<p>EBOLA RESPONSE ROADMAP SITUATION REPORT
A total of 15 935 confirmed, probable, and suspected cases of Ebola virus disease (EVD) have been reported in six
affected countries (Guinea, Liberia, Mali, Sierra Leone, Spain and the United States of America) and two previously
affected countries (Nigeria and Senegal) up to the end of 23 November. There have been 5689 reported deaths.
Cases and deaths continue to be under-reported in this outbreak. Reported case incidence is stable in Guinea (148
confirmed cases reported in the week to 23 November), stable or declining in Liberia (67 new confirmed cases in
the week to 23 November), and may still be rising in Sierra Leone (385 new confirmed cases in the week to 23
November). The total number of cases reported in Sierra Leone since the outbreak began will soon eclipse the
number reported from Liberia. The case fatality rate across the three most-affected countries in patients with a
recorded definitive outcome is approximately 60%. Three health-care workers were reported infected with EVD in
Guinea in the week to 23 November.
Response activities continue to intensify in line with the UNMEER aim to isolate 70% of EVD cases and safely bury
70% of EVD-related deaths by 1 December. Guinea isolates over 70% of all reported cases of EVD, and has more
than 80% of required safe burial teams. Progress on isolation and safe burials has apparently been slower in parts
of Liberia and Sierra Leone, although uncertainties in data preclude firm conclusions. At a national level, both
countries are apparently unable to isolate 70% of patients, although data on isolation is up to 3 weeks out of date.
Every EVD-affected district in the three intense-transmission countries has access to a laboratory for case
confirmation within 24 hours of sample collection. All three countries report that more than 80% of registered
contacts associated with known cases of EVD are traced, though the low mean number of contacts registered per
case suggests that contac