Écrit par WHO
|
29 Mai 2014
Guinea
From 23 May 2014 to 27
May 2014, four (4) new districts reported 14 new EVD clinical cases and 5
deaths as follows: Boffa (5 cases and 1 death), Télimélé (7 cases and 4
deaths), Boke (1 case and 0 death) and Dubreka (1 case and 1 death). Community
and nosocomial transmission are still occurring in Guéckédou, Macenta and
Conakry.
As at 18:00, 27 May 2014, the total cumulative number of cases due to EVD
is 281 and 186 deaths. The classification of these cases and deaths are as
follows: confirmed (163 cases and 103 deaths); probable (66 cases and 56
deaths) and suspected (44 cases and 23 deaths). The geographical distribution
of the cases is as follows: Conakry (48 cases, and 26 deaths), Guéckédou (176
cases and 126 deaths), Macenta (31 cases and 19 deaths), Kissidougou (7 cases
and 5 deaths), Dabola (4 cases and 4 deaths), Djinguiraye (1 case and 1 death)
in addition to the cases and deaths in the newly affected areas. The total
number of cases in isolation is 16 (10 in Guéckédou, 3 in Télimélé and 3 in
Boffa). The number of contacts under follow-up is 427 (250 in Conakry, 213 in
Guéckédou, 126 in Macenta, and 88 in Télimélé).
Sierra Leone
In Sierra Leone, 16 cases, (7 laboratory-confirmed, 9 suspected) and 5 community
deaths have been reported from Kailahun district. The district is located in
the eastern region of Sierra Leone sharing borders with Guéckédou in Guinea and
also with Liberia.
Liberia
In Liberia there have been no new cases since 9 April 2014. Social
mobilization and surveillance have been enhanced in border districts.
The number of cases remains subject to change due to reclassification,
retrospective investigation, consolidation of cases and laboratory data,
enhanced surveillance.
WHO response
In response to the
confirmation of EVD outbreak in Sierra Leone, WHO held multi-level
teleconference to review the situation and propose key actions to be taken.
These include, establishment of Emergency Response Team at WHO Country Office,
deployment of experts, logistics and supplies and provision of catalytic
funds.
WHO is facilitating the active participation of national authorities and
community leaders to address community resistance and hiding of cases in some
communities in both Guinea and Sierra Leone.
In Guinea, Ministry of Health and partners have mounted a response including
outbreak investigation, risks assessment, case management, infection control in
the newly affected districts and social mobilization targeting the resistant
communities in Guéckédou and Conakry.
WHO does not recommend that any travel or trade restrictions be applied to
Guinea or Sierra Leone based on the current information available for this
event.
Cholera Outbreak, South Sudan (Situation
as of 27 May 2014)
On 15 May 2014, the
Ministry of Health of South Sudan declared a cholera outbreak. The index case
was retrospectively identified with onset of illness on 23 April 2014. Four
cases have been laboratory confirmed following tests conducted by the African
Medical Research Foundation laboratory in Nairobi, Kenya.
As at 25 May 2014, a
cumulative total of 586 cholera cases, including 22 deaths (13 in hospital and
9 community deaths) have been reported. The majority of the deaths reported in
hospital died on arrival. Cases have been reported from eight of 15 Payams
(sub-counties) in Juba County with the most affected payam being Muniki,
accounting for 25% of the reported cases.
Given the on-going conflict and crisis situation in the country, the poor
prevailing sanitary conditions, the beginning of the rainy season, and the
history of cholera outbreaks in the country, the Ministry of Health of South
Sudan continues to monitor the situation in Juba and surrounding areas.
In response to the cholera outbreak, the Ministry of Health developed a cholera
response plan and established a Cholera Response Task force which coordinates
both health and Water, Sanitation and Hygiene (WASH) activities. Plans to
establish a Cholera Command and Control Centre (C4) in Juba are in final stages.
The C4 will strengthen the coordination of the outbreak response and support
the emergency response task forces in all 10 States.
WHO and partners are supporting the Ministry of Health to coordinate the
cholera outbreak response activities; conduct rapid assessments, alert and
outbreak investigations and confirmation; establish Cholera Treatment Centres
and infection prevention and control; engage in active surveillance as well as
supervising safe burial of the deceased. The Task Force is also coordinating
regular meetings and public health education and awareness activities at all
levels and producing situational reports and other outbreak documents. The WASH
cluster is promoting hand washing and proper disposal of solid and liquid
waste, as well as household water chlorination.
The Ministry of Health, with the support of WHO, UNICEF, MSF, IOM, and Medair,
conducted oral cholera vaccination campaigns in February 2014 in Mingkaman,
Malakal, Bor, Tomping and Juba III IDP camps targeting over 160,000,000 internally
displace persons and achieved more than 80% vaccine coverage in an effort to
prevent a possible cholera outbreak in IDP camps.
WHO response
WHO has deployed experts, including epidemiologists, logisticians, public
health officers, et al., medical materials and other resources to support the
response to the cholera outbreak. WHO is also deploying experts to conduct a
risk assessment as well as to provide technical support to the WASH
cluster.
Based on current information available for this event, WHO does not recommend
that any travel or trade restrictions be applied to South Sudan.
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Guinea
From 23 May 2014 to 27
May 2014, four (4) new districts reported 14 new EVD clinical cases and 5
deaths as follows: Boffa (5 cases and 1 death), Télimélé (7 cases and 4
deaths), Boke (1 case and 0 death) and Dubreka (1 case and 1 death). Community
and nosocomial transmission are still occurring in Guéckédou, Macenta and
Conakry.
As at 18:00, 27 May 2014, the total cumulative number of cases due to EVD
is 281 and 186 deaths. The classification of these cases and deaths are as
follows: confirmed (163 cases and 103 deaths); probable (66 cases and 56
deaths) and suspected (44 cases and 23 deaths). The geographical distribution
of the cases is as follows: Conakry (48 cases, and 26 deaths), Guéckédou (176
cases and 126 deaths), Macenta (31 cases and 19 deaths), Kissidougou (7 cases
and 5 deaths), Dabola (4 cases and 4 deaths), Djinguiraye (1 case and 1 death)
in addition to the cases and deaths in the newly affected areas. The total
number of cases in isolation is 16 (10 in Guéckédou, 3 in Télimélé and 3 in
Boffa). The number of contacts under follow-up is 427 (250 in Conakry, 213 in
Guéckédou, 126 in Macenta, and 88 in Télimélé).
Sierra Leone
In Sierra Leone, 16 cases, (7 laboratory-confirmed, 9 suspected) and 5 community
deaths have been reported from Kailahun district. The district is located in
the eastern region of Sierra Leone sharing borders with Guéckédou in Guinea and
also with Liberia.
Liberia
In Liberia there have been no new cases since 9 April 2014. Social
mobilization and surveillance have been enhanced in border districts.
The number of cases remains subject to change due to reclassification,
retrospective investigation, consolidation of cases and laboratory data,
enhanced surveillance.
WHO response
In response to the
confirmation of EVD outbreak in Sierra Leone, WHO held multi-level
teleconference to review the situation and propose key actions to be taken.
These include, establishment of Emergency Response Team at WHO Country Office,
deployment of experts, logistics and supplies and provision of catalytic
funds.
WHO is facilitating the active participation of national authorities and
community leaders to address community resistance and hiding of cases in some
communities in both Guinea and Sierra Leone.
In Guinea, Ministry of Health and partners have mounted a response including
outbreak investigation, risks assessment, case management, infection control in
the newly affected districts and social mobilization targeting the resistant
communities in Guéckédou and Conakry.
WHO does not recommend that any travel or trade restrictions be applied to
Guinea or Sierra Leone based on the current information available for this
event.
Cholera Outbreak, South Sudan (Situation
as of 27 May 2014)
On 15 May 2014, the
Ministry of Health of South Sudan declared a cholera outbreak. The index case
was retrospectively identified with onset of illness on 23 April 2014. Four
cases have been laboratory confirmed following tests conducted by the African
Medical Research Foundation laboratory in Nairobi, Kenya.
As at 25 May 2014, a
cumulative total of 586 cholera cases, including 22 deaths (13 in hospital and
9 community deaths) have been reported. The majority of the deaths reported in
hospital died on arrival. Cases have been reported from eight of 15 Payams
(sub-counties) in Juba County with the most affected payam being Muniki,
accounting for 25% of the reported cases.
Given the on-going conflict and crisis situation in the country, the poor
prevailing sanitary conditions, the beginning of the rainy season, and the
history of cholera outbreaks in the country, the Ministry of Health of South
Sudan continues to monitor the situation in Juba and surrounding areas.
In response to the cholera outbreak, the Ministry of Health developed a cholera
response plan and established a Cholera Response Task force which coordinates
both health and Water, Sanitation and Hygiene (WASH) activities. Plans to
establish a Cholera Command and Control Centre (C4) in Juba are in final stages.
The C4 will strengthen the coordination of the outbreak response and support
the emergency response task forces in all 10 States.
WHO and partners are supporting the Ministry of Health to coordinate the
cholera outbreak response activities; conduct rapid assessments, alert and
outbreak investigations and confirmation; establish Cholera Treatment Centres
and infection prevention and control; engage in active surveillance as well as
supervising safe burial of the deceased. The Task Force is also coordinating
regular meetings and public health education and awareness activities at all
levels and producing situational reports and other outbreak documents. The WASH
cluster is promoting hand washing and proper disposal of solid and liquid
waste, as well as household water chlorination.
The Ministry of Health, with the support of WHO, UNICEF, MSF, IOM, and Medair,
conducted oral cholera vaccination campaigns in February 2014 in Mingkaman,
Malakal, Bor, Tomping and Juba III IDP camps targeting over 160,000,000 internally
displace persons and achieved more than 80% vaccine coverage in an effort to
prevent a possible cholera outbreak in IDP camps.
WHO response
WHO has deployed experts, including epidemiologists, logisticians, public
health officers, et al., medical materials and other resources to support the
response to the cholera outbreak. WHO is also deploying experts to conduct a
risk assessment as well as to provide technical support to the WASH
cluster.
Based on current information available for this event, WHO does not recommend
that any travel or trade restrictions be applied to South Sudan.
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