Guinea | health
In 2014, there was an outbreak of the
The outbreak began in early December, in a village called Meliandou, southeastern Guinea, not far from the borders with both Liberia and Sierra Leone. The first known case was a two-year-old child who died, after fever and vomiting and passing black stool, on December 6. The child's mother died a week later, then a sister and a grandmother, all with symptoms that included fever, vomiting, and diarrhea. Then, by way of caregiving visits or attendance at funerals, the outbreak spread to other villages.
Unsafe burials remained one of the primary sources of the transmission of the disease. The World Health Organization (WHO) reported that the inability to engage with local communities hindered the ability of health workers to trace the origins and strains of the virus.
While WHO terminated the Public Health Emergency of International Concern (PHEIC) on 29 March 2016, the Ebola Situation Report released on 30 March confirmed 5 more cases in the preceding two weeks, with viral sequencing relating one of the cases to the November 2014 outbreak.
The epidemic also affected the treatment of other diseases in Guinea. There was a decline in healthcare visits by the population due to fear of being infected and mistrust in the health care system, and a decrease in the system's ability to provide routine health care and HIV/AIDS treatments due to the Ebola outbreak.
The 2010 maternal mortality rate per 100,000 births for Guinea is 680. This is compared with 859.9 in 2008 and 964.7 in 1990. The under 5 mortality rate, per 1,000 births is 146 and the neonatal mortality as a percentage of under 5's mortality is 29. In Guinea the number of midwives per 1,000 live births is 1 and the lifetime risk of death for pregnant women is 1 in 26. Guinea has the second highest prevalence of
An estimated 170,000 adults and children were infected at the end of 2004. Surveillance surveys conducted in 2001 and 2002 show higher rates of HIV in urban areas than in rural areas. Prevalence was highest in
HIV is spread primarily through multiple-partner
Several factors are fueling the HIV/
Malnutrition is a serious problem for Guinea. A 2012 study reported high chronic malnutrition rates, with levels ranging from 34% to 40% by region, as well as acute malnutrition rates above 10% in Upper Guinea’s mining zones. The survey showed that 139,200 children suffer from acute malnutrition, 609,696 from chronic malnutrition and further 1,592,892 suffer from anemia. Degradation of care practices, limited access to medical services, inadequate hygiene practices and a lack of food diversity explain these levels.