Liberia Ebola SitRep no Ministry of Health and Social Welfare Sept. 2, 2014

Transcription

1 Liberia Ebola SitRep no. 110 Ministry of Health and Social Welfare Sept. 2, 2014

2 National Bomi County Bong County Gbarpolu County Grand Bassa Grand Cape Mount Grand Gedeh Lofa County Margibi County Montserrado County Nimba County River Gee County RiverCess County Sinoe County Cases New Case/s (Suspected) New Case/s (Probable) New case/s (confirmed) Total suspected cases Total probable cases Total confirmed cases Total Number of Confirmed Cases of Sierra Leonean Nationality Total Number of Confirmed Cases of Guinean Nationality Cumulative (confirmed, probable, suspected) cases

3 National Bomi County Bong County Gbarpolu County Grand Bassa Grand Cape Mount Grand Gedeh Lofa County Margibi County Montserrado County Nimba County River Gee County RiverCess County Sinoe County Cases among HCWs Newly Reported Cases in HCW on 2nd Sept Cumulative cases among HCW Newly Reported deaths in HCW on 2nd Sept Cumulative deaths among HCW

4 National Bomi County Bong County Gbarpolu County Grand Bassa Grand Cape Mount Grand Gedeh Lofa County Margibi County Montserrado County Nimba County River Gee County RiverCess County Sinoe County Isolation and Discharges New Admission on Sept. 2, Total no. currently in Treatment Units Total discharges on 2nd Sept Cumulative admission/isolation

5 National Bomi County Bong County Gbarpolu County Grand Bassa Grand Cape Mount Grand Gedeh Lofa County Margibi County Montserrado County Nimba County River Gee County RiverCess County Sinoe County Deaths Newly reported deaths 2nd Sept Total death/s in confirmed cases Total death/s in probable cases Total death/s in suspected cases Total death/s in confirmed, probable, suspected cases Case Fatality Rate (CFR) - Confirmed & Probable Cases

6 National Bomi County Bong County Gbarpolu County Grand Bassa Grand Cape Mount Grand Gedeh Lofa County Margibi County Montserrado County Nimba County River Gee County RiverCess County Sinoe County Contacts Newly reported contacts on 2nd Sept Total contacts listed Currently under follow-up Contacts seen on 2nd Spet Contacts who completed 21 day follow-up Contacts lost to follow-up

7 National Bomi County Bong County Gbarpolu County Grand Bassa Grand Cape Mount Grand Gedeh Lofa County Margibi County Montserrado County Nimba County River Gee County RiverCess County Sinoe County Laboratory Specimens collected on 2nd Sept Specimens pending for testing Total specimens tested

8 National Bomi County Bong County Gbarpolu County Grand Bassa Grand Cape Mount Grand Gedeh Lofa County Margibi County Montserrado County Nimba County River Gee County RiverCess County Sinoe County Ebola Disease Outbreak (March 22-Sept. 2, 2014) Table 3: Cumulative Ebola Disease Outbreak in Liberia (March 22 -Sept. 2, 2014) Cases Total Case/s (Suspected) Total Case/s (Probable) Total case/s (confirmed) Cumulative (confirmed, probable, suspected) cases Health Care Workers Cumulative cases among HCW Cumulative deaths among HCW Deaths Total death/s in confirmed cases Total death/s in probable cases Total death/s in suspected cases Total death/s in confirmed, probable, suspected cases #### Cumulative CFR (March 22 - Sept. 2, 2014) ##### #

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16 Case Investigation Daily Case Investigation Report September 2nd, 2014 CASE DISTRIBUTION Montserrado Lofa Bong Margibi Cape Mount Nimba Rivercess Bassa Bomi # of calls for Live Cases Received 21 # of calls for Live Cases Responded to 15 # Calls of Live Cases Pending Response 6 # of Cases Referred to Treatment Unit 0 # of Suspected Cases Responded to 5 # of Probable Cases Responded to 10 # of Cases Pending Transfer for today 7 Cumulative Cases Pending Transfer 33 # of Calls that were not a Case 2 Zone 1 (JFK HOSPITAL) 2 Zone 2 (DUPORT ROAD) 3 Zone 3 (JAMES DAVIES) 4 Zone 4 (REDEMPTION HOSPITAL) 4 Cumulative (probable, suspected) cases 13 # of Calls for bodies 8 Zone 1 (JFK HOSPITAL) 3 Zone 2 (DUPORT ROAD) 1 Zone 3 (JAMES DAVIES) 4 Zone 4 (REDEMPTION HOSPITAL) 0 # of bodies with specimen taken 2 # of Bodies that were not a case 0 # of Bodies Removed 8 # of Homes sprayed unknown # of Health Facilities sprayed unknown # of psychosocial Counseling done 15

17 Highlights JFK ETU Total admission- 47 (3 Health Workers) Total number of confirmed cases- 34 New admission 2 No discharge 1 death reported within the last 24 hours. ELWA II Total admission- 44 Total number of confirmed- 35 (4 Health Workers) Total number of new admission- 5 (1 Health Worker) 13 discharged (11 Survivors and 2 suspected cases with negative lab results) 3 death within the last 24 hours. (2 Health Workers)

18 Highlights ELWA III Total admission- 115 (3 suspected cases) Total number of confirmed case- 112 Total number of new admission Discharged (1 suspected case with negative lab results) 10 deaths reported within the last 24 hours. Critical Issues ELWA lll closed for the next two days in order to control the heavy influx of patients and improve security measures. However patients taken by the ambulance will be considered. ELWA ll reported stock out of some essential drugs, hoods, body bags, and waste bags.

19 Lofa County Highlights Total number of patient in Foya Case management center (FCMC) probable cases 50 confirm cases 10 New Probable cases Total of 5 deaths reported: 3 confirmed death from FCMC 2 community deaths (Zorzor) Total number of Discharge: 2 Survivors Lab Result: No lab results received

20 Highlight Montserrado County 1432 (97%) of 1478 contacts under follow up were seen by 4 contact tracing teams. Of the 21 calls for live cases received by dispatch, 15 (71%) were responded to. 6 live cases are awaiting investigation while 33 cases are pending transfer to ETU. 29 deaths reported: 14 were from ETUs 11 Suspected 4 Probable 5 suspected cases are in the holding unit at West Point.

21 Nimba County EVD 5 Lab. Result received 1 Positive 4 Negative Highlight Global Communities Country Director donated 100 Body bags and 3 10kg buckets of chlorine to the County for Ebola Response The last Ebola positive patients in the County were transferred to ETU in Monrovia Mobile lab at ELWA (CDC/NIH 24 samples tested 7 Negative 17 Positive National Reference Lab at LIBR 5 Samples tested 2 Positive 3 Negative

22 MOHSW Warehouse Inventory (as of Sept 2, 17:30) Category Product Description Unit Current Balance 3 month Forecast Gap WATSAN Body Bags (L) piece 4,139 6,000 1,861 WATSAN Body Bags (S) piece 18 6,000 5,982 WATSAN Chlorine Powder Kg 3,675 34,515 30,840 WATSAN Plastic Bucket w/ faucet* piece Disposable PPE PPE Suit - Overall (no hood)** piece 3, Disposable PPE PPE Suit - Hooded Overall piece - 700, ,000 Disposable PPE Examination Gloves (S, M, L, XL) piece 118,111 1,400,000 1,281,889 Disposable PPE Face Mask (N95) piece 8, , ,634 Reusuable PPE Goggles Piece 8,057 33,000 24,943 Reusuable PPE Heavy Duty Plastic Gloves pair , ,595 Reusuable PPE Rubber boot pair ,500 14,348 Reusuable PPE Hand Sprayer (1.5L) piece Reusuable PPE Backpack Sprayer (12-16L) piece Other Equipment Mattress piece * These buckets were procured by case management specifically for use by case management teams **An additional 9,750 overalls are available and will be distributed once hoods arrive

23 Items Received on September 2nd Item Qty Unit Donor/Delivery point Surgical reusable apron 699 Pcs Surgical gloves 2500 Pairs Graceland International Alcohol-based Hand Sanitizer 720 Btls Anti-fog spray (355ml) 150 Btls Body Bags (L) 338 Pcs US Government MAP/GEMS Kit (50 sets of PPE*) 63 Kit Country/ red rice flour 48 Bags Natural fruit juice 24 Boxes LIFA (sent to ELWA 2) Potato & Plantain flour 12 Bags A large donation, worth ~$162,300 arrived from the Swiss Embassy. Supplies were delivered to the warehouse at NEC for storage Sterilium, Softa-man pure, Glucose, Sodium Chloride, Exam Gloves (L & XL), Surgical Masks, Infusion Sets, Body Bags, ORS * These kits include 50 coveralls (no hood), 50 goggles, 50 facemasks, and 50 pairs of gloves

24 Pipeline PPEs are most urgently needed items right now: PIPELINE INFORMATION: 7,500 PPEs to arrive from WHO on Wednesday, Sept 03, ,000 PPEs from USG will be available immediately once supplemental hoods arrive 4,000 PPE kits estimated to arrive on Monday from CHAI, through funding from Norway Limited information is being shared with the logistics subcommittee regarding items in the pipeline. The Logistics/Supply Chain Team urges all partners to share Ebola healthcare commodity delivery information with the team. The logistics subcommittee has developed a new template to collect information from partners on a weekly basis to help inform overall stock status and gaps. This template will be circulated in the coming days and will collect information on: Deliveries Consumption Pipeline LMIS Requisition forms have been developed for central level MoHSW Warehouse and CHSW Warehouse. Forms to be ed by the SCMU LMIS Officer to all county Pharmacists

25 Important Updates Regarding Requisitions A memo is currently being developed to outline new requirements for all requisitions. The signatory process has been streamlined However, there is little visibility of how orders are being used and/or consumed. Beginning about a week from now, all requisitions will require to be accompanied by a report outlining how the previous supplies were used.