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April, 2016

 

West Africa Ebola outbreak: Funding

Funding received

By 22 April 2016, WHO had received over US$ 459 million in direct and in-kind donations from over 60 donors. Most of this funding for Ebola-related activities has come from governments and multilateral organisations.

The largest donors were the United States of America, the World Bank, the African Development Bank, the Ebola Multi Partner Trust Fund, and Japan.

Top donors as of 22 April 2016 (amounts in USD, millions)


Reporting to donors

This is the fifth report in the “Resources for Results” series, published by the United Nations Office of the Special Envoy on Ebola. It provides an overview of the funding pledged and disbursed by contributing partners to support Ebola response, recovery and research efforts. The report covers the period 1 September 2014 to 31 October 2015.


Ebola response activities

Regular updates on the main activities undertaken and the progress towards ending the Ebola outbreak can be found in the WHO Ebola situation report. During 2015 the situation report was published on a weekly basis. Effective January 2016 it is issued fortnightly.

WHO has also contributed to reports on the results achieved using funds provided by the Ebola Multi Partner Trust Fund:


Ebola preparedness activities

Since October 2014, the WHO preparedness team in Geneva has deployed preparedness strengthening teams to countries identified as having a high risk of importing Ebola cases. By the end of December 2015, the team had deployed over 341 teams on missions to work with Ministries of Health to identify gaps in national capacity, and support the design and implementation of national preparedness plans. The team also rapidly devised a checklist of core preparedness activities, with most countries showing large improvements between October 2014 and December 2015 in their core capacity to respond to an imported case.

Regular updates on Ebola preparedness activities can be found on the WHO website and in dedicated publications:


Ebola early recovery activities

WHO is working with the Ebola affected countries to develop and strengthen the health services for the future. WHO supported the governments to produce national health recovery plans that were first presented to the international community in March 2015 and further discussed in the international meetings on Ebola that followed culminating in the UN Secretary General’s International Ebola Recovery Conference in July 2015. WHO continues to work to strengthen national capacities to help prevent future outbreaks not just of Ebola but of other infectious diseases.

Regular updates on Ebola early recovery activities can be found on the WHO website and in dedicated publications:


Ebola research and development activities

A critical area of work has been in research and development, resulting in diagnostics and a vaccine being developed in less than 12 months. In July 2015, WHO announced the results of an interim analysis of a Phase III efficacy trial for the Ebola vaccine VSV-EBOV conducted in Guinea. Preliminary results suggest that the vaccine is highly effective. There are now 13 separate diagnostic tests approved by WHO for emergency use, and several therapies that have shown some promise in early trials.

Regular updates on Ebola research and development activities can be found on the WHO website and in dedicated publications:


Ebola survivor activities

Today, there are over 10 000 survivors of Ebola virus disease, many of whom suffer from long-term medical problems including joint pains, visual problems, and depression. In addition, studies have shown that Ebola virus may persist in some body fluids, including semen, in a small proportion of survivors for up to 12 months after the first onset of symptoms. Ebola survivors need comprehensive support for the medical and psychosocial challenges they face. and to Ebola virus transmission. At the same time, obtaining a better understanding of the nature of viral persistence is necessary to fully understand the residual risk of new cases.

Throughout 2016 WHO will work with ministries of health and partners to ensure that survivors have access to the care and support they need.

Regular updates on Ebola survivor activities can be found on the WHO website and in dedicated publications.


The role of training in the West Africa Ebola response

The magnitude of the 2014-2015 West Africa Ebola outbreak combined with a dearth of local and international expertise in tackling the disease necessitated training on a mass scale. Over the duration of the epidemic, WHO and partners trained more than 8,000 health professionals from over 80 nations, including the Ebola-affected countries.

The training courses focused on protecting first responders through disease-specific information and safety measures and preparing them for a range of specific Ebola response functions, including treatment of Ebola patients, case tracking, safe burials, epidemiology and infection prevention and control.

To better understand the impact of the trainings, WHO commissioned a review, which was conducted by an independent, external body.

Related links


Ebola response funding

African Development Bank Group 7-15-14 3,090,480 African Development Bank Group 9-17-14 1,000,000 African Development Bank Group 10-13-14 1,000,000 African Development Bank Group 11-10-14 1,000,000 African Development Bank Group 9-16-14 1,000,000 African Development Bank Group 12-9-14 1,000,000 African Development Bank Group 8-26-14 23,370,756 African Development Bank Group 4-10-15 1,200,000 African Development Bank Group 5-13-15 1,676,937 African Development Bank Group 10-1-15 13,779,385 Andorra 7-1-14 20,053 Australia – Department of Health 7-1-14 436,300 Australia – Department of Foreign Affairs and Trade 10-2-14 2,181,470 Australia – Department of Foreign Affairs and Trade 9-5-14 467,727 Australia – Department of Foreign Affairs and Trade 11-24-14 1,483,421 Bhp Billiton Sustainable Communities 9-8-14 400,000 Bill & Melinda Gates Foundation 7-1-14 1,130,000 Bill & Melinda Gates Foundation 8-15-14 1,070,000 Bill & Melinda Gates Foundation 9-15-14 5,085,000 Bill & Melinda Gates Foundation 10-3-14 1,400,000 Bill & Melinda Gates Foundation 11-18-14 2,985,234 Brazil 10-31-14 415,800 Brazil 9-25-14 4,799,257 Brunei Darussalam 7-1-14 100,000 Canada – Foreign Affairs, Trade and Development 8-22-14 918,274 Canada – Foreign Affairs, Trade and Development 10-28-14 2,452,368 Canada – Foreign Affairs, Trade and Development 4-15-14 315,000 Canada – Foreign Affairs, Trade and Development 10-23-14 12,992,832 Canada – Foreign Affairs, Trade and Development 9-9-15 4,544,672 Canada – Public Health Agency of Canada 4-25-14 348,253 CDC (USA) 9-1-14 7,865,340 CDC (USA) 8-1-15 8,324,054 CDC (USA) 8-1-15 998,016 CDC (USA) 8-1-15 908,670 CDC (USA) 8-1-15 150,850 CDC (USA) 8-1-15 226,000 CDC (USA) 8-1-15 1,774,000 CDC (USA) 8-1-15 1,000,000 CDC (USA) 9-1-15 1,000,000 CERF (United Nations) 4-25-14 519,313 CERF (United Nations) 6-16-14 103,608 CERF (United Nations) 7-1-14 311,200 CERF (United Nations) 9-10-14 1,063,443 CERF (United Nations) 9-25-14 554,766 CERF (United Nations) 9-15-14 1,419,887 China – The Ministry of Commerce 10-21-14 2,000,000 Croatia – Ministry of Foreign and European Affairs 7-1-14 48,000 Dadco Alumina And Chemicals Ltd. 9-1-14 25,000 Denmark – Ministry of Foreign Affairs 7-1-14 3,413,551 Denmark – Ministry of Foreign Affairs 11-1-14 819,672 DFID (UK) 7-1-14 340,136 DFID (UK) 10-1-14 79,575 DFID (UK) 10-20-14 305,466 DFID (UK) 12-15-14 1,125,826 DFID (UK) 12-15-14 783,699 DFID (UK) 6-25-15 12,125,985 EC – Humanitarian Aid Office (ECHO) 3-22-14 1,352,345 EC – Humanitarian Aid Office (ECHO) 1-31-15 1,100,316 EC – Humanitarian Aid Office (ECHO) 8-1-15 529,101 EC – Service For Foreign Policy Instrument 10-9-14 6,518,420 Equatorial Guinea 4-14-15 1,750,767 Estonia – Ministry of Foreign Affairs 7-1-14 65,876 Estonia – Ministry of Foreign Affairs 3-23-14 13,755 Finland – Ministry of Foreign Affairs 9-29-14 635,324 France – Ministry of Foreign and European Affairs 10-1-14 635,324 Gavi Alliance 1-1-15 2,500,000 Gavi Alliance 7-25-15 877,145 Germany – GIZ 10-15-14 250,313 Germany – GIZ 9-1-14 1,317,523 Germany – GIZ 10-1-14 11,435,832 Germany – Federal Foreign Office 5-16-14 553,250 Greece – Ministry of Foreign Affairs 11-21-14 250,313 Hungary 12-10-14 62,578 India – Ministry of External Affairs 7-1-14 500,000 Italy 4-3-14 279,720 Italy – Ministry Of Foreign Affairs 10-24-14 301,370 International Union Against Tuberculosis and Lung Disease 12-1-15 440,000 Japan 4-1-14 300,000 Japan 8-22-14 850,000 Japan – Japanese International Cooperation Agency (jica) 7-10-15 60,246 Japan – Ministry of Foreign Affairs 10-1-14 6,000,000 Japan – Ministry of Foreign Affairs 1-1-15 7,500,000 Japan – Ministry of Foreign Affairs 3-4-15 1,600,000 Japan – Ministry of Foreign Affairs 3-4-15 3,170,000 Japan – Ministry of Foreign Affairs 3-4-15 3,900,000 Japan – Ministry of Foreign Affairs 3-9-16 450,000 Japan – Ministry of Foreign Affairs 3-9-16 1,000,000 Kuwait 7-1-14 5,000,000 Luxembourg 7-1-14 133,689 Luxembourg 7-1-15 218,579 Mexico 10-1-14 1,000,000 Miscellaneous 7-1-14 2,896,257 Monaco – Ministry of Foreign Affairs And Cooperation 10-31-14 63,532 Netherlands – Ministry of Foreign Affairs 11-1-14 6,226,650 New Zealand – Ministry of Foreign Affairs And Trade 3-25-14 389,105 New Zealand – Ministry of Foreign Affairs And Trade 12-8-14 764,300 NORAD (Norway) 11-17-14 7,334,605 NORAD (Norway) 9-26-14 961,687 NORAD (Norway) 2-1-15 5,885,122 Norway 7-1-14 2,701,546 OAS African Investments Limited 6-16-14 107,000 Opec Fund For International Development 8-4-14 500,000 Poland – Ministry of Foreign Affairs 7-1-14 146,317 Portugal – Ministry of Foreign Affairs 7-1-14 226,757 Qatar 5-1-14 1,000,000 Republic of Korea – Korea International Cooperation Agency 1-1-15 400,000 Republic of Korea – Ministry of Foreign Affairs 4-28-14 50,000 Republic of Korea – Ministry of Foreign Affairs 8-8-14 450,000 Republic of Korea – Ministry of Foreign Affairs 7-12-14 50,000 Republic of Korea – Ministry of Foreign Affairs 9-1-14 2,000,000 Republic of Korea – Ministry of Foreign Affairs 11-28-14 1,000,000 Rio Tinto – Guinea 4-1-14 100,000 Russian Federation – Ministry of Foreign Affairs 3-22-15 1,436,210 Shinnyo-en 1-1-15 100,000 SIDA (Sweden) 9-1-14 7,994,183 Singapore 11-1-14 150,000 Slovakia 7-1-14 18,950 Slovenia 7-1-14 38,119 Societe Anglogold Ashanti De Guinee (sag) 5-15-14 25,000 Societe Des Mines De Fer De Guinee (smfg) 5-30-14 25,000 South Africa 10-8-14 325,725 Spain – Ministry of Foreign Affairs And Cooperation 10-23-14 124,533 Switzerland – Swiss Agency For Development And Cooperation 12-1-14 1,040,583 Thailand 9-29-14 152,905 The Paul G. Allen Family Foundation 1-13-15 727,628 The Paul G. Allen Family Foundation 8-15-15 628,902 UNDP – Multi Donor Trust Fund (MDTF) 4-10-15 400,000 UNDP – Multi Donor Trust Fund (MDTF) 2-1-15 545,807 UNDP – Multi Donor Trust Fund (MDTF) 12-1-14 6,308,640 UNDP – Multi Donor Trust Fund (MDTF) 12-1-14 5,312,789 UNDP – Multi Donor Trust Fund (MDTF) 12-1-14 5,065,084 UNDP – Multi Donor Trust Fund (MDTF) 12-1-14 1,990,380 UNDP – Multi Donor Trust Fund (MDTF) 12-1-14 1,212,945 UNDP – Multi Donor Trust Fund (MDTF) 12-1-14 1,302,584 UNDP – Multi Donor Trust Fund (MDTF) 12-1-14 2,618,660 UNDP – Multi Donor Trust Fund (MDTF) 12-1-14 2,574,893 UNDP – Multi Donor Trust Fund (MDTF) 12-1-14 2,026,848 UNDP – Multi Donor Trust Fund (MDTF) 12-1-14 570,788 UNDP – Multi Donor Trust Fund (MDTF) 12-1-14 552,963 UNDP – Multi Donor Trust Fund (MDTF) 12-1-14 473,469 UNDP – Multi Donor Trust Fund (MDTF) 8-1-15 1,996,930 UNDP – Multi Donor Trust Fund (MDTF) 8-24-15 119,000 UNDP – Multi Donor Trust Fund (MDTF) 11-24-15 258,940 UNDP – Multi Donor Trust Fund (MDTF) 3-31-16 299,547 UNDP – Multi Donor Trust Fund (MDTF) 4-3-16 1,199,603 UNDP – One Un Fund In Malawi 9-9-14 113,917 UNDP – Sudan Common Humanitarian Fund (chf) 12-1-14 892,900 United Kingdom – Foreign & Commonwealth Office 11-13-14 19,847 United Kingdom – Scottish Government 9-26-14 844,595 United Nations Development Programme (UNDP) 8-20-14 30,000 United Nations Development Programme (UNDP) 12-1-14 3,655,050 United Nations Development Programme (UNDP) 12-1-14 687,000 United Nations Fund for International Partnerships 10-1-14 1,047,069 United Nations Fund for International Partnerships 8-20-14 1,498,000 United Nations Fund for International Partnerships 8-20-14 610,740 United Nations Office for the Coordination of Humanitarian Affairs (OCHA) 6-4-14 49,269 USA – Defense Threat Reduction Agency (DTRA) 9-30-14 1,942,178 USA – Defense Threat Reduction Agency (DTRA) 9-30-14 4,272,579 USA – Defense Threat Reduction Agency (DTRA) 9-30-14 2,730,144 USA – Defense Threat Reduction Agency (DTRA) 9-30-14 3,561,784 USA – Defense Threat Reduction Agency (DTRA) 9-30-14 556,333 USA – United States Department of State 7-18-14 150,000 USA – United States Department of State 11-25-14 1,200,000 USAID (USA) 12-19-14 4,000,000 USAID (USA) 3-31-15 35,000,000 USAID (USA) 4-15-15 19,626,849 USAID (USA) 6-24-15 8,000,000 USAID (USA) 8-11-14 6,397,175 USAID (USA) 9-30-15 397,161 USAID (USA) 8-1-15 477,712 Vale International Holdings Gmbh 5-15-14 100,000 World Bank – Cameron 10-12-15 1,499,932 World Bank – Gambia 2-5-15 500,000 World Bank – Guinea 9-19-14 20,981,413 World Bank – Guinea-Bissau 10-1-14 500,000 World Bank – Liberia 9-1-14 19,121,406 World Bank – Liberia 1-23-15 16,283,611 World Bank – Mauritania 6-3-15 237,580 World Bank – Sierra Leone 9-23-14 8,328,410 Wellcome Trust 10-29-14 5,061,235 Wellcome Trust 2-1-15 3,192,750 Wellcome Trust 6-1-15 3,975,370 Grand Total 459,913,557

Liberia and Guinea step up coordination to stem new cases of Ebola

WHO and Ministry of Health teams in Guinea and Liberia have established epidemiological links between new Ebola cases in Liberia and a current flare-up of Ebola in neighbouring Guinea following intensified case investigations and contact tracing.

Door-to-door health monitoring visits are conducted in Koropara, Guinea

WHO Guinea/Lancei Touré

Investigation teams in Guinea had been searching for the wife and three young children of a man who died of Ebola last month in the southern prefecture of Macenta. The family members were considered high-risk contacts. It is now believed that the wife travelled to Liberia with her children after her husband’s death to join relatives who live in the capital, Monrovia. It is there that she reportedly developed symptoms. She initially sought care in local clinics and died en route to a Monrovia hospital on 31 March. Two of her sons, a five-year old and a two-year old, have since tested positive for Ebola and are being treated at an Ebola care facility in Monrovia.

Rapid response in Liberia

Liberian health authorities immediately reactivated the country’s emergency response mechanisms, and with support from WHO, CDC and other partners, set to work identifying, isolating and monitoring contacts of the confirmed cases, strengthening infection prevention and disease control measures and stepping up community outreach.

More than 100 contacts of the confirmed cases have been identified in Liberia and placed under voluntary medical observation. Affected households have been offered food, water, hygiene supplies and counselling. Preparations are underway for vaccination of contacts with the Ebola vaccine to prevent potential spread of the virus.

Liberian and Guinean authorities, with support from WHO, are organizing a meeting in the coming days to share information and more closely coordinate emergency response efforts and cross-border surveillance.

Vaccination of Ebola contacts in Guinea

A large-scale government-led response continues in Guinea’s prefectures of Nzérékoré and Macenta, where there have been 9 Ebola cases since the flare-up began in late February. Eight people have died and one 11-year old child remains in treatment in an Ebola care centre.

To date, over 1,400 people who may have been in contact with the confirmed cases and contacts of theirs have been vaccinated with the Ebola vaccine.

Ebola flare-ups anticipated

Tests from blood samples of the confirmed cases indicate the source of the virus is from a single and known transmission chain – suggesting exposure to infected body fluids from a survivor – rather than a re-introduction of Ebola virus from the wild animal population.

WHO has stressed that flare-ups of Ebola like this one are likely to occur for some time, due to virus persistence in some survivors. WHO says Ebola-affected countries must remain ready to respond and maintain strong prevention, surveillance and survivor care programmes.


Emergency response to Ebola flare underway in Liberia. Case investigation widens to Guinea

WHO and Ministry of Health teams in Liberia and Guinea are investigating the origins of transmission in Liberia’s latest flare-up after learning that a woman who died from Ebola in Liberia last week had recently travelled from Guinea with her three young children.

Liberian health workers receive refresher training to remain prepared for Ebola.

WHO/M. Winkler

Liberian health authorities report that the woman arrived with her children on 21 March 2016, shortly after her husband died in Guinea from unknown causes. She stayed with relatives in Monrovia, where she developed symptoms over the following week. She initially sought care in local clinics and died en route to a Monrovia hospital on 31 March 2016.

One of her boys has since tested positive for Ebola virus disease, bringing the number of cases in this flare-up to 2. He is being treated at an Ebola care facility in Monrovia. Her two other children, plus her sister, are being closely observed by medical staff.

Liberian health authorities quickly reactivated the country’s emergency response mechanisms and with support from key partners, immediately set to work tracing, isolating and monitoring contacts of the confirmed cases, intensifying infection prevention and disease control measures and stepping up community outreach. Teams plan to initiate vaccination of contacts with the Ebola vaccine to prevent potential spread of the virus.

Eighty-four contacts of the cases have been identified in Liberia as of today and have been placed under medical observation. Affected households have been offered food, water, hygiene supplies and counselling.

These latest cases in Liberia mark the country’s third flare-up of Ebola virus disease since its original outbreak was declared over on 09 May 2015. The previous flare-up in Liberia began in November 2015 and ended 14 January 2016.

Last week, WHO said the Ebola epidemic in West Africa no longer represents a Public Health Emergency of International Concern, asserting that Guinea, Liberia and Sierra now have the detection and response capacities to effectively manage small outbreaks when they occur.

While the risk of flare-ups is declining, WHO reiterated that more must be expected, largely due to virus persistence in some survivors. Nearly 1,000 WHO specialists remain in the region—ready to contribute to emergency response operations when needed, and in the meantime, working to recover and strengthen health systems in the three countries.