Ebola virus disease, West Africa (Situation as of 5 June 2014)

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Guinea

Between 2 and 3 June 2014, 11 new cases (8 confirmed, 1 probable and 2 suspected) and 3 new deaths were reported from Conakry (7 new cases and 1 death), Guéckédou (2 new cases and 1 death), Telimele (1 new case and 0 death) and Boffa (1 new case and 1 death). This brings the cumulative total number of cases and deaths attributable to EVD in Guinea to 344 (laboratory confirmed 207, probable 81 and suspected 56) including 215 deaths.

The geographical distribution of these cases and deaths is as follows: Conakry (65 cases and 27 deaths; Gueckedou, 193 cases and 143 deaths; Macenta, 44 cases and 26 deaths; Dabola, 4 cases and 4 deaths; Kissidougou, 7 cases and 5 deaths; Dinguiraye, 1 case and 1 death; Telimele, 23 cases and 5 deaths; and Boffa, 7 cases and 4 deaths. In terms of isolation, 31 patients are currently hospitalized (6 in Conakry, 9 in Guéckédou, 15 in Telimele and 1 in Boffa). 

The number of contacts currently being followed-up countrywide is 987 distributed as follows: Conakry (329 contacts), Guéckédou (323 contacts), Macenta (176 contacts), Telimele (104 contacts) and Boffa (55 contacts).

Sierra Leone

Between 2 and 5 June 2014, 9 new suspected cases were reported bringing the total number of EVD clinical cases to 81 (31 confirmed, 3 probable, and 47 suspected) including 6 deaths. Kailahun district is the epicentre of the outbreak in Sierra Leone. Eleven (11) cases are currently in isolation at Kenema Hospital. The number of contacts currently being followed-up is 30. Community resistance is hindering the identification and follow-up of contacts.

Liberia

There have been no new confirmed cases since 6 April 2014.  Eleven (11) contacts (5 health care workers and 6 community relatives) are currently being followed-up. These contacts are of the probable case from nearby Kailahun, Sierra Leone who died in Foya, Liberia. The dead body was taken back to Kailahun for burial.
The total number of cases is subject to change due to reclassification, retrospective investigation, consolidation of cases and laboratory data and enhanced surveillance.

WHO response

WHO and partners continue to support the implementation of preventive and control measures in affected countries. Six (6) experts and over 5,000 PPEs have been deployed to Sierra Leone to support the response operations. WHO also supported Sierra Leone in developing proposals which were submitted to CERF ($238,000) and OCHA Emergency Fund (about $50,000) and DFID (£200,000).  A joint WHO/HQ and AFRO mission provided support to Guinea on reviewing the outbreak response operations. The total estimated budget for Sierra Leone EVD outbreak response is about USD1.8 million.

On 3 June 2014, WHO facilitated a cross-border collaboration meeting between Guinea, Sierra Leone and Liberia. They agreed to re-force cross-border surveillance and harmonise social mobilization communication tools to address community resistance.

WHO does not recommend any travel or trade restrictions be applied to Guinea, Liberia, or Sierra Leone based on the current information available for this event.