1. Liberia Ebola SitRep no. 97 Ministry of Health and Social Welfare Aug 20, 2014

2. Cases National Bomi County Bong County Grand Bassa Grand Cape Mount Grand Gedeh Lofa County Margibi County Montserrado County Nimba County RiverCess County Sinoe County New Case/s (Suspected)2007000139000 New Case/s (Probable)27000001447200 New case/s (confirmed)1800000 00000 Total suspected cases2594618116227831200 Total probable cases5522829130260321623700 Total confirmed cases2639206401442743811 Total Number of Confirmed Cases of Sierra Leonean Nationality13000201100000 Total Number of Confirmed Cases of Guinean Nationality000000000000 Cumulative (confirmed, probable, suspected) cases1074411101581466862885711

3. Cases among HCWs National Bomi County Bong County Grand Bassa Grand Cape Mount Grand Gedeh Lofa County Margibi County Montserrado County Nimba County RiverCess County Sinoe County Newly Reported Cases in HCW on 20th Aug 2014000000000000 Cumulative cases among HCW115424330172340100 Newly Reported deaths in HCW on 20th Aug 2014301000200000 Cumulative deaths among HCW6145000151621000

4. Isolation and Discharges National Bomi County Bong County Grand Bassa Grand Cape Mount Grand Gedeh Lofa County Margibi County Montserrado County Nimba County RiverCess County Sinoe County New Admission on Aug 20 20141500000 00000 Total no. currently in Treatment Units8200000 00000 Total discharges on 20th Aug 2014700000700000 Cumulative admission/isolation8200000 00000

5. Deaths National Bomi County Bong County Grand Bassa Grand Cape Mount Grand Gedeh Lofa County Margibi County Montserrado County Nimba County RiverCess County Sinoe County Newly reported deaths 20th Aug 20142303000737300 Total death/s in confirmed cases2168101401012362700 Total death/s in probable cases26561111010026992010 Total death/s in suspected cases132013021341957600 Total death/s in confirmed, probable, suspected cases6131434271235682183310 Case Fatality Rate (CFR) - Confirmed & Probable Cases59.037.842.928.671.40.049.883.178.560.0100.00.0

6. Contacts National Bomi County Bong County Grand Bassa Grand Cape Mount Grand Gedeh Lofa County Margibi County Montserrado County Nimba County RiverCess County Sinoe County Newly reported contacts on 20th Aug 201419603900031 78 1700 Total contacts listed26436433910310552137 1306 19860 Currently under follow-up17235424110270415114 718 14040 Contacts seen on 20th Aug 2014153601650270415114 675 14000 Contacts who completed 21 day follow-up11500000430 4 6800 Contacts lost to follow-up000000000000

7. Laboratory National Bomi County Bong County Grand Bassa Grand Cape Mount Grand Gedeh Lofa County Margibi County Montserrado County Nimba County RiverCess County Sinoe County Specimens collected on 20th Aug 201441020003800100 Specimens pending for testing9908210384163000 Total specimens tested1900000 00000

8. Ebola Disease Outbreak (March 22-Aug 20, 2014) Table 3: Cumulative Ebola Disease Outbreak in Liberia (March 22 -Aug 20, 2014) Cases National Bomi County Bong County Grand Bassa Grand Cape Mount Grand Gedeh Lofa County Margibi County Montserrado County Nimba County RiverCess County Sinoe County Total Case/s (Suspected)2594618116227831200 Total Case/s (Probable)5542829130262321623700 Total case/s (confirmed)2699206401482943811 Cumulative (confirmed, probable, suspected) cases1082411101581472882885711 Health Care Workers Cumulative cases among HCW117424330192340100 Cumulative deaths among HCW6345000171621000 Deaths Total death/s in confirmed cases2228101401052562700 Total death/s in probable cases26761111010226992010 Total death/s in suspected cases135013021352058600 Total death/s in confirmed, probable, suspected cases6241434271242712193310 Cumulative CFR (March 22 - Aug 20, 2014) 59.437.842.928.671.4#####50.583.678.560.0100.00.0

16. Case Investigation Daily Case investigation Date: August 19, 2014 __________ MontserradoLofaBongMargibi Cape MountNimbaRivercessBassaBomi # of calls received 79213 03001 # of calls responded to 2521200001 # of cases referred to treatment unit 900000000 # of suspected Cases 1121200001 # of probable cases 1000002000 # of suspected or probable cases with specimen taken 000002000 # of bodies 2021203001 # of bodies with specimen taken 200001000 # homes sprayed 00000 0 0 0 0 # of psychosocial counseling done 2521203001 # of cases pending transfer 000000000

17. Highlights Case Investigation – A total of 9 cases transferred to MSF ETU up to reporting time. – Nimba County reported 2 new probable cases with 1 sample taken and 3 new deaths. – A Total of 20 bodies were removed from communities and ETUs in Montserrado

18. Montserrado Highlights One of the monitor could not be reached today by the CSO so the day’s report is minus one tracing team There is a growing number of cases lost to follow up. There is growing concern that contacts are running away thereby making contact tracing ineffective

19. Nimba Highlights 11 new Probable contact listed 3 new probable Ebola related death 15 body bags were sent to the County The county Task Force is negotiating with the Central Government to quarantine Nimba Renovation of the holding center by Arcelor Mittal at G. W. Harley and Ganta Hospitals is ongoing Issues & Constraints The Ebola burial team in Ganta are making high financial demand for burial No Vehicle for spraying team

20. Nimba Highlights 11 new Probable contact listed 3 new probable Ebola related death 15 body bags were sent to the County The county Task Force is negotiating with the Central Government to quarantine Nimba Renovation of the holding center by Arcelor Mittal at G. W. Harley and Ganta Hospitals is ongoing Issues & Constraints The Ebola burial team in Ganta are making high financial demand for burial No Vehicle for spraying team