[stem-ebola] PRO/AH/EDR> Ebola virus disease - West Africa (198): CDC up

[alex@xxxxxxxxxxxxxx]

Great update here... Highly recommended reading...

-------- Original Message --------
Subject: PRO/AH/EDR> Ebola virus disease - West Africa (198): CDC 
update, Mali, Sierra Leone
Date: 2014-10-28 18:04
From: promed-edr@xxxxxxxxxxxxxx
To: promed-post@xxxxxxxxxxxxxx, promed-edr-post@xxxxxxxxxxxxxx, 
promed-ahead-post@xxxxxxxxxxxxxx
Reply-To: promedNOREPLY@xxxxxxxxxxxxxx

EBOLA VIRUS DISEASE - WEST AFRICA (198): CDC UPDATE, MALI, SIERRA
LEONE
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In this update:
[1] CDC update, 3 countries
[2] Mali: implications of infection
[3] Sierra Leone: Ebola situation report in pdf chart from Government
[4] Sierra Leone: IBM joins fight against Ebola
[5] Sierra Leone: UK NHS staff will help

******
[1] CDC update, 3 countries
Date: 28 Oct 2014
Source: CDC/MMWR [edited]
<http://www.cdc.gov/mmwr/preview/mmwrhtml/mm63e1028a1.htm?s_cid=mm63e1028a1_e>


Charts and pictures at link
Early Release 28 Oct 2014 / 63(Early Release);1-4
------------------------------------------------
By: Incident Management System Ebola Epidemiology Team, CDC; Guinea
Interministerial Committee for Response Against the Ebola Virus; CDC
Guinea Response Team; Liberia Ministry of Health and Social Welfare;
CDC Liberia Response Team; Sierra Leone Ministry of Health and
Sanitation; CDC Sierra Leone Response Team; Viral Special Pathogens
Branch, National Center for Emerging and Zoonotic Infectious Diseases,
CDC
--

CDC is assisting ministries of health and working with other
organizations to control and end the ongoing outbreak of Ebola virus
disease (Ebola) in West Africa
(<http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6325a4.htm?s_cid=mm6325a4_w>1).

The updated data in this report were compiled from situation reports
from the Guinea Interministerial Committee for Response Against the
Ebola Virus and the World Health Organization, the Liberia Ministry of
Health and Social Welfare, and the Sierra Leone Ministry of Health and
Sanitation. Total case counts include all suspected, probable, and
confirmed cases as defined by each country. These data reflect
reported cases, which make up an unknown proportion of all actual
cases and reporting delays that vary from country to country.

According to the latest World Health Organization update as of 22 Oct
2014 (2), a total of 9911 Ebola cases have been reported as of 19 Oct
2014 from 3 highly affected West African countries (Guinea, Liberia,
and Sierra Leone)
(<http://www.cdc.gov/mmwr/preview/mmwrhtml/mm63e1028a1.htm?s_cid=mm63e1028a1_e#Fig1>
Figure 1). The highest reported case counts were from Liberia (4665
cases), followed by Sierra Leone (3706) and Guinea (1540).

The geographic distribution of the number of Ebola cases reported
during 28 Sep - 18 Oct 2014 changed from the distribution of cases
reported during 31 Aug - 23 Sep 2014
(<http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6339a4.htm?s_cid=mm6339a4_w>3),
when counts were highest in the areas where Liberia, Sierra Leone, and
Guinea meet. Counts of Ebola cases reported during 28 Sep - 18 Oct
2014 were highest in the area around Monrovia and in the district of
Bong, Liberia; the Freetown area and the northwest districts of Sierra
Leone; and the district of Macenta, Guinea
(<http://www.cdc.gov/mmwr/preview/mmwrhtml/mm63e1028a1.htm?s_cid=mm63e1028a1_e#Fig2>
Figure 2).

The map of the cumulative incidence of Ebola, as of 18 Oct 2014,
indicates that the highest incidence rate (over 100 cases per 100 000
population) was reported by 2 districts in Guinea (Guekedou and
Macenta), 5 districts in Liberia (Bomi, Bong, Lofa, Margibi, and
Montserrado), and 4 districts in Sierra Leone (Bombali, Kailahun,
Kenema, and Port Loko)
(<http://www.cdc.gov/mmwr/preview/mmwrhtml/mm63e1028a1.htm?s_cid=mm63e1028a1_e#Fig3>
Figure 3).

The latest updates on the 2014 Ebola outbreak in West Africa,
including case counts, are available at
<http://www.cdc.gov/vhf/ebola/outbreaks/guinea/index.html>.
The most up-to-date clinical guidelines on the 2014 Ebola outbreak in
West Africa are available at
<http://www.cdc.gov/vhf/ebola/hcp/index.html>.

--
Communicated by:
Ryan McGinnis
<ryan@xxxxxxxxxxxxxxxxxxx>

[It should be noted that the case counts reported officially by the 3
countries are well known to be basically unreliable because of the
difficulty in finding cases that do not come to a hospital and the
impossibility of getting lab confirmation for most of them. - Mod.JW]

******
[2] Mali: implications of infection
Date: 24 Oct 2014
Source: Washington Post [excerpts]
<http://www.washingtonpost.com/blogs/worldviews/wp/2014/10/24/the-real-worry-isnt-ebola-in-new-york-its-ebola-in-mali>


The baby girl in Mali is reported to have been bleeding from her nose
while she traveled from Guinea on a bus that stopped in several towns
in Mali. WHO is now warning that a large number of people may have
been exposed to the girl while she was infectious. Finding and
containing these people may not be a simple task. Like Liberia, Guinea
and Sierra Leone, Mali is poor, with a low GDP per capita and a weak
health care system. These countries are really fragile and can't
absorb these types of cases without causing a lot of calamity to their
systems.

Mali has also suffered from serious security problems, and since 2012,
the central government has battled an Islamist insurgency in the North
of the country. "Access to health care is still a critical issue for
people in the north of Mali," Christoph Luedi, head of the Red Cross
delegation in Mali, said in November 2013. "Conflict continues to have
an effect on the functioning of health facilities, which struggle
mightily to meet people's needs without outside support."

WHO is now sending a group of experts to Mali to bolster a team of 3
workers, a representative told The Post. So far, 43 contacts of the
infected infant have been isolated, including 10 health-care workers
in Kayes. With the aid of international experts, Mali had been
preparing for an outbreak in recent months, training staff and
readying special facilities. It may well need more help, however. On
10 Oct 2014 , Markatie Daou, a Mali health ministry spokesman, told
Bloomberg that his ministry had received USD 672 000 to prepare for
Ebola, but added that it wasn't nearly enough...

[Byline: Adam Taylor & Abby Ohlheiser]

--
Communicated by:
ProMED-mail
<promed@xxxxxxxxxxxxxx>

[See map of Mali's road and railway network at:
<http://epmaps.wfp.org/maps/05714_20130116_MLI_A3_ODEPGIS_Mali,_Situation_Overview_as_of_16th_January,_16_January_2013.jpg>.
The northern half of the country is Sahara desert. Kayes, where the
little girl from Guinea was hospitalized and died, is on the main
railway line from Bamako, Mali's capital, to Senegal, and has road
connections to a main road in Mauritania. WHO says 82 people are being
monitored for Ebola in Mali:
<http://www.trust.org/item/20141028094445-xbu9w/?source=spotlight>. -
Mod.JW]

******
[3] Sierra Leone: Ebola situation report in pdf chart from Government
Date: 25 Oct 2014
Source: ReliefWeb [edited]
<http://reliefweb.int/sites/reliefweb.int/files/resources/Ebola-Situation-Report_Vol-151.pdf>

--
Communicated by:
ProMED-mail
<promed@xxxxxxxxxxxxxx>

******
[4] Sierra Leone: IBM joins fight against Ebola
Date: 26 Oct 2014
Source: BBC news [edited]
<http://www.bbc.co.uk/news/technology-29744081>


IBM will put its super-computing data crunching to use in Sierra Leone
as part of the fight against Ebola. It has launched a system which
allows citizens to report Ebola-related issues and allows government
health agencies to keep track of the locations of the disease.

Citizens can use SMS or voice calls that are location-specific for
reporting, with the data then edited and analysed. It is already
functioning in some regions, with numbers of suspected Ebola cases
pinpointed, and delivery sped up of urgent supplies. Radio broadcasts
are being used to encourage people to use the system, and telco
operator Airtel has set up a free number via which citizens are able
to send SMS messages. "We saw how this technology could be used to
enable communities directly affected by Ebola to provide valuable
information to enable effective community effort to fight it,"
explained Dr Uyi Stewart, chief scientist of IBM Research in Africa.

Khadija Sesay, director of Sierra Leone open government initiative,
said it had helped "open up a channel with the general public so that
we can learn from their input and create actionable policies in the
fight against Ebola. Using mobile technology has given them a new
voice and a channel to communicate their experiences directly to the
government health services."

--
Communicated by:
Roger Feldman <promedrf@xxxxxxxxx>

******
[5] Sierra Leone: UK NHS staff will help
Date: 27 Oct 2014
Source: BBC News [edited]
<http://www.bbc.co.uk/news/health-29789065>


More than 800 NHS staff have volunteered to help treat those infected
with Ebola in West Africa... A 92-bed treatment centre funded by the
UK is almost ready to open in Kerry Town in Sierra Leone. It will be
run by the charity Save the Children and staffed by British
volunteers, each of whom will go out for a stint of several weeks...

[Byline: Branwen Jeffreys]

--
Communicated by:
ProMED-mail
<promed@xxxxxxxxxxxxxx>

[Also from the BBC: 6 surprising numbers, including 5000 mobile phones
needed, USD 61 per PPE outfit,
<http://www.bbc.co.uk/news/world-africa-29658778>. - Mod.JW

A HealthMap/ProMED-mail map can be accessed at:
<http://healthmap.org/promed/p/46>.]

[See Also:
Ebola virus disease - West Africa (197): Mali, Ethiopia, Guinea
20141026.2903471
Ebola virus disease - West Africa (196): WHO, Mali conf. case ex
Guinea, Liberia 20141024.2894887
Ebola virus disease - West Africa (195): Liberia, Sierra Leone, drug
trials 20141022.2891142
Ebola virus disease - West Africa (194): bat immunity clue
20141020.2882849
Ebola virus disease - West Africa (193): Senegal free, WHO, S. Leone,
Nigeria 20141018.2878044
Ebola virus disease - West Africa (192): WHO, S. Leone soldier, MSF,
new drug 20141016.2870865
Ebola virus disease - West Africa (191): Liberia, Sierra Leone,
volunteers, vaccine testing 20141012.2854716
Ebola virus disease - West Africa (186): WHO, Cuban HCWs arrive,
prevention 20141004.2832637
Ebola virus disease - West Africa (185): WHO, CDC, Liberia, vaccine
20141001.2823670
Ebola virus disease - West Africa (183): great apes as sentinels
20140930.2818170
Ebola virus disease - West Africa (182): vaccine, orphans, S.Leone,
prevention 20140930.2817719
Ebola virus disease - West Africa (180): S. Leone, Liberia, USA,
drugs, Guinea 20140928.2813292
Ebola virus disease - West Africa (179): Liberia, protection, aerosol,
prevention 20140927.2811394
Ebola virus disease - West Africa (177): WHO, quarantine, vaccine,
Liberia, surv. 20140926.2808526
Ebola virus disease - West Africa (175): CDC, Sierra Leone, drugs,
survivors RFI 20140924.2802601
Ebola virus disease - West Africa (168): MSF, volunteers, hiccups,
vaccine 20140917.2780781
Ebola virus disease - West Africa (162): WHO, volunteering, protection
20140912.2770539
Ebola virus disease - West Africa (161): hospital ships, military
medical aid 20140911.2767249
Ebola virus disease - West Africa (160): Senegal, Liberia, tests,
media 20140911.2766294]
.................................................sb/jw/msp/dk
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