Ebola SitRep no. 99

Ministry of Health and Social Welfare Aug 22, 2014

Cases

National

Lofa County Lofa

Grand Bassa Grand

Bong County Bong

Bomi County Bomi

Grand Gedeh Grand County Sinoe

Nimba County Nimba

Margibi County Margibi

RiverCess County RiverCess

River Gee County Gee River

Grand Cape Mount Cape Grand Montserrado

New Case/s (Suspected) 23 0 1 0 0 1 0 4 15 0 1 0 1 New Case/s (Probable) 48 5 0 0 0 0 16 8 19 0 0 0 0 New case/s (confirmed) 24 0 0 0 0 0 9 0 0 15 0 0 0 Total suspected cases 342 4 68 8 1 2 63 75 107 12 1 0 1 Total probable cases 624 33 30 1 3 0 287 40 189 41 0 0 0 Total confirmed cases 287 9 20 6 4 0 153 27 43 23 0 1 1 Total Number of Confirmed Cases of Sierra Leonean Nationality 13 0 0 0 2 0 11 0 0 0 0 0 0 Total Number of Confirmed Cases of Guinean Nationality 1 0 0 0 0 0 0 0 1 0 0 0 0 Cumulative (confirmed, probable, 125 suspected) cases 3 46 118 15 8 2 503 142 339 76 1 1 2

Cases among HCWs

National

Lofa County Lofa

Grand Bassa Grand

Bong County Bong

Bomi County Bomi

Grand Gedeh Grand County Sinoe

Nimba County Nimba

Margibi County Margibi

RiverCess County RiverCess

River Gee County Gee River

Grand Cape Mount Cape Grand Montserrado County Montserrado

Newly Reported Cases in HCW on 22nd Aug 2014 6 1 0 0 0 0 0 4 1 0 0 0 0 Cumulative cases among HCW 124 5 26 3 3 0 17 27 42 1 0 0 0

Newly Reported deaths in HCW on 22nd Aug 2014 3 0 0 0 0 0 0 2 1 0 0 0 0 Cumulative deaths among HCW 65 4 5 0 0 0 15 18 23 0 0 0 0

Isolation and Discharges

National

Lofa County Lofa

Grand Bassa Grand

Bong County

BomiCounty

Sinoe County

Grand Gedeh Grand

Nimba County Nimba

Margibi County Margibi

RiverCess County RiverCess

River Gee County Gee River

Grand Cape Mount Grand Montserrado County Montserrado

New Admission on Aug 22 2014 16 0 0 0 0 0 16 0 0 0 0 0 0 Total no. currently in Treatment Units 125 0 0 0 0 0 79 0 46 0 0 0 0 Total discharges on 22nd Aug 2014 23 0 0 0 0 0 23 0 0 0 0 0 0

Cumulative admission/isolation 125 0 0 0 0 0 79 0 46 0 0 0 0

Deaths

National

Lofa County Lofa

Grand Bassa Grand

Bong Bong County

BomiCounty

SinoeCounty

Grand Gedeh Grand

Nimba County Nimba

Margibi County Margibi

RiverCess County RiverCess

River River GeeCounty

Grand Cape Mount Grand Montserrado Montserrado County

Newly reported deaths 22nd Aug 2014 35 4 0 0 0 0 3 4 15 8 1 0 0 Total death/s in confirmed cases 250 8 10 1 4 0 109 23 80 15 0 0 0 Total death/s in probable cases 282 10 11 1 1 0 102 28 106 22 0 1 0 Total death/s in suspected cases 154 0 13 0 2 1 34 26 71 6 1 0 0

Total death/s in confirmed, probable, suspected cases 686 18 34 2 7 1 245 77 257 43 1 1 0

Case Fatality Rate (CFR) - Confirmed & Probable Cases 58.4 42.9 42.0 28.6 71.4 0.0 48.0 76.1 80.2 57.8 0.0 100.0 0.0

Contacts

National

Lofa County Lofa

Grand Bassa Grand

Bong County

BomiCounty

Sinoe County Sinoe

Grand Gedeh Grand

Nimba County Nimba

Margibi County Margibi

RiverCess County RiverCess

River Gee County Gee River

Grand Cape Grand Mount Montserrado Montserrado County

Newly reported contacts on 22nd Aug 2014 271 0 15 0 0 0 51 81 124 0 0 0 0

Total contacts listed 3091 64 396 10 31 0 603 293 1490 198 0 6 0

Currently under follow-up 2023 54 298 10 27 0 373 259 926 72 0 4 0

Contacts seen on 22nd Aug 2014 1960 54 298 0 27 0 415 259 837 70 0 0 0 Contacts who completed 21 day follow-up 278 0 37 0 0 0 93 0 80 68 0 0 0 Contacts lost to follow-up 17 0 0 0 0 0 0 0 17 0 0 0 0

Laboratory

National

Lofa County Lofa

Grand Bassa Grand

Bong County

BomiCounty

SinoeCounty

Grand Gedeh Grand

Nimba County Nimba

Margibi Margibi County

RiverCess County RiverCess

River Gee County River

Grand Cape Mount Grand Montserrado County Montserrado

Specimens collected on 22nd Aug 2014 26 0 1 0 0 0 20 0 5 0 0 0 0 Specimens pending for testing 74 0 12 2 1 0 20 4 5 30 0 0 0 Total specimens tested 15 0 0 0 0 0 15 0 0 0 0 0 0 Ebola Disease Outbreak (March 22-Aug 22, 2014)

Table 3: Cumulative Ebola Disease Outbreak in Liberia (March 22 -Aug 22, 2014)

Cases

Mount

County

National

Grand Cape Grand

Lofa County Lofa

Grand Bassa Grand

Bong County Bong

Bomi County Bomi

Montserrado Montserrado

Sinoe County Sinoe Grand Gedeh Grand

Nimba County Nimba

Margibi County Margibi

RiverCess County RiverCess River Gee County Gee River Total Case/s (Suspected) 342 4 68 8 1 2 63 75 107 12 1 0 1 Total Case/s (Probable) 626 33 30 1 3 0 289 40 189 41 0 0 0 Total case/s (confirmed) 293 9 20 6 4 0 157 29 43 23 0 1 1 Cumulative (confirmed, probable, suspected) cases 1261 46 118 15 8 2 509 144 339 76 1 1 2

Health Care Workers Cumulative cases among HCW 126 5 26 3 3 0 19 27 42 1 0 0 0 Cumulative deaths among HCW 67 4 5 0 0 0 17 18 23 0 0 0 0

Deaths Total death/s in confirmed cases 256 8 10 1 4 0 113 25 80 15 0 0 0 Total death/s in probable cases 284 10 11 1 1 0 104 28 106 22 0 1 0 Total death/s in suspected cases 157 0 13 0 2 1 35 27 72 6 1 0 0 Total death/s in confirmed, probable, suspected cases 697 18 34 2 7 1 252 80 258 43 1 1 0 #### Cumulative CFR (March 22 - Aug 22, 2014) 58.8 42.9 42.0 28.6 71.4 # 48.7 76.8 80.2 57.8 #DIV/0! 100.0 0.0

Case Investigation

Daily Case investigation Date: August 22, 2014 ______Montserrado Lofa Bong Margibi Cape Mount Nimba Rivercess Bassa Bomi •# of calls received 113 1 5 22 2 3 0 2 0

•# of calls responded to 40 1 5 16 2 3 0 2 0

•# of cases referred to treatment unit 14 0 0 11 0 0 0 0 0 •# of suspected Cases 18 1 3 7 1 1 0 2 0 •# of probable cases 22 0 2 9 1 2 0 0 0

•# of suspected or probable cases with specimen taken 0 0 0 0 0 0 0 0 0 •# of bodies 47 0 5 5 1 2 0 0 0 •# of bodies with specimen taken 1 0 0 0 0 0 0 0 0 •# homes sprayed 0 0 0 0 0 0 0 0 0 •# of psychosocial counseling done 40 1 5 16 2 3 0 2 0 # of cases pending transfer 10 0 0 0 1 1 0 0 0 Highlight

Case Investigation • Sinoe and Grand Gedeh report one suspected case each (live). • River Gee reported one suspected dead case. • No space at any of the ETUs to do Transfer.

Montserrado County • Reopening West Point holding center is still being reconsidered by the government • Health Care Workers will be assigned to the holding center on Saturday Highlight

Grand Cape Mount County

• Contact- tracing continued in Robertsport: 25 contacts traced and provided food bought from funds donated by Sime Darby Company .

• BIN informed County Ebola Task Force that five fisher men crossed from Solima in Sierra Leone into Robertsport. After conducting thermo-scan, the fisher men were reported normal.

• Additional four persons also crossed from Sierra Leone into Liberia through Porkpa District. They were scanned by the Health Team and are currently in the custody of the securities at BO-Waterside.

• WFP food supplies arrived at 4:16pm and were received by the County Health Team logistician.

• Distribution of Chinese donated supplies to health facilities is ongoing. Highlight

Bomi County • A Stakeholders’ meeting was held with the Honorable Speaker of the House and members of Bomi legislative caucus in attendance • A family in Gbah, Klay District buried two bodies, one a probable case, just before the county burial team arrived • There are no body bags in the County • There is a stock-out of PPEs Margibi County • The tracers are demanding compensation • The County needs an ambulance to take sick people from the community • There is need for 1 general service vehicle to use at the County level Highlight Nimba County • Arcelor Mittal donated 1 used pick-up to the County Task Force Team for operations • 20 Lab. Result received – 15 positive – 5 negative • CHSWT has began transporting positive cases to the treatment Unit in Monrovia

• The confirmed from Sanniquelle has recovered and was re-united with his family • Save the Children via the regional coordinator for Bong & Nimba Counties donated assorted materials including Chlorine, Rain gears, Spraying can, etc. for Ebola response • The County Task Force headed by the superintendent visited Yekepa and established the concession Task Force • The Defense Minister donated 200 bucket with forceps for hand washing to four communities in Nimba Highlight

Lofa County • Total of sixteen (16) new probable cases (4-Kolahun District, 10-, 2-Foya) • Total of three (3) deaths in confirmed cases (2-kolahun, 1 from ) • 23 discharged as “negative” Lab Result: • 15 results received from the lab up to this reporting time (6 negative and 9 positive) 20 lab results are pending Highlight

National Reference Lab at LIBR • 34 test conducted – 3 Negative – 31 Positive