NSA Health Update – Ebola. Infection prevention and control. Summary. 17.10.2014

The Ebola outbreak continues to spread in Liberia, Sierra Leone and Guinea. The situation in Nigeria seems under control. Below you will find updates on the situation, and preventive measures developed with the Norwegian Institute for Public Health (FHI).

According to the World Health Organization there are now 8973 cases and 4484 deaths in the three most affected countries (Liberia, Sierra Leone and Guinea Conakry). The WHO highlights in its latest report (15.10.2014) that the spread in the capital cities of Monrovia, Freetown and Conakry is serious. Liberia’s case figures are believed to be higher in reality than in the report due to reporting flaws. The WHO describes the situation in these three countries as “deteriorating, with widespread and persistent transmission of EVD”. In Nigeria the situation seems under control, with no new cases having been reported in the country over the last weeks. The country is closing in on the 42 day limit i.e that if no new cases are reported in the country by the 20th October, the WHO can declare the country as Ebola free. The situation in Senegal is also seemingly under control and the country may be declared Ebola free on 17th October, under the same terms. For more details on the prerequisites to declare a country as Ebola free, please see refer to the WHO explanation. The first Ebola transmission occurred outside of West Africa in Spain on October 7. A nurse who had treated an Ebola patient at a Spanish hospital has been confirmed to be infected with the Ebola virus. She was reportedly infected when taking off her PPE. The United States recorded their first death due to an Ebola infection on October 8. Two of the health workers that treated this patient have been infected with the virus. A Norwegian health worker that was diagnosed with Ebola is reportedly in a “stable condition” after having been transported to Norway. The WHO has not updated their travel advisory against any of the Ebola affected countries but note that the US and the UK have introduced temperature screening on all passengers coming from the three most affected countries. Previous NSA Updates: The two first links will provide a complete set of advice  Link: NSA Update – 19.09. 2014  Link: Personal Protective Equipment (PPE) and general measures: See here  Older: NSA Update: Ebola outbreak – 18.08.2014 NSA Contingency Planning Secretariat 17.10.2014  Older: NSA Ebola Update - 04.08.2014  Older: NSA Security/Health Update – Ebola outbreak in West Africa – 4th July 2014 Your comments and questions are welcome. With kind regards Norwegian Shipowners’ Association, Contingency Planning Secretariat beredskap@rederi.no Crisis Management Support +47 90095001 Haakon Svane, Director: Email - hs@rederi.no, Mob: +47 901 99 082 Line Falkenberg Ollestad, Consultant: Email - lfo@rederi.no, Mob: +47 924 41 860