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Outbreak of Ebola in Guinea and Liberia

Highlights

  • As of April 5, 2014, the Guinea Ministry of Health announced a total of 151 suspect and confirmed cases of Ebola Hemorrhagic Fever (EHF), including 95 deaths, in the districts of Guékédou, Macenta, Kissidougou, Dabola, Djingaraye, and Conakry, the capital.
  • 52 cases in Guinea have been confirmed by laboratory testing either by the Institute Pasteur in Lyon, France,the Institut Pasteur team in Conakry, Guinea, or the European Consortium mobile laboratory in Guékédou Guinea, to be positive for Ebola virus infection.
  • 16 patients in Conakry are among the laboratory confirmed cases.
  • 14 health care workers in Guinea have had clinical symptoms which include 8 deaths and 11 laboratory confirmed cases for EHF.
  • The Ministry of Health in Liberia reports 18 suspect cases in several counties, including 4 laboratory-confirmed cases from patients in Lofa County and 7 deaths across the country.
  • Genetic analysis of the virus indicates that it is most closely related (98% match) to Ebola virus (species Zaire ebolavirus) last reported in 2009 in the Democratic Republic of the Congo.
  • The Guinean Ministry of Health and the Ministry of Health of Liberia are working with national and international partners to investigate and respond to the outbreak.

Outbreak Update

April 7, 2014

The Ministry of Health (MoH) of Guinea reported on April 5, 2014, a total of 151 probable and suspect cases, including 95 deaths (case fatality ratio: 63%). Of these suspect cases, 52 have been laboratory confirmed positive cases of Ebola hemorrhagic fever (EHF), including 14 health care workers. 20 suspect cases have been reported in Conakry, the capitol; 16 of these have been laboratory confirmed.

According to the World Health Organization and Liberia's Ministry of Health, 18 suspect cases of EHF have been reported, including 7 deaths (case fatality ratio: 31%) and 4 laboratory-confirmed cases. Counties in Liberia under further investigation now include Lofa, Bong, Nimba, Margibi, and Montserrado. Additional reports of suspect cases in Sierra Leone and Mali are under investigation.

Médecins sans Frontières (MSF/Doctors without Borders) is helping the Ministry of Health of Guinea in establishing treatment and isolation centers in the epicenter of the outbreak. In Liberia, several international organizations including the International Red Cross (IRC), Pentecostal Mission Unlimited (PMU)-Liberia, and Samaritan's Purse (SP) Liberia are aiding the Ministry of Health of Liberia by supporting awareness campaigns and providing personal protective equipment (PPE) for healthcare workers. The Institute Pasteur in Lyon, France, the Institut Pasteur in Dakar, Senegal, the European Consortium mobile laboratory, and the Metabiota/Tulane University laboratory in Kenema, Sierra Leone, and CDC Atlanta are some of the laboratories collaborating to test samples. To date, 56 cases from Guinea and Liberia have been laboratory confirmed by PCR for Ebola virus. CDC is in regular communication with its international partners, WHO, and MSF regarding the outbreak and a 5 person CDC team is currently in Guinea assisting the Guinea MOH and the WHO-led international response to this Ebola outbreak.

Based on Guinea's MoH Epidemiological Bulletin, Liberia's MoH, and the WHO update 5 April 2014. (http://www.afro.who.int/en/clusters-a-programmes/dpc/epidemic-a-pandemic-alert-and-response/outbreak-news/4079-ebola-virus-disease-west-africa-5-april-2014.html)

Outbreak Update

April 2, 2014

According to the World Health Organization (WHO), the Ministry of Health (MoH) of Guinea reported an increased total of 127 probable and suspect cases, including 83 deaths (case fatality ratio: 65%), as of April 1, 2014. Of these suspect cases, 35 have been laboratory confirmed positive cases of Ebola hemorrhagic fever (EHF), including 14 health care workers and 11 cases in Conakry, the capitol. Liberia has reported 8 suspect cases, which include 5 deaths and 2 laboratory-confirmed cases of EHF from persons with recent travel history to Guinea. Additional reports of suspect cases in Liberia and Sierra Leone are under investigation.

Médecins sans Frontières (MSF/Doctors without Borders) is helping the Ministry of Health of Guinea in establishing treatment and isolation centers in the epicenter of the outbreak. In Liberia, several international organizations including the International Red Cross (IRC), Pentecostal Mission Unlimited (PMU)-Liberia, and Samaritan's Purse (SP) Liberia are aiding the Ministry of Health of Liberia by supporting awareness campaigns and providing personal protective equipment (PPE) for healthcare workers. The Institut Pasteur in Lyon, France, and the Institut Pasteur in Dakar, Senegal are a few of the laboratories collaborating to test samples. To date, 37 cases from Guinea and Liberia have been laboratory confirmed by PCR for Ebola virus. CDC is in regular communication with its international partners WHO and MSF regarding the outbreak, and has sent a 5 person team to Guinea to assist Guinea MOH and WHO led international response to the Ebola outbreak.

Based on WHO update, 2 April 2014 (http://www.afro.who.int/en/clusters-a-programmes/dpc/epidemic-a-pandemic-alert-and-response/outbreak-news/4074-ebola-virus-disease-west-africa-2-april-2014.html)

Outbreak Update

April 1, 2014

According to the World Health Organization (WHO), the Ministry of Health (MoH) of Guinea is reporting 122 probable and suspect cases, including 80 deaths (case fatality ratio: 65.6%), as of March 31, 2014. Of these suspect cases, 24 have been laboratory confirmed positive cases of Ebola hemorrhagic fever (EHF). For the first time, a suspect case of EHF has been reported from the Djingaraye district in Guinea. Liberia has reported 8 suspect cases with include 2 deaths and 2 laboratory-confirmed cases of EHF from persons with recent travel history to Guinea. Additional reports of suspect cases in Liberia and Sierra Leone are under investigation.

Médecins sans Frontières (MSF/Doctors without Borders) is helping the Ministry of Health of Guinea in establishing treatment and isolation centers in the epicenter of the outbreak. In Liberia, several international organizations including the International Red Cross (IRC), Pentecostal Mission Unlimited (PMU)-Liberia, and Samaritan's Purse (SP) Liberia are aiding the Ministry of Health of Liberia by supporting awareness campaigns and providing personal protective equipment (PPE) for healthcare workers. The Institut Pasteur in Lyon, France, and the Institut Pasteur in Dakar, Senegal are a few of the laboratories collaborating to test samples. To date, 26 cases from Guinea and Liberia have been laboratory confirmed by PCR for Ebola virus. CDC is in regular communication with its international partners WHO and MSF regarding the outbreak, and has sent a 5 person team to Guinea to assist Guinea MOH and WHO led international response to the Ebola outbreak.

Based on WHO update, 1 April 2014 (http://www.afro.who.int/en/clusters-a-programmes/dpc/epidemic-a-pandemic-alert-and-response/outbreak-news/4073-ebola-virus-disease-west-africa-1-april-2014.html)

Outbreak Update

March 31, 2014

According to the World Health Organization (WHO), the Ministry of Health (MoH) of Guinea increased the number of suspected and confirmed cases to 112, as of March 30, 2014. This includes 70 deaths (case fatality ratio: 62.5%) and 24 laboratory confirmed cases of Ebola hemorrhagic fever (EHF). Eleven confirmed cases and 4 new suspected cases have been reported in the capital of Conakry. For the first time, a suspected case has been reported from the Dabola district in Guinea and laboratory tests have confirmed 2 positive cases of EHF in Liberia from persons with recent travel history to Guinea. Additional reports of suspect cases in Liberia and Sierra Leone are under investigation.

Médecins sans Frontières (MSF/Doctors without Borders) is helping the Ministry of Health of Guinea in establishing treatment and isolation centers in the epicenter of the outbreak. In Liberia, several international organizations including the International Red Cross (IRC), Pentecostal Mission Unlimited (PMU)-Liberia, and Samaritan's Purse (SP) Liberia are aiding the Ministry of Health of Liberia by supporting awareness campaigns and providing personal protective equipment (PPE) for healthcare workers. The Institut Pasteur in Lyon, France, and the Institut Pasteur in Dakar, Senegal are a few of the laboratories collaborating to test samples. To date, 26 cases from Guinea and Liberia have been laboratory confirmed by PCR for Ebola virus. CDC is in regular communication with its international partners WHO and MSF regarding the outbreak. CDC has sent a 5 person team to Guinea to assist Guinea MOH and WHO led international response to the Ebola outbreak.

Based on Based on WHO update, March 30, 2014 (http://www.afro.who.int/en/clusters-a-programmes/dpc/epidemic-a-pandemic-alert-and-response/outbreak-news/4071-ebola-haemorrhagic-fever-guinea-30-march-2014.html) – Guinea and March 30, 2014 - Liberia (http://www.afro.who.int/en/clusters-a-programmes/dpc/epidemic-a-pandemic-alert-and-response/outbreak-news/4072-ebola-haemorrhagic-fever-liberia.html)

Outbreak Update

March 27, 2014

According to the World Health Organization (WHO), the Ministry of Health (MoH) of Guinea has reported 4 laboratory confirmed cases of Ebola hemorrhagic fever (EHF) in the capital of Conakry, with a fifth suspected case without laboratory confirmation. Suspected and confirmed cases of EHF have also been reported in three southeastern districts of Guinea: Guekedou, Macenta, and Kissidougou. As of March 27, 2014 a total of 103 suspected cases, including 66 deaths (case fatality ratio: 64%), have been reported in Guinea. Reports of suspected cases in neighboring countries are being investigated: Liberia reported to the WHO 8 suspected cases, including 6 deaths, in individuals with recent travel history to Guinea. Sierra Leone has reported 6 suspected cases, including 5 deaths. Médecins sans Frontières (MSF/Doctors without Borders) is helping the Ministry of Health of Guinea in establishing treatment and isolation centers in the epicenter of the outbreak. The Institut Pasteur in Lyon, France, the Institut Pasteur in Dakar, Senegal and the Bernhard-Nocht Institute of Tropical Medicine in Hamburg, Germany are a few of the laboratories collaborating to test samples. To date, 15 cases have been laboratory confirmed by PCR for Ebola virus. CDC is in regular communication with its international partners WHO and MSF regarding the outbreak, to identify areas where CDC subject matter experts can contribute to the response.

Based on WHO update, March 27, 2014 (http://www.afro.who.int/en/clusters-a-programmes/dpc/epidemic-a-pandemic-alert-and-response/outbreak-news/4069-ebola-haemorrhagic-fever-guinea-27-march-2014.html).

Outbreak Update

March 26, 2014

According to the World Health Organization (WHO), the Ministry of Health (MoH) of Guinea has reported an outbreak of Ebola hemorrhagic fever in three southeastern districts: Guekedou, Macenta, and Kissidougou. Reports of suspected cases in the neighboring countries of Liberia and Sierra Leone are being investigated. In Guinea, a total of 86 suspected cases, including 60 deaths (case fatality ratio: 69.7%), had been reported as of March 25, 2014. Laboratory results from the Pasteur Institute in Lyon, France confirm Zaire ebolavirus as the causative agent. Médecins sans Frontières (MSF/Doctors without Borders) is helping the Ministry of Health of Guinea in establishing treatment and isolation centers in the epicenter of the outbreak. CDC is in regular communication with its international partners WHO and MSF regarding the outbreak, to identify areas where CDC subject matter experts can contribute to the response.

Initial Announcement

March 25, 2014

According to the World Health Organization (WHO), the Ministry of Health (MoH) of Guinea has reported an outbreak of Ebola hemorrhagic fever in four southeastern districts: Guekedou, Macenta, Nzerekore and Kissidougou. Reports of suspected cases in the neighboring countries of Liberia and Sierra Leone are being investigated. In Guinea, a total of 86 suspected cases, including 59 deaths (case fatality ratio: 68.5%), had been reported as of March 24, 2014. Preliminary results from the Pasteur Institute in Lyon, France suggest Zaire ebolavirus as the causative agent. Médecins sans Frontières (MSF/Doctors without Borders) is helping the Ministry of Health of Guinea in establishing treatment and isolation centers in the epicenter of the outbreak. CDC is in regular communication with its international partners WHO and MSF regarding the outbreak, to identify areas where CDC subject matter experts can contribute to the response.

SOURCE:

CDC

April 7, 2014



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