For the week of October 16th- 20th, the data released in the Government of Liberia’s’ (GoL) Ministry of Health and Social Welfare (MOHSW) report included information on people who are still refusing quarantines and the ongoing trainings in communities.
There continue to be reports of people across the different counties refusing to be quarantined. We aren’t receiving all of the reasons for this, but some people are reporting that their refusal is based on facilities lacking beds and proper equipment. Refusals to be quarantined can result in greater exposure to the disease within the community, but the source of their refusal is very important. Response teams should be focusing on these groups to understand their reasons for refusing in order to better address specific concerns and needs within communities.
A contact tracing team in Nimba County has been working with five police officers who are refusing to be quarantined although they have al been identified as having contact with an Ebola patient. One area of concern is a patient who is exhibiting signs of Ebola although they had previously been discharged from the GBarnga ETU after testing negative for Ebola. Meanwhile, the Ganta ETU discharged six patients who have recovered from the illness and only one death was reported at the clinic this week.
Currently a UNICEF team is conducting a rapid assessment in the county on nutrition, education, child protection and social mobilization in order to determine what the community needs are moving forward. We will be looking to this assessment along with others to help gauge where local and global partners can be focusing their efforts.
There is an increased focus in Grand Cape Mount County on contact tracing and community search as UNFPA continues the training of 83 individuals. Previously 22 contacts had lost touch with tracing teams and 21 of them have now received follow-up and are refusing quarantine due to the lack of mattresses in Bo-waterside.
During the week Montserrado counties contact tracers were following 4003 individuals. By the end of the week 557 people had completed their 21 days of follow-up. By the end of the week contact tracers were tracking 4337 individuals, over 300 more than at the beginning of the week. Currently none of these contacts have become symptomatic. This week there were 59 reported deaths in the county.
In Sinoe County they received buckets and chlorine from the County Task Force. This coincided well with the conclusion of the meeting between UNMIL, Medical Teams International (MTI) and local community leaders including the District Superintendent on Ebola training and response.
In Grand Kru County the Global Community completed a health education training program for district staff and community members. However, they have reported that they currently do not have a functioning ambulance in the county.