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Mubende locals, leaders protest fresh lockdown
Monday, November 07, 2022
- Locals accuse the Ministry of Health officials of failing to advise the President about their plight.
..The Resident District Commissioner and chairperson of the Ebola taskforce, Ms Rosemary Byabashaija, called for calm.
“It is good that most of our people appreciate that the past lockdown is the reason for the reduction in the number of Ebola positive cases. As the district taskforce, we shall have to forward the many challenges raised to the high authorities,” she said.
Ms Byabashaija said the district has registered only three positive cases in the last seven days.
Government declared the first lockdown in Mubende and Kassanda on October 15 as part of the mitigation measures to contain the spread of the Ebola disease. Districts that are high risk areas are Mubende, Kassanda, Kampala, Wakiso, Kyegegwa, Kagadi, and Bunyangabu.
Kassanda rdc welcomes lockdown
Ms Phoebe Namulindwa, the Kassanda Resident District Commissioner, welcomed the new lockdown. “Our past record in handling the Ebola pandemic was not very good. Some of our leaders and a section of the residents failed to follow the guidelines,” she said.
Recently, the Ministry of Health raised a red flag over Kassanda after it registered a surge in Ebola cases. Some of the cases were attributed to an incident where unidentified people exhumed remains of one of the Ebola victims at Kitongo Village in Kalwana Sub-county.
https://www.monitor.co.ug/uganda/new...
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All Ugandan pre primary-primary and secondary schools to close November 25. 23 children have been infected, 8 dead. By orders of Minister of education.
https://twitter.com/observerug
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WHO Director-General's opening remarks at the media briefing – 9 November 2022
9 November 2022
...
Now, to the Ebola outbreak in Uganda.
135 confirmed and 21 probable cases of Ebola have now been reported from eight different districts, with 53 confirmed and 21 probable deaths. So far, 62 patients have recovered.
The government’s efforts to respond to the outbreak in the district of Mubende, where the outbreak began, appear to be paying off.
However, in the past two weeks, the majority of cases have been reported from the capital Kampala, and the district of Kassanda.
One case has also been reported from the district of Massaka, in the south of the country.
The detection of cases in several different districts is clearly concerning.
Our primary focus now is to strengthen contact tracing, community engagement, and infection prevention and control measures.
...
===
https://www.who.int/director-general...-november-2022"Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
-Nelson MandelaComment
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Ebola kills 8 children as infections rise in schools
Wednesday, November 09, 2022
By Damali Mukhaye
...
The Ministry of Education and Sports has revealed that eight children across the country have succumbed to the Ebola disease.
Addressing journalists at the Uganda Media Centre yesterday, the State Minister of Primary Education, Ms Joyce Kaducu, said a total of 23 Ebola cases have since been confirmed, of which, eight died, five fully recovered while 16 are still under isolation.
Of these cases, 11 are children from five schools in Kampala, Wakiso and Mubende, with one Primary Six learner who succumbed to the disease last month.
Ms Kaducu said one child in baby class was in stable condition and recovered, while three children in Primary Two, Primary Four and Primary Seven are in stable condition and recovering.
In Mubende District, one child, a Primary Five learner recovered and was discharged, while a Primary Four pupil is still hospitalised.
The whereabouts of the five school -going children were not mentioned, but sources said they are still battling with the virus.
...
----------------------------------
Ebola forces govt to close schools on November 25
Wednesday, November 09, 2022
...
The Ministry of Education and Sports has directed all pre-primary, primary and secondary schools across the country to close early for third term holidays.
The Ebola outbreak has since claimed the lives of eight learners, forcing government to direct schools to close on November 25 instead of December 6.
Addressing a press conference yesterday, the State Minister for Primary Education, Ms Joyce Kaducu, said: “We decided to shorten the term by two weeks to curb the spread of the virus among learners and staff.”
...
"Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
-Nelson MandelaComment
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Description of the outbreak
From when the outbreak was declared on 20 September until 7 November, a total of 136 confirmed cases and 53 confirmed deaths (CFR 38.9%) from Ebola disease caused by the Sudan ebolavirus (SUDV) have been reported, representing an increase of 18% and 66% respectively since the last DON published on 28 October 2022. In addition, 21 probable deaths have been also reported since the beginning of the outbreak, with the last probable death notified on 29 September. Three additional cases and three additional deaths have been reported among healthcare workers since 28 October, resulting in a total of 18 cases and seven deaths among these workers.
Since the last DON, one newly affected district has been reported (Masaka), leading to a total of eight districts reporting cases. The most affected district remains Mubende with 63 (46%) confirmed cases and 29 (55%) confirmed deaths, followed by Kassanda with 46 (34%) confirmed cases and 19 (36%) confirmed deaths. Two districts, Bunyangabu and Kagadi, have not reported cases for more than 40 days.
As of 7 November, a total of 1386 contacts in seven districts are currently under surveillance, with a follow-up rate of 92%. In the week commencing 31 October, an average of 1586 contacts were followed up daily, a decrease of 16% from the previous week (week commencing 24 October) when a daily average of 1896 contacts were followed up. A total of 34 contacts developed symptoms during the past week. Since the beginning of the outbreak, 3867 contacts have been registered, of which 2237 (68%) have completed the 21-day follow-up period.
As of 7 November, at least 2835 alerts have been received at a daily average of 71 alerts. Approximately 94% (n=2671) of all alerts received were investigated within 24 hours, of which 1120 were validated as suspected cases. The proportion of alerts investigated within 24 hours has been steadily increasing, and in the week commencing 31 October, nearly all alerts (657/659) were investigated within 24 hours, of which 31% (n=203) were validated as suspected cases.
Since the beginning of the outbreak, a total of 2139 samples were collected (suspects, repeat samples, swabs), of which 419 in the week commencing on 31 October (+11% increase as compared to the previous week when 377 samples were collected and tested). ...
Comment
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WEEKLY BULLETIN ON OUTBREAKS
AND OTHER EMERGENCIES
Week 45: 31 October - 6 November 2022
Data as reported by: 17:00; 6 November 2022
...
Ebola disease caused by Sudan virus in Uganda
135 cases
53 Deaths
39.3% CFR
EVENT DESCRIPTION
In the past week, a new district Masaka, located in Central
Uganda registered a positive case of Ebola disease bringing the
total number of affected districts to seven. The confirmed cases
(deceased) was a 23-year-old female who earlier admitted at
Masaka Regional Referral Hospital where she was identified as
a suspect case and isolated. She succumbed to the deadly virus
hours after being evacuated to Entebbe treatment centre.
As of 6 November 2022, a total of 135 laboratory-confirmed
and 21 probable cases have been reported. Seventy-four (74)
fatalities have been registered including 53 confirmed cases,
resulting to an overall case fatality ratio of 47.4%, and 39.3%
among confirmed cases.
Cumulatively, 66 patients have been discharged, giving a recovery
rate of 48.9%. In total, 18 healthcare worker infections have been
recorded including two probable cases, of whom seven (39.0%)
have died.
Between weeks 43 (24-30 October) and 44 (31 October-6
November), the number of new confirmed cases has decreased
sharply, by 84.6%, from 39 to six new confirmed cases, while
the number of new recoveries has increased by 35.3%, from 17
to 23. However, the number of new deaths has kept increasing
over the past three weeks, from five deaths in week 42 (17-23
October), nine deaths in week 43, to 16 deaths in week 44.
No new affected Sub-County has been reported over the past
seven days. Hence, the number of affected Sub-Counties
remains at 26, distributed in seven Districts of which Mubende
has reported majority of cases (65 confirmed and 19 probable;
53.8%), followed by Kassanda (43 confirmed and two probable;
28.8%) and Kampala (18 confirmed; 11.5%). Kassanda remains
the District of highest concern, reporting two-thirds (66.7%) of
the new confirmed cases in the past week. No new case has been
reported from Mubende over the past week.
From the beginning of the outbreak to 5 November 2022, a total
of 3 867 contacts have been listed in 14 Districts, of whom 2
237 have completed 21 days of follow-up including all those
from Bunyangabu, Fort Portal City, Kagadi, Kakumiro, Luweero,
Nakasongola, and Ntungamo. On 5 November 2022, 1 396
contacts were still under active follow-up in seven
Districts including Kampala, Kassanda, Kyegegwa, Masaka,
Mitooma, Mityana and Mubende, 91.9% of whom (n=1 274) were
seen over the past 24hrs. An average of 1 464 contacts have been
followed-up on a daily basis during week 44, which represents a
14% decrease from week 43 during which 1 703 contacts were
followed-up daily. Since the beginning of week 44, 34 contacts
have become suspected cases of SVD.
Alert systems have been set-up in Mubende, Kassanda, Greater
Kampala Metropolitan with call centre, alert desk and linkage to
Emergency Medical Services (EMS) dispatch system. As of 5
November, a total of 2 798 alerts have been received, giving an
average of 71 alerts per day. Of these, 2 636 (94.2%) alerts were
investigated within 24hrs, of which 1 120 (42.5%) alerts were
validated as suspected cases of SVD. The proportion of alerts
investigated within 24hrs has consistently increased; in week 44,
100% (n=622) of alerts were investigated within 24hrs, of which
32.6% (n=203) were validated as suspected cases of SVD.
Of note, findings from the population mobility mapping exercise
conducted by the International Organization for Migration and
WHO, prioritized four mobility corridors based on the high
volume of population movement and connectivity to and from the
epicentre to major towns: Mubende – Kassanda Road, Kassanda
– Kampala Road, Kassanda – Mubende – Fort portal – Kasese
road and Mubende – Kygegwa – Kazo – Ibanda – Mbarara road.
In addition, four key factors were identified to be the main drivers
of population mobility to, within and from the five initially affected
Districts: gold mining, refugee settlements, socioeconomic
factors including pastoral movements, and traditional healers/
shrines.
PUBLIC HEALTH ACTIONS
Coordination
Daily District Task Force meetings, partners’ meetings and
pillar meetings continue to be held in all affected Districts.
National Task Force meetings are held thrice a week.
Surveillance and Laboratory
Epidemiological investigations, contact tracing, and active
case finding are ongoing in all affected Districts. On 5
November 2022, 1 386 contacts were still under active
follow-up, among whom 1 274 (91.9%) were seen over the
past 24hrs.
On 5 November, 126 alerts were received nationwide, all of
whom were verified; 34 (27.0%) of them were validated as
new suspected cases and 9 (26.5%) were evacuated to Ebola
Treatment Units (ETUs).
On 5 November, 81 samples were processed at Uganda Viral
Research Institute and Mubende mobile laboratory, with no
new confirmed case.
Case management and psychosocial support
Four ETUs, one each in Entebbe, Madudu, Mubende, and
Mulago are fully operational. The total bed capacities are 182
beds for the isolation unit, and 103 beds for the treatment
unit. Cumulatively, 66 (48.9%) recoveries have so far been
recorded.
The training in case management has been completed for
cohort 3 participants.
On 5 November 2022, Emergency Medical Services teams
performed 21 evacuations in Mubende, 13 in Kassanda and
one in Kampala/Wakiso.
Psychosocial support continues to be offered to suspected
and confirmed cases in ETUs, as well as to their family
members. Pre-test (and post-test) counselling are also being
offered to all patients at ETUs, and to contacts. In addition,
the resettling of the discharged persons and negative
suspected cases into their community continues.
Psychosocial teams are also providing supportive counselling
to all staff working at ETUs.
Infection, prevention and control (IPC)
Daily monitoring of IPC measures is ongoing in all ETUs.
IPC and WASH teams continue to participate in the hotspot
integrated community engagement activities ongoing in
hotspot villages, and plan to include traditional medicine
practitioners.
Safe and dignified burial teams continue to undertake safe
and dignified burials in all affected Districts. Ten safe and
dignified burials were performed on 5 November.
Risk communication and community engagement
RCCE interventions are ongoing in all affected Districts and
beyond.
At least 120 radio spots messages continue to be aired daily
through six radio stations in Mubende, Kassanda, Kagadi,
Kakumiro, Buyangabu and Kyegegwa.
At total of 350 information, education and communication
(IEC) materials have been disseminated in Kagadi and
Bunyangabu.
House to house sensitization is ongoing in Mubende,
Bunyangabu, Kagadi, Kyegegwa and Kassanda Districts, by
community volunteers and Village Health Teams, where 898
households representing 8 480 people including 4 411 males
and 4 069 females have been reached with SVD prevention
messages.
At least 26 head teachers/deputies from schools in Makindye
Division, Kampala have been trained on SVD prevention and
response.
Logistics
The distribution of supplies in healthcare facilities within all
affected districts is ongoing, including personal protective
equipment, spray pumps, wooden pallets, tarpaulin,
essential medicines, discharge packages, fuel, vehicles,
stationery, digital thermometers, infra-red thermometers
from MoH and partners.
SITUATION INTERPRETATION
The ongoing response interventions have yielded positive and
promising results, with a significant reduction in the number of
new confirmed cases over the past week. Of note, no new case
has been reported from Mubende over the past seven days,
inferring that transmission chains are being controlled locally.
However, over the two preceding weeks, majority of cases have
been reported from Kassanda where there is still need to scaleup
response interventions. The number of deaths has however
kept increasing, highlighting some challenges around case
management, considering that the chance of survival is dependent
of early detection of, and rapid and adequate care to confirmed
cases. Moreover, IPC is another area of improvement. A recent
evaluation in Kampala has revealed an overall IPC capacity of
77% in health care facilities, much lower in private facilities.
...
"Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
-Nelson MandelaComment
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Uganda’s capital races to curb spread of Ebola
11 November 2022
Kampala – Uganda declared an outbreak of the Sudan ebolavirus on 20 September 2022 in the country’s central Mubende district, which is about a two-hour drive away from the capital, Kampala. Some Ebola patients travelled from the outbreak epicentre to Kampala in search of care and by 7 November, there were 17 confirmed cases in the city. Stemming the spread of the virus in a densely populated urban area poses difficulties, as the population is highly mobile. Close-proximity living, and, in some areas, inadequate access to proper sanitation, increases the risk of infection.
The health authorities have acted swiftly to mount a robust contact tracing system that has helped to quickly isolate and monitor contacts, as well as provide care to those in need. Public awareness efforts as well as preventive measures are also being reinforced in the city.
Every morning, Grace Asiimwe, a health worker in Rubaga division, Kampala, takes a purple folder in which she keeps the forms that help record people’s vital signs and pays a visit to the leaders of the local council.
Some of the 17 confirmed Ebola cases reported in Kampala come from this densely populated division.
“Going to the local council chairperson of the villages where the contacts are located enables us to have his support and ensures that we are not seen as strangers in the localities, since he is aware of our presence in the area,” says Asiimwe.
Every day, Asiimwe and her team monitor nine contacts – people who have come into direct or indirect contact with a person with Ebola. The team checks their temperature and asks a list of questions designed to monitor the onset of Ebola symptoms. Asiimwe then verifies if each contact has been checking their temperature properly and takes note of any change.
On her route today, Asiimwe drops by the home of Emmanuel Oreba, a teacher in a school where a child tested positive for Ebola.
“This is my 14th day, and my body temperature is normal. In fact, I’m feeling fine,” says Oreba. “At home, I have my own utensils and bedding which I don’t share with the rest of the family until after the mandatory 21 days monitoring is done,” he explains. His biggest challenge right now, he says, is to resist the temptation to escape boredom by taking a stroll outside his house.
With four previous outbreaks, Uganda has a long history in dealing with Ebola. This has led to a comprehensive approach to prevention measures in outlying areas.
“When a disease like Ebola hits such a big city, communities have a pivotal role to play to curb the spread of the virus,” explains Dr Charles Katureebe, the WHO Coordinator of the Ebola response in Rubaga division of Kampala. “It’s essential to educate and engage the community so that the disease is understood by all… especially the prevention measures, its signs and symptoms so that all suspected cases are reported early and taken care of,” he says.
With WHO support, around 50 000 posters and 20 000 leaflets containing information about Ebola, its symptoms, and options for care have been circulated by contact tracers in Kampala.
At total of 276 people have been identified as contacts of a confirmed case in Kampala as of 10 November 2022.
On 26 October, six children from three different schools in Kampala tested positive for Ebola. They were all contacts of the confirmed case. Their classmates and teachers were quarantined and monitored. The authorities reached out to all the teachers and parents in the school to sensitize them on the need to comply with preventive measures.
Other schools in the city were instructed to ensure that all children regularly wash their hands and have their temperatures taken when they arrive in the morning. The thermometers used in the process are provided by the United Nations Children’s Fund.
These preventative measures are being rolled out in other institutions across the city.
“We work closely with the Kampala district Ebola Taskforce,” says Dr Grace Nanyondo, Medical Director at the Lubaga Hospital in Rubaga division.
“At the hospital gates, all people are required to wash their hands before being let in,” she says. “At the triage, we take note of the body temperatures of all patients. If suspicious cases are identified, they are moved to the fully-fledged isolation unit we set up to handle suspected cases.”
The hospital will report any patient with Ebola-like symptoms to the Ministry of Health and samples are taken for testing at the Uganda Virus Research Institute. Out of the nine suspected cases recorded so far at the hospital, none have tested positive.
Dr Umaru Mutekoba, Head of the Ebola Taskforce at Lubaga Hospital, has just finished checking up on a suspected Ebola patient. After he removes all his personal protective equipment, it will be disposed to avoid any risk of transmission.
“The general awareness levels in the country have increased,” he says. “That is why we are seeing more and more suspected cases coming up voluntarily. This is making it easier for contact tracing and management.”
"Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
-Nelson MandelaComment
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EBOLA OUTBREAK STATISTICS 2022
NEW CASES 1
CUMULATIVE CONFIRMED CASES 137
CONFIRMED DEATHS 54
RECOVERIES 65
-----------------
Publications
Ebola Virus Disease in Uganda SitRep - 47
Today marks 55 days of response to the EVD outbreak, first case was confirmed on 19-Sep2022.
- Within the past 24 hours, we registered One newly confirmed EVD case – 17yr old female from Kassanda district.
- One newly confirmed death from Mubende district.
- One new recovery from Wakiso district.
- Case Fatality Ratio (CFR) among confirmed cases is 54/137 (39%).
- A total of 1,086 contacts actively being followed-up in eight districts, follow-up rate in the past 24 hours was 93%.
Ug_EVD_SitRep#47.pdf
https://www.afro.who.int/countries/uganda/publication/ebola-virus-disease-uganda-sitrep-47"Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
-Nelson MandelaComment
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Dr. Jane Ruth Aceng Ocero
@JaneRuth_Aceng
A confirmed fatal Ebola case has been reported in Kayalwe B village, Buyengo sub-county, Jinja district. This was a 45-year-old male who is linked to a probable case, his brother.
2:56 AM · Nov 13, 2022·Twitter for iPhone
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Dr. Jane Ruth Aceng Ocero
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The brother, who is linked to the Rubaga cluster travelled to Jinja where he was ill for 10 days and passed on the 3rd November 2022. The confirmed fatal case also died at his home on 10th November and was buried on 12th November.
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Dr. Jane Ruth Aceng Ocero
@JaneRuth_Aceng
·
7h
A sample was obtained on the 10th from the dead body, by healthworkers from St Catherine Medical center, Luzinya Buwenge, a private clinic where he had sought treatment before passing on. Contact tracing and epidemiological investigations have been activated.
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Dr. Jane Ruth Aceng Ocero
@JaneRuth_Aceng
·
7h
Fellow Ugandans, let's remain vigilant! if you have had contact with an Ebola case, do not run away, report to the nearest public health facility #EbolaOutbreakUG
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245Comment
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https://en.wikipedia.org/wiki/Jinja_District
----------------------------------------------------
First Ebola death confirmed in Jinja
Sunday, November 13, 2022
...
The 45-year-old...a farmer and resident of Kayalwe B village, in the Buyengo Town Council, Jinja District was admitted at Buwenge Health Center IV following his referral from a private clinic in Buwenge town council early this week.
He had earlier on been admitted to the clinic on suspicion that he had typhoid. He presented with fever, diarrhoea, abdominal pain, muscle pain, cough, difficulty in breathing and swallowing, and sore throat.
A medical worker at Buwenge Health Center IV, says that when the patient failed to improve, they decided to pick his samples to test for Ebola since he had informed them that he was in close contact with another case with similar signs in Kampala City.
The samples were extracted from the patient on November 11, 2022, a few hours before he passed on. His body was handed over to his relatives for burial. However, a report issued by the Uganda Virus Research Institute-UVRI on Saturday night shows that Waiswa succumbed to Ebola.
...
Jinja Deputy Resident City Commissioner, Mr Mohammed Kigongo, said that Waiswa's brother, who was a resident in an undisclosed area in Kampala succumbed to Ebola on November 03, 2022.
...
https://www.monitor.co.ug/uganda/new...-jinja-4018424"Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
-Nelson MandelaComment
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Rambam hospital to set up quarantined Ebola clinic in Haifa
300 medical staff at Rambam Medical Center are being trained on how to treat Ebola patients.
By JERUSALEM POST STAFF
Published: NOVEMBER 13, 2022 22:38
The Rambam Medical Center in Haifa began setting up a quarantined clinic on Sunday for Israelis suspected of being exposed to the Ebola virus, according to KAN news.
...
In recent weeks, a number of Israelis returned from Uganda and were quarantined after not feeling well, although all of them tested negative for the virus....On Sunday, Uganda's health minister stated that an Ebola case has been confirmed in Jinja in eastern Uganda, the first time the outbreak has spread to a new region of the country from central Uganda where cases have been confined so far...
https://www.jpost.com/health-and-wel...
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Buwenge farmer succumbs to Ebola
The Independent November 13, 2022
| Samples from a patient who died on Friday at Buwenge Health Center IV in Jinja district have tested positive for Ebola. The 45-year-old, Dan Waiswa, a farmer and resident of Kayalwe B village, in the Buyengo town council was admitted at Buwenge Health Center IV following his referral from a private clinic in Buwenge town council early this week....
Jinja Deputy Resident City Commissioner, Mohammed Kigongo, says that Waiswa’s brother, a resident from an undisclosed area in Kampala succumbed to Ebola on November 03, 2022. ...He says that they have dispatched surveillance teams to pick samples from the deceased’s family members, health workers, and patients at the St. Catherine clinic and Guardian medical center in Buwenge sub-county and town council respectively where the patient was first managed for peptic ulcers and typhoid..
https://www.independent.co.ug/buweng...
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