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Liberia Spike In Ebola Cases & Deaths Raises Concerns
Recombinomics Commentary 18:15
August 15, 2014

The latest Ebola WHO update (reporting case between August 12-13) shows a dramatic jump in new cases in deaths (116 and 58, respectively).  These numbers dwarf those from Liberia in the same period (27 and 14, respectively) and suggest that yesterday’s WHO announcement that “Staff at the outbreak sites see evidence that the numbers of reported cases and deaths vastly underestimate the magnitude of the outbreak” may have a significant relationship to the deteriorating situation in Liberia in general and Monrovia in particular.

Recent reports indicate that efforts to limit movement from heavily impacted rural regions in Liberia have not prevented flow of cases into Monrovia.  Moreover, recent reports have cited bodies in the streets of two of Monrovia’s slums, West Point and Clara Town, which may represent a fraction of infected and/or fatal cases in these densely populated regions.

WHO has noted barriers to control, which included infections and deaths of a large number of health care workers and closing of hospitals, resulting in bed shortages and treatment limitations.

These recent developments raise concerns of a literal “death spiral”.

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