▁cases ▁in ▁the ▁first ▁week ▁of ▁October . ▁The ▁first ▁cases ▁were ▁reported ▁in ▁the ▁district ▁of ▁L ola . ▁Mé dec ins ▁Sans ▁Front ières ▁reported ▁a ▁massive ▁sp ike ▁in ▁the ▁number ▁of ▁new ▁cases ▁in ▁the ▁capital ▁city ▁of ▁Con ak ry . ▁One ▁facility ▁admitted ▁ 2 2 ▁patients ▁in ▁a ▁single ▁day ▁( Oct ober ▁ 6 ), ▁ 1 8 ▁of ▁them ▁coming ▁from ▁Co y ah ▁region , ▁ 5 0 ▁kilometres ▁( 3 1 ▁miles ) ▁east ▁of ▁Con ak ry . ▁ ▁On ▁ 1 9 ▁October , ▁Guinea ▁reported ▁two ▁new ▁districts ▁with ▁E bol a ▁cases . ▁The ▁K ank an ▁district , ▁on ▁the ▁border ▁with ▁the ▁C ô te ▁d ' I vo ire ▁and ▁a ▁major ▁trade ▁route ▁to ▁M ali , ▁confirmed ▁one ▁case . ▁K ank an ▁also ▁borders ▁the ▁district ▁of ▁Ker ou ane ▁in ▁this ▁country , ▁one ▁of ▁the ▁areas ▁with ▁the ▁most ▁inten se ▁virus ▁transm issions . ▁The ▁Far an ah ▁district ▁to ▁the ▁north ▁of ▁the ▁border ▁area ▁of ▁Ko in ad ug u ▁in ▁Sierra ▁Le one ▁ ▁also ▁reported ▁a ▁confirmed ▁case . ▁Ko in ad ug u ▁was ▁one ▁of ▁the ▁last ▁E bol a - free ▁regions ▁in ▁that ▁country . ▁According ▁to ▁a ▁W HO ▁report , ▁this ▁new ▁development ▁highlight s ▁the ▁need ▁for ▁increased ▁surve ill ance ▁of ▁cross ▁border ▁traffic ▁in ▁an ▁effort ▁to ▁contain ▁the ▁disease ▁to ▁the ▁three ▁most ▁affected ▁countries