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{{Infobox event
{{Infobox event
|image =File:Guinea_Sierra_Leone_Ebola_Map_April_14_2014.jpg
|image =File:Guinea_Sierra_Leone_Ebola_Map_April_14_2014.jpg
|caption =Situation map of the outbreak as of 1 April 2014
|caption =Situation map of the outbreak as of 14 April 2014
|date =February 2014 – ''Ongoing''
|date =February 2014 – ''Ongoing''
|place =[[West Africa]]<br />([[Guinea]], [[Liberia]], [[Sierra Leone]])
|place =[[West Africa]]<br />([[Guinea]], [[Liberia]], [[Sierra Leone]])

Revision as of 00:47, 15 April 2014

Western African Ebola epidemic
Situation map of the outbreak as of 14 April 2014
DateFebruary 2014 – Ongoing
StandortWest Africa
(Guinea, Liberia, Sierra Leone)
Casualties
 Guinea – 157 cases, 101 deaths[1]
 Liberia – 21 cases, 10 deaths[2]
 Sierra Leone – 8 cases, 6 deaths[3]
 Mali – 1 case[4]
Total mortality:
117 deaths / 187 cases (62.6%)

An ongoing Ebola epidemic has spread throughout Guinea and beyond the nation's borders. At least 187 infections and 117 deaths have been reported.[5] Various organizations, including the US Centers for Disease Control, European Commission and Economic Community of West African States have donated funds and personnel to help counter the outbreak.

Initial outbreak in Guinea

In February 2014, the first Ebola virus outbreak registered in the region occurred in Guinea. As of 9 April 2014, the total number of suspected and confirmed cases in the Ebola Haemorrhagic Fever (EHF) outbreak has increased to 187, including 117 deaths at a case fatality rate of 62.5%.[6] Originally, the suspected cases were reported in Conakry (four cases), Guéckédougou (four), Macenta (one) and Dabola (one) prefectures. As of 25 March 2014, Ministry of Health of Guinea is reporting that four southeastern districts: Guekedou, Macenta, Nzerekore, and Kissidougou, were affected with an outbreak of Ebola hemorrhagic fever.[3] On March 26, 2014, the Pasteur Institute in Lyon, France confirmed the Ebola strain as Zaire ebolavirus.[3] One suspected case was admitted to hospital on 28 March 2014.[7] On 31 March 2014, the US Centers for Disease Control sent a 5 person team "to assist Guinea MOH and WHO led international response to the Ebola outbreak".[3]

Conakry, Guinea

The outbreak spread to Guinea's capital Conakry,[3] a city of about two million inhabitants, and is a major concern according to Ibrahima Touré, Country Director of Plan Guinea NGO: "The poor living conditions and lack of water and sanitation in most districts of Conakry pose a serious risk that the epidemic escalates into a crisis. People do not think to wash their hands when they do not have enough water to drink."[8] As of 4 April 2014, according to a WHO spokesperson, "There are now 16 cases in Conkary [sic], of whom five have died."[9]

Subsequent spread

Sierra Leone identified two suspected cases, both of whom died. All of the confirmed and suspected cases reported by Liberia and Sierra Leone had travelled to Guinea before the onset of illness. Investigations into these suspected cases are on-going.[3] The Ministry of Health of Liberia has provided updated details on the suspected and confirmed cases of EHF in Liberia. As of 29 March 2014, two of those cases have tested positive for the virus and there have been two deaths among the suspected cases.[10]

As of 4 April 2014, there are reports that people in Mali may also be infected.[9]

Response

The national authorities of Guinea, Sierra Leone, and Liberia have activated their national emergency committees, prepared EHF response plans and carried out needs assessments.[7] The Economic Community of West African States (ECOWAS) issued a statement that called for the support of the international community in the fight against the epidemic: "The Board of Mediation and Security of ECOWAS appeals to the international community to provide support in the management of the Ebola epidemic in the region."[11] On 30 March 2014, during the 44th Summit of the heads of state and government of West Africa, ECOWAS disbursed USD $250,000 to deal with the outbreak.[12] Sierra Leone has instituted a temporary measure which includes reactivation of its Active Surveillance Protocol that will see all travellers into the country from either Guinea or Liberia subjected to strict screening to ascertain their state of health.[13]

Senegal’s Ministry of Interior has ordered all movements of people through the southern border with Guinea to be suspended indefinitely to prevent the spread of the disease, according to a statement published on 29 March 2014 by state agency APS.[14] Since 26 March 2014, Mauritania closed all crossings along the Senegal River, the natural border between Mauritania and Senegal, except for the Rosso and Diama points of entry. From 1 April 2014, Saudi Arabia stopped issuing visas for the Muslim pilgrimage to Mecca to those from Guinea and Liberia. Moreover, Morocco reinforced medical surveillance at the Casablanca airport, a regional hub for flights from and to West Africa.[15][16][17] Conversely, the border between Guinea and Liberia remained open; Guinea's ambassador in Monrovia noted his government's belief that efforts to fight the disease directly would be more effective than closing the border.[18]

The European Commission (EC) is giving €500,000 to help contain the spread of the virus in Guinea and its neighbouring countries. The EC has also sent a health expert to Guinea to help assess the situation and liaise with the local authorities. EU Commissioner for International Cooperation, Humanitarian Aid and Crisis Response Kristalina Georgieva said: "We are deeply concerned about the spread of this virulent disease and our support will help ensure immediate health assistance to those affected by it. It's vital that we act swiftly to prevent the outbreak from spreading, particularly to neighbouring countries.[19]

Economic effects

In addition to the loss of life, the outbreak is having an economic effect. Conakry's Palm Camayenne Hotel, which is popular among businessmen and politicians, has less than a third of occupancy rate.[9] On Brussels Airlines flights between the Brussels and Conakry, there are reduced numbers of people arriving in Conakry but more people leaving Conakry.[9] Regional airline Gambia Bird delayed the start of a route to Conakry due to Senegal closing "its border with Guinea because of the outbreak".[9]

Temporal evolution

Timeline of the oubreak, using only data from Centers for Disease Control and Prevention.[3]

Date Total cases Total deaths Guinea cases/deaths Liberia cases/deaths
10/Apr/14 179 115 157/101 22/14
07/Apr/14 169 102 151/95 18/7
02/Apr/14 135 88 127/83 8/5
01/Apr/14 130 82 122/80 8/2
31/Mar/14 114 70 112/70 2/0
27/Mar/14 103 66 103/66 0/0
26/Mar/14 86 60 86/60 0/0
25/Mar/14 86 59 86/59 0/0

See also

References

  1. ^ "Ebola outbreak 'most challenging' as Guinea deaths pass 100". BBC. 8 April 2014.
  2. ^ Associated Press (8 April 2014). "Ebola-Linked Deaths In West Africa Over 100". Huffington Post.
  3. ^ a b c d e f g "Outbreak of Ebola in Guinea and Liberia". Centers for Disease Control and Prevention.
  4. ^ Adama Diarra, Misha Hussain (4 April 2014). "Mali suspects first Ebola cases as regional death toll tops 90". Yahoo! News.
  5. ^ "1 April 2014: Guinea/Liberia – Ebola Virus Disease (EVD) Outbreak". ReliefWeb. 1 April 2014. Retrieved 1 April 2014.
  6. ^ "Ebola outbreak in Guinea 'unprecedented' – MSF". BBC News. 31 March 2014. Retrieved 31 March 2014.
  7. ^ a b "Ebola Haemorrhagic Fever, Guinea (Situation as of 30 March 2014)". Afro.who.int. Retrieved 31 March 2014.
  8. ^ Diallo, Boubacar (29 March 2014). "Ebola in Guinea: the NGO Plan Guinea-feared a worsening of the epidemic ..." Africaguinee.com. Retrieved 31 March 2014.
  9. ^ a b c d e Adama Diarra and Misha Hussain (4 April 2014). "Mali suspects first Ebola cases as regional death toll tops 90". Reuters. Retrieved 4 April 2014.
  10. ^ "Ebola Haemorrhagic Fever, Liberia (Situation as of 30 March 2014)". Afro.who.int. Retrieved 31 March 2014.
  11. ^ "The West Africa requires the support of the international community in the fight against Ebola". abidjan.net. 28 March 2014. Retrieved 31 March 2014.
  12. ^ "La CEDEAO décaisse 250 000 dollars pour faire face à la fièvre Ebola" (in French). abidjan.net. 30 March 2014. Retrieved 31 March 2014.
  13. ^ Cham, Kemo (1 April 2014). "Sierra Leone restricts movement across borders over Ebola fears". Africa Review. Retrieved 1 April 2014.
  14. ^ "Ebola Death Toll in Guinea Rises to 70 as Senegal Closes Border". Bloomberg News. 29 March 2014. Retrieved 31 March 2014.
  15. ^ "Fièvre Ebola : contrôle sanitaire renforcé au Maroc" (in French). Nouvelobs. 1 April 2014. Retrieved 1 April 2014.
  16. ^ "Visas refusés aux pèlerins de Guinée et du Libéria" (in French). 20min.ch. 1 April 2014. Retrieved 1 April 2014.
  17. ^ Ndiaye Moctar, Pape (29 March 2014). "The uncrossable river Senegal since last Tuesday". Sud Quotidien. Retrieved 31 March 2014.
  18. ^ Kwanue, C.Y. "Guinean Gov’t Provides Ebola Updates", Liberian Observer, 2014-04-07. Accessed 2014-04-07.
  19. ^ "Ebola in West Africa: European Union joins effort to stop spread of disease and releases €500,000 in immediate funding". Europa.eu. 19 November 2013. Retrieved 31 March 2014.