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Liberia Ebola Sitrep No. 50

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Liberia Ebola Sitrep No. 50 Liberia Ebola SitRep no. 91 Ministry of Health and Social Welfare Aug 14, 2014 Cases National Lofa County Lofa Grand Bassa Grand Bong County Bomi County Bomi Sinoe County Sinoe Grand Gedeh Grand Nimba County Nimba Margibi County Margibi RiverCess County RiverCess River Gee County River Grand Cape Mount Grand County Montserrado New Cases New Case/s (Suspected) 9 0 0 0 0 0 0 4 4 1 0 0 0 New Case/s (Probable) 20 0 0 0 1 0 14 0 5 0 0 0 0 New case/s (confirmed) 0 0 0 0 0 0 0 0 0 0 0 0 0 Total suspected cases 182 4 44 8 0 0 61 13 44 6 1 0 1 Total probable cases 441 28 25 1 3 0 247 2 130 5 0 0 0 Total confirmed cases 187 9 14 6 4 0 101 2 43 7 0 1 0 Total Number of Confirmed Cases of Sierra Leonean Nationality 12 0 0 0 1 0 11 0 0 0 0 0 0 Total Number of Confirmed Cases of Guinean Nationality 0 0 0 0 0 0 0 0 0 0 0 0 0 Cumulative (confirmed, probable, suspected) cases 810 41 83 15 7 0 409 17 217 18 1 1 1 Outbreak Overview: Case Counts Reported 300 Confirmed 250 Probable Suspect 200 150 100 50 0 Aug 10-16: Reported Deaths 35 Confirmed 30 Probable Suspect 25 20 15 10 5 0 Cases among HCWs County County County Bassa Gedeh County County County County National Lofa Grand Grand Bong County Bomi Sinoe Grand Grand Nimba Margibi RiverCess River Gee County River Grand Cape Mount Grand Montserrado Newly Reported Cases in HCW on 14th Aug 2014 3 0 0 0 2 0 0 0 1 0 0 0 0 Cumulative cases among HCW 90 4 24 3 3 0 16 4 35 1 0 0 0 Newly Reported deaths in HCW on 14th Aug 2014 3 0 0 0 0 0 0 0 3 0 0 0 0 Cumulative deaths among HCW 39 4 4 0 0 0 13 0 18 0 0 0 0 Isolation and Discharges County County County Bassa Gedeh County County County County National Lofa Grand Grand Bong County Bomi Sinoe Grand Grand Nimba Margibi RiverCess River Gee County River Grand Cape Mount Grand Montserrado New Admission on Aug 14 2014 22 0 0 0 0 0 14 0 8 0 0 0 0 Total no. currently in Treatment Units 201 0 0 0 0 0 126 0 75 0 0 0 0 Total discharges on 14th Aug 2014 4 0 0 0 0 0 0 0 4 0 0 0 0 Cumulative admission/isolation 201 0 0 0 0 0 126 0 75 0 0 0 0 Deaths County County County Bassa Gedeh County County County County National Lofa Grand Grand Bong County Bomi Sinoe Grand Grand Nimba Margibi RiverCess River Gee County River Grand Cape Mount Grand Montserrado Newly reported deaths 14th Aug 2014 33 0 0 0 1 0 12 2 18 0 0 0 0 Total death/s in confirmed cases 164 7 7 1 3 0 80 2 60 4 0 0 0 Total death/s in probable cases 192 6 11 1 1 0 82 0 84 6 0 1 0 Total death/s in suspected cases 79 0 5 0 1 0 30 5 37 1 0 0 0 Total death/s in confirmed, probable, suspected cases 435 13 23 2 5 0 192 7 181 11 0 1 0 Case Fatality Rate (CFR) - Confirmed & Probable Cases 56.7 35.1 46.2 28.6 57.1 0.0 46.6 50.0 83.2 83.3 0.0 100.0 0.0 Outbreak Overview: Deaths Reported 140 Confirmed 120 Probable 100 Suspect 80 60 40 20 0 Aug 10-16: Reported Deaths 35 Confirmed 30 Probable Suspect 25 20 15 10 5 0 Contacts County County County Bassa Gedeh County County County County National Lofa Grand Grand Bong County Bomi Sinoe Grand Grand Nimba Margibi RiverCess River GeeRiver County Grand Cape Grand Mount Montserrado Newly reported contacts on 14th Aug 2014 61 0 0 0 6 0 0 0 26 29 0 0 0 Total contacts listed 1717 64 216 10 31 0 421 28 838 103 0 6 0 Currently under follow-up 1354 64 198 10 31 0 421 5 577 44 0 4 0 Contacts seen on 14th Aug 2014 1089 58 58 10 31 0 421 0 467 44 0 0 0 Contacts who completed 21 day follow- up 61 5 17 0 0 0 0 0 39 0 0 0 0 Contacts lost to follow-up 9 5 1 0 0 0 0 0 0 3 0 0 0 Laboratory County County County Bassa Gedeh County County County County National Lofa Grand Grand Bong County Bomi Sinoe Grand Grand Nimba Margibi RiverCess River Gee County River Grand Cape Mount Grand Montserrado Specimens collected on 14th Aug 2014 7 0 0 0 0 0 0 3 0 4 0 0 0 Specimens pending for testing 43 0 3 2 1 0 30 3 0 4 0 0 0 Total specimens tested 19 0 0 0 0 0 19 0 0 0 0 0 0 Ebola Disease Outbreak (March 22-Aug 14, 2014) County County County Bassa Gedeh County County County County National Lofa Grand Grand Bong Bong County Bomi Grand Grand Sinoe Nimba Margibi RiverCess River Gee County Gee River Grand Cape Mount Cape Grand Montserrado Total Case/s (Suspected) 182 4 44 8 0 0 61 13 44 6 1 0 1 Total Case/s (Probable) 443 28 25 1 3 0 249 2 130 5 0 0 0 Total case/s (confirmed) 193 9 14 6 4 0 105 4 43 7 0 1 0 Cumulative (confirmed, probable, suspected) cases 818 41 83 15 7 0 415 19 217 18 1 1 1 Health Care Workers Cumulative cases among HCW 92 4 24 3 3 0 18 4 35 1 0 0 0 Cumulative deaths among HCW 41 4 4 0 0 0 15 0 18 0 0 0 0 Deaths Total death/s in confirmed cases 170 7 7 1 3 0 84 4 60 4 0 0 0 Total death/s in probable cases 194 6 11 1 1 0 84 0 84 6 0 1 0 Total death/s in suspected cases 82 0 5 0 1 0 31 6 38 1 0 0 0 Total death/s in confirmed, probable, suspected cases 446 13 23 2 5 0 199 10 182 11 0 1 0 #### Cumulative CFR (March 22 - Aug 13, 2014) 57.2 35.1 46.2 28.6 57.1 # 47.5 66.7 83.2 83.3 #DIV/0! 100.0 #DIV/0! Case Investigation Daily Case investigation Montserrad Cape Riverces Date: August 14, 2014 o Lofa Bong Margibi Mount Nimba s Bassa Bomi •# of calls received 112 0 1 3 2 1 0 0 1 •# of calls responded to 52 0 0 1 2 0 0 0 0 •# of cases referred to treatment unit 15 0 0 0 2 0 0 0 0 •# of suspected cases 50 0 1 3 1 0 0 0 0 •# of probable cases 2 0 0 0 1 0 0 0 0 •# of suspected or probable cases with specimen taken 0 0 0 0 0 0 0 0 0 •# of bodies 18 0 0 0 0 0 0 0 0 •# of bodies with specimen taken 0 0 0 0 0 0 0 0 0 •# homes sprayed 0 0 0 0 0 0 0 0 0 •# of psychosocial counseling done 0 0 0 0 0 0 0 0 0 # of cases pending transfer 10 0 0 1 0 0 0 0 0 Contacts Tracing Update • Grand Bassa • Two towns (Kleemo & Barkpeh) • Montserrado have 20 dead bodies to be buried. • Burial and spraying teams (20 West Point holding Unit persons) to be trained on Friday. established with 13 patients. • • Two samples were collected from 12 deaths reported in 3 days Jacoblatee Town. One case (Tuesday –Thursday). confirmed • It alleged that about 50 dead bodies have been secretly buried across the river over the past one Month. • About 60 contacts line listed from 2 houses (30 per house) • Nearly 100 contacts across Monrovia have abandoned their homes for different communities. Contacts Tracing Update Margibi Rivercess • 6 dead bodies in two days •One suspected dead. Case is a • 47 deaths have been resident of Rivercess but travel to documented during the Monrovia and returned with second wave (22-Kakata & 25- illness and refused to seek Dolo’s Town). Needs further medical treatment because of investigation EVD fear • County Inspector now •There is no body bag and OGYN responsible to supervise burial gloves. Dead was buried in • County authority Tarpaulin. (superintendent and CHT) to •Two contacts travel to Nimba meet with Dolo’s Town local and Monrovia authorities and residence. Update Grand Gedeh Bomi •Three suspected cases •There are four dead from Bong County found bodies. in Mining Settlements (Putu and CBI). Lofa Highlights • Total number of patient in Foya Case management center (FCMC) is 126 • Total new cases is 14 (13 from Voinjama District , 1 from Foya) • 12 deaths Constraints • Limited number of beds and mattresses to transport all the probable and suspected cases at FCMC • The Burial Team in Kolahun has no rainboots • The surveillance office requires a computer for data management Montserrado Highlights • Meetings were held with community leaders from West Point to improve contacts tracing, burials and case investigations • Contact tracing meeting planned for tomorrow in West Point • The Monitors report that other contacts in the home are running away once another contact becomes symptomatic.
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