Current Situation
•Ebola outbreak in coastal West Africa involves
Guinea, Liberia, Sierra Leone, Nigeria and Senegal
•Total cases as of 28 Sep14: 7,157 with 3,330
deaths. Overall Mortality Rate (MR) =46.5%
•Guinea: 1,157 cases/710 deaths (MR=61.4%)
•Liberia: 3,696 cases/1,998 deaths (MR=54.1%)
•Sierra Leone: 2,304 cases/622 deaths (MR=27%)
•Nigeria (20 cases/8 deaths) ; Senegal (1 case)
CASES in US (Total: 5)
•First US diagnosed case in Dallas, TX (30Sep14)
Travel from Liberia (19Sep) (Brussels-DullesDallas) arrives US (20Sep). Symptoms began
(24Sep), sought care (26Sep) was treated and
released. Condition worsened, admitted to
isolation at Texas Health Presbyterian (28Sep).
Ebola PCR test confirmed positive (30Sep). CDC
sent Epi team to Dallas to assist State and County
public health with contact tracing of exposed
individual. His condition is serious (1Oct)
Contacts: 13-18 estimated contacts in addition
to Dallas Fire ambulance crew (3pax); includes 5
school aged children from 4 schools. EMS and
the students are without symptoms and are
being monitored at home. A close associate of
the patient is being closely monitored for Ebola.
~Other cases~
•One AMCIT evac’d to Emory (7SEP)-unknown
•One US MD with EVD infection transferred to
Nebraska Med Ctr 5 Sep, discharged 25SEP
•Two AMCITS, with EVD infection treated and
released from Emory University Hospital 21AUG
Signs and Symptoms
• Severe acute viral illness often characterized by
the sudden onset of fever, intense weakness,
muscle pain, headache and sore throat.
• This is followed by vomiting, diarrhea, rash,
impaired kidney and liver function, and in
some cases, both internal and external
bleeding.
PREPARED by COL LISA BLACK
UNCLASSIFIED/FOUO
Surgeon
Force Health Protection
Ebola Storyboard
as of 180001OCT14
Mali
Prevention and Treatment
•No specific treatment or vaccine is available for use
in people or animals.
•Severely ill patients require intensive supportive
care. Patients are frequently dehydrated and require
oral rehydration with solutions containing
electrolytes or intravenous fluids.
•Reducing the risk of wildlife-to-human transmission
from contact with infected fruit bats or
monkeys/apes and the consumption of their raw
meat. Animals should be handled with gloves and
other appropriate protective clothing. Animal
products (blood and meat) should be thoroughly
cooked before consumption.
•A New Ebola vaccine is being tested in humans at
NIH following success in monkeys.
•ZMapp, being developed by Mapp
Biopharmaceutical Inc., is an experimental
treatment, for use with individuals infected with
Ebola virus.
•16SEP14: POTUS visit to CDC where he is expected
to announce deployment of ~3,000 MILPER to West
Africa and an AFRICOM GO to head a regional
command in Monrovia, Liberia in support of
Operation United Assistance. Support includes
engineer construction of 17 treatment centers in
Liberia, medical personnel to train local health care
Transmission
workers, and a new staging base.
•The virus is transmitted to people from wild animals and spreads
•16SEP14: Peoples Republic of China to dispatch a
in the human population through human-to-human transmission.
59 person mobile lab team to Sierra Leone in
•Human-to-human transmission of the Ebola virus is primarily
addition to 115 Chinese medical staff already on the
associated with direct or indirect contact with blood and body
ground.
fluids. (to include saliva and sweat).
•12SEP14: Government of Cuba to deploy 165
•Transmission to health-care workers has been reported when
health care professionals to Sierra Leone in early
appropriate infection control measures have not been observed
•Standard precautions include the basic level of infection control— October 2014.
hand hygiene, use of personal protective equipment to avoid direct •9SEP14: PENTAGON announces deployment of a
contact with blood and body fluids, prevention of needle stick and 25 bed hospital to Liberia designed to care for health
care workers who will become ill. US Public Health
injuries from other sharp instruments, and a set of environmental
Commissioned Corps will deploy 65 Officers to
controls.
Liberia to manage and staff this hospital.
•Fruit bats of the Pteropodidae family are considered to be the
natural host of the Ebola virus.
•28AUG14: The WHO Ebola response roadmap
•The incubation period, that is, the time interval from infection
highlighted the need for a massively scaled
with the virus to onset of symptoms, is 2 to 21 days.
response to support effected countries.
UNCLASSIFIED/FOUO