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Mysterious Outbreak: 9 Die Mysteriously In Sinoe County, Liberia.

On April 25, 2017 the FJ Grante hospital reported unusual number of deaths. From approximately 2am to 11am seven deaths were reported.
The seven deaths are linked to one death that occurred on Sunday, April 23, 2017 of an 11 years old, female child from Teah’s town community who presented on the same day with diarrhea, vomiting and mental confusion.
The child was taken immediately to the FJ Grante hospital and died within one hour after admission in the emergency room. The child attended a funeral (of one religious leader”) on Saturday, 22 April, 2017 in Greenville. NB: The religious leader was reported to have been hospitalized in JFK hospital. He was diagnosed of high blood pressure.
The child presented with signs and symptoms that included: weakness and abdominal pains, vomiting and diarrhea.
On Monday, April 24, 2017, another patient, from Down town community who also attended the funeral of the religious leader presented with headache, body pain and skin itching and was admitted at the same night to FJ Grante hospital and died early in morning today April 25, 2017 by 2am.
Another lady from Rail hill community who attended the same funeral presented at FJ Grante hospital early in this morning (April 25, 2017) today with diarrhea and vomiting and died upon arrival.
As of 11am, April 25, 2017 eight (8) deaths and six (6) cases were reported from the F.J. Grant Hospital.
Cumulatively, 14 unexplained cluster of health events including 8 deaths (CFR 57%) have been reported from Sinoe County.
Of the 14 cases, 10 (74%) were female in the age range 10 – 54years, while 4 (26%) were male age range (12-21) years.
The four communities affected are Teah’s Town (8 cases), Congo Town (3 cases), Red Hill (2) and Downtown (1 case) located in Greenville city.
The main source of the events is reported to have been the Funeral of religious leader in Greenville Health District, on the 22nd of April 2017.

Predisposing factors:
Attending funeral and re-pass at the deceased home
The risk of consuming the same food
Environmental exposure
Action being taken:
Proper investigation of unexplained events.
Community leaders and the public will be sensitized to minimize fear and panic.
Community engagement and reinforce of hand washing within affected communities.
Detailed information of all cases (live and dead) will be provided in the next 24 hours.
Management of live cases in the hospital as well as proper protection of the health workers.
Samples from dead bodies and patients collected for laboratory confirmation.
More update will be provided tomorrow.

Precautionary messages to the staff:
Avoid panic and fear because the Ministry of Health with support of WHO, CDC and other partners are working with Sinoe County Health Team to control the situation.

All staff should practice universal precautions especially in Sinoe County. This includes hand washing, avoid drinking unprotected water and food from vendors.

Avoid contact with any person sick or any contact under follow up from the affected communities

Provision of social services cannot be interrupted in Sinoe County.

There is no total travel ban or patrols to Sione County.

If any staff member (in Greenville) presents with any of the symptoms, s/he should immediately inform the UN clinic. The immediate supervisor should report the same immediately to the UN clinic.

Regular updates will be provided as the situation evolves.

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