As seen in the graph below the number of confirmed ebola cases have tapered off since mid November. The graph compares the number of confirmed cases reported in patient databases with the numbers reported from the Ministry of Health and Social Welfare (MOHSW) SITRep reports. The information from patient databases has not been updated since the end of November. However, based on our data the number of confirmed cases have not been this low since before the middle of June last year. During December there was a daily average of 22 new cases and 10 deaths reported, and the daily average has declined as it moved into January.
In December, 55% of confirmed Ebola cases were reported from Montserrado County. Currently there are 4,441 contacts throughout the country that under follow-up. The reports from last week provided updates on Grand Cape Mount, Sinoe and Margibi counties which are currently three of the regions with the highest number of cases. The map below shows the full breakdown of reported cases in the different counties for December 26th through January 1st.
In Grand Cape Mount County there were fifteen total confirmed cases. Three of these were from Tewor district and one was from Gola Konneh, from these cases three were confirmed post mortem. There were another four suspected deaths in Golakonneh, Tewor and Garwula districts, but these have not been confirmed. A pregnant woman in labor was referred to Bomi County and later transferred to a hospital in Monrovia. She reportedly received poor care in Monrovia before returning to Bomi where she died.
Sinoe County confirmed one case of Ebola from an individual that had not been on the contact tracing list. This case occurred in Polay’s town and several days later a suspected case was reported in a town within a 30 minute walk from there. This individual who is suspected of having Ebola was also not on the contact tracing list.
Margibi County decided to drop individuals from their contact follow-up who were not linked to a confirmed case or who may have completed their 21 days of follow-up. They made this change in order to streamline their contact tracing process and ensure individuals that most need the follow-up are being visited by tracing teams.
There are discussions about limiting the bed capacity of Ebola Treatment Units (ETU) located outside of Monrovia. However, there are no current plans to make adjustments to the building and management of the Community Care Centers. One new ETU opened in Grand Bassa County on December 22nd with the potential for caring for 50 patients. There are three ETUs that were expected to open on the outskirts of Monrovia between January 1st and January 7th. It has not been confirmed if they have actually opened. Internal reports stated that four ETUs reported sewage problems at the beginning of January.