Liberia Ebola SitRep no. 84

Ministry of Health and Social Welfare

Aug 7, 2014

Cases

Nat

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al

Bo

mi C

ou

nty

Bo

ng

Co

un

ty

Gb

arp

olu

Co

un

ty

Gra

nd

Bas

sa

Gra

nd

Cap

e M

ou

nt

Gra

nd

Ge

de

h

Gra

nd

Kru

Lofa

Co

un

ty

Mar

gib

i Co

un

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Mar

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d C

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Mo

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err

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Co

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Nim

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Riv

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New Case/s (Suspected) 3 0 0 0 3 0 0 0 0 0 0 0 0 0

New Case/s (Probable) 29 0 0 0 0 0 0 0 26 0 0 2 1 0

New case/s (confirmed) 2 2 0 0 0 0 0 0 0 0 0 0 0 0

Total suspected cases 135 4 33 0 3 0 0 0 57 9 0 24 5 0

Total probable cases 295 18 16 0 1 1 0 0 161 2 0 90 5 1

Total confirmed cases 149 9 10 0 0 3 0 0 76 2 0 43 6 0

Total Number of Confirmed Cases of Sierra Leonean Nationality 12 0 0 0 0 1 0 0 11 0 0 0 0 0

Total Number of Confirmed Cases of Guinean Nationality 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cumulative (confirmed, probable, suspected) cases 579 31 59 0 4 4 0 0 294 13 0 157 16 1

Cases among HCWs

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Gra

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Gra

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Newly Reported Cases in HCW on 7th Aug 2014 2 0 0 0 0 0 0 0 0 0 0 2 0 0

Cumulative cases among HCW 76 4 23 0 0 0 0 0 15 4 0 29 1 0

Newly Reported deaths in HCW on 7th Aug 2014 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cumulative deaths among HCW 33 4 3 0 0 0 0 0 12 0 0 14 0 0

Isolation and Discharges

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New admissions on 7th Aug 2014 5 0 0 0 0 0 0 0 3 0 0 2 0 0

Total no. currently in Treatment Units 64 0 0 0 0 0 0 0 39 0 0 25 0 0

Total discharges on 7th Aug 2014 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Cumulative admission/isolation 64 0 0 0 0 0 0 0 39 0 0 25 0 0

Deaths

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Gra

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Bas

sa

Gra

nd

Cap

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ou

nt

Gra

nd

Ge

de

h

Gra

nd

Kru

Lofa

Co

un

ty

Mar

gib

i Co

un

ty

Mar

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d C

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Newly reported deaths 7th Aug 2014 13 1 0 0 1 0 0 0 8 0 0 2 1 0

Total death/s in confirmed cases 134 6 4 0 0 1 0 0 67 2 0 50 4 0

Total death/s in probable cases 119 5 6 0 1 1 0 0 45 0 0 57 3 1

Total death/s in suspected cases 42 0 1 0 0 0 0 0 16 3 0 21 1 0

Total death/s in confirmed, probable, suspected cases 295 11 11 0 1 2 0 0 128 5 0 128 8 1

Case Fatality Rate (CFR) - Confirmed & Probable Cases 57.0 40.7 38.5 0.0

#### 50.0 0.0 0.0 47.3 50.0 0.0 80.5 63.6 100.0

Contacts

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Gra

nd

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h

Gra

nd

Kru

Lofa

Co

un

ty

Mar

gib

i Co

un

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Mar

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d C

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Newly reported contacts on 7th Aug 2014 2 0 0 0 0 0 0 0 2 0 0 0 0 0

Total contacts listed 1057 58 62 0 3 0 0 0 259 28 0 583 58 6

Currently under follow-up 938 52 39 0 3 0 0 0 259 5 0 538 38 4

Contacts seen on 7th Aug 2014 347 50 0 0 0 0 0 0 259 0 0 0 38 0

Contacts who completed 21 day follow-up 8 2 0 0 0 0 0 0 0 0 0 0 6 0

Contacts lost to follow-up 6 6 0 0 0 0 0 0 0 0 0 0 0 0

Laboratory

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ion

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ou

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Bo

ng

Co

un

ty

Gb

arp

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un

ty

Gra

nd

Bas

sa

Gra

nd

Cap

e M

ou

nt

Gra

nd

Ge

de

h

Gra

nd

Kru

Lofa

Co

un

ty

Mar

gib

i Co

un

ty

Mar

ylan

d C

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Specimens collected on 7th Aug 2014 3 0 0 0 0 0 0 0 3 0 0 0 0 0

Specimens pending for testing 32 9 9 0 1 0 0 0 9 1 0 1 2 0

Total specimens tested 7 0 0 0 0 0 0 0 7 0 0 0 0 0

Ebola Disease Outbreak (March 22-August 7, 2014)

Table 3: Cumulative Ebola Disease Outbreak in Liberia (March 22 -Aug 7, 2014) Cases

Nat

ion

al

Bo

mi C

ou

nty

Bo

ng

Co

un

ty

Gb

arp

olu

Co

un

ty

Gra

nd

Bas

sa

Gra

nd

Cap

e

Mo

un

t

Gra

nd

Ge

de

h

Gra

nd

Kru

Lofa

Co

un

ty

Mar

gib

i Co

un

ty

Mar

ylan

d C

ou

nty

Mo

nts

err

ado

C

ou

nty

Nim

ba

Co

un

ty

Riv

erC

ess

Co

un

ty

Total Case/s (Suspected) 135 4 33 0 3 0 0 0 57 9 0 24 5 0 Total Case/s (Probable) 297 18 16 0 1 1 0 0 163 2 0 90 5 1 Total case/s (confirmed) 155 9 10 0 0 3 0 0 80 4 0 43 6 0 Cumulative (confirmed, probable, suspected) cases 587 31 59 0 4 4 0 0 300 15 0 157 16 1 Health Care Workers Cumulative cases among HCW 78 4 23 0 0 0 0 0 17 4 0 29 1 0 Cumulative deaths among HCW 35 4 3 0 0 0 0 0 14 0 0 14 0 0 Deaths Total death/s in confirmed cases 140 6 4 0 0 1 0 0 71 4 0 50 4 0 Total death/s in probable cases 121 5 6 0 1 1 0 0 47 0 0 57 3 1 Total death/s in suspected cases 45 0 1 0 0 0 0 0 17 4 0 22 1 0 Total death/s in confirmed, probable, suspected cases 306 11 11 0 1 2 0 0 135 8 0 129 8 1

Cumulative CFR (March 22 - Aug 7, 2014) 57.7 40.741 38.46 ####

# 100 50 ####

# ####

# 48.6 66.7 #### 80.5 63.636

4 100

Counties Highlights

Montserrado County

– Two (2) probable cases in Health workers.

Lofa County

– Twenty-six (26) new probable cases: 18 from Barkedu, 4 from Voinjama

City, 2 from Vezala, 1 from Vahun and 1 from Gbapkalasu

– 25 persons from Barkedu were trained to do contacts tracing in Voinjama

– 2 deaths in the community : 1 – Voinjama, 1 - Barkedu

Highlights Bomi County • Three confirmed in Tubmanburg still awaiting transfer to Monrovia

• County Security detachment is supporting the Ebola response

• Training of health facilities is ongoing

Issues

• The newly established Burial Team needs training urgently as are the gCHVs being used for contacts tracing

• The 3 probable cases that evaded the tracing team and were headed for Bong County were apprehended by security and brought back to the county. They had onboard a dead one-year old child

Constraints

• There is a stock-out of chlorine in the county

• Contact tracing activities in Monoh, Gonjeh, Bessou, Joseph Town etc. are still being hindered by the lack of cooperation from the communities

Logistics/Supply Chain Highlights

Priority Cateogory Description of Item Unit Inventory as of

Aug 06,2014 Qty needed Per Month

Forecast for 3 months

High Disposable PPE Disposable Apron piece 430 61,076 183,228 High Disposable PPE Face Mask piece 0 71,060 213,180 High Disposable PPE Heavy Duty Gloves pair 957 40,324 120,972 High Disposable PPE PPE (Tyvek overall) piece 1435 61,076 183,228 High Disposable PPE PPE Hoods piece 0 67,928 203,784

High Disposable PPE Surgical Gloves (S,ML) pair 8941 16,550 49,650 High Disposable PPE Surgical Mask piece 11730 71,060 213,180

High Reusuable PPE Backpack Sprayer (12L) piece 0 200 200

High Reusuable PPE Goggles pice 0

5,000 5,000

High Reusuable PPE Hand Sprayer (1.5L) piece 0 700 700

High Reusuable PPE Heavy Duty Plastic Apron piece 5

1,190 1,190

High Reusuable PPE Rubber Boots pairs 54

1,250 1,250

High Consumable Alcohol (Isopropyl) 70% bottle 326

3,000 9,000 High Consumable Face Shield piece 62 71,060 213,180

High Consumable Hand Sanitizer bottle 14

5,000 15,000

Priority Category Description of Item Unit Inventory as of

Aug 06,2014 Qty needed Per Month

Forecast for 3 months

High Consumable Sterile Surgical Gown piece 3691

61,076 183,228

High WATSAN Body Bags Adult piece 20

3,874 11,622

High WATSAN Chlorine kg 343

11,505 34,515

High Hydration D50% 50mL vial Vial 0

210 630

High Hydration Ringer lactate (RL), 500ml,1000ml Liter 6562.5

9,540 28,620

High Hydration Sodium Chloride Intravenous Infusion Liter 1,169

7,000 21,000

High Other Equipment Digital Thermometer piece 483

800 800

High Other Equipment Gun Infrared Thermometer for use at entry points piece 0

400 400

High Consumable IV Cannula ,22G piece 1770

1,500 4,500

High Consumable Lysol Brand III Disinfectant piece 0

2,000 6,000

Supplementary Changing room equipment Adhesive tape (10cm x 3m) to secure gloves over gown piece 0 900 2,700

Supplementary Changing room equipment Anti-fog spray for goggles (2oz) bottle 72 300 900

Supplementary Antibiotics Metoclopramide 10mg/1mL vial vial 0

3,000 3,000 Supplementary Antibiotics Amoxicillin 500mg tab tablet 500 30,750 92,250

Supplementary Antibiotics Ceftriaxone 250mg powder in vial vial 0 300 900