EBOLA VIRUS DISEASE (EVD) UPDATE MAP – LIBERIA

September 23, 2014

1.0 MORBIDITY AND MORTALITY STATISTICS

1.1 Liberia

1.1.1 Cumulative (March 22 –Sept. 17, 2014 MOHSW): • 3,022 probable, suspected and confirmed cases • 1,578 probable, suspected and confirmed deaths • 170 Cumulative cases among healthcare workers • 85 deaths among healthcare workers • 55.1% Case fatality rate • 10/15 counties have reported confirmed cases • 10,018 on contacts listed • 5,489 currently under follow-up • 274 cumulative admissions • 274 in treatment

1.1.2 New Cases (Sept. 17, 2014 only MOHSW):

• 93 newly reported probable, suspected and conformed cases • 39 newly reported deaths (as of 15th Sept, 2014) • 0 newly reported cases among healthcare workers • 0 newly reported death among healthcare workers • 362 newly reported contacts • 49 new admissions

1.2 WHO Cumulative Data (As of 22nd September, 2014) Total number of probable, confirmed, and suspected cases in Guinea, Liberia and Sierra Leone

COUNTRIES WITH WIDESPREAD AND INTENSE TRANSMISSION 5843 (probable, confirmed and suspected) cases and 2803 deaths have been reported in the current outbreak of EVD as at 20 September 2014 by the Ministry of Health of Guinea, as at 17 September 2014 by the Ministry of Health of Liberia, and as at 19 September 2014 by the Ministry of Health of Sierra Leone

Country Case Definition Cases Deaths

Guinea Confirmed 818 465

Probable 162 162

Suspected 28 5

All 1008 632

Liberia Confirmed 863 676

Probable 1342 544

Suspected 817 364

All 3022 1578

Sierra Leone Confirmed 1640 545

Probable 37 37

Suspected 136 11

All 1813 593

Total 5843 2803 Data are based on official information reported by Ministries of Health up to the end of 20 September 2014 for Guinea, 17 September for Liberia, and 19 September

for Sierra Leone. These numbers are subject to change due to on-going reclassification, retrospective investigation and availability of laboratory results

COUNTRIES WITH AN INITIAL CASE OR CASES, OR WITH LOCALIZED TRANSMISSION Two countries, Nigeria and Senegal,

have now reported a case or cases imported from a country with widespread and intense transmission. In Nigeria, there

have been 20 cases and eight deaths. In Senegal, there has been one case, but as yet there have been no deaths or

further suspected cases attributable to Ebola

Cases of Ebola virus disease in Nigeria and Senegal

Country Case definition Cases Deaths

Nigeria Confirmed 19 7

Probable 1 1

Suspected 0 0

All 20 8

Senegal Confirmed 1 0

Probable 0 0

Suspected 0 0

All 1 0

Total 21 8

Data reported are based on official information reported by Ministries of Health. These numbers are subject to change due to on-going reclassification, retrospective investigation and availability of laboratory results

2.0 ACHIEVEMENTS/DEVELOPMENTS (Liberia) • 125 district education officers (DEOs), county education officers (CEOs) and teachers trained as ToT in Ebola

Prevention • Discussions were held with the Ministry of Information on a common strategy for disseminating accurate

information on Ebola to the public • In Lofa County, total number of patients in (FCMC) - 25 (7 probable and 18 confirmed • National Reference lab at LIBR 64 samples tested (24 negative – 36 positive – 5 Indeterminate) • In Montserrado County, 2,531 of 2,588 contacts under follow up were seen by contact tracing teams; 92

contacts completed the 21 days of follow up; 3 contact were lost; 23 Ebola deaths; 11 came from ETUs • 26 samples tested at ELWA Mobile lab (6 negative 20 positive)

3.0 CHALLENGES

Inadequate tracing teams

Limited holding and treatment centers

Limited number of medical staff

Limited supplies of PPEs 4.0 NEEDS

Additional holding centers to cater to the growing needs of patients

Additional provision of PPEs

Additional provision of ambulances

Additional trained community residents to conduct ToTs

5.0 PRAYER REQUESTS

As Liberia and the West African region go through these difficult periods , please remember us in prayer for the little children, including orphans of Ebola victims, who are now left at the mercy of God for survivors and care