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The total number of confirmed, probable, and suspected cases in the West African epidemic of Ebola virus disease (EVD) reported up to the end of 5 Oct 2014 (epidemiological week 40) is 8033 with 3865 deaths. Countries affected are Guinea, Liberia, Nigeria, Senegal, Sierra Leone, and the United States of America. A confirmed case of EVD has been reported in Spain, but because the case was confirmed during the week ending 12 Oct 2014 (epidemiological week 41), information on this case will be included in the next Ebola Response Roadmap update.

The past week has seen a continuation of recent trends: the situation in Guinea, Liberia, and Sierra Leone continues to deteriorate, with widespread and persistent transmission of EVD. Problems with data gathering in Liberia continue. It should be emphasized that the reported fall in the number of new cases in Liberia over the past 3 weeks is unlikely to be genuine. Rather, it reflects a deterioration in the ability of overwhelmed responders to record accurate epidemiological data. It is clear from field reports and 1st responders that EVD cases are being under-reported from several key locations, and laboratory data that have not yet been integrated into official estimates indicate an increase in the number of new cases in Liberia.

There is no evidence that the EVD epidemic in West Africa is being brought under control, though there is evidence of a decline in incidence in the districts of Lofa in Liberia, and Kailahun and Kenema in Sierra Leone.

Ebola in Congo

As at 5 Oct 2014, there have been 71 cases (30 confirmed, 26 probable, 15 suspected) of Ebola virus disease (EVD) reported in the Democratic Republic of the Congo, including 8 among health-care workers (HCWs). In total, 43 deaths have been reported, including 8 among HCWs. 816 contacts have now completed 21-day follow-up. Of 305 contacts currently being monitored, all (100 percent) were seen on 5 Oct 2014.

What travellers should know about Ebola

SOS Medical has produced a very helpful video. Watch the video here.

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