Via WHO's Regional Office for Africa: Ebola virus disease, West Africa (Situation as of 10 April 2014). Excerpt from a long and informative report:
As of 10 April, a cumulative total of 157 clinically compatible cases, including 101 deaths have been officially reported. Laboratory investigations continue at the Institut Pasteur (IP) Dakar laboratory in Conakry (65 samples tested, of which 38 are positive by PCR for ebolavirus) and at the European Union Mobile Laboratory (EMLab) team in Guekedou (38 samples tested/28 positive).
A total of 66 clinical cases have been laboratory confirmed (42%), while 87 of the remaining clinical cases are classified as probable cases and 4 as suspected cases. Twenty-four of the 101 deaths have been laboratory confirmed.
Six districts of Guinea have reported patients – Conakry (20 patients, all laboratory confirmed), Guekedou (96 cases/32 confirmed), Macenta (28 cases/12 confirmed), Kissidougou (9 cases/1 confirmed) and Dabola and Djingaraye combined (5 cases/1 confirmed).
The date of onset of the most recently identified suspected clinical cases in Conakry and Guekedou was 8 April. One additional health care worker (HCW) has been reported since the 7 April update, bringing the total to 15 (10 laboratory confirmed and 5 probable cases).
Medical observation is continuing for 488 contacts while 453 have been discharged from follow-up. No new contacts were identified on 8 April.
The MOH’s Clinical Care sub-committee has agreed on a program of assessment and training in major hospitals and other clinical locations in Conakry. WHO continues to support HCW training in case management and infection prevention and control (ICP). ICP has been reinforced in the Kipé and Donka Hospitals, Conakry, and in the prefectural hospitals of Guekedou, Macenta and Kissidougou. Outreach clinical services to affected communities are also being provided by teams of clinicians from the Guinea MOH, MSF and WHO.
As of 10 April, the Ministry of Health and Social Welfare (MOHSW) of Liberia has reported a cumulative total of 5 laboratory confirmed cases and 20 suspected and probable cases of Ebola Virus Disease (EVD). The date of onset of the most recent confirmed case is 6 April, with 6 patients currently hospitalised.
Lofa County accounts for 32% of the clinical cases reported to date (4 laboratory confirmed and 6 suspected cases) followed by Margibi County (27%, 1 confirmed and 5 suspected cases). Other Counties at risk include Bong (4 suspected cases) and Nimba (3 suspected cases). Montserrado and Grand Cape Mount Counties have each reported one suspected case. At present 32 contacts remain under medical observation.
The cumulative number of 12 deaths are being attributed to EVD; Lofa (9), Nimba (1), Margibi (1) and Montserrado (1). All 5 laboratory confirmed cases have died. Laboratory confirmed deaths have occurred in Lofa County (4) and Margibi County (1).
The MOHSW is convening daily meetings of the national task force under the leadership of the Chief Medical Officer. Daily coordination meetings with partners are also held by local government authorities in Monrovia, Lofa, Bong, Margibi, Nimba and Cape Mount Counties.
Response activities continue with an emphasis on HCW training, risk communications, including daily press briefings, airing of EVD public education messages in local dialects and a variety of social mobilisation activities. Local leaders are engaged in public awareness campaigns through the network of traditional and religious leaders and traditional healers.
There has been no change in the epidemiological situation of EVD in Sierra Leone. The Ministry of Health and Sanitation of Sierra Leone has confirmed that 2 suspected cases of viral haemorrhagic fever are laboratory confirmed as Lassa fever which is endemic in Sierra Leone.