Due to an outbreak of Ebola Virus Disease (EVD) in the West African nations of Liberia, Guinea, and Sierra Leone, the Centers for Disease Control and Prevention (CDC) issued Level 3 Travel Warnings for those three countries advising against non-essential travel and provided guidance to reduce the potential for spread of EVD. The CDC also issued a Level 2 Travel Alert for Nigeria to notify travelers of the Ebola outbreak in that country. The Bureau of Consular Affairs’ website prominently features an Ebola Fact Sheet and links to the CDC Health Travel Warnings, Travel Alert, and general guidance about Ebola.
The World Health Organization (WHO) and CDC have also published and provided interim guidance to public health authorities, airlines, and other partners in West Africa for evaluating risk of exposure of persons coming from countries affected by EVD. Measures can include screening, medical evaluation, movement restrictions up to 21 days, and infection control precautions. Travelers who exhibit symptoms indicative of possible Ebola infection may be prevented from boarding and restricted from traveling for the 21-day period. Please note neither the Department of State’s Bureau of Consular Affairs nor the U.S. Embassy have authority over quarantine issues and cannot prevent a U.S. citizen from being quarantined should local health authorities require it. For questions about quarantine, please visit the CDC website that addresses quarantine and isolation issues.
The cost for a medical evacuation is very expensive. We encourage U.S. citizens travelling to Ebola-affected countries to purchase travel insurance that includes medical evacuation for Ebola Virus Disease (EVD). Policy holders should confirm the availability of medical care and evacuation services at their travel destinations prior to travel.
Some local, regional, and international air carriers have curtailed or temporarily suspended service to or from Ebola-affected countries. U.S. citizens planning travel to or from these countries, in accordance with the CDC Health Travel Warnings and Health Travel Alert, should contact their airline to verify seat availability, confirm departure schedules, inquire about screening procedures, and be aware of other airline options.
The Department is aware that some countries have put in place procedures relating to the travel of individuals from the affected countries, including complete travel bans. Changes to existing procedures may occur with little or no notice. Please consult your airline or the embassy of your destination country for additional information.
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According to the WHO’s Outbreak News, the total number of probable and confirmed cases in the current outbreak of Ebola virus disease (EVD) as reported by the respective Ministries of Health of Guinea, Liberia, Nigeria, and Sierra Leone is 3069, with 1552 deaths. The World Health Organization reports that the outbreak continues to accelerate with more than 40% of the total number of cases occurring within the past 21 days. The overall case fatality rate is 52%.
A separate outbreak of Ebola virus disease not related to the four-country outbreak was laboratory-confirmed on August 26 by the Democratic Republic of Congo (DRC). The DRC’s index case was a pregnant woman from a village who butchered a bush animal that had been killed and given to her by her husband. From July 28- August 18, 2014, a total of 24 suspected cases of haemorrhagic fever, including 13 deaths, have been identified in that outbreak.
As of this writing, Senegal also confirmed its first case of Ebola related to the four-country outbreak in West Africa.