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WHO releases Third Ebola Response Roadmap

IRNA - Islamic Republic News Agency

Geneva, Sept 14, IRNA -- The total number of probable, confirmed and suspected cases in the current outbreak of Ebola virus disease (EVD) in West Africa was 4366, with 2218 deaths, according to the Third Roadmap the World Health Organization released on Ebola virus outbreak in West Africa.

As at 7 September 2014, countries affected are Guinea, Liberia, Nigeria, Senegal and Sierra Leone. The total number of cases by country that have been reported between the start of 30 December 2013 (epidemiological week 1) and end 7 September 2014 (epidemiological week 36).

Following the roadmap structure, country reports fall into three categories: those with widespread and intense transmission (Guinea, Liberia, and Sierra Leone); those with an initial case or cases, or with localized transmission (Nigeria, Senegal); and those countries that neighbour areas of active transmission (Benin, Burkina Faso, Co?te d'Ivoire, Guinea-Bissau, Mali, Senegal).

Forty of 41 countries in the WHO African Region have now responded to a preparedness assessment (the six countries affected by Ebola were excluded from the survey; Mozambique has not yet responded). Putting in place fully functional protocols for contact tracing and monitoring, and for managing travelers arriving at major border crossings with febrile illness appear to be the priority areas that need to be addressed.

Twenty-three of the 40 (58%) countries surveyed have a surveillance system in place and functional at major land border crossings and key locations in the capital city (airport, seaport if any, and major hospitals). 16 (40%) countries have a system in place but it is not yet functional. 12 of the 40 (33%) countries have a protocol in place and functional for managing travellers who arrive at major land crossing points with unexplained febrile illnesses. 17 (43%) countries have a protocol in place but it is not yet functional.

Fourteen of 39 (35%; South Sudan has missing data for this question) countries have identified functional facilities that could operate as an isolation unit for Ebola case investigation and management if required. 21 (54%) countries have identified facilities, but they are not yet functional. 27 of 40 (68%) countries have access to WHO-recognized laboratories, and have procedures for specimen handling and shipment in place and functional. Eight (20%) countries have a diagnostic protocol in place, but it is not yet functional.

Fourteen of 40 (35%) countries have a fully functional protocol in place for identifying and monitoring the contacts of any suspected Ebola case.

IRNA reporter in Geneva said that a protocol is in place but not yet functional in 11 (28%) countries.

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