HEALTH West Africa: WHO - West Africa Ebola Outbreak Among 'Most Challenging'

BREWER

Veteran Member
Deaths now total over 110. They are up to 21 suspected or confirmed cases in Liberia. And WHO is "risk communicating" to moderate expectations.

Posted for fair use and discussion.
http://allafrica.com/stories/201404081706.html?viewall=1

West Africa: WHO - West Africa Ebola Outbreak Among 'Most Challenging'

8 APRIL 2014


The World Health Organization (WHO) says the ongoing Ebola outbreak in West Africa is "one of the most challenging" outbreaks of the virus it has ever faced.

WHO Assistant Director-General Keiji Fukuda says it could take four more months to contain the outbreak, which has resulted in more than 110 deaths.

Guinea remains the center of the outbreak, with 157 suspected or confirmed cases of Ebola. Another 21 cases are suspected or confirmed in Liberia.

During a Tuesday news conference in Geneva, Fukuda said the current outbreak is especially challenging because it is spread over a wide area.

The outbreak began in Guinea's forested southeastern region in February, before spreading across the border into Liberia.

Health officials are also investigating suspected cases in Mali and Sierra Leone.

Ebola is spread through contact with bodily fluids. The virus can cause hemorrhagic fever, leading to symptoms that can include muscle pain, vomiting, unstoppable bleeding and organ failure.

Health experts are warning people in the affected areas to avoid direct contact with patients or those killed by the virus.

This is the first major outbreak of Ebola in West Africa. Previous outbreaks have occurred in Central African countries, including Uganda and the Democratic Republic of Congo.
 

BREWER

Veteran Member
Posted for fair use and discussion.
http://www.cidrap.umn.edu/news-pers...-response-grapples-fear-wide-geographic-range

West Africa Ebola response grapples with fear, wide geographic range

Lisa Schnirring | Apr 08, 2014

The Ebola virus outbreak in Guinea and Liberia is one of the most challenging of its kind due to unique features and challenges, such as the wide geographic scope of the area and the involvement of a major urban area, health officials from the World Health Organization (WHO) said today.

[snip]

New cases linked to transmission chains are occurring, and the main priorities are identifying illnesses, treating patients, and preventing infections in contacts, including healthcare workers, he said

[snip]

From Promed
http://www.promedmail.org/direct.php?id=20140408.2388577

[snip]

In addition, authorities are said to be on the lookout for at least 40 people who may or may not have crossed paths with the deceased woman. Until her death, the woman and her family were being quarantined in their home until they could be moved to an appropriate facility. Although the Health Ministry has been monitoring those who came in contact with the woman, including the taxi driver, the failure of authorities to find the motorcyclist could hamper attempts by health authorities to stop the deadly virus in its tracks.

--
communicated by:
Ryan McGinnis
<ryan@bigstormpicture.com>

[This story illustrates the difficulty in tracing contacts in a highly mobile population. One hopes that the other 40 individuals were not exposed. It would be unusual if the motorcyclist who transported the patient to the hospital or 40 others in casual contact with the infected person became infected during, before, or after the ride. Transmission occurs when people are exposed to blood or other bodily fluids, or are in physical contact with acutely ill or deceased individuals.

ProMED-mail thanks Ryan McGinnis for sending in this report.

A HealthMap/ProMED-mail map showing the location of Liberia can be accessed at http://healthmap.org/promed/p/54. - Mod.TY]

Comment

It is good that the transmission chain between patients is still clear. "Sporadic" cases without links between patients would be a bad sign. However, the question of whether the level of contact necessary to transmit the virus has changed remains. Has the virus changed such that it is now being transmitted by patients before they are severely ill?
 

Halfdar

Cold and pissy
My wife has been tracking this via news updates and she noted the incident where a treatment centre in Guinea was attacked because of a rumour that Medecines sans Frontiers was responsible for the outbreak.

That sort of behaviour does not bode well for containment measures or wide scale treatment by outside agencies.
 

BREWER

Veteran Member
Halfdar: Here you go...

Posted for fair use and discussion.
http://www.reuters.com/article/2014/...0MW2AG20140404

Mob attacks Ebola treatment centre in Guinea, suspected cases reach Mali
From Reuters:

By Adama Diarra and Misha Hussain

BAMAKO/CONAKRY, April 4 (Reuters) - An angry crowd attacked an Ebola treatment centre in Guinea on Friday, accusing its staff of bringing the deadly disease to the town, Medecins Sans Frontieres said, as Mali identified its first suspected cases.

More than 90 people have already died in Guinea and Liberia in what medical charity MSF, or Doctors without Borders, has warned could turn into an unprecedented epidemic in an impoverished region with poor health services.
<snip>
MSF spokesman Sam Taylor told a Thomson Reuters Foundation reporter that the attackers in Macenta, around 425 km (265 miles) southeast of the capital Conakry, had accused staff of bringing the disease to the town.

"We have evacuated all our staff and closed the treatment centre," he said. "We have the full support of the local leaders and we're working with the authorities to try and resolve this problem as quickly as possible so we can start treating people again."

He declined to give further details of the incident, including whether any MSF staff had been hurt in the attack.
 

ShadowMan

Designated Grumpy Old Fart
Well.....the alternative would be to simply napalm and fire bomb the entire area and/or country that this kind of disease breaks out in....or even better "Nuke 'em from orbit....it's the only way to be sure."

GeeeeZzzz what an ignorant bunch of baboons!
 

Oreally

Right from the start
this isn't over by a long shot.


http://news.sl/drwebsite/publish/article_200525533.shtml

Sierra Leone News: Ebola hits Mambolo, Kambia as Kailahun Weeps from its Effects
By Correspondents in Kambia, Kailahun & Freetown
Jun 9, 2014, 12:18 Email this article
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The much dreaded Ebola disease which has been ravaging the people of eastern Kailahun district is now confirmed to have moved up to the northern town of Mambolo in the Kambia district where there are two confirmed Ebola cases and ten other persons having blood samples collected from them as possibly infected with Ebola.


This was disclosed on Sunday 8th June 2012 to Awareness Times in Kambia by Mr. Hassan Kanu of Kambia District Health Management Team (DHMT) of the Ministry of Health & Sanitation.



Mr. Hassan Kanu who is the Disease Surveillance Officer for Kambia district and the Ministry’s official spokesperson for Kambia told Awareness Times that a certain driver was recently doing assignment in Koindu, Kissi Teng chiefdom of Kailahun and upon his return to his residence in Mambolo town of Kambia, he later developed symptoms of Ebola. Shortly after, the wife of the driver also developed symptoms of Ebola and when their blood samples were sent to be checked by the Mambolo paramedics, they both proved positive as infected with Ebola. The two (driver and wife) are now isolated for treatment in Kenema.



According to competent Kambia sources, there are now concerns that the driver might have also transferred the infection to the fishing islands of Yeliboya and Kortimoh because he was known to have also been recently involved in transporting fish for people from those islands.



However, Hassan Kanu said ten contacts of the Ebola infected duo of Mambolo, have had blood samples drawn from them which have now been sent to Kenema Ebola laboratories for testing.



Kambia District Medical Officer has over this past weekend led a team from Kambia town into Mambolo town to raise awareness and sensitise the residents on the dangers of Ebola.


It can be recalled that a devastating outbreak of Ebola in Kailahun was poorly managed when the news first broke. Carelessness has now led to widespread infection of residents in the Kissi chiefdoms bordering neighbouring countries of Liberia and Guinea as well as another major Kailahun locality known as Jawei chiefdom whose headquarters of Daru town and its surrounding villages have been particularly hit by the illness.



Madam Miatta Kargbo poses with Kawusu-Konte, 1 of 3 State House staff whom, as Kailahun citizens lay dying, mocked around on Facebook about what was laughed and joked to be discussed as a so-called ‘Human Ebola’


The infection and widespread deaths in Kailahun have left traditional rulers, honourable parliamentarians and ordinary residents weeping and wailing. The wife and children of the Paramount Chief of Jawei, P.C. Musa Ngoumbuklah Kallon II have been admitted as they are very sick with the Ebola virus. The two wives of a key traditional ruler, the Section Chief of a section located just 6 miles from Daru, have also been infected as have many other residents of the chiefdom. In one village alone, an entire family has been wiped out.



The Honourable Parliamentarian for neighbouring Constituency 07 (Segbwema), Hon. Abu Jajua, has lost his sister who died from Ebola infection. The sister was a Maternal & Child Healthcare (MCH) nurse who had been amongst those treating late Nurse Messie Konneh, another MCH nurse from Koindu, Kissi Teng.



Nurse Konneh had been infected with Ebola in Koindu and in a glaring sign of failure of the Health Ministry, the poor nurse, with symptoms of Ebola, was not tested for Ebola but was left in the border town of Koindu until her condition totally deteriorated. At this point, her husband, Sheku Konneh was summoned from Daru to take her from Koindu and try to provide better medical check-up than what was available in Koindu.



Not knowing his wife was infected with Ebola, Mr. Sheku Konneh brought her for treatment to Bombohun in Jawei and then from Bombohun, on the way to Kenema from Daru, the poor nurse died. Innocently, still not informed it could be Ebola, her corpse was washed & prepared for burial by her mother, sisters & other women. All these women have since died from Ebola. The mother of Nurse Konneh, her sisters and the husband, Sheku Konneh have all died from Ebola.


Furthermore, Jawei health staff who treated late Messie Konneh, have all now died or are said to be in critical condition from Ebola.



According to Charles Mambu of the civil society organisation known as Health For All Coalition, up to 70% of those who have died from Ebola in recent days, have been frontline staff of Ministry of Health & Sanitation. Paramedics like Aruna Kallon, the Community Health Officer in charge of Daru and Jawei Chiefdom of Constituency 06, has painfully died from the Ebola he contacted from Nurse Messie Konneh. Similarly, unconfirmed but highly credible reports indicate that some one dozen of Health Ministry’s nursing staff & birth attendants in Kailahun, have to date, been infected with Ebola.



Awareness Times can confirm that despite the fact that Ebola was known to be raging in Guinea and also found in neighbouring Liberia, the Health Ministry did not send protective clothing to many of our hardworking MCH nurses and paramedics in Kailahun.



Furthermore, the Rapid Response Diagnostic Test Kits for Kailahun district which would have helped in differential diagnosis to eliminate non-Ebola conditions, had EXPIRED since March 2014.



It can be recalled that when the news first broke that Ebola had hit Sierra Leone, the Minister of Health & Sanitation, Madam Miatta Kargbo, in a callous show of insensitivity, had publicly blamed the dead victims as having caused their deaths by not listening to what she said were the orders she gave to citizens about how to avoid contacting Ebola. However, with the deaths from Ebola of so many innocent nursing and paramedic staff in Kailahun, dying for lack of protective gears, it is unclear right now as to whom Minister Miatta Kargbo will blame for the deaths of so many of her ministry’s innocent health care staff in Kailahun district.



This newspaper can also confirm that since the outbreak, the Ministry is yet to transform the Koindu Community Health Center into a Field Hospital. Rather, folks of Kissi Kingdom have been all but abandoned by Ministry of Health and Sanitation. The ministry is claiming they have not built the proposed MSF Isolation tents because Koindu folks are stoning their vehicle out of town. However, this newspaper can confirm that the place where the ministry’s vehicle got stoned, was Korosur village and not Koindu. The ministry’s insensitiveness to locals deaths plus glaring lack of proper sensitisation of those areas about Ebola, led to that singular incident. Truthfully, implications of this abandonment of the Kissi Kingdom chiefdoms, are enormous.



As has been displayed with the new emergence of Ebola infection in Mambolo, up Kambia, the fact is that no area of Sierra Leone is safe from an Ebola epidemic if Kissi people continue to be left abandoned.
 

Oreally

Right from the start
i am sure that the actual death toll and infected must be at least 2 to 3 times what is being reported by these governments.



Death toll from Ebola in Sierra Leone more than doubles to 12



Reuters) - The death toll from Ebola in Sierra Leone has doubled to at least 12 in a week, local health authorities said on Monday, deepening the spread of a disease that has killed over 200 people in Guinea and Liberia.


The mounting deaths in Sierra Leone, which had been spared cases for months after Ebola was confirmed in the region in March, underscore the challenges weak health systems face tackling one of the deadliest diseases on the planet.


Amara Jambai, Sierra Leone's Director of Disease Prevention and Control, said all the confirmed deaths in Sierra Leone were in the east, mainly in the Kailahun district on the border with Guinea.


"It is very difficult for us to ascertain community deaths at this moment, but the 12 deaths are the ones the hospital can definitely confirm to have died of Ebola," Jambai said.


Jambai added that there were now 42 confirmed cases of Ebola from 113 people tested and new cases had been recorded in the northern district of Kambia.


Ebola was confirmed in a remote corner of Guinea in March and then later spread to Guinea's distant capital, Conakry, and over the border into Liberia.
All suspected cases in Sierra Leone tested negative until last month and Jambai said that the disease was spreading as authorities are struggling to control the movement of people.


International medical experts have been dispatched to Sierra Leone but they face a combination of poor existing health systems and tensions among locals fueled by the lack of understanding over the disease.


Two weeks ago, relatives removed an Ebola patient from a treatment center in Koindu as they doubted the disease existed.


Iron ore producers London Mining and African Minerals have imposed some restrictions on staff in Sierra Leone as a result of the outbreak but the firms say their output has so far not been affected.
 
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