A. Situation analysis
Description of the disaster
The disaster and the Red Cross Red Crescent response to date
March 2014: Ebola outbreak in Gueckedou and a FACT team is deployed in the country March and April 2014: CHF 250,000 DREF allocated
April 2014: Field Assessment and Coordination team (FACT) and Emergency Response Units (ERUs) deployed. IFRC Emergency Appeal launched for total of CHF 1.2m for 3m people). The spread of the epidemicsreaches other areas of Guinée Forestière namely Macenta, Nzerekore, Lola, Youmou, Beyla, and Kissidougoubut also reaches the coastal region of Guinea in Forecariah, Coyah, Kindia, Dubreka, Conakry, Boffa, Fria and Boké
June to November 2014: the EVD related deaths increases from 330 in June to 1,189 in November. IFRC revised its Emergency Appeal 3 times, up to CHF 28.6m.
April 2015: Transmission begins to decline, concentrated almost entirely in and around Conakry.
June 2015: Revised Emergency Appeal n° 5 issued with 3,674 people infected and 2,444 deaths. The appeal seeks CHF 56m focused on recovery needs and extending the operation until 31 December 2017.
June 2016: Revised Appeal no 6 issued: Change of strategy presented in with budget of CHF 39,342,102. Incomparison with Liberia and Sierra Leone, Resource Mobilization for the EVD as far as Guinea is concerned appears as follows:
The unprecedented spread of Ebola Virus Disease (EVD) in west Africa was the one of the most challenging public health disasters in recent times, both in terms of caseloads and geographical spreads. From the time of the confirmation of initial cases in March 2014, the Guinean Red Cross with the support of the International Federation of Red Cross Red Crescent Movement has been in the Centre of the extensive global response to stop the epidemic. In Guinea, the Government declared the EVD epidemic on 21 March 2014 following the rapid spread of cases initially detected in the forest region. From the very beginning of the epidemic, the NS has been engaged in key response activities to help stop the spread of the disease across the country. These public health activities have been characterized by the five pillars of the IFRC Ebola response:
Surveillance and contact tracing
Safe and Dignified Burials and disinfection of houses,
Community engagement, beneficiary communication and social mobilization
Case Management support (through transport of patients to Ebola Treatment Centers (ETCs).
With the support of The International Federation of Red Cross and Red Crescent (IFRC), the Guinea Red Cross (GRC) has been the only organization involved in Safe and Dignified Burials (SDB) and disinfection of houses and other places. The GRC has therefore been conducting Safe and Dignified Burials in Guinea since the official outbreak of the epidemic in March 2014. As a global approach to eradicate the epidemic, Community engagement was put forward to prepare the ground for proper running of Safe and Dignified Burials (SDBs) and hygiene promotion in affected communities. Their GRC SDB teams operated in complementarity with volunteers who are trained to operate in specific pillars such as Community engagement, Beneficiary communication and in Psychosocial support and Surveillance and Contacts Tracing.
To reduce the risk of transmission, contact tracing accompanied by beneficiary communications awareness campaigns were implemented to contain the epidemics and gain the communities’ full collaboration. By 31 December 2016, a cumulative total of 3,814 cases and 2,544 deaths had been recorded in Guinea with a fatality rate of 66,7%. Out of the 2,544 cases recorded, 115 deaths had occurred amongst health care workers and Red Cross volunteers.