>Human-to-human transmission directly linked to the 2014 Ebola virus disease
>(EVD) outbreak in West Africa was declared to have ended in Sierra Leone on
>7 November 2015. The country then entered a 90-day period of enhanced
>surveillance to ensure the rapid detection of any further cases that might
>arise as a result a missed transmission chain, reintroduction from an animal
>reservoir, importation from an area of active transmission, or re-emergence
>of virus that had persisted in a survivor. On 14 January, 68 days into the
>90-day surveillance period, a new confirmed cases of EVD was reported in
>Sierra Leone after a post-mortem swab collected from a deceased 22-year-old
>woman tested positive for Ebola virus. The woman died on 12 January at her
>family home in the town of Magburaka, Tonkolili district, and received an
>unsafe burial. In the preceding 2 weeks the woman travelled from Port Loko,
>where she was a student, via the districts of Kambia and Bombali before
>arriving in Magburaka on 7 January. Reports indicate that her symptoms
>during travel included vomiting and diarrhoea. The Sierra Leone Ministry
>of Health and Sanitation (MoHS), with the support of WHO and other partners,
>responded rapidly to the new case, identifying approximately 150 contacts of
>whom approximately 50 are deemed to be at high risk. Vaccination of contacts
>and contacts of contacts is underway under the authority and coordination of
>the Sierra Leone MoHS. However, the woman’s extensive travel history in the
>2 weeks prior to her death, her presentation to and subsequent discharge from
>a health care facility at which health workers did not use personal protective
>equipment (PPE), her period of close contact with family whilst ill, and her
>unsafe burial indicate a significant risk of further transmission. One contact
>in Tonkolili remains to be traced. The origin of infection is under investigation.
http://apps.who.int/ebola/current-situation/ebola-situation-report-20-january-2016
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