several generations of transmission have occurred in the three capital cities of Conakry (Guinea); Monrovia (Liberia); and Freetown (Sierra Leone); and
11182
在卫生保健工作者中确认了大量感染，突出表明许多设施中的感染控制措施不足。
a high number of infections have been identified among health-care workers, highlighting inadequate infection control practices in many facilities.
11183
委员会根据条例（2005）向总干事提出了下列意见供其考虑，以应对埃博拉疫情。
The Committee provided the following advice to the Director-General for her consideration to address the Ebola outbreak in accordance with IHR (2005).
11184
存在埃博拉病毒传播的国家
States with Ebola transmission
11185
国家元首应宣布全国进入紧急状态；
The Head of State should declare a nationalemergency; personally address the nation to provide information on the situation, the steps being taken to address the outbreak and the critical role of the community in ensuring its rapid control; provide immediate access to emergency financing to initiate and sustain response operations; and ensure all necessary measures are taken to mobilize and remunerate the necessary health care workforce.
Health Ministers and other health leaders should assume a prominent leadership role in coordinating and implementing emergency Ebola response measures, a fundamental aspect of which should be to meet regularly with affected communities and to make site visits to treatment centres.
States should activate their national disaster/emergency management mechanisms and establish an emergency operation centre, under the authority of the Head of State, to coordinate support across all partners, and across the information, security, finance and other relevant sectors, to ensure efficient and effective implementation and monitoring of comprehensive Ebola control measures.
These measures must include infection prevention and control (IPC), community awareness, surveillance, accurate laboratory diagnostic testing, contact tracing and monitoring, case management, and communication of timely and accurate information among countries.
11189
对于所有疫区和高风险地区，应当在州/省和地方级设立类似的机制以确保各级的密切协调。
For all infected and high risks areas, similar mechanisms should be established at the state/province and local levels to ensure close coordination across all levels.
States should ensure that there is a large-scale and sustained effort to fully engage the community – through local, religious and traditional leaders and healers – so communities play a central role in case identification, contact tracing and risk education; the population should be made fully aware of the benefits of early treatment.