MMWR Vol. 63 / Early Release

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Title: MMWR Vol. 63 / Early Release

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MMWR Early Release
Vol. 63, Early Release
November 14, 2014
 
 

In this report

 
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Evidence for a Decrease in Transmission of Ebola Virus — Lofa County, Liberia, June 8November 1, 2014
Aditya Sharma, MD, Nico Heijenberg, MD, Clement Peter, MD, et al.
MMWR Morb Mortal Wkly Rep 2014;63(Early Release):1-5


Recent situation reports from the Liberian Ministry of Health and Social Welfare (MoHSW) have indicated a decrease in new Ebola cases in Lofa County, which has one of the highest cumulative incidences of the virus in Liberia. In October 2014, MoHSW requested the assistance of CDC to further characterize recent trends of Ebola in Lofa County. This report summarizes those efforts.

 
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Evidence for Declining Numbers of Ebola Cases — Montserrado County, Liberia, June–October 2014
Tolbert G. Nyenswah, MPH, Matthew Westercamp, PhD, Amanda Ashraf Kamali, MD, et al.
MMWR Morb Mortal Wkly Rep 2014;63(Early Release):1-5


About 50% of Liberia's reported Ebola cases have been in Montserrado County (population 1.5 million), the most populous county, which contains the capital city, Monrovia. To examine the course of the Ebola epidemic in Montserrado County, data on Ebola treatment unit admissions, laboratory testing of patient blood samples, and collection of dead bodies were analyzed. This report summarizes the results of that analysis.

 
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Ebola Virus Disease Cases Among Health Care Workers Not Working in Ebola Treatment Units —
Liberia, June–August, 2014

Almea Matanock, MD, M. Allison Arwady, MD, Patrick Ayscue, DVM, et al.
MMWR Morb Mortal Wkly Rep 2014;63(Early Release):1-5


As of August 14, 2014, a total of 810 cases of Ebola had been reported in Liberia, including 10 clusters of Ebola cases among health care workers (HCWs) working in facilities that were not Ebola treatment units. The Liberian Ministry of Health and Social Welfare and CDC investigated these clusters by reviewing surveillance data, interviewing county health officials, HCWs, and contact tracers, and visiting health care facilities. The investigation identified 97 cases of Ebola among HCWs, including 62 HCW cases (64%) that were part of 10 distinct clusters in non-ETU health care facilities, primarily hospitals.

 
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Ebola Epidemic — Liberia, March–October 2014
Tolbert Nyenswah, Miatta Fahnbulleh, Moses Massaquoi, et al.
MMWR Morb Mortal Wkly Rep 2014;63(Early Release):1-5


On March 21, 2014, the Guinea Ministry of Health reported the outbreak of an illness characterized by fever, severe diarrhea, vomiting and a high fatality rate, leading to the first known epidemic of Ebola in West Africa and the largest and longest Ebola epidemic ever reported. This report provides a brief overview of the progression of the epidemic in Liberia and summarizes the interventions implemented.

 
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Ebola Virus Disease Cluster in the United States — Dallas County, Texas, 2014
Michelle S. Chevalier, MD, Wendy Chung, MD, Jessica Smith, MPH, et al.
MMWR Morb Mortal Wkly Rep 2014;63(Early Release):1-3


On September 30, 2014, the Texas Department of State Health Services and CDC confirmed a patient who had traveled to Dallas from Liberia tested positive for Ebola, marking the first diagnosed case of the virus in the United States. This report summarizes the investigation that followed.

 
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Response to Importation of a Case of Ebola Virus Disease — Ohio, October 2014
Carolyn L. McCarty, PhD, Colin Basler, DVM, Mateusz Karwowski, MD, et al.
MMWR Morb Mortal Wkly Rep 2014;63(Early Release):1-3


The Texas Department of State Health Services reported the first case of Ebola virus disease (Ebola) diagnosed in the United States on September 30, 2014, in a patient who had traveled from Liberia. The case was confirmed by CDC. A nurse who provided the patient with hospital bedside care visited an emergency department with fever and rash on October 14 and was diagnosed with laboratory-confirmed Ebola on October 15. The nurse visited Ohio during October 10-13, traveling by commercial airline between Dallas, Texas, and Cleveland, Ohio. The Ohio Department of Health requested CDC assistance to identify and monitor contacts of the nurse. This report describes the response that followed.

 
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