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Liberia Reports First Ebola Case in Weeks Liberia Reports First Ebola Case in Weeks
(about 2 hours later)
A patient in Liberia has tested positive for the Ebola virus, health officials said Friday, more than two weeks after the last known case in the country had been discharged from the hospital.A patient in Liberia has tested positive for the Ebola virus, health officials said Friday, more than two weeks after the last known case in the country had been discharged from the hospital.
The news deflated optimism that Liberia, one of the three West African countries hit by the Ebola epidemic that has killed more than 10,000 people since it began a year ago, would soon be officially declared free of the virus.The news deflated optimism that Liberia, one of the three West African countries hit by the Ebola epidemic that has killed more than 10,000 people since it began a year ago, would soon be officially declared free of the virus.
The patient, a 44-year-old woman from the Caldwell area near Monrovia, the capital, first developed symptoms on March 15, said Dr. Moses Massaquoi for the Clinton Health Access Initiative in Liberia and national case manager of the Ebola response.The patient, a 44-year-old woman from the Caldwell area near Monrovia, the capital, first developed symptoms on March 15, said Dr. Moses Massaquoi for the Clinton Health Access Initiative in Liberia and national case manager of the Ebola response.
She was seen in a triage area run by Doctors Without Borders and transferred to a specialized Ebola treatment unit for testing, and the initial results came back positive on Friday, the doctor said in a telephone interview. Nurses from an International Rescue Committee emergency team at Monrovia’s Redemption Hospital were the first to suspect the patient’s symptoms and treat her, said Veronica Mills, an I.R.C. spokeswoman. The patient was then transferred to a triage area run by Doctors Without Borders and later to a specialized Ebola treatment unit for testing, and the initial results came back positive on Friday, Dr. Massaquoi said in a telephone interview.
To date, Dr. Massaquoi said, there is no history of the patient having traveled abroad. Six people who came into contact with the woman from the time she became sick have been identified, and others were being sought. Dr. Massaquoi said six people who had come into contact with the woman from the time she became sick have been identified, and others were being sought.
Dr. David Nabarro, the United Nations special envoy in charge of the international effort to combat the disease, was informed of the new case by officials in Liberia while traveling in Italy. He expressed disappointment but not surprise.Dr. David Nabarro, the United Nations special envoy in charge of the international effort to combat the disease, was informed of the new case by officials in Liberia while traveling in Italy. He expressed disappointment but not surprise.
“We will have unfortunately some periods in which our hopes are dashed at this stage in the outbreak,” he said in a telephone interview. “That’s just the way it is. That’s why we’re going to have to keep going without any kind of letup until the very end.”“We will have unfortunately some periods in which our hopes are dashed at this stage in the outbreak,” he said in a telephone interview. “That’s just the way it is. That’s why we’re going to have to keep going without any kind of letup until the very end.”
Dr. Nabarro and his colleagues have been emphasizing in recent weeks that the number of new cases in the Ebola zone — Liberia, Guinea and Sierra Leone — must be reduced to zero before they can declare the threat to be over.Dr. Nabarro and his colleagues have been emphasizing in recent weeks that the number of new cases in the Ebola zone — Liberia, Guinea and Sierra Leone — must be reduced to zero before they can declare the threat to be over.
The number of new cases has declined sharply since last fall, when hundreds were becoming infected every week in all three countries. Liberia has made the most progress in reducing the risks of transmission.The number of new cases has declined sharply since last fall, when hundreds were becoming infected every week in all three countries. Liberia has made the most progress in reducing the risks of transmission.
On March 5, what was thought to have been Liberia’s last known patient was discharged from the hospital, a celebratory moment that raised optimism the country would soon be declared free of Ebola. For that designation, countries must wait 42 days from when the last patient tests negative.On March 5, what was thought to have been Liberia’s last known patient was discharged from the hospital, a celebratory moment that raised optimism the country would soon be declared free of Ebola. For that designation, countries must wait 42 days from when the last patient tests negative.
“We knew something like this could possibly happen, so we have all the necessary setup in place to address it,” Dr. Massaquoi said. Still, he said, “Today has not been a good day for us.”“We knew something like this could possibly happen, so we have all the necessary setup in place to address it,” Dr. Massaquoi said. Still, he said, “Today has not been a good day for us.”
Liberia’s comeback from the worst of the crisis has been considered a model of community organizing, which raised public awareness of the risks of transmission through physical contact and unsafe burials of the dead, who remain highly contagious. Liberia also has been a leader in identifying all known contacts of Ebola victims, enabling health officials to monitor who might be at risk. Liberia’s comeback from the worst of the crisis has been considered a model of community organizing, which raised public awareness of the risks of transmission through physical contact and unsafe burials of the dead. Liberia also has been a leader in identifying all known contacts of Ebola victims, enabling health officials to monitor who might be at risk.
“It just proves that until we have complete zero cases in the region, in the entire region, it will be difficult to defend an Ebola-free place,” Dr. Massaquoi said. Dr. Bruce Aylward, the World Health Organization’s top Ebola official, described the nurses who first suspected the new Liberia case as heroes.
The news from Liberia came a few days after an Ebola setback was reported in Guinea. “They may have protected the whole country by finding the needle in the haystack,” he said. “It was because they were searching that haystack for the needle.” 
The World Health Organization said Wednesday that 95 new cases of Ebola had been confirmed in Guinea in the week that ended last Sunday, the highest weekly total for that country so far this year. He added: “Someone found this. That’s the important thing. What it means and tells us is that, first, never underestimate this virus, and people do.”
Last week, in another setback, two health workers, from the United States and Britain, were diagnosed with Ebola in Sierra Leone and evacuated for treatment at specialized facilities in their home countries.