Guinea
Between 4 and 5 June 2014, a new district, Kouroussa in Haute Guinea reported 1 new confirmed case and 1 death. This brings to 7 new cases (4 confirmed, 3 suspected) and 6 new deaths reported. Cumulatively the total number of cases and deaths attributable to EVD in Guinea is 351 (laboratory confirmed 210, probable 83 and suspected 58) including 226 deaths by 5 June 2014. The geographical distribution of these cases and deaths is as follows: Conakry, 67 cases and 29 deaths; Gueckedou, 194 cases and 146 deaths; Macenta, 45 cases and 27 deaths; Dabola, 4 cases and 4 deaths; Kissidougou, 7 cases and 5 deaths; Dinguiraye, 1 case and 1 death; Telimele, 25 cases and 7 deaths; Boffa, 7 cases and 6 deaths and Kouroussa, 1 case and 1 death. In terms of isolation, 33 patients are currently hospitalized (8 in Conakry, 9 in Guéckédou, 15 in Telimele and 1 in Boffa). The number of contacts currently being followed-up countrywide is 1011 distributed as follows: Conakry (329 contacts), Guéckédou (317 contacts), Macenta (176 contacts), Telimele (111 contacts) and Boffa (78 contacts). Contact tracing for the new case in Kouroussa is on-going.
Sierra Leone
As at 1800 Hrs, 6 June 2014, 8 new cases (2 confirmed, 6 suspected) and 1 new death were reported bringing the total number of EVD clinical cases to 89 (33 confirmed, 3 probable, and 53 suspected) including 7 deaths. All the 33 confirmed cases and deaths are reported from Kailahun district. The Number of cases among health care workers is 5 and death is 1. 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
The Ministry of Health and Social Welfare, Liberia reported one (1) new confirmed case and one death in Lofa on 7 May 2014. Meanwhile, eleven (11) contacts (5 health care workers and 6 community relatives) are currently being followed-up. These contacts were of the probable case from nearby Kailahun, Sierra Leone who died in Foya, Liberia. The dead body was taken back to Kailahun for burial. Prior to this, there has been no new confirmed case since 6 April 2014. The total number of cases is subject to change due to reclassification, retrospective investigation, enhanced surveillance, consolidation of cases and laboratory data.
WHO response
WHO and partners continue to support the implementation of preventive and control measures in the affected countries. In Sierra Leone, four (4) proposals which were developed with support from WHO have received funding from: CERF (USD238,000), OCHA Emergency Fund (about USD50,000), DFID (£200,000) and ADB (about USD600,000). Guinea has also received about USD600,000 and Liberia about USD310,000 from ADB. WHO is also training health care workers on case and data management and in reviewing messages for social mobilization (current messages focus more on avoiding bushmeat, there is no treatment for Ebola and prompt burial of the dead). Currently, there is only one isolation facility located at Kenema. WHO and partners are establishing 2 Isolation sites in Darra and Koindu. Clinicians and infection prevention and control experts will be deployed to manage the new isolation sites. In Guinea, the joint WHO/HQ and AFRO mission continues to provide support on reviewing the outbreak response operations.
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.
