Ebola virus disease (EVD) West Africa: 24-June WHO-AFRO update...

Apart from something unexplained going on with the wording &/or numbers in the Sierra Leone portion of the report, the latest Disease Outbreak News (DON) from the World Health Organization (WHO) reports a continuing climb in the case numbers, particularly those from Sierra Leone.

The cumulative totals of suspected/probable/ fatal EVD cases, just fatal cases and the numbers confirmed by laboratory analysis. Latest data are based on WHO DON.[1] Lines use the numbers on the vertical axis on the left, bars use the right hand axis. The percentages are the proportion of fatal cases at the time point indicated.
Click on chart to enlarge.

The country-based EVD cumulative totals. Latest data are based on WHO DONs (see latest, [1]). Lines use the numbers on the vertical axis on the left. The percentages are the proportion of fatal cases at the time point indicated.

Click on image to enlarge

A reminder:

The chart above, as with all on VDU, is made for general interest only. It is also freely available for anyone's use, just cite the page and me please. It may be that I have misinterpreted the language in the reports (sometimes a little tricky to wade through) or miscalculated some totals based on the way data have been presented. 

There are very country-specific differences in what gets presented to/via the World Health Organization's Disease Outbreak News which make this process less clear than it could be. I recommend you have a read and compare the data from each of the 3 countries for yourself to understand these issues. 

As I've talked about previously,[2] these numbers are all volatile for a variety of reasons, some Ebola-specific, so regard this chart for its trends only.

References...

1. Ebola virus disease, West Africa - update
   http://www.who.int/csr/don/2014_06_24_ebola/en/
2. Ebola virus disease and lab testing...
   http://newsmedicalnet.blogspot.com.au/2014/04/ebola-virus-disease-and-lab-testing.html

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Snapdate: MERS-CoV around the world...

An update of the MERS-CoV-by-country graph shows that everything is pretty quiet globally, but some cases are still being added to the total thanks to the kingdom of Saudi Arabia.

Click on image to enlarge.

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Ebola virus disease (EVD) West Africa update for 22-June, WHO-AFRO update...

[CHECK OUT TAB ALONG TOP FOR LATEST EBOLA NUMBERS]

A new Disease Outbreak News has appeared. It shows that cases have risen by ~39 since the last report.

Total suspected/probable/confirmed cases: 567
Total suspected/probable/confirmed deaths: 350 (61.7%)
Total lab confirmations: 385 (67.9% of 567)

The cumulative totals of suspected/probable/ fatal EVD cases, just fatal cases and the numbers confirmed by laboratory analysis. Data are based on WHO DONs. Lines use the numbers on the vertical axis on the left, bars use the right hand axis. The percentages are the proportion of fatal cases at the time point indicated.
Click on chart to enlarge.

Reported cases continue to rise most rapidly in in Sierra Leone as we can see from the country-specific chart below..

The country-based EVD cumulative totals. Data are based on WHO DONs (see latest, [1]). Lines use the numbers on the vertical axis on the left. The percentages are the proportion of fatal cases at the time point indicated.

Click on image to enlarge.

A reminder:

The chart above, as with all on VDU, is made for general interest only. It is also freely available for anyone's use, just cite the page and me please. It may be that I have misinterpreted the language in the reports (sometimes a little tricky to wade through) or miscalculated some totals based on the way data have been presented. 

There are very country-specific differences in what gets presented to/via the World Health Organization's Disease Outbreak News which make this process less clear than it could be. I recommend you have a read and compare the data from each of the 3 countries for yourself to understand these issues. 

As I've talked about previously,[2] these numbers are all volatile for a variety of reasons, some Ebola-specific, so regard this chart for its trends only.

References...

1. Ebola virus disease, West Africa - update (awaiting move out of the Latest News section)
   http://www.who.int/csr/don/2014_06_22_ebola/en/
2. Ebola virus disease and lab testing...
   http://newsmedicalnet.blogspot.com.au/2014/04/ebola-virus-disease-and-lab-testing.html

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Snapdate: MERS-CoV in HCWs and those without symptoms

 Another quick chart update.

This shows what has been happening with healthcare workers (HCWs; Figure 1.) and asymptomatic outcomes of MERS-CoV infection (Figure 2) over time, around the world.

Figure 1. Healthcare workers shown accumulating over time (pink mountain; left-hand y-axis) and as a proportion of total MERS-CoV detections each week (pink dots linked by dashed lines; right-hand y-axis, percentage). I've also added in a cumulative average (HCWs each week divided by accumulated MERS-CoV detections at that point; right-hand y-axis, percentage)
Click on chart to enlarge.

Figure 2. MERS-CoV-positive people without signs or symptoms of illness. Numbers are shown accumulating over time (orange dots/line; left-hand y-axis) and as the number each week (blue dots/line; left-hand y-axis). I've also added in the proportion of all MERS-CoV detections in that week ,who were described as being asymptomatic (grey bars; right-hand y-axis, percentage).
Click on chart to enlarge.

This is all at the mercy of publicly available data of course, and if you've ever read this blog you'll know what I think about the quality of that for MERS! If not, read through past posts like these ones here, here or here.

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Snapdate: Charting up MERS-CoV numbers..

Another quick chart update.

Nothing too drastic to add since cases have been infrequent over recent days (see previous post for recent dailies on this [1])

Same caveats apply about the found113 (they are not included here [1]).

Detections and fatal outcomes have slowed to a plateau.

Next stop, Ramadan.

Click on chart to enlarge

References...

1. Adding in the recent MERS-CoV cases by chart...we're back to 2013
   http://newsmedicalnet.blogspot.com.au/2014/06/adding-in-recent-mers-cov-cases-by.html

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Snapdate: MERS-CoV by month..

An updated chart. 
[SNAPDATE'S are snap updates that don't have lots of detail and chat...although they almost always end up having lots of chat!]

Unfortunately there are 23 deaths I cannot assign to cases previously announced and so they are not shown in this chart. As the new CCC format continues and there is no WHO fill-in data to help out, this will be an ever-widening gap. One of several.

Into this gap, speculation and hand-waving will exist and thrive. As always. 

Previous caveats about the found113 remain in place too.[1]

The pattern of bad communication>change>good communication>change.... just keeps cycling on in MERSville. Why do we keep resetting-isn't that the question of the day?

MRS-CoV detection by month. Please note the difference in the y-axis scales; for 2014 data, it is set at 10x that of 21012 and 2013 (350 versus 35) to accommodate the much great number of cases - as indicated by the yellow star. 
Click on image to enlarge.

If the scales are not adjusted (h/t to @doctorsdilemma for reminding me that I need to keep things clear, even in a snapdate)...the outbreak's impact is more obvious, at the expense of having any real idea of the detail. Here's how that looks though just tt make the point more clear...

References...

1. Adding in the recent MERS-CoV cases by chart...we're back to 2013
   http://newsmedicalnet.blogspot.com.au/2014/06/adding-in-recent-mers-cov-cases-by.html

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