For the week of November 16th through November 21st, we have compiled the data released in the Government of Liberia’s (GoL) Ministry of Health and Social Welfare (MOHSW) report. Based on the information from these reports in conjunction with feedback from a local epidemiologist we see the continued trend of a decline in reported cases.
During a teleconference with Dr. Mosoka Fallah, an epidemiologist in Liberia, he emphasized the importance of involving communities in the Ebola effort. He recommends that communities keep a log of visitors to and from their area. Additionally, he mentioned that outreach to more isolated communities is becoming a focus and that outreach teams are advising communities to immediately isolate anyone showing symptoms of Ebola in order to curb the transmission rates.
The importance of reaching remote areas and the improvement in data collection that we’ve discussed in previous reports is being addressed through several collaborative actions. Rapid Response is beginning to prepare five teams that will be deployed to different hot spots areas. There is also a push to get more data from the contact tracing teams and for the ETUs/CCCs to hire two new staff members that will be dedicated to investigate cases and manage data.
The distribution of cases amongst the counties has been changing. We are seeing fewer people admitted to ETU’s and holding centers in Lofa, but there continue to be cases in other counties, such as Bong. This week there have been fewer reports of counties lacking vital supplies like Personal Protection Equipment and patients are continuing to be transferred to ETU’s in Monrovia from other nearby areas.
Montserrado County reported that one individual being followed by contact tracers had become symptomatic.
There were four individuals from Amenia in Cape Mount County that were transferred to the Island Clinic ETU. Additionally there were five community burials that took place in Gola Konneh, Garwular and Tewor.
There is less data this week from individual counties but as we’ve described, there is more information on the country wide strategies that are happening. We hope this is an indicator of improved coordination and collaboration that will help drive Liberia to the 42 day mark.