Burundi - Mpox (monkeypox) outbreak 2024

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Ministry of Public Health: Clarification on a suspected case of Mpox disease

The results of the tests were negative.

By Eric Sabumukama 2024-07-22 - Health

Following the information that was broadcast on the national radio, on the Facebook page of Isanganiro radio and television and that has been shared through WhatsApp groups since July 16, 2024, on a suspected case of Mpox disease, also called "monkey pox", the Minister of Public Health and the Fight against AIDS, Lydwine Baradahana, released a clarification statement on Thursday, July 18, 2024. In this statement, she specified that after analysis of the samples by the National Reference Laboratory of the INSP, the results were revealed to be negative for MPox.

In this press release, Minister Baradahana explains that it is a 9-year-old girl who was consulted on July 7, 2024, at the Muramba clinic in Mugamba commune of Bururi province for generalized rashes, a cough, a fever of 40 degrees Celsius. Unfortunately, this girl died the next day, July 8, 2024. The same symptoms were observed in two other members of her family. Two other suspected cases were reported at the Kamenge military hospital and the police hospital in Bujumbura town hall and are under medical monitoring.

After learning of this information, the Ministry of Public Health and the Fight against AIDS quickly dispatched multidisciplinary teams, with the support of WHO, to conduct in-depth investigations and take samples for laboratory analysis. A total of 5 people were sampled. After analysis of the samples by the National Reference Laboratory of the INSP, she said, the results were negative for Mpox. As things stand, the investigation teams are busy carrying out differential diagnostic tests to eliminate other pathologies such as chickenpox, measles, herpes, syphilis and drug allergies.

Minister Baradahana urges the population to remain vigilant and to rigorously apply the recommended preventive measures against infectious diseases, especially in the current context where our sub-region is facing a resurgence of epidemic pathology such as Mpox in the east of the Democratic Republic of Congo.

Eric Sabumukama

https://lerenouveau.bi/ministere-en-charge-de-la-sante-publique-clarification-sur-un-cas-presume-de-maladie-de-mpox/

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Mpox: Press briefing in Gitega by the Minister of Public Health and the Fight against AIDS on the rumor of a presumed case of Mpox

July 19, 2024 Evelyne NDUWIMANA

On July 18, 2024, the Minister of Public Health and the Fight against AIDS, Dr. Lydwine BARADAHANA, provided an update regarding the information that has been disseminated on certain media and shared through WhatsApp groups, since July 17, on a suspected case of monkeypox disease (Mpox) in Mugamba commune in the Province of Bururi.

Minister Dr Lydwine BARADAHANA said that after learning this information, the Ministry of Public Health and the Fight against AIDS, with the support of WHO in Burundi, sent teams to the field to investigate and take samples.

After analysis by the National Reference Laboratory of the INSP of samples taken from 5 suspected cases (1 at the CDS Vyuya of Mugamba, 2 at the hospital of Ijenda, 1 at the Military hospital of Kamenge and 1 at the Police hospital), the results came back negative.

It is on the basis of these results that the Minister of Public Health and the Fight against AIDS, Dr. Lydwine BARADAHANA, provisionally announced that the cause of death of the presumed case was not linked to Mpox. The samples were sent to Uganda to a specialized laboratory to eliminate any other type of Mpox not detectable by the kit used in Burundi.

https://minisante.gov.bi/?p=1297

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Ministry of Public Health Burundi (MSPLS)
@mspls_bdi

#Urgent : "Presence of positive cases of monkeypox in Burundi ", statement by the minister
@Lydwinebara in charge of public health during a press briefing this afternoon of 7/25/2024.
...






12:28 PM · Jul 25, 2024

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Monkeypox hits hard

02/08/2024 Leandre Sikuyavuga

The monkeypox epidemic, also called monkeypox or Mpox, is currently raging. Cases have already been reported, with 22 cases recorded as of Thursday, August 1 , according to the spokesperson for the Ministry of Health. This epidemic is national in scope, scattered in several localities of the country, with a concentration in Bujumbura City. Images of people suffering from this viral disease are circulating on social networks, causing uncertainty, fear and anxiety. The Ministry of Health has issued press releases on the symptoms of the epidemic and the precautionary measures to be taken, including regular hand washing with soap and water or with a hydroalcoholic solution, avoiding contact with people showing signs of monkeypox.

However, the reliability of communication on this issue is being questioned and authorities are being criticised for a lack of responsiveness, leading to the spread of rumours and misinformation. The population seems to underestimate the seriousness of this highly contagious and deadly epidemic, which is spreading rapidly. For example, the disease is present in 25 of the 26 provinces of the neighbouring Democratic Republic of Congo.

The lack of effective measures for the prevention and control of infection is worrying, with widespread non-compliance with barrier gestures and basic hygiene rules such as hand washing and limiting contacts. Testing, containment and quarantine centers are also lacking. Compared to the management of the Covid-19 pandemic, where significant efforts have been made, including the provision of soap at a reduced price, the development of mass testing sites in Bujumbura and in the interior of the country, the establishment of a call center for the early investigation of alerts and increased awareness, it is urgent to learn lessons to act quickly in this situation.

In conclusion, the disease exists and it is really here. It is imperative that public authorities, health partners, civil society, religious denominations and the media join forces to raise awareness and take effective measures to stem this monkeypox epidemic.

https://www.iwacu-burundi.org/la-monkeypox-frappe-fort/

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MINISTRY OF PUBLIC HEALTH AND THE FIGHT
AGAINST AIDS
CENTER FOR PUBLIC HEALTH EMERGENCY OPERATIONS

SITUATION REPORT ON THE MONKEYPOX OUTBREAK
SITREP N° 009 Written and Published on 02 - August - 2024

EPIDEMIOLOGICAL DATA
...
II. Epidemiological context of Burundi

Burundi faces many threats from diseases with epidemic potential. After a few
weeks of suspected cases of monkeypox (Mpox), Burundi declared the Mpox
epidemic on July 25, 2024. It should be noted that the border shared by Burundi
with the Democratic Republic of Congo constitutes an epidemic zone of Mpox.

The overall secondary attack rate after contact with a known human source is 3%
(study conducted in South Africa in 2023), and attack rates of up to 50% have been reported in
people living with a person infected with Mpox.
...
The cumulative number of alerts since the start of the epidemic amounts to 133, of which 30 have already been
confirmed positive.

III. 2 Confirmed cases and their origins
...
Of the 49 health districts in the country, thirteen (26.5%) have at least one confirmed case of MPox.

A cumulative of 75 tests have been carried out, of which 30 tests have returned positive for Mpox, i.e.
a positivity rate of 40%

As of 02-August, the cumulative number of confirmed cases of MPox is 30, of which
46.6% are male and 53.4% are female.

They are distributed in 13 health districts of 11 health provinces.
...
IV. Management of alerts and contact cases

For the 30 confirmed cases, contact tracing continues and extends to other
areas (outside the district).

During the day of 02-August-2024, the 2 samples taken for the laboratory are awaiting results
after 24 hours. For the 30 confirmed cases, 218 contacts have been traced and are being followed up in
the community.
...

https://cousp-minisante.gov.bi/uploads/pub_attachement/66adeeadc9c82_Burundi_SITREP_Monkey_Pox_du_02_Aout_2024_inputs.pdf

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MONKEYPOX OUTBREAK SITUATION REPORT
SITREP N° 011 Written and Published on 04- August - 2024

...
II. 2 Confirmed cases and their origins

Seven positive cases were reported as of 04-
August in the health districts of Isare (1),
Kayanza (2), Rumonge (1), Mutaho (1),
Kibumbu (1) and Ryansoro (1).

Sixteen districts (16) out of the 49 health districts
of the country have at least one confirmed case of
MPox, or 33% of the districts.

A cumulative of 75 tests were carried out, of which 37 tests
came back positive for Mpox, or a positivity rate of
49%
...

https://www.cousp-minisante.gov.bi/uploads/pub_attachement/66b0b397ea1e4_Burundi_SITREP_Monkey_Pox_du_04_Aout_2024.pdf

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MONKEYPOX OUTBREAK SITUATION REPORT
SITREP N° 013 Written and Published on 06- August - 2024

EPIDEMIOLOGICAL DATA

New confirmed case 3
Affected districts 22 out of 49 DS are affected
Cumulative confirmed cases 58
New Alerts notified 10
Alerts investigated 14
Cumulative alerts 218
Total Deaths 0
...
As of 05-August, the cumulative confirmed cases of MPox is 58 of which 51.7% are male
and 48.3% are female. The most affected age groups are 0 to 5, 31 to 40 and 11
to 20 years, with proportions of 30%, 22.5% and 17.5% respectively. They are distributed in 22
health districts of 11 health provinces.
...
For the 58 confirmed cases, contact tracing continues and is extending to other areas (outside
districts). In total, a cumulative 406 contacts have been traced and these cases are being followed up in the community.
...

https://www.cousp-minisante.gov.bi/P...8JefMKUTjPEk20

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MONKEYPOX OUTBREAK SITUATION REPORT
SITREP N° 014 Written and Published on 07- August - 2024

EPIDEMIOLOGICAL DATA

New confirmed case 03
Cumulative confirmed cases 61
New suspected cases 08
Suspected case investigated and validated 01
Cumulative suspected cases 226
Affected districts 22 out of 49 DS are affected
...
II. Epidemiological evolution

II.1. Notification of suspected cases

As of 07.08.2024, 08 suspected cases have been notified in 6 districts; they are added to a cumulative of
22 suspected cases not yet investigated. All these suspected cases are distributed in 15/49 districts
(detailed in the table below).

The investigation process of these 30 suspected cases is underway.
...
The cumulative number of suspected cases since the beginning of the epidemic amounts to 226, of which 205 have been
investigated and validated, representing an investigation rate of 90.7%. A total of 61 suspected cases have tested
positive.
...
II. 2. Confirmed cases and their origins by district

Three cases have been recorded as of August 7. Twenty-two (22) districts out of the 49 health districts
in the country have at least one confirmed case of MPox, representing 45% of the districts. A total of 142
tests were carried out, of which 61 tests came back positive for Mpox, i.e. a positivity rate of 42.9%...
As of 07-August 2024, the cumulative number of confirmed cases of MPox is 61, of which 52.5% are male
and 47.5% are female. The most affected age groups are 0 to 5, 31 to 40 and 11 to 20 years, with proportions
of 26.2%, 24.6% and 19.7% respectively. They are distributed in 22 health districts of 11 health provinces.

...
https://www.cousp-minisante.gov.bi/Publications/singlepostPub/4NQFgllziUZwCHSlShWKqHaX26ednGWkhXNerGmQNpLs2Puh2M 2igLbTQKylTpiImX9PM1oQO19ou9LipLs2Yif9Lu4OvdzyRLlT ko8h0VC3Wb6TpLs4UeAyp098JefMKUTjPEk20

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MONKEYPOX OUTBREAK SITUATION REPORT
SITREP N° 021 Written and Published on 14-August-2024

EPIDEMIOLOGICAL DATA

New confirmed cases 03
Cumulative confirmed cases 103
Discharged 24
Active cases 79
Total Deaths 00
New suspected cases 65
Suspected cases validated after investigation 38
Cumulative suspected cases 464
Affected districts 23 DS out of 49
...
As of 14-August 2024, the cumulative confirmed cases of MPox is 103, of which 43.7% are female and 56.3% are male. The most affected age groups are those from 0 to 5 years old; 11 to 20 years and 21 to 30 years with proportions of 38.2%; 32.4% and 27.9% respectively.
...

https://www.cousp-minisante.gov.bi/Publications/singlepostPub/4NQFgllziUZwCHSlShWKqHaX26ednGWkhXNerGmQNpLs2Puh2M2igLbTQKylTpiImX9PM1oQO19ou9LipLs2Yif9Lu4OvdzyRLlTko8h0VC3Wb6TpLs4UeAyp098JefMKUTjPEk20

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MONKEYPOX OUTBREAK SITUATION REPORT
SITREP N° 022 Written and Published on 15- August - 2024

EPIDEMIOLOGICAL DATA

New confirmed cases 16
Cumulative confirmed cases 119
Discharged 24
Active cases 95
Total Deaths 00
New suspected cases 19
Suspected cases validated after investigation 7
Cumulative suspected cases 483
Affected districts 24 DS out of 49
...

https://www.cousp-minisante.gov.bi/uploads/pub_attachement/66bef4256fc50_Burundi_SITREP_Monkey_Pox_du_15_Aout _2024_(3).pdf

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MONKEYPOX OUTBREAK SITUATION REPORT
SITREP N° 023 Written and Published on 16- August - 2024

EPIDEMIOLOGICAL DATA

New confirmed cases 23
Cumulative confirmed cases 142
Discharged 24
Active cases 118
Total Deaths 00
New suspected cases 16
Suspected cases validated after investigation 25
Cumulative suspected cases 499
Affected districts 26 DS out of 49
...

https://www.cousp-minisante.gov.bi/uploads/pub_attachement/66c2e028db314_Burundi_SITREP_Monkey_Pox_du_16_Aout_2024.pdf

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SITUATION REPORT ON THE MONKEYPOX EPIDEMIC
SITREP N° 026 Written and Published on 19- August - 2024

EPIDEMIOLOGICAL DATA

New confirmed cases 07
Cumulative confirmed cases 160
Discharged 30
Active cases 130
Total Deaths 00
New suspected cases 33
Suspected cases validated after investigation 27
Cumulative suspected cases 605
Affected districts 26 DS out of 49

...

https://www.cousp-minisante.gov.bi/uploads/pub_attachement/66c434758db26_Burundi_SITREP_Chol%C3%A9ra_du_19_Ao%C3%BBt_2024.pdf

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Mpox: 171 cases recorded in Burundi

AFP / August 22, 2024 at 3:38 p.m., updated at 3:42 p.m.

Burundi has recorded 171 confirmed cases of the mpox virus, the health ministry announced on Thursday, after the first cases were discovered last month in the African Great Lakes country.

"Until yesterday evening (Wednesday), we already had a cumulative total of 171 confirmed positive cases, including 137 still active in at least 26 of the 49 health districts in our country," a ministry spokesman, Polycarpe Ndayikeza, told AFP. "So far, there have been no deaths from mpox in Burundi," he added.

At the end of July, Burundi announced that it had recorded three first cases of MPOX. On August 18, the authorities reported 153 confirmed cases.

A health ministry official told AFP that "the new variant" of the virus currently spreading in the Democratic Republic of Congo (DRC) is also the one spreading in Burundi.

In parallel with a resurgence of MPOX cases in Africa, a new, more transmissible and more deadly variant, clade 1b, emerged in September in the DRC.

The resurgence of MPOX in the DRC, driven by this new variant - which has also appeared in other East African countries, Sweden and Asia - prompted the WHO to declare a public health emergency of international concern on August 14, the highest level of health alert.

MPOX is a viral disease that spreads from animals to humans but is also transmitted through close physical contact. The disease causes fever, muscle aches and skin lesions.

https://www.lorientlejour.com/article/1424628/mpox-171-cas-recenses-au-burundi.html

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Burundi

On 25 July 2024, the Ministry of Health of Burundi declared an outbreak of mpox following the confirmation of three cases by the National Reference Laboratory of the National Institute of Public Health. These cases were identified on 22 July; one case from Kamenge University Hospital, a second case from Kamenge Military Hospital, and the third case from Isare Health District. They reported symptom onset on 24 July including fever, joint pain, and a widespread rash. Samples collected during a multidisciplinary investigation tested positive for mpox on 25 July with PCR. These are the first confirmed mpox cases ever identified in Burundi.

As of 17 August 2024, there had been 545 alerts of mpox cases since the outbreak declaration, of which 474 suspected cases (86.9%) had been investigated and validated. Of 358 suspected cases tested, 142 (39.7%) tested positive for MPXV. Genomic sequencing analysis has confirmed clade Ib MPXV. No deaths were reported as of 17 August.

Confirmed cases have been reported from 26 of the 49 districts (53.1%). The most affected district is Bujumbura Nord, an urban area, with 54 of the 142 confirmed cases (38%). No deaths had been documented at the time of reporting.

Males account for 55.6% of the cases and females for 44.4%. Children under the age of five years make up 60.3% of the cases, followed by those aged from 11 to 20 years (42.6%), and those aged from 21 to 30 years (38.2%).

https://flutrackers.com/forum/forum/national-international-government-ngo-preparation-response/who-oms/995580-who-disease-outbreak-news-mpox-african-region-august-22-2024

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Source: https://www.ndtv.com/world-news/new-...nation-6394234

"New Variant": 171 Confirmed Mpox Cases Recorded In This Nation
Formerly known as monkeypox, mpox is an infectious disease caused by a virus transmitted to humans by infected animals that can also be passed from human to human through close physical contact.
World NewsAgence France-PresseUpdated: August 22, 2024 8:19 pm IST

Kenya:

Burundi has confirmed 171 cases of mpox, the health minister said on Thursday, following confirmation of the first cases in the country last month.

Formerly known as monkeypox, mpox is an infectious disease caused by a virus transmitted to humans by infected animals that can also be passed from human to human through close physical contact.

"We already had a cumulative of 171 confirmed positive cases, 137 of which are still active," Health Minister Polycarpe Ndayikeza told AFP.

"So far there have been no deaths from mpox in Burundi," he added.

Three cases of mpox were detected in Burundi in late July, with the health ministry reporting 153 confirmed cases on August 18.

"The epidemic continues to gain ground," the ministry said last month, adding it was in the process of creating isolation wards in district hospitals to care for mpox patients.

An official told AFP the cases detected appeared to be the "new variant" spreading in the neighbouring Democratic Republic of Congo...

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241 total cases announced at WHO media event August 28