Liberia Ebola Daily Sitrep no. 190 for 21th November 2014 Ministry of Health and Social Welfare Ebola Case and Death Summary by County County DAILY EMAIL REPORT New1 suspected and probable Total Bomi Bong Gbarpolu Grand Bassa Grand Cape Mount Grand Gedeh Grand Kru Lofa Margibi Maryland Montserrado Nimba River Gee River Cess Sinoe NATIONAL Suspect Probable VHF DATABASE New deaths1 0 3 0 1 0 5 0 5 0 0 0 0 4↑↑ 3 1 6↑↑ 0 0 0 6 0 1 0 1 0 0 0 0 1↑ 20 0 1 9 0 0 11 0 0 0 0 0 37 0 0 0 0 1 0 0 1 0 0 8 0 0 0 0 19 18 14 0 0 0 0 Cumulative2 cases 23 MayNovember 21th 2014 Cumulati ve Probable Confirmed deaths2 Total Suspect 285 84 66 135 158 308 173 32 103 88 20 10 3 7 5 143 42 68 33 60 96 38 26 32 54 10 8 0 2 5 34 14 16 4 25 641 167 149 325 376 1225 398 483 344 536 21 15 2 4 17 3961 1630 747 1584 1598 326 80 136 110 50 19 7 5 7 8 44 9 17 18 25 32 11 3 18 11 7165 2686 1753 2726 3016 (↑increase and ↑↑ big increase compared to previous days) County did not report for the day 1 From daily email county reports of aggregated data for that day 2 From individual-level data from the Case Investigation form; cases may be reclassified according to surveillance case definitions New1 suspected and probable cases by County over the past 7 days Legend- New Cases 15-21 Nov 2014 • 0 cases 5 1 • 1-9 cases • 10-49 cases 18 • 50-99 cases 46 127 • 100 or more cases 6 5 12 1 6 4 1 0 1 Data from daily email county reports of aggregated data 0 1 Liberian Ministry of Health & Social Welfare New1 Cases Reported by Date, Past 21 Days 1 Data from daily email county reports of aggregated data Laboratory confirm cases Laboratory Confirmed Cases on November 21, 2014 County New Confirmed Cases Alive Dead Bomi 0 0 Bong 2 0 Gbarpolu 0 0 Grand Bassa 0 0 Grand Cape Mount 0 0 Grand Gedeh 0 0 Grand Kru 0 0 Lofa 0 0 Margibi 1 0 Maryland 0 0 Montserrado 4 1 Nimba 0 0 Rivergee 0 0 Rivercess 0 0 Sinoe 0 0 National 7 1 Healthcare Worker (HCW) Cases and Deaths County Bomi Bong New1 HCW Cases New1 HCW Deaths Cummulative2 HCW Cases 0 0 18 14 0 0 29 16 Garpolu 0 0 0 0 Grand Bassa 0 1 8 4 Grand Cape Mount 0 0 7 3 Grand Gedeh 0 0 0 0 Grand Kru Lofa 0 0 0 0 0 0 22 16 Margibi 0 0 69 37 Maryland 0 0 1 0 Montserrado 0 0 173 80 Nimba 0 0 12 2 River Gee 0 0 2 0 River Cess Sinoe 0 0 0 0 0 0 1 0 NATIONAL 0 1 342 172 1 Data from daily email county reports 2 Data from epiinfo VHF database Cummulative2 HCW Deaths County did not report Admissions, Currently in Treatment, and Discharges CCC/Holding Centers Ebola Treatment Units Discharges (not New Currently in including New Currently in admissions treatment transferred) admissions treatment Discharges Bomi 0 0 0 Bong Gbarpolu Grand Bassa Grand Cape Mount Grand Gedeh Grand Kru Lofa Margibi Maryland Montserrado Nimba River Gee River Cess Sinoe NATIONAL / 0 1 / 0 0 / 0 1 / / 0 / 0 2 / 0 19 / 0 0 / 31 1 / / 0 / 1 52 / 0 0 / 1 0 / 0 0 / / 0 / 0 1 / County without CCC/HC or ETUs Data from daily email county reports 5 / / / / / 0 / / 18 0 / / / 23 6 30 / / / / / 0 / / 123 5 / / / 164 0 7 / / / / / 0 / / 3 0 / / / 10 *Incomplete ETUs report County did not report Admissions, Currently in Treatment, and Discharges: Montserrado Ebola Treatment Units in Montserrado County New admissions Currently in treatment Discharges ELWA 2 3 21 0 ELWA 3 3 15 2 Island Clinic 8 72 1 MOD1 4 15 0 Total 18 123 3 ETU did not report Laboratory Samples Evaluated Total New Positive National Reference lab at LIBR 9 0 0 7 2 Mobile lab in Bong 14 3 5 6 0 Mobile lab in Island 7 2 0 4 1 Mobile lab in Lofa 2 0 0 2 0 Mobile lab in ELWA 15 3 0 12 0 Total 47 8 5 31 3 Laboratory Repeat Positive Negative Indeterminate Contact Investigation Summary County Bomi Bong Gbarpolu Grand Bassa Grand Cape Mount Grand Gedeh Grand Kru Lofa Margibi Maryland Montserrado Nimba River Gee River Cess Sinoe NATIONAL Newly reported Currently under Contacts contacts follow-up seen on day Contacts who completed 21 days follow-up Contacts lost to follow-up 0 166 160 0 0 0 232 232 0 0 0 57 31 2 0 32 90 63 0 0 30 335 335 6 0 0 1 1 0 0 0 72 0 0 10 0 67 67 0 0 0 1980 1350 0 0 10 27 27 0 0 91 3138 3132 107 6 0 0 0 0 0 0 0 0 0 0 0 30 30 61 0 0 82 82 0 0 163 6277 5510 176 16 Data from daily email county reports County did not report County Highlights Bong • 2 confirmed and 1 suspected death were buried • Three of the 5 reported suspected cases were referral from Margibi County Margibi • The lack of transportation and communication cards is preventing the supervisors from meeting all the contact tracers Cape Mount • Five specimens were collected and sent to the LIBR laboratory • The five referrals to the Island Clinic ETU were all children between 4-11 years old