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Friday, November 7, 2014

EBOLA CASE COUNTS CONTINUE TO FLUCTUATE: NO CLEAR REASON GIVEN FOR CASE COUNT ANOMALIES

Distribution map showing districts and cities reporting suspect cases of Ebola

Countries with Cases of Ebola

Countries with widespread transmission1Affected areas
GuineaEntire country
LiberiaEntire country
Sierra LeoneEntire country
Countries without widespread transmission2Affected areas
Mali3Kayes
Spain4Madrid
United States5Dallas, TX, New York City
Countries with no current transmission6Affected areas
NigeriaLagos, Port Harcourt
SenegalDakar
1Travelers arriving from all areas of Guinea, Liberia, and Sierra Leone are at risk for exposure to Ebola.
2Travelers to these countries are NOT at risk for exposure to Ebola, unless they report direct contact with an Ebola case.
3There has been a single case diagnosed in Mali on October 23, 2014, that was imported from Guinea.
4A single case occurred in a healthcare worker caring for an Ebola patient who had been transported to Spain from Liberia for care. There has been no further transmission. Travelers to Spain are NOT at risk for exposure to Ebola.
5One travel-associated case was imported to Dallas from Liberia, and resulted in transmission to two healthcare workers. One travel-associated case from Sierra Leone was imported to New York City. Travelers to Dallas or New York City are not at risk for exposure to Ebola.
6These countries are currently Ebola-free. One international importation from Liberia into Nigeria resulted in localized transmission (20 cases and 8 deaths), which has ceased. A single case in Senegal was imported from Guinea. Travelers to Nigeria and Senegal are not at risk for exposure to Ebola, unless they report direct contact with an Ebola case.
CASE COUNTS:  Note - The number of cases has been fluctuating due to unknown anomalies in the reporting of cases;  we have not been able to ascertain why the CDC is reporting such wide fluctuations in reported cases, although the CDC stated in the last report on October 29th, 2014, that they observed reporting anomalies.  No further clarification has been offered.

Countries with Widespread Transmission

CountryTotal CasesLaboratory-Confirmed CasesTotal Deaths
Guinea176014791054
Liberia691925142766
Sierra Leone486241491130
Total1324181424950

Countries with Travel-associated Cases

CountryTotal CasesLaboratory-Confirmed CasesTotal Deaths
Mali111
Senegal1*1*0
Total221

Countries with Limited Transmission

CountryTotal CasesLaboratory-Confirmed CasesTotal Deaths
Nigeria20*19*8
Spain110
United States441
Total25249
*The outbreaks of Ebola Virus Disease (EVD) in Senegal and Nigeria were declared over on 17 October and 19 October 2014, respectively. A national EVD outbreak is considered to be over when 42 days (double the 21-day incubation period of the Ebola virus) has elapsed since the last patient in isolation became laboratory negative for EVD.