Ebola Virus Disease (EVD) in West Africa (situation as of 16 June 2014)

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1 Situation update WHO was notified of an outbreak of EVD in Guinea on 13 March 2014, Liberia on 31 March 2014, and Sierra Leone on 26 May Following the confirmation of EVD outbreak, the Ministries of Health (MOHs) of Guinea, Liberia and Sierra Leone have reactivated their national epidemic management committees to coordinate the overall response to EVD outbreak. Response measures implemented over the past four months include but not limited to development of EVD response plans; enhancement of surveillance including active case search and contact tracing; strengthened case management and infection and prevention control; and increased public health awareness. WHO s support include deployment of over 150 multi-disciplinary experts to the three countries; shipment of medical equipment and supplies including Personal Protective Equipment; and provision of financial support through the African Public Health Emergency Fund and other partners. Mobile laboratories were deployed to the field through the Emerging and Dangerous Pathogens Laboratory Network (EDPLN) for the confirmation of EVD cases. As a result of the above preventive and control measures, the epidemiological situation as at 15 June 2014 is as follows: Guinea (394 cases, 263 deaths and 113 recovered and discharged), Liberia (33 cases, 24 deaths and 4 recovered and discharged), Sierra Leone (95 cases and 46 deaths).

2 Situation in Gueckedou, Macenta and Kissidougou (Guinea) Gueckedou The first cases of EVD outbreak in West Africa were reported from Gueckedou district which has a total population of 405,000. The onset of the index case was on 2 December A total number of 221 cases including 171 deaths were reported; 43 cases were recovered and discharged. Cumulatively, 1911 contacts were identified of which 1366 completed their follow-up and currently 545 are under follow-up. Macenta The outbreak in Macenta district started on 17 February The total population of the district is 296, 000. A total of 41 cases and 28 deaths were reported of which 12 cases recovered and discharged. Cumulatively, 359 contacts were identified of which 307 completed their follow-up and currently 52 are under follow-up. Kissidougou The outbreak in Kissidougou district started on 24 February. The total population of the district is 214,000. A total of 8 cases and 5 deaths reported of which 3 recovered and discharged. No new cases have been reported since 1 April 2014.

3 Situation in Conakry (Guinea) The outbreak in Conakry, capital city of Guinea with total population of about 1.5 million, started on 3 March It is linked (epidemiologically) to the outbreak in Gueckedou. As at 15 June 2014, a total of 68 cases and 33 deaths were reported of which 31 cases recovered and discharged. The distribution of cases by location is shown in figure 3. Cumulatively, 1001 contacts were identified of which 668 completed their follow-up and currently 333 are under follow-up. The outbreak spread to the following districts: Telimele (30 cases including 9 deaths), Boffa (19 cases including 10 deaths) and Kouroussa (1 case including 1 deaths). The geographical distribution of cases in Telimele and Boffa is shown on the next page.

4 Conakry, Boffa and Telimele (Guinea)

5 Ebola Virus Disease (EVD) in West Africa: Timeline of major events