GUINEA Ebola Situation Report 29 April 2015 HIGHLIGHTS SITUATION IN NUMBERS As of 29 APRIL 2015 The total number of confirmed cases of Ebola rose to 3,158 this week, according to WHO’s Epidemiological Situation Report. The total number of confirmed, suspected and probable cases 3,584 climbed to 3,584. Cases of Ebola (3,158 confirmed) The number of confirmed deaths from Ebola rose to 1,964, with a total of 2,379 confirmed, suspected and probable deaths. 2,379 Unfortunately, some cases continue to be identified after post Deaths (1,964 confirmed) mortem testing or arisen from non-contacts, suggesting the need to reinforce surveillance and community engagement. 596 The Government-led four-day emergency health campaign with Cases among children 0-17 partners continued this week from 24 to 27 April 2015 in the (confirmed) prefecture of Coyah to end the Ebola outbreak. UNICEF and partners organized community and health workers into 610 teams reaching over 286,314 people (57,267 households) with 349 information on how to protect themselves against the disease Deaths of children and youth aged and provided them with soap. 0-17 (confirmed) Since the beginning of the Ebola outbreak, UNICEF constructed and rehabilitated more than 209 water points in the most affected regions of Guinea. This brings the total number of people 4,350,633 with improved access to water to more than 62,700. In 2015, Children in affected areas more than 250 water points are planned to be constructed or rehabilitated. This will be the highest result achieved under the UNICEF Guinea Country Programme 2013-2017 aiming at drilling 187 or rehabilitating 400 boreholes. Cases among health workers with This week, UNICEF and partners distributed 27,528 household 94 deaths (confirmed) hygiene kits (bucket with tap and soap) benefitting 196,550 people in Ebola-affected areas bringing the total number of household hygiene kits distributed to 268,054 and UNICEF USD 93,514,000 beneficiaries to 1,913,906 people. UNICEF funding needs until June UNICEF distributed long-lasting insecticide-treated mosquito nets 2015 (LLINs) to 130 breastfeeding women, 57 pregnant women and 103 children aged 0 to 59 months in Kerouane. 884 health workers were trained in psychological first aid in USD 8,486,019 Conakry to conduct door-to-door sensitization activities. This UNICEF funding gap (9.07%) brings the number of health workers trained on psychosocial support to 2,229. Leadership and Coordination UNICEF and partners continued this week organizing the social mobilization component of the Government-led four-day door-to-door awareness campaign running from 24 to 27 April 201 5in the prefecture of Coyah. UNICEF and partners organized community and health workers into 610 teams equipped with approximately 343,602 bars of soap to benefit more than 286,314 people (57,267 households). WASH WASH Cluster and partners are conducting WASH assessments in health facilities. To date, 276 WASH assessments have been conducted in approximately 212 hospitals and health centres and 64 in the health posts. There are ongoing activities and others planned in 226 health structures out of the 276 that have been assessed. Preventing the transmission of Ebola remains a key element of the national response. To this end, UNICEF and partners distributed this week 27,528 household WASH kits (bucket with tap and soap) benefitting 196,550 people in Ebola-affected areas. This brings the total number of household WASH kits distributed to 268,054 and UNICEF beneficiaries to 1,913,906 people. UNICEF, in partnership with the Scouts: o Conducted door-to-door visits to promote hygiene and hand washing as a way of preventing the spread of Ebola. A film explaining good hygiene habits in the five communes of Conakry was also shown. During this campaign, more than 16,800 people were reached including 4,863 women and 7,219 children. o Distributed 113 household WASH kits in Dubréka and explanation was given on how frequent washing of hands with soap can help prevent the spread of Ebola. UNICEF, in partnership with AGIL, an NGO that promotes good governance, distributed 18 additional kits in public places (markets, health posts, restaurants) in the urban commune of Boffa. UNICEF, in partnership with Centre d'Ecoute, Conseil and Orientation des Jeunes and Community Watch Committees (CWCs/CVVs), distributed 18,803 household WASH kits in the urban commune of Kindia. UNICEF provided 200 hand washing kits to the NGO Search For Common Ground as part of their training activities in hygiene promotion that target women associations in the Coastal area. UNICEF, in partnership with Plan Guinée, distributed 8,394 household WASH kits in Koyama, Prefecture of Macenta. UNICEF has started its project to rehabilitate 35 boreholes and drill 5 new ones, funded by Government of Netherlands (DGIS). In Friguiagbé (Prefecture of Kindia) 4 boreholes were rehabilitated and are now functional allowing access to water to over 1,200 people. UNICEF, in partnership with Plan Guinée, drilled 1 borehole in the Bolodou health center, Prefecture of Guéckédou. Health UNICEF distributed long-lasting insecticide-treated mosquito nets (LLINs) to 130 breastfeeding women, 57 pregnant women and 103 children aged 0 to 59 months in Kerouane. The second round of the measles immunization campaign taking place from 18 to 27 April 2015 reached 1,290,331 children in the 13 most affected districts: six districts in N’Zérékoré region, four in Kankan region, one in Labe region, one in Faranah region and one in Kindia region. This campaign also integrated Vitamin A supplementation for 974,187 children 6-59 months and deworming with mebendazole for 772,970 children 12 months-10 years. During week 16, 11 suspect cases of meningitis and two deaths were notified in Kankan and Kouroussa. Since the beginning of the year, 167 cases were notified. There has been a notable decrease in the number of reported cases related to the timely management of cases in health facilities and sensitization of the population on preventive measures. UNICEF and partners are currently visiting health centres to verify the maternal and child care in order to accelerate activities related to their care including the prevention of mother-to-child transmission (PMTCT) of HIV. Nutrition For the first quarter 2015, 167,460 children under five have been screened in the eight regions of Guinea of which 8,373 were diagnosed severely malnourished and received care and treatment within a therapeutic feeding program nutrition center CRENAS (outpatient care) or CRENI (inpatient care). A SMART survey is planned to update nutrition indicators and assess the impact of Ebola on nutrition status. The recruitment of a national consultant is ongoing to assist the planning of the survey. UNICEF and its partners have supported families affected by Ebola with counseling and therapeutic food distribution to nearly 1,967 beneficiaries and 1,306 children who have lost one or both parents have received nutrition support. The nutrition sector is currently designing communication tools to strengthen community skills in communication for nutrition behavior change to prevent malnutrition. A Knowledge Aptitude and Practice (KAP) survey supported by Helen Keller International (HKI) and UNICEF is underway in the Kankan region to serve as a baseline for the implementation of a three-year integrated nutrition and health project. Nutrition and food security cluster continue to meet every two weeks gathering all implementing partners and UN agencies that are incumbent on nutrition and food security. The cluster has completed the mapping of interventions (3W) and has now a venue to advocate to harmonize interventions for better impact and synergy. The Nutrition Regional Technical Group, acting as sub-clusters, have been launched in the regions of Labé and N’Zérékoré. Communication for Development (C4D) Four-day emergency health campaign in Coyah, 24 to 27 April 2015 The official launch of the four-day door-to-door emergency health campaign, community engagement and early detection of cases in the prefecture of Coyah was kicked off by the Prime Minister. UNICEF led the social mobilization and communications activities of the campaign. UNICEF also organized community and health workers into 610 teams that made door-to-door visits, reaching more than 286.314 people (57,267 households) in the prefecture. The health workers were drawn from a variety of organizations including the Community Watch Committees, the Ministry of Youth, the Scouts, the Red Cross, Centre d'Ecoute, Conseil et Orientation des Jeunes and the Centre Africain de Formation pour le Développement. Ebola survivors, traditional healers and religious leaders were also involved. Other Ebola response activities Through the affected areas in Guinea, UNICEF and partners delivered 513 educational talks, conducted 202 mass sensitizations and 6,213 awareness sessions reaching a total of 84,546 people. The rural radio stations continued with interactive programming on the importance of the vaccination campaign against measles and meningitis in the Forest region, which has now concluded. Other radio broadcasts continued in Fria, Boke region, on stigmatization, contact tracing, and how Ebola is treated in Forecariah, Kindia region. 85 trainers benefited from a Training of Trainers (ToT) on social mobilization, awareness and early detection of suspected cases of Ebola in the prefecture of Coyah. Training was also conducted for 314 agents (91 men and 223 women) from a health centre in Matoto town hall on the psychosocial care of those affected by Ebola. Child Protection As a contribution to the preparation of the Ebola outreach and early detection campaign ongoing in Lower Guinea, 884 health workers were trained in psychological first aid in Conakry to conduct door to door sensitization activities. This brings the number of health workers trained on psychosocial support to a total of 2,229.