3 since then more than 20 ebola outbreaks have

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3 Since then, more than 20 Ebola outbreaks have occurred mainly in East and Central African countries, including in Gabon in 1996, where 21 of the 31 cases resulted in death. According to the WHO, the first-known infection concerned an 18-month-old-boy who died on 26 December 2013 in Méliandou, a remote village located in Guékédou, not far from the Sierra Leonean and Liberian borders. On 1 February 2014, the virus was carried to Conakry by an infected member of boy’s extended family. Between January and March, the epidemic spread to neighbouring areas of Kissidougou and Macenta, but was formally confirmed only on 21 March 2014. In the beginning of March 2014, the WHO reported 29 deaths in 49 cases in Guinea, revised to 59 deaths per 86 cases two days later. In less than six months, what appeared to be a contained crisis in the Guinée Forestière Region spread across the borders of Sierra Leone and Liberia. Liberia recorded its first case in Foya District (Lofa County) on 30 March, and by 2 April, the virus was transmitted to people in Monrovia. By late March 2014, the epidemic had spread to neighbouring Liberia, where 209 confirmed cases and 131 deaths were recorded on 17 April. The spread of the EVD outbreak was also observed on 27 May in Sierra Leone, where it spread more rapidly than in the other countries. The neighbouring countries of Senegal and Mail were also not spared. The virus also spread as far as Lagos, Port Harcourt and Enugu in Nigeria – the first transmission via air travel. The EVD was not limited to the shores of West Africa; it had also been detected in other parts of the world including Spain, Italy, Germany and the United States of America. While the world is grappling with the current wave of EVD in West Africa, a different strain of the virus was also discovered in Jeera County of the Democratic Republic of the Congo (DRC) in August 2014. But unlike the West African situation, all the cases are localized in Jeera County in Watsi Kengo, Lokolia, Boende, and Boende Muke villages. 2 As pointed out by Quammen (2014), 280 deaths were recorded out of the 318 cases, i.e. 88 percent. SOCIO-ECONOMIC IMPACT OF EBOLA VIRUS DISEASE IN WEST AFRICAN COUNTRIES
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8 The rate of increase of the disease has varied considerably among countries and regions within individual countries, as well as over time. A single case of EVD that occurred on 26 December 2013 in a remote village (Meliandou) in Guinée Forestière led to the infections of 2,599 people in the three main affected countries (of whom 1,422 died) as at 20 August 2014: 1,082 cases in Liberia, 910 cases in Sierra Leone and 607 cases in Guinea. In less than two months (between 20 August and 1 October 2014), the total number of identified patients more than doubled to 6,553 cases in the three countries: 3,458 cases in Liberia, 2,021 patients and 1,074 in Guinea.
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