HIGHLIGHTS
There have been 13 703 EVD cases, with 4 920 deaths, up to the end of 27 October.
All districts in Liberia and Sierra Leone are now affected.
Thursday 30 October marks 30 days since the UN Mission for Ebola Emergency Response plan was implemented.
Mali reported its first case on 23 October.
SUMMARY A total of 13 703 confirmed, probable, and suspected cases of Ebola virus disease (EVD) have been reported in six affected countries (Guinea, Liberia, Mali, Sierra Leone, Spain, and the United States of America) and two previously affected countries (Nigeria and Senegal) up to the end of 27 October. There have been 4 922 deaths.
The outbreaks of EVD in Senegal and Nigeria were declared over on 17 October and 19 October 2014, respectively.
EVD transmission remains persistent and widespread in Guinea, Liberia, and Sierra Leone. All administrative districts in Liberia and Sierra Leone have now reported at least one confirmed or probable case of EVD since the outbreak began. Cases of EVD transmission remain lowest in Guinea, but case numbers are still very high in absolute terms. Transmission remains intense in the capital cities of the three most affected countries. Cases and deaths continue to be under-reported in the outbreak.
Of the countries with localized transmission, Mali, Spain and the United States of America continue to monitor potential contacts. In Mali, a 2-year-old girl died of Ebola on 24 October, after travelling with her grandmother from Guinea. The case makes Mali the sixth West African nation to be affected in the current Ebola outbreak.
In Spain, the single patient with EVD tested negative for the disease for a second time on 21 October. Spain will be declared free of EVD 42 days after the date of the second negative test, unless a new case arises during that period. In the US, two health-care workers have tested negative for Ebola for the second time, and have been discharged from hospital. Another health-care worker remains in isolation and is receiving treatment.