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Liberia Ebola SitRep no. 84
Ministry of Health and Social Welfare
Aug 7, 2014
Cases
National
BomiCounty
BongCounty
GbarpoluCounty
GrandBassa
GrandCapeMount
GrandGedeh
GrandKru
LofaCounty
MargibiCounty
MarylandCounty
MontserradoCounty
NimbaCounty
RiverCessCounty
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 0161 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 0294 13 0 157 16 1
Cases among HCWs
National
BomiCounty
BongCounty
GbarpoluCounty
GrandBassa
GrandCapeMount
GrandGedeh
GrandKru
LofaCounty
MargibiCounty
MarylandCounty
MontserradoCounty
NimbaCounty
RiverCessCounty
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
National
BomiCounty
BongCounty
GbarpoluCounty
GrandBassa
GrandCapeMount
GrandGedeh
GrandKru
LofaCounty
MargibiCounty
MarylandCounty
MontserradoCounty
NimbaCounty
RiverCessCounty
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
National
BomiCounty
BongCounty
GbarpoluCounty
GrandBassa
GrandCapeMount
GrandGedeh
GrandKru
LofaCounty
MargibiCounty
MarylandCounty
MontserradoCounty
NimbaCounty
RiverCessCounty
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
National
BomiCounty
BongCounty
GbarpoluCounty
GrandBassa
GrandCapeMount
GrandGedeh
GrandKru
LofaCounty
MargibiCounty
MarylandCounty
MontserradoCounty
NimbaCounty
RiverCessCounty
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
National
BomiCounty
BongCounty
GbarpoluCounty
GrandBassa
GrandCapeMount
GrandGedeh
GrandKru
LofaCounty
MargibiCounty
MarylandCounty
MontserradoCounty
NimbaCounty
RiverCessCounty
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
National
BomiCounty
BongCounty
GbarpoluCounty
GrandBassa
GrandCape
Mount
GrandGedeh
GrandKru
LofaCounty
MargibiCounty
MarylandCounty
Montserrado
County
NimbaCounty
RiverCessCounty
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 40.74138.46
####
# 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

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Liberia ebola sit rep 84 aug 7, 2014

  • 1. Liberia Ebola SitRep no. 84 Ministry of Health and Social Welfare Aug 7, 2014
  • 2. Cases National BomiCounty BongCounty GbarpoluCounty GrandBassa GrandCapeMount GrandGedeh GrandKru LofaCounty MargibiCounty MarylandCounty MontserradoCounty NimbaCounty RiverCessCounty 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 0161 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 0294 13 0 157 16 1
  • 3. Cases among HCWs National BomiCounty BongCounty GbarpoluCounty GrandBassa GrandCapeMount GrandGedeh GrandKru LofaCounty MargibiCounty MarylandCounty MontserradoCounty NimbaCounty RiverCessCounty 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
  • 4. Isolation and Discharges National BomiCounty BongCounty GbarpoluCounty GrandBassa GrandCapeMount GrandGedeh GrandKru LofaCounty MargibiCounty MarylandCounty MontserradoCounty NimbaCounty RiverCessCounty 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
  • 5. Deaths National BomiCounty BongCounty GbarpoluCounty GrandBassa GrandCapeMount GrandGedeh GrandKru LofaCounty MargibiCounty MarylandCounty MontserradoCounty NimbaCounty RiverCessCounty 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
  • 6. Contacts National BomiCounty BongCounty GbarpoluCounty GrandBassa GrandCapeMount GrandGedeh GrandKru LofaCounty MargibiCounty MarylandCounty MontserradoCounty NimbaCounty RiverCessCounty 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
  • 7. Laboratory National BomiCounty BongCounty GbarpoluCounty GrandBassa GrandCapeMount GrandGedeh GrandKru LofaCounty MargibiCounty MarylandCounty MontserradoCounty NimbaCounty RiverCessCounty 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
  • 8. Ebola Disease Outbreak (March 22-August 7, 2014) Table 3: Cumulative Ebola Disease Outbreak in Liberia (March 22 -Aug 7, 2014) Cases National BomiCounty BongCounty GbarpoluCounty GrandBassa GrandCape Mount GrandGedeh GrandKru LofaCounty MargibiCounty MarylandCounty Montserrado County NimbaCounty RiverCessCounty 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 40.74138.46 #### # 100 50 #### # #### # 48.6 66.7 #### 80.5 63.636 4 100
  • 9. 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
  • 10. 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
  • 11. 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
  • 12. 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