1? 0n Air 14' 2014' $731135 PM, Stella?

wrote:









elean?Eliosco,

?at am bringing in

a Isabelle on the discussions, because I am verv worried about the

a situation described todav, and think we need a drastic to change

course if we hope to control this outbreak in hospitals and in the

communities, and stop it further spreading even out of Guinea.

lsabelle, as a background, a misdiagnosed case in a doctor (diagnosed
as having malaria instead of Ebola} seen after attending to another

misdiagnosed case has resulted in huge exposures and the

a medical community [and their families}, including at a private clinic

a where he consulted. These contacts with patients and eventuallv

colleagues who took care of him when he fell seriously ill went on

:r for over 1i] davs until he died this weekend.

:a As can be imagined, there is panic and fear, and we even risk having
a the hospital abandoned by HEW. In addition, transmission chains were
3* identified in the communitv in Conakrv with no links to other cases-

a: it would seem 10 cases were also identified in Euekedou. We are not

clear what is going on there.




a I understand there

a is a strong need for rapidlvr becoming more operational, obtaining real
time information from Guinee Forestiere and Conakrv, sharing with

all levels of the organization for immediate risk assessment and

a prompt actions, ensuring that contacts are identified and followed

2: etc., working intenserI with the HEW particularlv after the events of
the WE, that human resources are dEploved in sufficient numbers to
3? both urban and rural communities, and most importantlv, the

a transmission in hospitals are broken.

31'

We will he happv to

a work on these deplovments and others, but I also reallvr think we need
:a to change strategv urgentiv. Best regards, Stella.

:s

I)





From: NDIHDKUBWAYU, Jean-Bosco



Ii?

 

:1 Subject: WE NEED 
3s.







Dear Colleagues



a The

a siteatien here is net well as new the eutbrealt has affected
3* [Jeni-ta hespital with a death, a medical decter, eenfirrned
a Ebela yesterday and whe certainly centaminated a

a yery impertant number ef his celleagues and

family.



?a It

bece mes clear, as was suspecting when I arrived here last
week, that what iceberg. In fact,

a with this eutbreak beceming a nesecemiai preblem,

it is clear that the ferthceming days will be eyen

werse. In fact, the num ber ef centacts with this deeter whe
a dead in Denka hespital yesterday is huge and they will

certainly generate cases seen.



We

a met yesterday night and this merning te try and adjust eur
respe nse and seme key measures were taken: limiting the
a number et triages peints at Denka hes pital and reinfereing
PPE ameng health care werlrers especially these

re werlting in the triage unit intensify

a the inyestigatien ef the centacts etc.-but

a: we alse need help.

3'

:5

I suggest that

?a the tellewing staff be depleyed in

s- the ?eld:

I:



s-

s- TSHIDKD

and [experienced fer Ebela

a eutbreaksl



Dr Pascal UBIANG

a item Gaben i he was inyelyed in the Ebela respense team
in Eaben and very recently in 

5

Dr Kebela llunga

:s trern DEC whe alse managed a quiet nurnber et Ebela eutbreak
s? in DRE



Frem HQ. it weulcl be

better if Pierre and Pierre Melt-ET can jein us as
a- well.

Thank

yeu fer yeur understanding and best

regards,



Du
I.