Liberia Ebola SitRep no. 138 Ministry of Health and Social Welfare Sept. 30, 2014 Cases County National Grand Kru Grand Lofa County Lofa Grand Bassa Grand Bong County Bong Bomi County Bomi Sinoe County Sinoe Grand Gedeh Grand Nimba County Nimba Margibi County Margibi Gbarpolu RiverCess County RiverCess Maryland County County Gee River Grand Cape Mount Cape Grand Montserrado County Montserrado New Cases New Case/s (Suspected) 33 0 7 0 3 0 0 0 0 0 0 23 0 0 0 0 New Case/s (Probable) 14 2 0 0 1 0 0 0 0 0 0 10 0 0 0 1 New case/s (confirmed) 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 Total suspected cases 1190 7 201 1 34 6 3 4 57 282 3 537 34 12 3 6 Total probable cases 1711 47 68 0 42 5 0 8 449 316 5 630 133 4 3 1 Total confirmed cases 925 33 67 0 47 6 0 6 284 39 0 356 77 2 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 3826 87 336 1 123 17 3 18 790 637 8 1523 244 18 10 11 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 Gbarpolu County RiverCess River Gee County Gee River MarylandCounty Grand Cape Mount Cape Grand Montserrado County Montserrado Newly Reported Cases in HCW on 30th Sept. 2014 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 Cumulative cases among HCW 186 6 26 0 3 3 0 0 22 42 0 75 9 0 0 0 Newly Reported deaths in HCW on 30th Sept. 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 Sept. 30th, 2014 52 0 0 0 1 0 0 0 0 0 0 51 0 0 0 1 Total no. currently in Treatment Units 481 10 20 0 9 0 0 0 0 0 0 440 0 0 0 2 Total discharges on 30th Sept. 2014 36 7 10 0 0 0 0 0 0 0 0 19 0 0 0 0 Deaths County National Grand Kru Grand Lofa County Lofa Grand Bassa Grand Bong County Bomi County Sinoe County Grand Gedeh Grand Nimba County Margibi County Margibi Gbarpolu RiverCess County RiverCess River Gee County River Maryland Maryland County Grand Cape Mount Grand Montserrado County Montserrado Newly reported deaths 30th Sept. 2014 32 2 2 0 0 0 0 0 0 0 0 28 0 0 0 0 Total death/s in confirmed cases 928 30 14 0 17 6 0 5 191 41 0 570 49 0 3 2 Total death/s in probable cases 675 33 21 0 9 3 0 4 202 125 5 198 72 0 3 0 Total death/s in suspected cases 455 5 79 0 7 5 2 2 38 79 3 213 14 6 2 0 Total death/s in confirmed, probable, suspected cases 2058 68 114 0 33 14 2 11 431 245 8 981 135 6 8 2 Case Fatality Rate (CFR) - Confirmed & Probable Cases 60.8 79 26 0 29 82 0 64 54 47 100 78 58 0 86 40 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 30th Sept. 2014 294 0 11 0 54 0 0 0 0 0 0 229 0 0 0 0 Total contacts listed 13597 542 840 0 317 80 20 38 699 2035 6 8007 840 19 91 63 Currently under follow-up 6886 441 233 0 215 77 20 7 325 1805 6 3195 451 4 44 63 Contacts seen on 30th Sept. 2014 4027 440 233 0 215 0 0 0 0 0 0 3139 0 0 0 0 Contacts who completed 21 day follow-up 258 101 20 0 0 0 0 0 0 0 0 137 0 0 0 0 Contacts lost to follow-up 19 2 0 0 0 0 0 0 0 14 0 3 0 0 0 0 Ebola Disease Outbreak (March 22-Sept. 30, 2014) Table 3: Cumulative Ebola Disease Outbreak in Liberia (March 22 -Sept. 30, 2014) Cases 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 RiverCessCounty River Gee County Gee River Maryland County Maryland Grand Cape Mount Cape Grand Montserrado County Montserrado Total Case/s (Suspected) 1190 7 201 1 34 6 3 4 57 282 3 537 34 12 3 6 Total Case/s (Probable) 1713 47 68 0 42 5 0 8 451 316 5 630 133 4 3 1 Total case/s (confirmed) 931 33 67 0 47 6 0 6 288 41 0 356 77 2 4 4 Cumulative (confirmed, probable, suspected) cases 3834 87 336 1 123 17 3 18 796 639 8 1523 244 18 10 11 Health Care Workers Cumulative cases among HCW 188 6 26 0 3 3 0 0 24 42 0 75 9 0 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 934 30 14 0 17 6 0 5 195 43 0 570 49 0 3 2 Total death/s in probable cases 677 33 21 0 9 3 0 4 204 125 5 198 72 0 3 0 Total death/s in suspected cases 458 5 79 0 7 5 2 2 39 80 3 214 14 6 2 0 Total death/s in confirmed, probable, suspected cases 2069 68 114 0 33 14 2 11 438 248 8 982 135 6 8 2 Cumulative CFR (March 22 - Sept. 30th, 2014) 60.9 78.8 25.9 #DIV/0! 29.2 81.8 ###### 64.3 54.0 47.1 100.0 77.9 57.6 0.0 85.7 40.0 HIGHLIGHTS NIMBA COUNTY • UNMIL Ebola donated 150 Buckets with forceps and 50 gallons of clorax to the County Task Force • Africare-Liberia supplies 100 pieces of specimen collection tubes to the CHT • Four (4) probable cases of Ebola was referred from Ganta to the ETU in Bong County HIGHLIGHTS Montserrado • From a total of 28 deaths reported today, 22 was recorded from the ETUs while 6 was reported from communities • Dispatch calls received 81 Calls and responded to 34 HIGHLIGHTS Bomi • The distribution of food and assorted items to affected EVD houses continues • There are 10 patients presently in the holding center • There are 24 indigents (10 orphans, 9 semi-orphans & 5 un- accompanied) identified as a result of EVD. • The lack funds to Pay grave diggers is a constraint as Global Communities only picks bodies but do not compensate grave diggers • Sick people are still being concealed in some communities • Despite intensified awareness, some communities (Nyamah town in Dewoin district) are still washing bodies before burial • The stock of PPEs is running low HIGHLIGHTS Grand Kru • A two-day workshop on Ebola awareness, hosted by the Ministry of Education, for DEOs and Principals in Barclayville City is being facilitated by the CHSWT • The Psychosocial unit conducted one day psychosocial support training today for district level staff. • The County’s Legislative caucus has ordered an immediate stop on preparation of the Community Care Center in Barclayville • The stock of PPEs is running low HIGHLIGHTS Sinoe • One probable patient admitted at the temporary holding center at F.J. Grante Hospital in Greenville • The youth of Tugbeville, previously hostile to the health workers, have agreed to cooperate with the task force following intervention from the Tas and the CHSWT • There is a shortage of Test tubes for collecting specimens Burial Team Highlights Description Number Number of calls received from Dispatch 19 Number of calls responded to 19 Number of burials 0 Number of cremations 13 Male 4 Sex of deceased Female 9 Number removed from the ETUs 7 Number removed from communities 6 Number of homes disinfected 3 DONATION TO ISLAND CLINIC EBOLA TREATMENT CENTER BY UN STAFF IN LIBERIA Mrs. Thelma Dahn-Debrah (Asst FAO Representative/Administration) on behalf of some UN Staff in Liberia, presented the following items to the Island Clinic Treatment Center on 25 Sept 2014: • 5 boxes of juices ( 10 sachets each per box) • 3 boxes of Fiesta cream of wheat (12 sachets per box) • A bag of powdered milk • 6 cans of Guigoz milk for baby • 1 pack of disposable cups • 1 sachet of disposable spoons Lab Results National Reference lab at LIBR 52 specimens collected – 14 positive – 29 negative – 9 Indeterminate .