21 0 9 3 0 4 205 128 5 209 73 0 3 0 Total death/s in suspected cases 469 5 83 0 7 5 2 4 38 81 4 217 15 6 2 0

Total death/s in confirmed, probable, suspected cases 2154 68 118 0 37 14 2 13 434 250 9 1056 137 6 8 2

Case Fatality Rate (CFR) - Confirmed & Probable Cases 62.1 79 25 0 33 75 0 64 54 45 100 82 58 0 86 29

Contacts

County

National

Grand Kru Grand

Lofa County Lofa

Grand Bassa Grand

Bong County Bong

Bomi County Bomi

Grand Gedeh Grand County Sinoe

Nimba County Nimba

Margibi County Margibi

Gbarpolu

RiverCess County RiverCess

River Gee County Gee River

Maryland County Maryland

Grand Cape Mount Cape Grand Montserrado County Montserrado

Newly reported contacts on Oct 3rd. 2014 276 0 14 0 0 0 0 0 11 80 0 171 0 0 0 0

Total contacts listed 15042 638 865 0 326 180 20 38 710 2848 6 8376 840 26 91 78

Currently under follow-up 6697 449 228 0 225 180 20 7 333 1806 6 2878 451 7 44 63

Contacts seen on Oct 3rd. 2014 3605 0 228 0 0 180 0 0 333 0 0 2864 0 0 0 0

Contacts who completed 21 day follow-up 155 0 0 0 0 1 0 0 12 0 0 142 0 0 0 0

Contacts lost to follow-up 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 Ebola Disease Outbreak (March 22-Oct. 3rd, 2014)

Table 3: Cumulative Ebola Disease Outbreak in (March 22 -Oct 3rd. 2014)

Cases

County

National

Grand Kru Grand

Lofa

Grand Bassa Grand

Bong County Bong

Bomi County Bomi

Grand Gedeh Grand County Sinoe

Nimba County Nimba

Margibi County Margibi

Gbarpolu County Gbarpolu

RiverCess County RiverCess

Maryland County Maryland

River Gee County Gee River

Grand Cape Mount Cape Grand Montserrado County Montserrado Total Case/s (Suspected) 1167 7 217 1 38 6 3 6 57 185 3 588 34 12 3 7 Total Case/s (Probable) 1784 47 72 0 45 6 0 8 452 338 5 667 134 4 3 3 Total case/s (confirmed) 936 33 68 0 47 6 0 6 289 41 0 358 77 3 4 4 Cumulative (confirmed, probable, suspected) cases 3887 87 357 1 130 18 3 20 798 564 8 1613 245 19 10 14

Health Care Workers Cumulative cases among HCW 191 6 26 0 3 3 0 0 25 42 0 75 10 1 0 0

Cumulative deaths among HCW 94 5 7 0 1 0 0 0 20 20 0 33 8 0 0 0

Deaths

Total death/s in confirmed cases 998 30 14 0 21 6 0 5 195 43 0 630 49 0 3 2

Total death/s in probable cases 695 33 21 0 9 3 0 4 207 128 5 209 73 0 3 0

Total death/s in suspected cases 472 5 83 0 7 5 2 4 39 82 4 218 15 6 2 0 Total death/s in confirmed, probable, suspected cases 2165 68 118 0 37 14 2 13 441 253 9 1057 137 6 8 2

Cumulative CFR (March 22 -Oct 3rd. 2014 62.2 78.8 25.0 #DIV/0! 32.6 75.0 ###### 64.3 54.3 45.1 100.0 81.9 57.8 0.0 85.7 28.6 HIGHLIGHTS

Bong • Meetings are being held among the CHSWT, IMC and other partners to resolve the health workers boycott at the Bong ETU in demand for better incentives • Four bodies were buried HIGHLIGHTS Montserrado • The Montserrado county health team, collaborating with WHO and UNMIL, trained 25 Military personnel and 9 civilians (dependents) at the Edward B. Kesselly Military Barrack

• Of the 27 deaths, 21 occurred at the ETUs while 6 were reported from communities HIGHLIGHTS Sinoe • One vehicle was donated by UNDP for the Ebola response • UNMIL gave 4 safari motorcycles for the supervision of gCHV in the county • Cheborken Town in Jedepo District has been quarantined by the local authorities after their refusal to allow safe burial and specimen collection having being exposed to a probable case from Grand Kru HIGHLIGHTS

Grand Cape Mount • The only Ebola survivor from the county was reunited to with family members in Robertsport City • An additional burial team was organized and trained by Global Communities in Sinje • The Ebola Task Force received incentive for the months of August and September Laboratory

National Reference Lab at LIBR 33 specimens collected – 11 positive – 20 negative – 2 Indeterminate