Au 11 janvier 2015, la région de l’Afrique de l’Ouest et du Centre a enregistré environ 1 636 cas et 33 décès de choléra (Let=2%) dans 6 pays. On observe :
• une létalité élevée sur le littoral (River State) au Nigeria supérieure à 11% ;
• un risque de dispersion de l’épidémie nigériane sur le litoral Camerounais (Douala) ;
• une extension de l’épidémie dans 3 districts du li+oral en Côte d’ivoire affectant les communautés de pêcheurs (migrants) et un risque de dispersion vers le li!oral libérien et sierra-léonais.
The worst outbreak of Ebola virus disease (EVD) in history continues to ravage communities in West Africa. UNICEF estimates that 9.8 million children and young people under the age of 20 live in Guinea, Sierra Leone and Liberia; countries where disease transmission is widespread and intense. Of these, 2.9 million are under the age of 5. UNICEF estimates that up to 10,000 children have lost one or both parents or caregivers due to Ebola.
By Kate Dodson, Vice President of Global Health, United Nations Foundation
Yesterday the World Health Organization’s Executive Board convened for a special meeting to review the current state of the Ebola response and how, together, we can end this outbreak. The key message across the board was that we must all stay engaged and avoid complacency. While collective efforts have started to yield an encouraging drop in cases in all three of the most affected countries, it is critical that we maintain focus as we enter the next phase of the response.
• En 2014, la région de l’Afrique de l’Ouest et du Centre a enregistré environ 91 361 cas et 1 583 décès de choléra (CFR=2%) dans 11 pays, soit trois fois plus de cas qu’en 2013.
• Les trois pays les plus affectés sont le Nigeria, le Ghana et la RDC qui comptent 93% des cas et 80 % des décès de la région. Les épidémies au Nigéria et au Ghana impactent directement les pays limitrophes du lac Tchad et du golfe de guinée.
• On observe une létalité élevée en zone sahélienne supérieure ou égale à 2% notamment au Nigéria, Tchad, Cameroun et Niger.
Case incidence continues to fall in Guinea, Liberia, and Sierra Leone, with a halving time of 1.4 weeks in Guinea, 2.0 weeks Liberia, and 2.7 weeks in Sierra Leone. A combined total of 145 confirmed cases were reported from the 3 countries in the week to 18 January: 20 in Guinea, 8 in Liberia, and 117 in Sierra Leone.
Mali has been declared free of Ebola virus disease (EVD) after completing 42 days since the last case tested negative for EVD.
The Ebola outbreak is presenting the world with an extraordinary public health challenge with consequences for millions of people and far beyond the health sector. We have also seen an extraordinary response, primarily by people in communities living with the outbreak. It has been distressing to witness the individual suffering but at the same time it has been encouraging to see how local communities, governments in the affected countries, and the international community at the highest possible level have come together to stop the outbreak.
0 . MAJOR CHANGES SINCE PREVIOUS VERSION OF THE HIP
In order to respond to the national Preparedness and Response Plan for the Ebola virus disease in Burkina Faso, and on the basis of the contribution agreement concluded in December 2014 between the Commission and the Austrian Development Agency (ADA) an additional amount of EUR 963 000 is allocated to the present HIP.
Seized with a succession of new crises in Europe, the Middle East and across Africa, the Security Council in 2014 tackled an expanding workload in a record number of meetings while seeking to defeat terrorism, prevent conflicts, protect civilians, and improve the effectiveness of sanctions and other tools to quell tensions and neutralize threats.
Reported case incidence continues to fluctuate in Guinea, with no identifiable downward trend. Ebola virus disease (EVD) continues to spread geographically within the country, with the prefecture of Fria reporting 2 confirmed cases for the first time. Case incidence has declined to low levels in Liberia. There are signs that incidence has levelled off in Sierra Leone, although transmission remains intense in the west of the country.
December saw a significant deterioration of the security situation – compared to the previous month – in nine countries or conflict situations in the world, including in South Asia (Pakistan and India), and East Africa (South Sudan and Kenya). There is a risk of increased violence in the coming month in Sudan, where major offensives are anticipated on the heels of a failure in the peace talks; in Sri Lanka, in the context of the 8 January elections; and in Haiti, where the current president could rule by decree unless parliament's mandate, due to expire on 12 January, is extended.
Countries in Africa have been working on improving their preparedness in the event of an Ebola outbreak. The WHO teams have provided simulated exercises in hospitals and technical training, for immediate emergency response and communication.
Mamo Jatta is a Regional Public Health and Surveillance Officer in The Gambia and, like many people living near Ebola affected countries, he is concerned the disease will enter his own country, “I recently visited the town where I grew up and wondered what would happen if Ebola were to hit us here, would we be ready for it?”
Les pays d’Afrique s’emploient à améliorer leur préparation en cas de flambée d’Ebola. Les équipes de l’OMS ont procédé à des exercices de simulation dans les hôpitaux et dispensé une formation technique concernant l’intervention d’urgence et la communication.
· There have been 20 206 reported cases of Ebola virus disease, with 7905 reported deaths.
· Reported case incidence is fluctuating in Guinea and decreasing in Liberia, although Liberia reported more cases in the week ending 28 December than in the previous week.
· There are signs that the increase in incidence has slowed in Sierra Leone. However, the west of the country is still experiencing the most intense transmission of all affected countries.
· The United Kingdom has reported its first confirmed case of Ebola.
The Chã das Caldeiras area has been evacuated following the eruption of Pico Fogo Volcano on 23 November an access restricted since 7 December by Civil Protection authorities due to increased volcanic activity.
Updated figures indicate 1076 persons have been displaced and are currently housed in temporary accommodation centers, shelter units built after the 1995 eruption, and with host families.
The contingency plan for the possible evacuation of Cutelo Alto and Fonsaco areas was completed.
There have been 19 497 reported cases of Ebola virus disease, with 7588 reported deaths.
Reported case incidence is fluctuating in Guinea and decreasing in Liberia.
There are signs that the increase in incidence has slowed in Sierra Leone, although the country’s west is now experiencing the most intense transmission in the affected countries. Response efforts have been strengthened to curb the spread of disease in the area.
As of 17 December 2014, there have been 18,569 confirmed, probable and suspected EVD cases in Guinea, Liberia and Sierra Leone, and 6,900 deaths.Over 9.4 million children are living in the affected areas in these 3 countries. An estimated 3,492 children have been infected with Ebola, and a far greater number of children have lost one or both parents or caregivers in this crisis.
Lisbonne, Portugal | AFP | vendredi 19/12/2014 - 16:46 GMT
Le gouvernement portugais a annoncé vendredi contribuer à hauteur de 550.000 euros à l'installation d'un laboratoire mobile de dépistage du virus Ebola en Guinée-Bissau, pays frontalier de la zone d'Afrique de l'Ouest la plus touchée par l'épidémie.