For the week of October 21st- 26th, the data released in the Government of Liberia’s (GoL) Ministry of Health and Social Welfare (MOHSW) report assessed the Ebola death rate and cases reported at ETUs concluding that the decline in cases during the past few weeks suggests that transmission rates have stabilized. However, a few more weeks of analysis are needed to confirm that rates are tapering off, since not all patients with Ebola visit ETUs.
The decline in numbers reported by the Ministry of Health reflects data that has been collected by other international organizations. According to Medscape, the number of ETU admissions in Liberia declined during the week of October 26th by 67% from their high in September. This is also reflected in the laboratory data coming in. This week about 51% of laboratory tests came back positive for Ebola in comparison to about 79% that we were seeing in August.[i]
Previously, we discussed how there are external variables that could affect these changes in numbers, but the continued decline suggests a more permanent progression towards the 42 day marker. The graph below shows the rates of ETU admissions for Lofa county, Liberia over the last five months.
In Montesserrado County the contact tracers were able to conduct follow-ups with 99.1% of their listed contacts and 226 of these completed their 21 day observation periods. Additionally there were burial teams established in Careysburg, Todee, and Bensonville.
During the week in Grand Cape Mount County the Ebola Task Force provided food for children that are quarantined in Bo-Water Side. The CDC in conjunction with the Ministry of Health’s Social mobilization team conducted awareness training in Jenewonde. While MTI provided rain gear, folders and ledgers for health facility staff members, it was reported that ETU’s and hospitals were out of survival kits and Personal Protection Equipment (PPEs).
In Nimba County, there were two new admissions to the Ganta ETU but neither of the cases is yet to be confirmed with lab results. Meanwhile, 8 of the quarantined health workers at the Saclepea health center completed their 21 days of follow-up without becoming symptomatic.
The clinics in Bomi County are about to run out of chlorine and PPEs. Four bodies were buried but only one of these came from the health clinic.
In response to reports last week that Grand Kru County did not have a functioning ambulance the Global Communities have provided a new ambulance for Ebola response.
Lofa County received 17 new pickup trucks to support burials across the districts.
While bringing donations to River Cess county personnel of Global Communities and the County Health and Social Welfare Team (CHSWT) were attacked in Boegeezay Town. The Global Communities team still completed their training of two new burial teams and donated five vehicles to assist their activities.