Why are we there?
- Armed conflict
- Endemic/epidemic disease
- Social violence/heathcare exclusion
- Ebola: MSF deeply saddened by deaths of a Guinean and a Liberian colleague
- Ebola: Successes and challenges in response to Guinea epidemic
- Ebola: MSF strengthens response to outbreak in Guinea
28th August 2014
Since the Ebola outbreak began in March in Guinea, it has claimed 1,427 lives. The outbreak has spread far beyond Guinea, and is now raging unabated. A total of four countries are now affected: Guinea, Liberia, Nigeria and Sierra Leone.
The last week has seen a significant increase in admissions in our Guéckédou centre, with the majority of cases coming from the Macenta area.
To cope, the team has expanded the centre to 80 beds. Guéckédou was the initial epicentre of the outbreak and the centre has never had as many patients as it has had during recent days (currently 60 patients).
In Conakry, the capital of Guinea, we are running a 35 bed Ebola management centre in Donka hospital. We have started training Ministry of Health (MoH) staff inside the facility in order that they can be deployed by the MoH to health facilities in other parts of the country.
MSF case numbers since the outbreak began (as of 25th August 2014)
Admissions* - 803 | Confirmed - 344 | Recovered - 106
* Admissions include all suspected, probable and confirmed cases.
This is an extract from our latest Activity Report, looking back on our work in the previous year.
The healthcare system in Guinea is currently unable to meet all the needs of its people. Malaria remains a particular concern.
Malaria is a preventable and treatable illness transmitted by infected mosquitoes, and is a leading cause of illness and death in the country.
Médecins Sans Frontières/Doctors Without Borders (MSF) has continued to work with the Ministry of Health on malaria prevention and treatment in Guéckédou, and the programme now supports the district hospital, seven health centres and 12 health posts.
The MSF team has also trained 53 community health workers so that they can screen and treat people with uncomplicated malaria.
Although the prevalence of HIV is relatively low in Guinea, people who have the illness often cannot afford to pay the fees that are charged for antiretroviral drugs. Many HIV-positive people also fear disclosing their status due to the social stigma, and this creates another barrier to treatment.
The HIV programme based in the capital Conakry, comprising one MSF ambulatory treatment centre and five health centres supported by MSF, offers a free, comprehensive health package that includes psychosocial care, tuberculosis treatment for co-infected patients and prevention of mother-to-child transmission of the virus.
The HIV programme in Guéckédou was handed over to the Ministry of Health in 2013, as was the Matam maternal health programme.
Responding to cholera and meningitis outbreaks
During an outbreak of meningitis in May, an MSF team treated 132 patients, provided drugs to medical facilities and trained local staff.
In June, an emergency cholera treatment centre was set up on Memgbe Island, Conakry. Eighty people who had contracted the water-borne disease were treated.
There were no new cases or deaths after assistance had been provided.
At the end of 2012, MSF had 327 staff in Guinea. MSF has worked in the country since 1984.