EBOLA: Sub-regional Snapshot

Guinea, Liberia, Sierra Leone, Cte dIvoire, Senegal, Mali, Guinea-Bissau

REGIONAL OVERVIEW
The Ebola virus has been detected and confirmed in Guinea and Liberia. There has been a high number of suspected cases; confirmation of these cases is ongoing. Ebola primarily affects adults, and in particular, those who have sustained contact with other infected individuals, such as health workers. UNICEF is working closely with partners, including Ministries of Health and the Red Cross, to carry out prevention and emergency preparedness activities across the subregion. UNICEF supports Governments response to the outbreak in Guinea and neighboring countries with the provision of essential medicines, supplies and equipment, and has supported a Communication for Development (C4D) campaign for prevention and response efforts.

As of 31 March 2014

Legend
Ebola affected areas Areas with suspected cases Country boundaries

Sources : MoH Guinea, WHO, UNICEF sitreps

SITUATION UPDATE AS OF 1 APRIL 2014

GUINEA: 35 confirmed, 92 suspected

From January to 1 April 2014, Guinea has recorded a total of 127 (92 suspected and 35 confirmed) cases of viral haemorrhagic fever with 83 deaths -- a case fatality rate of 65%. To date, 65 samples were analysed and 35 were found positive for the Ebola virus. The epidemic mainly affects the districts of Guckdou, Macenta, Kissidougou, Dabola, Dinguiraye and Conakry.

SIERRA LEONE: 0 confirmed

There are no confirmed cases of Ebola in Sierra Leone for the time being. The have been 2 suspected deaths to date. Blood samples were taken for further laboratory investigation from 15 contacts of the 2 deaths and were negative for Ebola. A team of experts, including a molecular virologist, will be triple testing the 15 samples for Ebola, Yellow Fever and Marburg in the Lassa fever laboratory in Kenema. Active surveillance and sensitization are ongoing.

LIBERIA: 2 confirmed, 8 suspected

A total of 8 suspected cases have been recorded in Liberia, of which 2 have been confirmed to be Ebola. 4 people have died, and confirmation of cases is ongoing through MSF teams working with the Institut Pasteur lab in Guinea. The Ministry of Health and Social Welfare (MoHSW) has prepared a 3 month response plan with a total funding requirement of US$ 1.2 million.

SENEGAL, CTE DIVOIRE, GUINEA-BISSAU & MALI

No suspected or confirmed cases have been reported in the other neighboring countries. UNICEF is supporting ongoing emergency preparedness campaigns in Mali, Senegal, Cte dIvoire and Guinea Bissau to respond to a potential outbreak.

GUINEA Received: US$ 210,000 LIBERIA Received: US$ 325,400 GAP: US$ 874,600 SIERRA LEONE Received: US$ 0

GAP: US$ 1.5 million

Total Funding needs (2014): US$ 1.7 million

GAP: US$ 870,000

Total Funding needs (3 month response): US$ 1.2 million

Total Funding needs (6 month response): US$ 870,000

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CHILD SURVIVAL AND DEVELOPMENT (CSD) RESPONSE TO DATE

GUINEA As soon as the Government officially declared the outbreak, UNICEF delivered five tons of medicines, medical supplies, and
equipment to the most affected areas (Guckdou and Macenta) for case management and the protection of children and their families. UNICEF made materials available for the sterilization of hospitals and provided soap, chlorine and gloves for the general population in affected areas as well as for health workers and their families. In total, UNICEF has distributed:

60,000 bottles of liquid chlorine Nearly 200,000 bars of soap 134,000 pairs of gloves 15 Sprayers and 1485 kg of Calcium Hypochlorite (HCH)
UNICEF will continue to provide medicines and protective equipment for health facilities, and distribute materials for disinfection of health centers and homes of those infected as well as to the general population in the affected areas.

LIBERIA UNICEF is responding to the outbreak in Liberia through government partners (MoHSW) and county health teams. To date,
UNICEF has provided: Expert technical advice to the WASH Committee of the National Task Force (NTF) on Health Emergencies, which was re-established in response to the Ebola outbreak in the sub-region 2 large (72 sq. metres) tents for use by the MoHSW to establish isolation units 2 tarpaulins in case smaller areas for isolation units are needed 125 cartons of soap for use in hand-washing 5 drums (45 kg of chlorine) 2 spray cans to sanitize materials and areas affected by Ebola

SIERRA LEONE Emergency health and WASH supplies have are prepositioned in the health districts, district medical stores and
Public Health Units in Sierra Leone as preparedness plan for a potential outbreak.

CTE DIVOIRE UNICEF will provide 2,000 bags of geloplasma, 500 pairs of gloves, as well as 4 tents to set up isolation centers. SENEGAL UNICEF has ordered and prepositioned supplies as part of emergency preparedness.
COMMUNICATION FOR DEVELOPMENT (C4D) RESPONSE TO DATE

GUINEA UNICEF is supporting the development of a national communication plan with the Government and 2 national NGOs to:
Carry out a door-to-door strategy to raise awareness and distribute soap, gloves and chlorine to families in most affected areas. Facilitate broadcasts on TV and radio on preventive measures. Distribute posters and leaflets including information on hand washing with soap, safe ways to dispose of bodies, and water treatment at home with chlorine.

LIBERIA UNICEF is responding to the outbreak in Liberia by:

Chairing the Emergency Communications-Health Promotion Committee of the National task Force (NTF) to coordinate partner activities Production of an informational brochure, five-minute drama, jingles and three key messages on Ebola for use in outreach by various partners and stakeholders (including government, INGO, civil society, media and corporate stakeholders) Issuing a Standard Operating Procedure (SOP) document to guide health workers treating suspected Ebola cases Translating outreach materials into local languages, including Gbandi, Lorma, Kissi, Mandingo and simple Liberian English Using existing social mobilization networks to disseminate key messages, including general Community Health Volunteers (gCHVs), 30 community radio stations and members of the Inter-Religious Council of Liberia (IRCL) Negotiating agreements with Liberia's two largest telecommunications companies to send bulk text messages about Ebola to customers (over 500,000).

SIERRA LEONE UNICEF has provided technical support for the development of communications materials like jingles and
participated in local radio discussions to raise awareness.

CTE DIVOIRE UNICEF has taken part in the training of 95 health workers on how to respond to suspected cases and
sensitization campaigns are on air on community radios.

SENEGAL UNICEF has developed materials such as posters and leaflets, and produced radio
broadcasts about Ebola prevention.