1. M ONTSERRADO C OUNTY : P ARTNERING FOR Z ERO C ASES OF EVD Dr. Mosoka P. Fallah NATIONAL INCIDENT MANAGEMENT SYSTEM

2. E NHANCING THE ROAD TO Z ERO C ASES : I NTEGRATED SURVEILLANCE SYSTEM Case Detection Case InvestigationContact Tracing Active Case Finding Epi-data management

3. C ASE D ETECTION : C ATALYST FOR Z ERO C ASES OF EVD IN M ONTSERRADO ETU Case Detection Zero Cases JulyAug. Sept. Oct. Nov. Feb. Case Detection # of Cases

4. MONTSERRADO DETERMINIES THE PATH TO ZERO EBOLA CASES IN LIBERIA

6. M APPING OF PARTNERS SUPPORTING CASE DETECTION

7. ETUs walk-ins Case Investigator s Contact Tracing Active Case Finder Community dead: pick up without investigation Secret burials (2)Hidden sick (3) Hidden contacts Investigate 100% Case 100% contacts follow-up IMPORTANCE OF INTEGRATED CASE DETECTION

8. M ECHANISM OF INTEGRATED CASE DETECTION : CASE INVESTIGATION AND CONTACT TRACING JFK Redemption Hospital JDJDuport Road Zone:100,200,300,1500, 1600,300,1900 Zone:500,600,700,800, 900,1000 Zone:1200,1300,1400, Zone:1100A1,1100A2, 1100B1,1100B2,1500, 1700,1800 Case Investigatio n: Contact Follow-up Simultaneou s

9. Active Case Finding Door to door awarenes s Daily search for the all sick Daily search for the dead Daily search for potential contacts coming as visitors INTEGRATING ACTIVE CASE FINDING Foundation Peace Building Community- led quarantine contacts Community- led Re- integration Case Investigation and Zonal Contact Tracing Supervisor

10. A CTIVE C ASE FINDING I NTERVENTION S TRATEGY Door to door awareness Daily search for the dead Daily search for contacts /visitors Daily search for the all sick Reduce denial, empower community provide Intelligence information to Active Case finders Identify the hidden sick and connect them with Case Investigation/Contact tracers. Assist in Community-based Quarantine of contacts. Uncovered hidden Bodies in homes/religious center/clinics etc Prevent secret burials. Identify hidden contacts or contacts that are not seen or loss to Follow-up. Alert the contact tracer. Send them back or quarantine them and reduce EVD Transmission Objective

11. D ATA F LOW D IAGRAM IN ACTIVE CASE FINDING

12. WHO D ISTRICTS C ASES S UMMARY R EPORT F OR N OVEMBER 1 TO D ECEMBER 5, 2014

13. UNDP D ISTRICTS C ASES S UMMARY R EPORT F OR THE M ONTH OF N OVEMBER 2014

14. N EED ASSESSMENTS OF CASE INVESTIGATION IRC: Supporting Case Investigation in Montserrado County Vehicles Available: 16 Vehicles Available: 11 Gap in Vehicles: 5

15. N EED ASSESSMENT OF ACTIVE CASE FINDING

16. N EED ASSESSMENT OF CONTACT TRACING : S CALE - UP PLAN TO INTENSIFY CLOSE SUPERVISION Monitors: 8 Available Resources/Logistics Provided by ACF Supervisors: 22 Contact Tracers: 250 Vehicles: 6 13 Monitors 2 Operational Managers Motorbikes: (5) ACF MCHT(10) 46 Motorbikes 15 Vehicles 250 46 Funding Source Scale-up ACF from OFDA Grant UNMEE R

17. F UTURE DIRECTIONS Identifying and removing glitches in the integration process. Continuous work to operationalize the integration Frequent meetings with the leads of each of the components on Case Detection RESOURCES!! LOGISTICS!!!! STRONG MONITORING AND CLOSE PRECISE-SURGICAL-LIKE SUPERVISION Active Case Finders will use their numerical advantage to work with the Community engagement pillar for: (1) The Senatorial Election and (2) Christmas EVD reduction campaign

18. QUESTIONS