As of 9 April, a cumulative total of 158 clinically compatible cases, including 101 deaths have been officially reported. Laboratory investigations continue at the Institut Pasteur (IP) Dakar laboratory in Conakry (65 samples tested, of which 38 are positive by PCR for ebolavirus) and at the European Union Mobile Laboratory (EMLab) team in Guekedou (38 samples tested/28 positive).
A total of 66 clinical cases have been laboratory confirmed (42%), while 87 of the remaining clinical cases are classified as probable cases and 4 as suspected cases. Twenty-four of the 101 deaths have been laboratory confirmed. Six districts of Guinea have reported patients – Conakry (20 patients, all laboratory confirmed), Guekedou (96 cases/32 confirmed), Macenta (28 cases/12 confirmed), Kissidougou (9 cases/1 confirmed) and Dabola and Djingaraye combined (5 cases/1 confirmed).
The date of onset of the most recently identified suspected clinical cases in Conakry and Guekedou was 8 April. One additional health-care worker (HCW) has been reported since the 7 April update, bringing the total to 15 (10 laboratory confirmed and 5 probable cases). Medical observation is continuing for 488 contacts while 453 have been discharged from follow-up. No new contacts were identified since 8 April.
As of 10 April, the Ministry of Health and Social Welfare (MOHSW) of Liberia has reported a cumulative total of 5 laboratory confirmed cases and 20 suspected cases of Ebola virus disease (EVD). The date of onset of the most recent confirmed case is 6 April, with 6 patients currently hospitalised. Lofa County accounts for 32% of the clinical cases reported to date (4 laboratory confirmed and 6 suspected cases) followed by Margibi County (27%, 1 confirmed and 5 suspected cases).
Other Counties at risk include Bong (4 suspected cases) and Nimba (3 suspected cases). Montserrado and Grand Cape Mount Counties have each reported one suspected case. At present 32 contacts remain under medical observation. The cumulative number of 12 deaths are being attributed to EVD; Lofa (9), Nimba (1), Margibi (1) and Montserrado (1). All 5 laboratory confirmed cases have died. Laboratory confirmed deaths have occurred in Lofa County (4) and Margibi County (1).
As of 10 April, the Ministry of Health (MOH) of Mali reports a cumulative total of 6 suspected cases after 2 suspected cases tested negative for ebolavirus and other viral haemorrhagic fever viruses in assays conducted by the U.S. Centers for Disease Control and Prevention (CDC) in Atlanta. Clinical samples have been collected from all of the suspected cases to date. The samples from the remaining 6 suspected cases have been dispatched to the Institut Pasteur, Dakar, for testing. The patients who previously tested negative have been released from medical follow-up and counselling has been provided to their families.
Although the epidemiological situation in Sierra Leone remains unchanged, the Ministry of Health and Sanitation (MOHS) continues to lead intensive EVD preparedness activities. Seven teams, each comprising of a director from the MOHS, a program officer of the Disease Prevention and Control directorate and a program officer from the national Health Education program have been dispatched to each of districts bordering Liberia and Guinea (Kambia, Kenema, Koinadugu, Kailahun, Bombali, Pujehun and Kono districts) to assess district preparedness with local authorities, including community-wide approaches to EVD preparedness and response and to preposition supplies. (Article above quotes from WHO)