[stem-ebola] PRO/AH/EDR> Ebola virus disease - West Africa (193): Senega

[alex@xxxxxxxxxxxxxx]

EBOLA VIRUS DISEASE - WEST AFRICA (193): SENEGAL FREE, WHO, SIERRA
LEONE, NIGERIA
*********************************************************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

In this update:
[1] Senegal: declared Ebola free by WHO
[2] WHO: Ebola Response Roadmap Update 17 Oct 2014 [as of 14 Oct
2014]
[3] Sierra Leone: Ebola comes to last safe district in Sierra Leone
[4] Nigeria: outbreak response
[5] Preparedness: Ivory Coast & Mali

******
[1] Senegal: declared Ebola free by WHO
Date: Fri 17 Oct 2014
Source: WHO Ebola situation assessment [edited]
<http://who.int/mediacentre/news/ebola/17-october-2014/en>


The outbreak of Ebola virus disease in Senegal is over
------------------------------------------------------
Senegal is now free of Ebola virus transmission. 42 days have now
passed since the last contact of Senegal's single confirmed case of
Ebola virus disease completed the requisite 21-day monitoring period,
under medical supervision, developed no symptoms, and tested negative
for the virus.

The response to Senegal's 1st case, confirmed on 29 Aug [2014], on the
part of President Macky Sall, the Ministry of Health and Welfare,
headed by Dr Awa Coll-Seck, and several other sectors of government,
carries some instructive lessons for many other developing countries
that are now wisely preparing to respond to an imported case. Other
lessons come from staff at the WHO country office, senior
epidemiologists sent to investigate and support the response, and
WHO's many institutional partners in outbreak response.... -- more

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

[Congratulations, Senegal! - Mod.JW]

******
[2] WHO: Ebola Response Roadmap Update 17 Oct 2014
Date: Fri 17 Oct 2014
Source: WHO: Ebola Response Roadmap [edited]
<http://apps.who.int/iris/bitstream/10665/136645/1/roadmapupdate17Oct14_eng.pdf?ua=1>


Ebola Response Roadmap Update 17 Oct 2014 [as of 14 Oct 2014]
-------------------------------------------------------------
9216 cases up to the end of 14 Oct [2014]. There have been 4555
deaths.... The death toll includes 239 health workers.... -- more

[WHO has now placed line breaks between every word and I don't know
how to remove them en bloc after copying and pasting, so please go to
the source URL for clear text. - Mod.JW]

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

******
[3] Sierra Leone: Ebola comes to last safe district in Sierra Leone
Date: Thu 16 Oct 2014
Source: Bellingham Herald, AP (Associated Press) report [edited]
<http://www.bellinghamherald.com/welcome_page/?shf=/2014/10/16/3915569_new-district-in-sierra-leone-gets.html>


Ebola comes to last safe district in Sierra Leone
-------------------------------------------------
Ebola has infected 2 people in last untouched district -- Koinadugu --
of Sierra Leone, far north; 15 people have also died....

Planes can't fly to the affected countries because they are afraid
they will be refused landing elsewhere, said the African Union chair
Nkosazana Zuma on Thursday [16 Oct 2014] and airlines that wanted to
restart service couldn't. Currently only Moroccan airlines and
Brussels Air fly to all 3 countries. Sierra Leone's Finance Minister
Kaifalah Marah on Thursday warned that border closures and cutting
flights were "killing our economies," describing the isolation as a de
facto economic embargo.... -- more

[Byline: Clarence Roy-Macaulay & Paul Schemm]

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

******
[4] Nigeria: outbreak response
Date: Sat 18 Oct 2014
From: Tamsin Dew <t.dewe14@xxxxxxxxxxxxxx> [edited]


A very impressive, transparent and enlightening talk was given at
Imperial College London last night [17 Oct 2014] by Mrs. Sara Beysolow
Nyanti, Team Lead for Management & Coordination in the National Ebola
Emergency Operation Center, Nigeria; Chief of Office, UNICEF Lagos. I
don't know how much of this information is in the public eye already,
but Mrs. Nyanti described the Nigerian outbreak response in detail and
I urge you to contact her for further information about it.

The response was co-ordinated by Ebola Emergency Operation Centres
(EOC) established in Lagos and Port Harcourt and involved heads of 6
different teams (epi/surveillance, clinical management,
organisation/management, etc) reporting to a single Incident Manager,
Dr Faisal Shuaib from the Federal Ministry of Health/Nigerian CDC.
Appointments were skills- and motivation-driven, from a variety of
state and federal government bodies and technical partners (including
MSF). Far-sighted governmental support, strong leadership, and solid
communication and co-operation between different individuals and
groups seem to have been critical.

Daily team meetings and strategy group round tables were implemented
and all tasks were allocated, tracked and followed up daily. An
isolation ward was purpose built under guidance from MSF [Medecins
Sans Frontieres]. Danger pay and risk-based life insurance policies
were implemented for all at-risk staff. A dedicated rumour line was
established and all calls responded to. A social mobilisation and
communication team that targeted neighbourhoods of contacts (using GIS
to go house-to-house, radially) was instrumental in reducing stigma
and spreading important information about the disease, as well as
gathering additional leads.

Mrs. Nyanti reports the following figures:
- 899 contacts traced (only 1 lost to follow-up)
- 20 cases, 8 deaths, CFR [case fatality rate] of 40 percent
- 1289 staff in Lagos and Port Harcourt EOC, including more than 300
in epi/surveillance, more than 500 in social
mobilisation/communication, more than 300 at ports of entry, more than
100 in clinical care/case management, more than 20 lab staff, and more
than 20 in the management/coordination team
- no health workers involved with case management were infected.

--
Tamsin Dew
Imperial College, London (student)
UK
<t.dewe14@xxxxxxxxxxxxxx>

******
[5] Preparedness: Ivory Coast & Mali
Date: Thu 16 Oct 2014
Source: Irish Times [edited]
<http://www.irishtimes.com/news/world/africa/who-to-test-ebola-preparedness-in-ivory-coast-and-mali-1.1966573>


WHO to test Ebola preparedness in Ivory Coast [Cote d'Ivoire] & Mali
--------------------------------------------------------------------
The World Health Organization will send experts to test the
Ebola-preparedness measures in Ivory Coast and Mali, the 2 countries
at greatest risk of being the next to be affected by the epidemic,
WHO's health security response chief Isabelle Nuttall said this
evening.... -- more

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

[At last some good news, with Senegal declared free. - Mod.JW

A HealthMap/ProMED-mail map can be accessed at:
<http://healthmap.org/promed/p/48>.]

[See Also:
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 (190): Liberia, Sierra Leone, China
monitoring 20141010.2852077
Ebola virus disease - West Africa (189): Sierra Leone, Liberia, OIE
20141008.2841244
Ebola virus disease - West Africa (188): international cases, Liberia,
clinical 20141007.2837773
Ebola virus disease - West Africa (187): UN, aid, Sierra Leone, ECDC,
Liberia 20141005.2834551
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 (184): USA (TX) first case ex
Liberia 20140930.2819341
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 (181): Liberia, Europe, Senegal, sea
law 20140929.2816072
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 (178): WHO Roadmap Update
20140927.2810521
Ebola virus disease - West Africa (177): WHO, quarantine, vaccine,
Liberia, surv. 20140926.2808526
Ebola virus disease - West Africa (176): Sierra Leone, USA, Nigeria
20140925.2806004
Ebola virus disease - West Africa (175): CDC, Sierra Leone, drugs,
survivors RFI 20140924.2802601
Ebola virus disease - West Africa (174): WHO, UNMEER, AU, Sierra
Leone, Liberia 20140924.2799482
Ebola virus disease - West Africa (173): WHO, Sierra Leone,
respirators, aid 20140922.2792415
Ebola virus disease - West Africa (172): Sierra Leone, volunteers,
Senegal free 20140921.2790986
Ebola virus disease - West Africa (171): lockdown, serum, aerosol,
team killed 20140920.278947
Ebola virus disease - West Africa (170): WHO, volunteers, risk,
training 20140919.2788195
[clip]
Undiagnosed viral hemorrhagic fever - Guinea: (NZ) RFI
20140319.2342420]
.................................................sb/jw/ml/je/ml
*##########################################################*
************************************************************
ProMED-mail makes every effort to  verify  the reports  that
are  posted,  but  the  accuracy  and  completeness  of  the
information,   and  of  any  statements  or  opinions  based
thereon, are not guaranteed. The reader assumes all risks in
using information posted or archived by  ProMED-mail.   ISID
and  its  associated  service  providers  shall not be  held
responsible for errors or omissions or  held liable for  any
damages incurred as a result of use or reliance upon  posted
or archived material.
************************************************************
Donate to ProMED-mail. Details available at:
<http://www.isid.org/donate/>
************************************************************
Visit ProMED-mail's web site at <http://www.promedmail.org>.
Send all items for posting to: promed@xxxxxxxxxxxxxx (NOT to
an individual moderator).  If you do not give your full name
name and affiliation,  it may not be posted.  You may unsub-
scribe at  <http://ww4.isid.org/promedmail/subscribe.php>.
For  assistance  from   a   human   being, send mail to:
<postmaster@xxxxxxxxxxxxxx>.
############################################################
############################################################

List-Unsubscribe: http://ww4.isid.org/promedmail/subscribe.php