EBOLA/EVD [to 4 July 2015]

EBOLA/EVD [to 4 July 2015]
Public Health Emergency of International Concern (PHEIC); “Threat to international peace and security” (UN Security Council)

Ebola Situation Report – 1 July 2015
[Excerpts]
SUMMARY
:: There were 20 confirmed cases of Ebola virus disease (EVD) reported in the week to 28 June, the same as the previous week. Weekly case incidence has been between 20 and 27 cases for 5 consecutive weeks. In Guinea, 12 cases were reported from 3 prefectures: Boke, Conakry, and Forecariah. All 3 prefectures reported cases the previous week. In Sierra Leone, 8 cases were reported from the same 3 districts as the previous week: Kambia, Port Loko, and the district that includes the capital, Freetown. Challenges tracing and monitoring contacts continue to hamper efforts to end transmission, with a proportion of cases not detected until after death, increasing the risk of further transmission.
:: On 29 June, routine surveillance detected a confirmed case of EVD in Margibi County, Liberia—the first new confirmed case in the country since 20 March. The case is a 17-year-old male who first became ill on 21 June. After presenting at a local health facility the patient was treated for malaria and discharged. He died on 28 June and received a safe burial the same day. An oral swab taken before the burial subsequently tested positive twice for EVD. 102 contacts have been identified, although that number is expected to increase as investigations continue. At this stage the origin of infection is not known. The case reportedly had no recent history of travel, contact with visitors from affected areas, or funeral attendance…
:: Two new health worker infections were reported from Boke, Guinea, for a second consecutive week. No new health worker infections were reported from Sierra Leone. There have been a total of 874 confirmed health worker infections reported from Guinea, Liberia, and Sierra Leone since the start of the outbreak, with 509 reported deaths.

COUNTRIES WITH WIDESPREAD AND INTENSE TRANSMISSION
:: There have been a total of 27,443 reported confirmed, probable, and suspected cases of EVD in Guinea, Liberia and Sierra Leone (figure 1, table 1) up to 28 June, with 11,220 reported deaths (this total includes reported deaths among probable and suspected cases, although outcomes for many cases are unknown). A total of 12 new confirmed cases were reported in Guinea and 8 in Sierra Leone in the 7 days to 28 June. …
WHO: News
Ebola diaries: Making things work in a desperate situation 1 July 2015

UNMEER
:: UNMEER Chief says Ebola comeback in Liberia underscores need for rigorous testing 02 Jul 2015

UNICEF [to 4 July 2015]
http://www.unicef.org/media/media_78364.html
UNICEF teams, supplies arrive in areas affected by new Ebola cases in Liberia
MONROVIA/DAKAR/GENEVA, 3 July 2015 – Responding to Liberia’s first confirmed cases of Ebola in more than three months, UNICEF has begun distributing emergency supplies in the affected communities including tents for isolating those under quarantine, hygiene kits and chlorine and buckets for handwashing stations.

ILO International Labour Organization [to 4 July 2015]
http://www.ilo.org/global/lang–en/index.htm
Occupational safety and health
Ebola: How decent work in the health sector saves lives of health personnel
01 July 2015
International labour standards and tools, if correctly applied, are very effective in protecting frontline health workers treating patients with potentially deadly infectious diseases, such as Ebola, says Christiane Wiskow, Senior Health Sector Specialist at the International Labour Organization (ILO).

ODI [to 4 July 2015]
http://www.odi.org/media
After Ebola: why and how capacity support to Sierra Leone’s health sector needs to change
Research reports and studies | July 2015 |
Lisa Denney and Richard Mallett with Ramatu Jalloh
The central argument of this report is that capacity building in Sierra Leone’s health sector has been thought about and operationalised in a narrow, technical way and that a smarter model of capacity building is needed.