On 25 March, the World Health Organization (WHO) reported that Guinea's Ministry of Health had reported an outbreak of Ebola virus disease in four southeastern districts, with suspected cases in the neighbouring countries of Liberia and Sierra Leone being investigated.
In Guinea, a total of 86 suspected cases, including 59 deaths had been reported as of 24 March.By late May, the outbreak had spread to Conakry, Guinea's capital, a city of about two million inhabitants.On 28 May, the total number of cases reported had reached 281 with 186 deaths.
In Liberia, the disease was reported in four counties by mid-April and cases in Liberia's capital Monrovia were reported in mid-June. The outbreak then spread to Sierra Leone and progressed rapidly. By 17 July, the total number of suspected cases in the country stood at 442, overtaking the number in Guinea and Liberia.By 20 July, additional cases of the disease had been reported in the Bo District and the first case in Freetown, Sierra Leone's capital, was reported in late July
The first death in Nigeria was reported on 25 July: a Liberian-American with Ebola flew from Liberia to Nigeria and died inLagos soon after arrival.As part of the effort to contain the disease, possible contacts were monitored – 353 in Lagos and 451 in Port Harcourt. On 22 September, the WHO reported a total of 20 cases, including eight deaths. The WHO's representative in Nigeria officially declared Nigeria Ebola-free on 20 October after no new active cases were reported in the follow up contacts
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