Ebola Update

EBOLA RESPONSE WEEKLY UPDATE

Update For Afghanistan

As of 2 November: Afghanistan is in the lowest risk category for contracting EBOLA with Zero cases but we have to be informed and ready for the diereses.

So far no positive cases Ebola affected patients have been confirmed in Afghanistan. Afghan Pilgrims returning from Hajj do not pose a threat because there are no cases of Ebola reported in Saudi Arabia.

Ministry of Public Health has taken certain measures to detect and monitor any suspected cases. Measures have taken in four main airports of Afghanistan for detection and isolation of any reported cases by the travelers entering Afghanistan.

People of Afghanistan should know thatthe disease is limited to West African countries (Liberia, Sierra Leon and Guinea for time being and few cases in other parts of the world.

This brochure is to update you on the spread of the epidemic a different brochure is available which provides comprehensive messages about the diseases, its spread and how to protect ourselves from that.

Ebola Timeline and Responses Activities

Date Place Detail
October 22 Kabul Isolation Centers established at Antani Hospital
October 23 Nigeria Nigeria was announced free of EBOLA
October 23 Spain A new cases detected

Ebola National and International Updates:

16/11/2014

  • Global
    • Number of cases until 07/10/2014 in all countries is 14413
    • Number of deaths until 07/10/2014 in all countries is 5177
    • The three most affected countries are Guinea with 1919 cases and 1166 deaths, Liberia with 6878 cases and 2812 deaths and Sierra Leone with 5586 cases and 1187 deaths
    • There are four cases and three deaths in Mali
    • Senegal is announced Ebola free  by WHO on 17 October because two round of incubation periods (42 days) completed and Nigeria is announced Ebola free by WHO on 19 October because two round of incubation periods (42 days) completed
    • There have been 66 cases of Ebola virus disease (EVD) reported in the Democratic Republic of the Congo and 49 deaths have been reported. This outbreak is not related to above outbreak in west Africa
    • A total of 570 health-care workers (HCWs) are known to have been infected with EVD: 93 in Guinea; 332 in Liberia; 2 in Mali; 11 in Nigeria; 128 in Sierra Leone; 1 in Spain; and 3 in the United States of America (2 were infected in the USA and 1 in Guinea). A total of 324 HCWs have died

  • According to news the Ebola vaccines, and Survivor serums (plasma) is under progress and production for weeks to come
  • Vaccines for EBOLA is brought for testing to WHO HQ and it will be probably available in 2015
  • The contacts in USA, Spain are under investigation
  • A comprehensive 90-day plan to control and reverse the EVD outbreak in West Africa has been implemented. Thursday 30 October will mark 30 days since the plan was put into action. Among the plan’s key objectives is to have the capacity to isolate at least 70% of EVD cases and safely bury at least 70% of patients who die from EVD by 1 December 2014 (the 60-day target). The ultimate goal is to have capacity to isolate 100% of EVD cases and safely bury 100% of patients who die from EVD by 1 January 2015 (the 90-day target).
  • World Health Organization (WHO) requires $US 260 million to meet the objectives of its response to the Ebola outbreak. To date, World Health Organization (WHO) has received 49% of those funds, while 15% of the funds required have been pledged. This leaves a gap of 36% of the funds needed. WHO continues to appeal to Member States to provide funding and other resources to assist in containing the Ebola outbreak
  • World Health Organization (WHO) welcomes the Swissmedic the Swiss regulatory authority for approval of vaccine trial in Lausanne University Hospital. This marks the latest step for beginning safe and effective Ebola Vaccines for testing and implementation as quickly as possible. The tests will be started this week (28/10/2014) and first results are expected to be there in December 2015. Other efforts are also going on for vaccine in UK and US.

  • National Level
    • Press Release is designed, updated and published by MoPH regarding Ebola on local as well as English languages
    • Ebola Control Center is established at MoPH which is chaired by Deputy Minister for Health provision and members are as following: Deputy Minister for Health Provision, Chair; DG Afghan National Public Health Institute; DG Preventive Medicine; DG Curative Medicine; Director Provincial Liaison ;Director Surveillance; Director Emergency Preparedness and Response ; Director  Health Promotion; Director Public Relation
    • The committee has conducted a meeting this week while a partner meeting including World Health Organization (WHO), MSF, UNICEF and MOPH chaired by deputy minister in health provision has developed a guideline for TOR of different sectors which is not finalized yet. The TOR is in loop for comments.
    • Training of surveillance officers and focal points all over the country is planned (400) and Ebola orientation is one presentation which is part of this trainings. Training for central and east regional is completed while for other regions it is going on
    • Technical guideline for detection, reporting and control of EBOLA cases are finalized, translated and distributed to surveillance officers and coordinators in all provinces to use while needed

 

  • Airports in Afghanistan
    • A team of two health staff are functional in Kabul International Airport on duty when the international flights are landing and two isolation wards each 40 beds. The team in Kabul Airport is supported financially by Surveillance while they are shifted from Khwaja Rewash BHC temporarily. It is a mechanism on emergency basis and not sustainable
    • Twelve Stands for Ebola awareness in published and positioned in Karzai International Airport or national and international travellers
    • The hajj flights lasted last week on Wednesday in Kabul and no specific problems was there among hajjis just some ordinary seasonal diseases
    • In Kandahar, Herat and Balkh airport the Hajj flights are finished and the activities of health staff are minimized in these airports. The provincial health directorates  don’t have the ability and resources to continue such activities after Hajj travelers
    • A suggestion is  made to MoPH leadership to take measure for international airports to have permanent health staff in airports which is referred to HR department, however it’s not clear what will be decide in this regards
    • The suggestion was approved by HE deputy minister and now the issue is followed by HR department. Surveillance is developing a TOR for them to be used for this post

Dr. Islam Saeed

Director Surveillance/DEWS                   

ANPHI-MoPH, Kabul Afghanistan