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You are here: Home EBOLA UPDATES --Sierra Leone Last Updated: February 08, 2015 21:37 GMT STATUS: HEAVILY AFFECTED
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--Sierra Leone Last Updated: February 08, 2015 21:37 GMT STATUS: HEAVILY AFFECTED

SUMMARY Sierra Leone’s first Ebola case occurred in late May in counties bordering Guinea. Guinea’s outbreak began several months earlier. Although Ebola cases were declining rapidly, a rise occurred in the final week of January, with more districts reporting newly-confirmed cases. Most of the new cases were not in registered contacts.

SUMMARY
Sierra Leone’s first Ebola case occurred in late May in counties bordering Guinea. Guinea’s outbreak began several months earlier.

Although Ebola cases were declining rapidly, a rise occurred in the final week of January, with more districts reporting newly-confirmed cases. Most of the new cases were not in registered contacts.

In the last week (28 January - 5 February) we have seen. . .

  • Number of new weekly cases rising for the first time in 2015.
  • Transmission is most intense in the west of the country, including in the capital Freetown and Port Loko. Nine of the 14 districts have had at least one new confirmed case. Only 21% of the new cases were in registered contacts of Ebola cases, indicating a significant gap in surveillance.
  • Three districts where a "security incident" occurred or there was "refusal to cooperate" with response measures. Several deaths in the community and unsafe burials were identified which risks further community transmission.
  • There are 24 operational Ebola Treatement Centres (ETCs) however not all meet minimum infection control standards.

Sierra Leone Ebola Map
Information for map sourced from WHO Ebola Situation Report 28 Jan 2015.
Click image for larger map

Transmission is active in:

Bo
Bombali
Kambia
Kenema
Koinadugu
Kono
Moyamba
Port Loko
Tonkolili
Western Area (includes Freetown)

No active transmission*:

Bonthe
Kailahun
Pujehun

* No new cases reported for at least 21 days

See charts of cases

CASES

Total: 10,905 clinical cases as of 8 February 
Confirmed: 8,122| Probable: 287 | Suspected: 2,496
Deaths: 3,336 (2,970 confirmed)
(Source: WHO daily situation report 8 February)

LATEST NEWS
8 February: Twelve new cases have been confirmed in the last 24 hours - the majority from Western Area Urban (5), followed by Port Loko (3),  Western Area Rural (2), and Kambia (1) and Moyamba (1). There are an additional 17 suspected cases from the districts of Kailahun, Kambia, Kono, Port Loko, Western Area Rural and Western Area Urban.

7 February: Six more new cases have been confirmed as at 6 February. They are from Kono, Port Loko and Western Area Rural. Additional cases are suspected in Kambia, Moyamba, and Western Area Urban.

6 February: The Ministry of Health has confirmed 13 new cases for 5 February. The cases were reported from Port Loko (8), Kambia (2), Bombali (1), Western Area Urban (1) and Western Area Rural (1).

5 February: The situation report issued by Ministry of Health informs of 21 new confirmed cases, most of them from Kambia (8) and Port Loko (6). Other areas that have reported cases include Western Area Urban (4), Western Area Rural (2) and Moyamba (1).

4 February: WHO's Situation Report shows a rise in the number of new cases over the last week, the first increase this year. There were 80 new confirmed cases in the final week of January, compared to 65 the week prior. Activity continues in Freetown (22 new cases), while it has increased sharply in Port Loko (36 new cases). Nine districts had at least one new confirmed case. The risk for ongoing outbreaks in the community and gaps in surveillance are highlighted by the fact that only 21% of all new confirmed cases were in registered contacts. Additionally there were 11 unsafe burials, and 12 deaths in the community.

Nevertheless, authorities are expecting to reopen schools in Sierra Leone on 30 March. Education ministers are also planning to implement improvements in water and sanitation and provide tools to screen children and enable psychological support before students return to the classroom.

3 February: A total of 4 new cases were recorded by the Ministry of Health in Bombali (1), Western Area Urban (2) and Western Area Rural (1). This is the lowest national daily count recorded for some time.

2 February: The Ministry of Health has confirmed 25 new cases for 1 and 2 February. Port Loko reported 14, followed by Western Area Urban with 8 and Kono, Tonkolili and Western Area Rural each reported 1 case.
In the latest World Health Organization situation summary report, 146 new cases and 58 new deaths have been reported from Sierra Leone since the last update on 30 January.

Canadian officials withdrew a mobile laboratory team from Kailahun, since no new cases have been reported there in more than 42 days. Canadian lab staff remains stationed in Magburaka (in Tonkolili district) and the capital Freetown.

30 January: Ebola cases continue to be detected with 7 new cases reported 30 January. Western Area Urban was most affected with 5 cases with a single case in each of Western Area Rural and Kono. From Sierra Leone's remaining active districts, only Bo is showing any sign of control as it has passed 16 days without a confirmed case.

29 January: Authorities reported 12 newly confirmed cases for 28 January, mostly in Port Loko (7) with others in Kenema (1), Koinadugu (1), Moyamba (1) and Western Area Urban (1).

28 January: The World Health Organization situation update states cases continue to decline rapidly in Sierra Leone. Half of the country's districts reported newly-confirmed cases. Disease spread remains most intense in the west of the country, including in the capital Freetown. Kambia district also saw increased cases. It borders Guinea's Forecariah district, where cases have been increasing for the past two weeks.

27 January: The Ministry of Health has announced five newly confirmed cases for 26 January. The cases are from Kono (1), Kambia (1), Tonkolili (1) and Western Area Urban (2).

25 January: Nineteen confirmed cases and 16 deaths were reported by the Ministry of Health for 24 and 25 January. Cases are from Bombali (6), Kambia (3), Tonkolili (1), Western Area Urban (4), Western Area Rural (5).

24 January: The Ministry of Health has announced 14 newly confirmed cases and 12 confirmed deaths for 23 January. Cases are from Kambia (4), Port Loko (1), Western Area Urban (6) and Western Area Rural (3).

23 January: The Ministry of Health has announced 9 newly confirmed cases and 8 confirmed deaths for 22 January. The cases are all from Western Area, except one case each from Kambia and Tonkolili districts.

According to media sources, the President of Sierra Leone lifted all district level movement restrictions 23 January onwards to support economic activity. Only households with known Ebola cases will be quarantined. Officials have decided to ease trading hour restrictions in Western Area which continues to record surge in case numbers. As the detection of new cases has declined, hazard bonus paid to health workers will be discontinued by March end.

22 January: Eleven confirmed cases and 5 confirmed deaths were reported by the Ministry of Health for 21 January. Transmission continues in Western Area (7 cases), Port Loko (3) and Kambia (1). The Ministry of Health has alsoannounced that a team of contact tracers, ambulance technicians and trainers, along with three ambulances, have been sent by the Liberian government to assist efforts. The 'Liberia Ebola Response Team' will be deployed to Port Loko district where transmission is ongoing.

The latest situation report from the World Health Organization (WHO) shows that the number of new weekly cases is continuing to fall. In the week to 18 January there were 117 new confirmed cases, down from 184 and 284 cases in the two weeks prior. The most affected areas remain Freetown, Western Area Rural and Port Loko.

In response to the number of new cases halving every 2.7 weeks in Sierra Leone, the number of required treatment and community care centre (CCC) beds has been revised by the WHO. Planned treatment beds decreased from almost 1,800 to 1,150 and planned CCC beds fell from over 1,200 to 437 since the previous week.

21 January: The Ministry of Health report 7 confirmed cases and 8 confirmed deaths for 20 January. The cases are from Freetown (2), Port Loko (2) and Tonkolili (3).

20 January: An additional 20 confirmed cases and 13 confirmed deaths for 19 January have been reported by the Ministry of Health. Transmission remains high in Port Loko, with 10 new cases. Seven cases were from Western Area, two from Kambia and one from Bombali districts.

19 January: The Ministry of Health reports there were 36 confirmed cases and 26 confirmed deaths for 17 and 18 January. The confirmed cases are; 15 in Port Loko, 10 in Western Area Urban (Freetown), Bombali (4), Moyamba (3), Kono (2), and Western Area Rural (2).

ISOLATION/TREATMENT CENTRES (ETCs)
As at 18 January, the country meets the World Health Organization (WHO) targets for required number of ETC and Community Care Centre (CCC) beds. There are 1,150 ETC and 437 CCC beds in operation.

See the World Health Organization interactive map of Ebola Treatment Centres for details on location, status and number of beds.

Currently, Ebola cases continue to decline rapidly but half of the country's districts reported newly-confirmed cases in the past week.
 
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