Liberia_14_Aug_2014

OFFICIAL UP TO DATE EBOLA STATS!!!

Last Updated: August 16, 2014 19:21 GMT  
Hospital response and isolation/treatment centres
Lofa, Margibi, Bong and Nimba, all have isolation facilities established.

  • Foya, Lofa county: Borma Hospital has a capacity of 20 beds, expansion is underway. A “transit centre” has been established in Voinjama, managed by Medecins Sans Frontieres. The centre will expand to 40 beds although no estimated date for completion has been set.
  • Monrovia: ELWA hospital has 20 beds. Expansion to 80 beds is underway. From 9 August, the JFK Hospital is establishing an isolation unit with capacity to treat 20 people. The facility in JFK may be closed after the expansion at ELWA is completed.
  • Montserrado: West point holding unit has been established.

The Ministry of Health and Social Welfare has established hotlines for the public to get basic Ebola information:
0770198517 or 0777549805 or 0886530260 or 0886549805

Foya is part of a “unified sector”, together with Kenema, Sierra Leona, and Gueckedou, Guinea. Public health measures restricting movement in and out of the sector. (For more information on Screening and Closures click here.) The nation has also placed Bomi, Grand Cape Mount and Lofa counties under quarantine.


Click here to enlarge map (opens in new window)
  • Bomi
  • Bong
  • Grand Bassa
  • Grand Cape Mount
  • Lofa
  • Margibi
  • Montserrado
  • Nimba
  • River Cess
Yellow indicates ongoing spread (clinical cases*) of Ebola
NOTE – Aug 4 update from WHO shows confirmed cases inGbarpolu county, howeverupdates from Liberia MOH and UNICEF advise no reported cases there

 

DATE of most recent clinical case (confirmed/probable/suspected) 6 August
(source: MoH)
Confirmed cases in Outbreak #1 6 cases and 6 deaths
(source: Liberian Ministry of Health)
Confirmed cases in Outbreak #2 187 cases with 164 deaths as at 14 August
(source: MoH 14 August )
Total cases 810 clinical cases (187 confiirmed, 441 probable, 182 suspected) with 435 deaths as at 14 August
(source: MoH 14 August)

UPDATES

15 August
The World Health Organization has reported 116 new cases and 58 deaths between 12-13 August.

The UNICEF SitRep reported 232 new cases and 119 deaths between 6th and 13th August. Two more counties, River Gee and Sinoe reported suspected cases. Breakdown of new cases by county is as follows:

  • Lofa 124 (27 confirmed)
  • Montserrado 53 (0 confirmed)
  • Bong 24 (4 confirmed)
  • Bomi 12 (2 confirmed)
  • Grand Bassa 14 (6 confirmed)
  • Grand Cape Mount 2 (1 confirmed)
  • Nimba 1 (1 confirmed)
  • River Gee 1 (0 confirmed)
  • Sinoe 1 (0 confirmed)
According to the report the number of patients in the Ebola Treatment Units has increased dramatically in the past week (from 61 to 175).

13 August
The World Health Organization has reported 71 new cases and 32 deaths between 10-11 August.

12 August
The World Health Organization has reported 45 new cases and 29 deaths between 7-9 August.

11 August
News sources are reporting that the Liberian army has put a third province, Lofa county, under quarantine. According to the President Ellen Johnson Sirleaf “we want to protect areas that have not been yet affected.” Boma and Grand Cape Mount counties, the most northern affected counties were quarantined earlier.

9 August
ELWA hospital is expanding its Ebola treatment unit to 80 beds. The new capacity is expected to be operational by 12 August. From today, the JFK Hospital is re-establishing an interim isolation unit with capacity to treat 20 people. The facility in JFK may be closed after the expansion at ELWA is completed.

8 August
38 new cases including 12 fatalities have been reported to WHO between 5 and 6 August.

7 August
The President of the Republic of Liberia has declared a State of Emergency effective as of August 6 for a period of 90 days. In July, a National Task Force was established and a number of measures for implementation were announced. She stated “The scope and scale of the epidemic, the virulence and deadliness of the virus now exceed the capacity and statutory responsibility of any one government agency or ministry. The Ebola virus disease, the ramifications and consequences thereof, now constitute and unrest affecting the existence, security, and well-being of the Republic amounting to a clear and present danger”. As a result of the State of Emergency the authorities may institute measures like suspensions of certain rights and privileges if needed.

6 August
The neighbouring areas of Guinea, Sierra Leone and Liberia, which are heavily affected by Ebola, are to be managed as a “unified sector”. Gueckedou, Kenema and Foya will have consistent public health measures designed to “reduce movement in and out of the area”. The WHO reports 48 new cases and 27 deaths have been notified between 2-4 August.

UNICEF advises that the majority of Ebola clinical cases are NOT in dedicated treatment facilities due to the limited capacity and geographic spread of the disease.

5 August
A report from Unicef states that the total number of suspected, confirmed and probable cases stands at 471.  The week of 27 July to 2 August saw a significant increase in Ebola cases. Grand Bassa, Grand Cape Mount and River Cess counties have reported probable cases. Media reports inform that the test samples from the deceased person at Grand Bassa have tested positive for Ebola.

4 August
According to media reports, five suspected cases and a death have been reported in Grand Bassa county. The deceased’s samples have tested positive for Ebola. The suspected cases, including three nurses have been quarantined.

The Ministry of Internal Affairs has been handed over the responsibility of the burial of dead bodies of Ebola suspected cases. According to unverified sources, officials have begun cremating (burning) the dead bodies instead of burying them as residents protested against burials. All cremations are planned to be done in marshall, Margibi county. Health officials have also initiated regular handwashing for the public. Chlorinated water is being made available at all public places and people are being reminded to wash hands. Security has been strengthened at healthcare faciltities.

According to media reports, government and privately run hospitals have been shut down. Ebola taskforce meeting has proposed for a week’s closure to facilitate disinfection.

3 August
According to the latest update by the World Health Organization (WHO), 31 new cases and 46 deaths were recorded between 28 and 30 July. WHO continues to work with its partners in accelerating response activities.

1 August
Unverified media sources have reported that the largest referral hospital in Voinjama, Lofa County has been temporarily shut. The Outpatient Department (OPD) is also not functioning. Many suspected Ebola patients escaped from the holding rooms before they could be transferred to the isolation wards. This has created a sense of fear and panic among the local residents and the hospital staff. Security measures will be enhanced and the premises will be disinfected before work resumes.

31 July
A further 31 clinical cases have been identified. There are 30 probable and 1 confirmed case. The probable case are in Lofa (27) and Montserrado (2) adn Nimba (1). The 1 new confirmed case is in Nimba county. As at 28 July, the number of clinical cases in Outbreak #2 by county are:

  • Lofa 178 (44 confirmed)
  • Montserrado 100 (29 confirmed)
  • Bong 39 (10 confirmed)
  • Bomi 22 (7 confirmed)
  • Margibi 6 (2 confirmed)
  • Nimba 6 (3 confirmed)
  • Grand Gedeh 1 (0 confirmed)
There are 40 patients in treatment units.

30 July
Media soruces have reported that the Liberian government have set up a National Task Force and have announced the implementation of the following measures:

  • All non-essential staff, to be determined by the Minister or Head of Agency, are to be placed on a 30-day compulsory leave.
  • Friday 1 August 1 declared a non-working day and to be used for the disinfection and chlorination of all public facilities.
  • All borders that are to remain opened are to be directly supervised and controlled by the Bureau of Immigration and Naturalization.
  • All schools are to be closed.
  • All markets at border areas including Foya, Bo Waterside, and Ganta to be closed until further notice.
  • All citizens are advised to avoid public amusement and entertainment centers.
  • Increase in prices of sanitation commodities used in this fight will be treated as an offense against the people of Liberia.
  • All sanitation commodities including chlorine, soap, sanitizers, fliers and buckets to be imported are to be duty free.
  • Several communities are being considered to be quarantined based upon recommendations from the Ministry of Health and Social Welfare and other relevant authorities. When these measures are instituted, only health care workers will be permitted to move in and out of these areas. Food and other medical support will be provided to these communities and affected individuals.
  • The Ministry of Health and relevant agencies are also to consider the cremation of all victims of the deadly Ebola virus.
  • Government travels will be restricted and limited to only those that are determined to be absolutely necessary and critical. The Vice President and a few cabinet ministers whose presence are absolutely necessary will attend the ensuing U.S./Africa Leadership Summit.
  • The security forces ar ordered to enforce all measures.
The government aim is to contain the outbreak and prevent further spread.
In its latest update, the World Health Organization (WHO) reported 80 new cases and 27 deaths between 24 and 27 July. Efforts to scale up response are ongoing.

29 July
Unverified media sources have reported that the public hospital in Bomi county has been partially shut down after a health administrator and his family members tested positive for Ebola. They are all being treated in isolation.

28 July
News sources are reporting the closure of some borders, screening of all inbound and outbound travellers, quarantine of affected communities and restrictions on public gatherings. All border crossings except “major entry points, including the Roberts International Airport in Margibi County, James Spriggs Payne Airport in Monrovia, Foya Crossing in Lofa County, Bo Waterside Crossing in Grand Cape Mount, and the Ganta Crossing in Nimba County” are to be shut. The entry points which remain open will have “preventive and testing centers”. The Liberia Airport Authority will commence “inspection and testing of all outgoing and incoming passengers”. Some public gatherings, including demonstrations, have been restricted. Health authorities also plan to quarantine “seriously affected communities”, restricting travel into and out of these areas.

International SOS experience of screening procedures at the Roberts International Airport in Monrovia on 28 July indicates a ‘no touch’ infrared device is in use. Authorities check the temperature of each passenger, and if no fever is detected the passenger can proceed to collect their luggage. If a fever is detected, passengers are expected to attend a medical review, although the exact process for this to occur is uncertain.

A further 19 clinical cases have been identified. There are 10 suspected, 3 probable and 6 confirmed cases. The 6 new confirmed cases are all in Bomi county. As at 26 July, the number of clinical cases in Outbreak #2 by county are:

  • Lofa 146 (44 confirmed)
  • Montserrado 92 (27 confirmed)
  • Bong 39 (10 confirmed)
  • Bomi 19 (7 confirmed)
  • Margibi 6 (2 confirmed)
  • Nimba 4 (2 confirmed)
  • Grand Gedeh 1 (0 confirmed)
There are 31 patients in treatment centres.

26 July
A US physician working for the aid organisation, Samaritan’s Purse, at the ELWA Hospital Ebola treatment centre in Monrovia has tested positive for the virus. He is being treated at the centre there, which continues to operate.

The most senior Doctor in the emergency room at John F. Kennedy hospital has died of Ebola. The Emergency Room is temporarily closed and most clinical work has been suspended.

A further 32 cases have been identified. There are 11 suspected cases, 2 in Bong county, 1 in Grand Gedeh, 1 in Lofa county and 7 in Montserrado County. There are 16 probable cases, 11 in Bomi county, 4 in Bong county and 1 in Lofa county. There are 3 new confirmed cases in Lofa and 2 in Montserrado county. As at 24 July, the number of clinical cases in Outbreak #2 by county are:

  • Lofa 142 (44 confirmed)
  • Montserrado 89 (27 confirmed)
  • Bong 35 (10 confirmed)
  • Bomi 13 (1 confirmed)
  • Margibi 4 (2 confirmed)
  • Nimba 4 (2 confirmed)
  • Grand Gedeh 1 (0 confirmed)
The probable cases in Bomi had all attended a funeral, they are awaiting test results. The suspected case in Grand Gedeh, has died, specimens have been sent to the lab.

25 July
A further 36 clinical cases have been identified between 21 and 23 July, in Bong, Lofa, Margribi and Montserrado. Lofa accounts for 16 of these new cases, of which 10 are in Lakpaba town, and 3 of them are healthcare workers. Four new cases have been confirmed in Bong, and one case in Margibi is confirmed. As at 23 July, the number of clinical cases in Outbreak #2 by county are:

  • Lofa 137 (41 confirmed)
  • Montserrado 82 (25 confirmed)
  • Bong 29 (10 confirmed)
  • Nimba 4 (2 confirmed)
  • Margibi 4 (2 confirmed)
  • Bomi 2 (1 confirmed)

24 July
Twenty patients are being treated in isolation facilities in Foya, Lofa county, and Monrovia. Overall, MSF describes the situation as “deteriorating rapidly”, with “critical gaps in all aspects of the response”. There are unverified reports of many people dying in their villages in Voinjama, Lofa county. MSF will set up a “referral unit” for the Ministry of Health. Patients who are suspected to have Ebola can be isolated and later transferred to the treatment unit in Foya, Lofa county if they have the disease. Currently there are 6 patients being treated in the Ebola centre in Foya.

In Monrovia, there are 14 patient admitted to the treatment centre in ELWA hospital. A new 40-60 bed treatment centre in Monrovia, also at ELWA, is due to open on 27 July. MSF is constructing the facility, which will be run by Samaritan’s Purse. The 15 bed unit in JFK hospital has been closed.

23 July
The President reaffirmed that the Ebola outbreak is a National Emergency. She described the oubreak as “very serious and requires urgent attention and the involvement of all including government officials, religious and traditional leaders, and the general public to take the message out to their various communities in order to contain any further spread of the disease.”
A further 6 cases have been identified, four are suspected and two are probable. There are two suspected cases in Lofa county, one is a healthcare worker and two in Montserrado county. There is one probable case in Lofa county and one in Monsterrado county. There are 20 people recieving treatment, 6 in Lofa and 14 in Montserrado. Confirmed cases are now 76 from a total of 222 clinical cases. As at 21 July, the number of clinical cases in Outbreak #2 by county are:

  • Lofa 121 (41 confirmed)
  • Montserrado 73 (25 confirmed)
  • Bong 19 (6 confirmed)
  • Nimba 4 (2 confirmed)
  • Margibi 3 (1 confirmed)
  • Bomi 2 (1 confirmed)

21 July
The Ministry of Health has reported one new confirmed case in Nimba county. Two suspected cases have also been reported in Bong county, one of whom is a healthcare worker. There are 27 people being treated in isolation unitls – 14 in Montserrado and 13 in Lofa.  Over 400 contacts are under follow up in Bomi, Bong, Lofa, Margibi and Montserrado. The total number of reported confirmed cases is 71 with 50 deaths. Clinical cases in outbreak #2 by county are:

  • Lofa 118 (41 confirmed)
  • Montserrado 70 (23 confirmed)
  • Bong 19 (4 confirmed)
  • Nimba 4 (1 confirmed)
  • Margibi 3 (1 confirmed)
  • Bomi 2 (1 confirmed)

News sources indicate that four nurses from Phebe Hospital in Bong have been infected with Ebola, while test results on a 5th nurse are pending. The four nurses are said to have been transferred to isolation units in Monrovia for treatment.

20 July
The organisation “Samaritan’s Purse” is assisting with the management of clinical cases in Monrovia and Foya. It has built a 20-bed treatment centre at ELWA Hospital in Monrovia, and a further 40-bed unit is under construction in the grounds of ELWA Hospital. ELWA Hospital will to be the only Ebola treatment centre in Monrovia, and when fully functioning will allow JFK Ebola treatment unit to close.

17 July
WHO reports there have been 22 new confirmed, probable and suspected cases, with 10 fatalities, from 15 to 17 July. A review of the nation’s response to the serious ebola epidemic identified gaps including “low coverage of contact tracing; persisting denial and resistance in the community; weak data management; inadequate infection prevention and control practices, especially in peripheral health facilities; and weak leadership and coordination at sub-national levels.”

The Ministry of Health reported more cases in Montserrado (1 probable) and Foya (3 probable, 2 confirmed). The mobilisation of fontline healthcare workers has been beset by limited resources. Bong, Bomi and Nimba counties have new confirmed or suspected cases since the previous update.

Unverified news sources report that Grand Cape Mount and Grand Gedeh are now considered “response” counties, due to the  appearance of cases in these regions. However as yet, according to the latest official Ministry of Healthupdates, there are no confirmed cases there. A UNICEF report indicates that there is a contact of an Ebola victim in quarantine in Grand Gedeh.

16 July
According to the Ministry of Health, at least one new probable case and a death have been reported in Montserrado. Lofa too reported two confirmed and three probable cases. A fatal case was also reported from Foya community. In Bong,  a healthcare worker who attended a patient who had travelled from Montserrado to Bong, is confirmed infected. Four contacts were listed in Bomi county.

15 July
Two suspected cases have been identified in Nimba county, according to the Ministry of Health. An additional probable fatality is reported from Bomi county. No new cases have been identified in other areas in the last day. Seventeen people are in treatment facilities – 13 in Lofa, 4 in Montserrado. Over 350 contacts are being followed up – 142 in Lova, 28 in Margibi and 212 in Montserrado.

An update by WHO confirmed 30 new cases and 13 new deaths were reported between 8 and 12 July bringing the national total to 172 total clinical (confirmed, probable and suspected) cases with 105 total deaths. No detail was given as to the location of these latest cases.

13 July
The Ministry of Health announced that a case of Ebola has been confirmed for the first time in Bomi county. The patient has died. There is no further information available at this time as to how the person was infected, however it is likely that they had links to the ongoing outbreaks in Lofa and Montserrado counties. As at July 10, there have been 64 confirmed cases (39 in Lofa, 23 in Montserrado, 1 in Margibi and 1 in Bomi).

11 July
Health messaging to communities in Margibi was stepped up beginning 9 July with door to door messaging and coverage on local radio stations. Funds to help combat Ebola in Liberia have been donated from countries within the West African region following the ECOWAS regional meeting last week.

10 July
WHO advises there have been 11 new cases with 4 deaths between 6 and 8 July. The MoH and UNICEF have reported total and confirmed cases as 133 and 62 respectively for outbreak # 2.

8 July
The UNICEF in its latest update reported total and confirmed case numbers as 123 and 57 respectively.  At least 16 patients are in isolation, ten in Lofa and 6 in Montserrado.

WHO advises there have been 16 new cases of Ebola reported between 3 and 7 July.

7 July
There has been a significant uptick in efforts to spread the message to local communities following the regional conference in Ghana. Both international and Liberian non-governmental organisations (NGOs) have been reaching out to the local population through door to door campaigns and loudhailer messages in the streets. The Liberian Information Minister has called on community elders and church leaders to support infection control efforts and refrain from treating those suffering Ebola symptoms in their homes. Medicins Sans Frontier (MSF) is continuing to support the Liberian Ministry of Health in Monrovia but is handing over the day-today operation of its Foya district project to another NGO.

5 July
The UNICEF update reported updated total and confirmed numbers to 108 and 49 respectively.  At least 18 patients are in isolation.

According to media reports, the Ebola outbreak has been declared a ‘national public health emergency’ in the country by the government.

4 July
The Ministry of Health has updated the total to104 clinical cases with 66 deaths. At least 48 cases and 32 deaths have been confirmed. A new suspected case have been reported from Montserrado County.

1 July
The Ministry of Health latest published total is now 100 clinical cases with 61 deaths. At least 48 cases and 30 deaths have been confirmed. Two new suspected cases have been reported from Montserrado County. The WHO total for Liberia stands at 107 total cases (52 confirmed, 21 probable, and 34 suspected) and 65 deaths (33 confirmed, 17 probable, and 15 suspected). This likely includes both phases of the outbreak.

Nineteen people are admitted to isolation units for treatment – 15 in Lofa County and 4 in Montserrado County.

Over 400 contacts are being monitored – 28 in Margibi, 158 in Lofa and 259 in Montserrado.

30 June: The epicentres of the outbreak remain New Kru Town, Montserrado County, and Foya, Lofa County. The 43 confirmed cases in outbreak #2 are in Lofa (26), Montserrado (16) and Margibi (1). There are currently 25 people being treated in isolation – 19 in Lofa and 6 in Montserrado. Over 400 contacts are being montored –  272 in Lofa, 141 in Montserrado and 6 in Margibi.

Media reports suggest that the harbouring of any patients with suspected ebola in Liberia is a criminal offence as the country struggles to contain the spread of infection.

29 June: The Ministry of Health latest published total  is now 90 clinical cases with 49 deaths. At least 43 cases and 26 deaths have been confirmed. Healthcare workers continue to be infected with one newly infected reported on 29 June.

26 June: The Ministry of Health has reported 4 new confirmed cases in Montserrado and 2 suspected cases in Lofa county. Distribution of cumulative cases (confirmed, probable and suspected):

  • Lofa: 38 cases / 17 deaths
  • Montserrado: 16 cases / 15 deaths

24 June: The World Health Organization update reports more cases in Lofa and Montserrado between 19 and 22 June. The distribution stands as below:

  • Lofa: 36 cases / 21 deaths
  • Montserrado: 11 cases / 11 deaths

A separate report by UNICEF-Liberia accounts laboratory confirmed fatalities at 18. Foya (Lofa county) and NewKru town (Montserrado county) continue as epicentres of the outbreak. There are 25 patients in isolation, 20 from Lofa and five from Montserrado.

23 June: The World Health Organizaion has reported 7 new cases and 1 new death between 16 and 19 June. Lofa county reported 5 new cases and Montserrado 2 new cases and 1 death. Case distribution:

  • Lofa: 26 cases / 10 deaths
  • Montserrado: 9 cases / 9 deaths
There are 108 contacts being followed up countrywide.

21 June: UNICEF reports six new confirmed cases, one probable and three suspected cases.

18 June: The Ministry of Health has announced that all cases reported after 29 May are now considered as being part of Outbreak #2. All reported cases prior to 29 May are part of Outbreak #1 which began in March and ended in mid-April. The second outbreak involves Lofa and Montserrado Counties with Foya and New Kru Town as identified epicentres. The WHO African Regional Office report revised downwards the total confirmed cases to 18. Unicef reporting of 18 June does not appear to include the 7 suspected cases in their total of 26 clinical cases.

17 June: The Ministry of Health has reported another confirmed case and two suspected cases in Lofa county and a probable case in Montserrado.

16 June:  The Ministry of Health has reported another confirmed case and two suspected cases in Lofa county.

13 June: UNICEF reports five new confirmed cases – two in Foya (Lofa county) and three in Monrovia (Montserrado county). The outbreak in Monrovia centres around a cluster in New Kru Town. A woman who had visited Foya returned to New Kru Town in late May/early June 2014. She died, however subsequently a child also died. Both were buried in Liberia. On 11 June, four people who had cared for the sick woman and child in New Kru Town household developed symptoms. Two of them have died, and it appears another two who cared for them have now developed symptoms. They were cared for at ELWA Hospital. UNICEF reports “ELWA Hospital has the capacity to care for confirmed cases, but another facility will need to be designated for suspected cases. JFK was proposed.”

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