An Ebola outbreak has hit 5 countries in the West African Region, severely affecting three countries in particular: Sierra Leone, Guinea and Liberia. Liberia is, so far, the most affected of the three.
5 Oct: Regional cases/deaths: 8033/3879; HCW Cases/Deaths: 401/232. (WHO, 8 Oct)
Media Sources Report that 8 of the healthcare workers that have been kidnapped have been found dead (huffington post)
Media sources report of another attack to a Red Cross burial team in Guinea.
A study reports that the mortality rate of Ebola in this outbreak is closer to 70%, differently from previous estimates that reported it to be about 55% (Lancet)
New quarantine restrictions have commenced around the country. Port Loko, Bombali and Moyamba Districts are under immediate isolation (internationalSOS)
A case has been confirmed in the U.S. and one in Spain (various media sources)
6 Oct: After the case of the French HCW, another MSF worker, this time Norwegian, resulted infected by Ebola (InternationalSOS)
7 Oct: A case of Marburg Hemorrhagic Fever has been confirmed in Uganda. Marburg virus is similar to Ebola, but the two situations are not related (InterationalSOS)
Children whose parents died from Ebola, but that were spared by the disease, face a huge stigma because of the fear of contagion. This leaves them exposed to hunger and other diseases (AFP).
Large number of burial teams have gone on strike in Sierra Leone resulting in bodies being left on the streets of Freetown and West Point and increasing risk of infection. Action could increase risk of Liberian burial teams taking same action (MoH Sierra Leone)
Government of Liberia requested international assistance in order to stop the outbreak of Ebola that is spreading in the country.
4 Oct: Cases/Death: 3921/2199; HCW cases/deaths: 190/92; Case-Fatality Rate: 62.7% (MoH)
All 15 counties of Liberia are reported to be affected from Ebola (WHO)
Disruption in the healthcare system is making it impossible for children, pregnant women and persons with chronic and acute diseases to receive adequate health services.
A breakdown in vaccinations in causing many children to suffer and die of measles or other preventable diseases. (UNICEF)
Almost all country borders of the most affected countries are closed and only the frontier between Mali and Guinea remains open for trade. This, added to the curfews is having a significant impact on the economies of the affected countries.
The main ports of the region, especially the ones in the capitals, Freetown, Conakry and Monrovia, are imposing restrictions.
The need for safe burial teams is very high, and the actual burial-teams are overstretched and stressed, because of the high risk given by handling people who died of ebola (IRIN)
28 Sep: Liberia's chief medical authority has placed herself in quarantine following the Ebola death of her deputy (AFP)
8 Sep: It is clear from field reports and first responders that EVD cases are being under-reported from several key locations, and laboratory data that have not yet been integrated into official estimates indicate an increase in the number of new cases in Liberia (WHO)
10 Sep: OCHA, in consultation with the UN Special Representative of the Secretary General for the Ebola response as well as the UN Resident and Humanitarian Coordinator in Liberia, has decided to deploy an UNDAC team in order to support the Government in the relief efforts, and to coordinate the humanitarian actors on the ground and the inter-cluster mechanism.
The UNDAC team, together with the support teams from IHP and MapAction, arrived in Monrovia the 18th Sep.
Health Cluster Lead is WHO and the Logistics Cluster Lead is WFP. MSF is strongly present on the field ensuring, in its centres, treatment to large numbers of ebola-infected patients.
International Medial Corps deployed on the field in partnership with Plan, and established a treatment unit in Bong county. This ETC started to receive patient the 15 Sep.
Other actual Treating Units:
Foya, Lofa county: Borma Hospital Ebola Treatment Unit (ETU) run by MSF: 40 beds capacity - expansion to 80 ongoing.
Monrovia, Montserrado county: Elwa ETU run by MSF: 120 beds capacity - expansion to 300 ongoing
West Point, Montserrado county: West Point holding unit has been established (InternationalSOS)
There a plans to open a new US CDC- supported laboratory to build diagnostic capabilities. Across the nation, 17 new treatment centres are either planned or under construction, with extensive support from the US military (InternationalSOS)
Cuba and China will send healthcare workers more and support staff to the region (Cubanews)
2000 German volunteers from the German Red Cross (DRK) and the Federal Agency for Technical Relief (THW), will be deployed to set up and run a mobile hospital in Liberia with 300 beds (Deutsche Welle)
UNMEER arrived to Ghana the 28 September and started operations (Government of Ghana)
8 Oct: ChildFund International have opened an Interim Care Centre in Monrovia to house and care for children orphaned by Ebola. The centre has 20 beds and will monitor children during the 21-day quarantine period. Survivors of Ebola will work alongside medical staff to provide support and protection (InternationalSOS)
Please find attached a contact list, useful weblinks, situation reports and further readings.