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  • WHO Director-General's opening remarks at the COVID-19 and other diseases media briefing – 16 November 2022

    16 November 2022

    ...
    Now, an update on the Ebola outbreak in Uganda .

    Since we briefed you last week, there have been 6 more confirmed cases and 1 probable case of Ebola in Uganda, bringing the total to 141 confirmed and 22 probable cases.

    There have also been 2 more confirmed Ebola deaths and 1 probable death, for a total of 55 confirmed and 22 probable deaths. 73 patients have now recovered.


    The government’s efforts to respond to the outbreak have slowed transmission in most districts, and two districts have not reported any cases for 42 days, indicating the virus is no longer present in those districts.

    However, in the past week the district of Jinja reported its first case, becoming the ninth district to be affected.

    WHO and partners are supporting the government to intensify detailed case investigation, contact tracing, community engagement, and infection prevention & control measures.

    Since the outbreak began, the Government of Uganda, together with researchers, funders, companies, regulatory authorities and other experts has been working under a global effort coordinated by WHO to accelerate the development and deployment of vaccines for use in trials.

    Today, I’m pleased to announce that a WHO committee of external experts has evaluated three candidate vaccines and agreed that all three should be included in the planned trial in Uganda.

    WHO and Uganda’s Minster of Health have considered and accepted the committee’s recommendation.

    We expect the first doses of vaccine to be shipped to Uganda next week.

    A separate group of experts has selected two investigational therapeutics for a trial, as well as a trial design that is now being submitted for approval by WHO and authorities in Uganda.

    ===
    "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 Mandela

    Comment



    • Notes from the Field: Outbreak of Ebola Virus Disease Caused by Sudan ebolavirus — Uganda, August–October 2022


      Weekly / November 11, 2022 / 71(45);1457–1459


      https://www.cdc.gov/mmwr/volumes/71/...​​​​
      CSI:WORLD http://swineflumagazine.blogspot.com/

      treyfish2004@yahoo.com

      Comment


      • Bodas, Cargo Trucks Ferrying Ebola Victims from Mubende

        Geoffrey Omara November 16, 2022

        ​​​​​​President Museveni has disclosed that boda bodas and cargo trucks are helping people in districts under lockdown to flout standard operating procedures for preventing the Ebola disease.

        “I have been informed that there is a challenge in Mubende,” said Museveni on Tuesday night.“Whereas we later allowed boda boda to carry cargo to support families, they have abused this permission and are carrying out a passenger relay system to transport people instead of cargo,” said the president in a national address.

        “This poses a risk of transfer of infection to other districts. With the help of boda bodas, people are escaping through Kyaka II refugee camp and ending up in facilities in Kampala City and other districts.”
        ....Recently, a pregnant woman traveled through Kyaka II and ended up in Mbarara Regional Referral Hospital where she was delivered by Cesarean Section and is still under quarantine. Furthermore, another woman was transported through the same mechanism up to Kireka on the outskirts of Kampala City with the pretext of going to pick up her HIV medicines which are widely available everywhere,” said Museveni.


        “This is not acceptable because Ebola infection will be exported out of the district. Any urgent health issues must be communicated to the health authorities to handle within the district.”...https://chimpreports.com/bodas-cargo...​​​​
        CSI:WORLD http://swineflumagazine.blogspot.com/

        treyfish2004@yahoo.com

        Comment



        • Outbreak Brief 8: Sudan Ebola virus disease (EVD) in Uganda

          16 November 2022
          Outbreak update: Since the last brief (9 November 2022), five new confirmed cases and two new confirmed deaths (case fatality rate [CFR]: 40%) of Sudan Ebola Virus Disease (SVD) were reported from Uganda. This is a 16% decrease in the number of confirmed cases and an 80% decrease in the number of new deaths reported compared to last brief.
          Cumulatively, 141 confirmed cases and 55 confirmed deaths (CFR: 39.0%) were reported from nine health districts, including one new district1: Bunyangabu (1 cases; 0 deaths), Jinja (1; 1), Kagadi (1; 1), Kampala (18; 2), Kassanda (48; 20), Kyegegwa (4; 1), Masaka (1; 1), Mubende (64; 29), and Wakiso (3; 0). A total of 11 new recoveries were reported since the last brief. Cumulatively, 73 recoveries have been registered. One new healthcare worker infection has been reported since the last brief. Healthcare workers account for 13.4% (19) of the cases and 12.7% (7) of all deaths (CFR: 36.8%).
          Note: Prior to the initial confirmation of SVD in Uganda, 20 probable deaths from Mubende (19) and Kassanda (1) districts were identified during epidemiological investigations launched after the initial cases were confirmed and are determined to be part of this outbreak; these probable cases/deaths are not included in the totals being reported in this brief. An additional probable death was identified from Kassanda district on 8 October 2022 and is not included in the total death count.

          https://africacdc.org/disease-outbre...​​​​
          CSI:WORLD http://swineflumagazine.blogspot.com/

          treyfish2004@yahoo.com

          Comment


          • World Health Organization (WHO)

            @WHO
            "Today, I’m pleased to announce that a WHO committee of external experts has evaluated three #Ebola candidate vaccines and agreed that all three should be included in the planned trial in #Uganda"-
            @DrTedros
            http://bit.ly/3AjxdP5
            CSI:WORLD http://swineflumagazine.blogspot.com/

            treyfish2004@yahoo.com

            Comment


            • Uganda to host East Africa trade show

              Thursday, November 17, 2022

              ..Ministry of Trade has said at least 1,500 exhibitors from across East Africa will grace the first ever East African micro, small and medium enterprises trade fair to be hosted in Uganda starting December 8...

              .“The trade fair is targeting the persons who have less capital and employing less people. They will be networking and sharing knowledge on how they can grow to large scale enterprises. With over 1,500 exhibitors and a targeted daily population of more than 100,000 people, we are sure that the fair will bring about trade visibility in the region,” she added...

              ​​​​​​Ms Ntabazi assured participants from within and outside the country to turn up for the fair saying that Ebola spread is well managed, hence no cause for alarm.

              “We are all aware of the Ebola outbreak in the country and we are working closely with the Ministry of Health to ensure that all operating procedures to control the spread of the disease are followed. Therefore, participants should not be worried of Ebola
              ,” Ms Ntabazi said...

              https://www.monitor.co.ug/uganda/new...​​​​
              CSI:WORLD http://swineflumagazine.blogspot.com/

              treyfish2004@yahoo.com

              Comment


              • Ebola: Jinja bans football competitions as cases rise

                Wednesday, November 16, 2022

                ..The Jinja Ebola taskforce has temporarily banned football competitions as the district registered two new infections of the hemorrhagic fever, bringing the number of confirmed cases to three by Wednesday afternoon...

                .“As a temporary measure, the district taskforce has put a temporary ban on football competitions. I am told our people are still thinking of organising matches in Buwenge and Buyengo. We can’t allow people to gather yet we are still tracing contacts since the virus is already in the community,” Mr Madoi said in an interview on November 15.

                He further warned local leaders against seizing the moment to gain political capital, saying “those implicated will be arrested.”

                “Some figures have already started politicizing everything on radios, TVs and other social gatherings. We are not going to tolerate this,” he added....
                https://www.monitor.co.ug/uganda/new...s-rise-4022378
                CSI:WORLD http://swineflumagazine.blogspot.com/

                treyfish2004@yahoo.com

                Comment


                • Kassanda chairman expels Ebola taskforce from district offices

                  Wednesday, November 16, 2022

                  ​​​​​​
                  • Kasanda chairman says “people in the district want service delivery yet the Ebola activities are stifling proper implementation of other activities.”
                  “With immediate effect,” Kassanda chairperson Fred Kasirye has expelled the Ebola taskforce from the district headquarters despite the area grappling with cases of the viral disease. The development which has since triggered mixed public reactions saw members of the taskforce accuse Mr Kasirye of downplaying State efforts in combating Ebola.

                  ​​​​​​“We have seen a November 15 letter from him expelling the Ebola taskforce from the district headquarters. This just confirms earlier allegations of him sabotaging the health interventions against Ebbola,” Mr Gabriel Ssentongo, a member of the Kiganda Sub County Ebola task force told this publication on Tuesday. ...

                  https://www.monitor.co.ug/uganda/new...​​​​
                  CSI:WORLD http://swineflumagazine.blogspot.com/

                  treyfish2004@yahoo.com

                  Comment


                  • EBOLA PREVENTION AMONG STUDENTS


                    Today, fourth grade and seventh grade students studying in Mityana but living in Mubende and Kassanda were given transportation back to their home areas. They gathered at the Mityana Municipality headquarters, where vehicles donated by UNICEF took them further. However, the students were urged to be careful when they arrive home, so as not to end up in the hands of Ebola.https://www-ntv-co-ug.translate.goog/ug/news/sparktv-news/okutangira-ebola-mu-bayizi-omwana-eyasobezebwako-atandise-okuvunda-4023190?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-US&_x_tr_pto=wapp
                    CSI:WORLD http://swineflumagazine.blogspot.com/

                    treyfish2004@yahoo.com

                    Comment


                    • WHY ARE YOU TALKING ABOUT US : In Kassanda, the alleged funeral directors deny it


                      Relatives who allegedly buried the body of an Ebola victim in Kassanda district have denied the allegations-they say these are goat ears. Mubarak Muwada -the brother of the now deceased Muzafaru Matovu -said the 10 people who died were friends and relatives who approached Muzafaru when he was ill before he was diagnosed with Ebola. Health Minister Jane Ruth Aceng made the announcement while in Kassanda to assess the status of the disease.https://www-ntv-co-ug.translate.goog/ug/news/sparktv-news/lwaki-mutuwaayira-e-kassanda-abagambibwa-okuziikula-omufu-babyeganye-4023188?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-US&_x_tr_pto=wapp​​​​​​
                      CSI:WORLD http://swineflumagazine.blogspot.com/

                      treyfish2004@yahoo.com

                      Comment


                      • WHO steps up support to Uganda’s evolving Ebola outbreak as hope for vaccines increases



                        17 November 2022

                        Brazzaville/Kampala – As the first doses of candidate vaccines against the Sudan ebola virus are expected to arrive in Uganda in the coming days, World Health Organization (WHO) is boosting efforts to support the government-led response against the outbreak which has now affected nine districts, including three complex urban environments.

                        A WHO committee of external experts has evaluated three candidate vaccines and agreed that they all be deployed to Uganda for a clinical trial against the Sudan ebolavirus—one of the six species of the Ebolavirus genus. Unlike the Zaire ebolavirus which has sparked most of the recent outbreaks, there are no approved vaccines or therapeutics for the Sudan ebolavirus.

                        The aim of the randomized trial is to evaluate potentially efficacious candidate vaccines, and to possibly contribute to ending the ongoing outbreak and protect populations at risk in the future. The trial is the result of a collaborative effort, coordinated by WHO with developers, academic institutions, countries’ sponsoring the production of the vaccine doses, regulatory authorities, other experts and the government of Uganda.

                        Supplies of one of the three candidate vaccines are expected to arrive in Uganda next week and the other two soon after. The trial protocol has been conditionally approved by WHO and Uganda and the final approvals are expected soon. Import permits for the vaccines is expected to be issued by the National Regulatory Authority soon. While the trial start date is not certain yet, WHO is working with the Ministry of Health and Makerere University, which is leading the trial to make sure everything is ready and the trial can begin once one vaccine has arrived and all the trial preparations are in place.. The two other candidates will be added, as they become available.

                        “The start of vaccine trials will mark a pivotal moment towards the development of an effective tool against the virus behind the current Ebola outbreak in Uganda,” said Dr Matshidiso Moeti, WHO Regional Director for Africa. “In previous outbreaks, we have seen how effective vaccines have averted the further spread of the virus, helping to quickly contain the epidemic. But it will take time to get trial results and for now the outbreak can be controlled without vaccines as we can see already with the slowing down of transmission in many of the affected districts.

                        Uganda declared an outbreak of Sudan ebolavirus on 20 September. As of 14 November 2022, there have been 141 confirmed and 22 probable cases (total of 163 cases) and 55 confirmed and 22 probable deaths (77 total deaths) reported. Nineteen health workers have been infected with the virus and seven have died.

                        On 11 November, the eastern Jinja district, which hosts Jinja city, became the third urban area—after the capital of Kampala and Masaka city—to detect the virus. Jinja, located on the shores of Lake Victoria, is home to some 300 000 people. While Jinja is now impacted by Ebola, the outbreak is slowing down in six districts, with two dropping from the follow-up list as they have reported no cases in over 42 days.

                        “The confirmation of Ebola cases in a new district is a concern and places a further strain on the control efforts. With their highly mobile residents and often crowded environments, cities favour the spread of the virus, but Uganda has progressively ramped up the response, keeping pace with the evolving situation. WHO and partners are helping to trace, find, test, care for people with the virus and work with communities,” Dr Moeti said. “But with the virus constantly on the move, we must press even harder to stay ahead.”

                        Dr Moeti is wrapping up a three-day mission to Uganda, where she met with health authorities, key partners and visited Kassanda and Mubende districts the initial epicentre of the outbreak.

                        In support of the outbreak response WHO has deployed 80 experts and supported health authorities with the deployment of additional 150 experts, including over 60 epidemiologists. Due to the infectious nature of the Sudan ebolavirus Personal Protective Equipment (PPE) which include gowns, gloves, eye protection and medical masks are critical for provision of safe care to patients. WHO recently delivered 15 000 PPE to Uganda, which are enough to protect health workers caring for patients admitted in the current Ebola treatment units for 30 days. The Organization has helped train nearly 1000 health workers and village health team members in contact tracing, and another 1155 health workers in infection prevention and control in health facilities.

                        WHO has also launched a US$ 88.2 million appeal to fight the outbreak and support Ebola readiness in neighbouring countries. So far, only 20% of the funds has been received.

                        “Dedicated response teams are putting incredible efforts on the frontlines to safeguard communities and require robust support to effectively deliver on this crucial task. We must not fail them,” said Dr Moeti. “Ebola’s disruptive force is most stark among communities whose lives have been upended and among families who have lost loved ones.”

                        The ongoing Sudan ebolavirus outbreak is Uganda’s fifth of its kind. Seven cases and four deaths were recorded in the country’s previous Sudan ebolavirus outbreak in 2012.

                        Dr Moeti spoke today during a press conference. She was joined by Lt. Col Dr Henry Kyobe Bossa, Incident Commander, Ebola outbreak, Ministry of Health, Uganda.

                        Also on hand from WHO to answer questions were Dr Yonas Tegegn, WHO Representative in Uganda, Dr Patrick Otim, Incident Manager for the Uganda Ebola outbreak; Dr Ana Maria Henao-Restrepo, Co-Lead Research and Development Blueprint for epidemics, Health Emergencies Programme; Dr Walter Fuller, Technical Officer, Antimicrobial Resistance Programme; and Dr Cheick Diallo, Technical Officer, Strategic Information.


                        As the first doses of candidate vaccines against the Sudan ebola virus are expected to arrive in Uganda in the coming days, World Health Organization (WHO) is boosting efforts to support the government-led response against the outbreak which has now affected nine districts, including three complex urban environments.
                        "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 Mandela

                        Comment


                        • bump this

                          Comment


                          • WEEKLY BULLETIN ON OUTBREAKS
                            AND OTHER EMERGENCIES

                            Week 46: 7 - 13 November 2022
                            Data as reported by: 17:00; 13 November 2022

                            ...

                            Ebola disease caused by Sudan virus in Uganda

                            140 cases
                            55 Deaths
                            39.3% CFR


                            EVENT DESCRIPTION

                            During epi week 45 (ending 13 November 2022), five new
                            confirmed cases of SVD, with two deaths and seven recoveries
                            have been reported, compared to six confirmed cases, 16 deaths
                            and 19 recoveries in week 44 (ending 6 November).
                            Notably, one of the new confirmed cases was reported on 12
                            November, from a new District and City, Jinja in Buyengo Town
                            Council. This was a 45-year old male linked to a probable SVD
                            death, who later succumbed to the disease. A new health worker
                            infection has been reported in the past week: a 23-year old female
                            from Eastern Division of Mubende District.

                            From 19 September to 13 November 2022, a cumulative number
                            of 140 laboratory-confirmed and 22 probable cases have been
                            reported. Seventy-seven (77) fatalities have been registered of
                            which 55 were confirmed cases, an overall case fatality ratio
                            of 47.5%, and 39.3% among confirmed cases. Men (57.5%)
                            are slightly more affected than women, and the most affected
                            age groups are 20-29 years, and 30-39 years. The under-five
                            represent less than 10% of cases. Nineteen (19) healthcare
                            worker infections have so far been notified, of whom seven
                            (36.8%) have died. A total of 69 recoveries have been registered
                            giving a recovery rate of 49.3%.

                            Two new Districts have been affected over the past two weeks,
                            one each in week 44 (Masaka) and week 45 (Jinja), bringing to
                            nine the total number of affected Districts. More than half of the
                            cases, (51.2%) have been reported in Mubende (64 confirmed and
                            19 probable), followed by Kassanda with 30.9% (48 confirmed
                            and two probable), Kampala (17 confirmed; 10.5%), Kyegegwa
                            (four confirmed; 2.5%), Wakiso (three confirmed; 1.9%), Jinja
                            (one confirmed and one probable; 1.2%), Bunyangabu (one
                            confirmed; 0.6%), Kagadi (one confirmed; 0.6%), and Masaka
                            (one confirmed; 0.6%).

                            As of 13 November, 3 991 contacts have been listed in 14
                            Districts; contact tracing and follow-up is yet to be initiated in
                            Jinja. A total of 2 784 contacts have completed 21 days of followup
                            including all contacts within Bunyangabu, Fort Portal City,
                            Kagadi, Kakumiro, Luweero, Mitooma, Mityana, Nakasongola,
                            and Ntungamo.

                            On 13 November 1 086 contacts were still under active follow-up
                            in Kampala Metropolitan Area (Kampala + Wakiso + Mukono),
                            Kassanda, Kyegegwa, Masaka, and Mubende. Of these, 981
                            contacts (90.3%) were seen over the past 24hrs.

                            PUBLIC HEALTH ACTIONS

                            Coordination

                            Coordination and response mechanisms are being set-up in
                            Jinja District, following confirmation of a SVD case.

                            Daily District Task Force meetings, partners’ meetings and
                            pillar meetings are ongoing in all affected Districts.

                            National Task Force meetings continue to be held thrice a
                            week.

                            Surveillance and Laboratory

                            Epidemiological investigations, contact tracing, and active
                            case finding are ongoing in all affected Districts. On 13
                            November, 1 086 contacts were still under active follow-up,
                            981 (90.3%) of whom were seen over the past 24hrs.

                            On 13 November, 86 alerts were received nationwide, all of
                            whom were verified; 31 (36.0%) of them were validated as
                            new suspected cases and 20 (64.5%) were evacuated to
                            Ebola Treatment Units (ETUs).

                            On 13 November, 78 samples were processed at Uganda
                            Viral Research Institute and Mubende mobile laboratory, with
                            one new confirmed case. Cumulatively, 2 687 samples have
                            been tested since the beginning of the outbreak, yielding 140
                            confirmed cases of SVD.

                            Mentorship is ongoing on sample collection from cadavers.
                            For instance, lab teams are working closely with morticians
                            in Masaka to collect samples from dead bodies.

                            Case management and psychosocial support

                            The response has now four fully functional ETUs including
                            three in Mubende and one in Entebbe, with a total capacity
                            of 132 beds, and two additional isolation units, one each
                            in Madudu and Mulago, with a total capacity of 214 beds.
                            On 13 November, the bed occupancy rate was at 8.9%
                            (n=19) in isolation units and 9.1% (n=12) in treatment
                            units. Cumulatively, 69 (49.3%) recoveries have so far been
                            recorded.

                            In Masaka, an isolation unit is being restructured at Masaka
                            Regional Referral Hospital. In addition, the construction of
                            the ambulance decontamination area is in its final stages.

                            On 13 November 2022, Emergency Medical Services (EMS)
                            teams performed 50 evacuations including 34 in Mubende,
                            15 in Kassanda and one in Masaka. Final plans are underway
                            to deploy a team in Jinja.

                            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 survivors 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 continues in all ETUs.
                            An IPC mentorship support is ongoing in Mubende facilities
                            that scored less than 50% at baseline evaluation, especially
                            private clinics, pharmacies and drug shops.

                            In Masaka, 62 trained IPC mentors have been allocated
                            to different health care facilities in order to cascade IPC
                            mentorship; on the occasion, IPC information, education and
                            communication (IEC) materials were distributed. The SVD
                            screening area is being modified at Masaka RRH, and water
                            connectivity is being managed at the isolation unit.

                            Safe and dignified burial (SDB) teams continue to undertake
                            safe and dignified burials in all affected Districts. On 13
                            November, five safe and dignified burials were performed
                            in Mubende and Kassanda. In Masaka, seven SDB team
                            members were oriented on their roles and capacity for
                            sample collection from dead bodies.

                            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 Bunyangabu, Kagadi, Kakumiro,
                            Kassanda, Kyegegwa, and Mubende. In addition, four radio
                            talk shows were conducted including three in Masaka and
                            one in Kassanda.

                            At total of 463 IEC materials have been disseminated including
                            200 in Mubende, 150 in Kagadi and 113 in Bunyangabu.

                            Fifty-two (52) Village Health Teams (VHTs) were sensitized
                            in Masaka, and a movement plan was developed to support
                            them reach out to the remaining 600 VHTs.

                            Community mobilization drives by film vans were conducted
                            in Kitovu village of Kassanda.

                            Community engagement is ongoing in all affected Districts.
                            For instance, community volunteers and VHTs conducted
                            house to house visits in five districts including Bunyangabu,
                            Kagadi, Kassanda, Kyegegwa, and Mubende, reaching 545
                            households and 3 486 people (1 841 males & 1 675 females)
                            with SVD prevention messages.

                            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
                            different partners.

                            SITUATION INTERPRETATION

                            The number of new confirmed cases of SVD has been almost
                            constant over the past two weeks (weeks 44-45), with 0-1 case
                            reported per day compared to 4-6 cases/day during weeks 42-
                            43, translating into promising results produced by response
                            interventions, especially in Mubende, Kassanda and Kampala
                            where majority of transmission chains are being controlled.
                            However, the evolution has also been marked by an expansion
                            of the outbreak to newly affected Districts, perhaps highlighting
                            some weaknesses around community based surveillance,
                            especially in Jinja where a community death occurred and has
                            already generated a secondary case. Coordination and response
                            mechanisms need to be set-up and quickly boosted in these
                            newly affected areas to rapidly contain the virus. In addition,
                            preparedness and readiness activities need to be strengthened in
                            non-affected Districts as well as in neighbouring countries.
                            ...
                            "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 Mandela

                            Comment


                            • EBOLA OUTBREAK STATISTICS 2022

                              NEW CASES 0

                              CUMULATIVE CONFIRMED CASES 141

                              CONFIRMED DEATHS 55

                              RECOVERIES 76



                              -----------------------------------

                              Publications



                              Ebola Virus Disease in Uganda SitRep - 53

                              Today marks 62 days of response to the EVD outbreak, first case was confirmed on 19-Sep-2022.
                              - Within the past 24 hours, we registered no new confirmed cases or deaths AND registered one recovery from Wakiso.
                              - Case Fatality Ratio (CFR) among confirmed cases still stands 55/141 (39%).
                              - A total of 824 contacts actively being followed-up in seven districts, follow-up rate in the past 24 hours was 53%.
                              Ug_EVD_SitRep#53.pdf

                              https://www.afro.who.int/countries/uganda/publication/ebola-virus-disease-uganda-sitrep-53


                              The World Health Organization (WHO) is building a better future for people everywhere. Health lays the foundation for vibrant and productive communities, stronger economies, safer nations and a better world. Our work touches lives around the world every day – often in invisible ways. As the lead health authority within the United Nations (UN) system, we help ensure the safety of the air we breathe, the food we eat, the water we drink and the medicines and vaccines that treat and protect us. The Organization aims to provide every child, woman and man with the best chance to lead a healthier, longer life.
                              "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 Mandela

                              Comment


                              • Ebola outbreak in Uganda, as of 17 November 2022

                                Epidemiological update
                                18 Nov 2022


                                According to the World Health Organization (WHO), as of 17 November 2022, there have been 141 confirmed cases of Ebola virus disease (EVD), including 55 deaths (case fatality rate: 39%).

                                Among these, at least 19 healthcare workers were infected, of whom seven died.
                                There are also 22 probable cases who died before samples were obtained for confirmation.

                                73 cases have recovered.

                                Since the last report on 7 November 2022, an additional five confirmed cases and two confirmed deaths reported. Jinja district has reported the first cases. There are currently seven Ugandan districts affected by this outbreak: Jinja, Kampala, Kassanda, Kyegegwa, Masaka, Mubende and Wakiso. The districts of Bunyangabu and Kagadi have not reported any cases since 21 and 24 September 2022, respectively, and as two incubation periods of the virus have passed, the districts have been removed from the list. Although data are incomplete, the majority of new cases appear to be epidemiologically linked to known cases.

                                According to ACDC, 4 150 contacts of cases have been identified across 15 districts, of which 3 129 contacts have completed 21 days of follow up.

                                Background


                                On 20 September 2022, the Ministry of Health in Uganda, together with the World Health Organization - Regional Office for Africa (WHO AFRO) confirmed an outbreak of EVD due to Sudan ebolavirus in Mubende District, Uganda, after one fatal case was confirmed.

                                The index case was a 24-year-old man, a resident of Ngabano village of Madudu sub-county in Mubende District. The patient experienced high fever, diarrhoea, abdominal pain, and had been vomiting blood since 11 September 2022. Samples were collected on 18 September 2022 and EVD was laboratory-confirmed on 19 September. The patient died on the same day, five days after hospitalisation.

                                On 15 October 2022, the President of Uganda imposed a 21-day lockdown on Mubende and Kassanda districts to contain the outbreak of EVD. Measures include an overnight curfew, closing places of worship and entertainment, and restricting movement in and out of the two districts. On 5 November 2022, the Ugandan Ministry of Health announced that the special measures put in place in mid-October to curb the spread of EVD have been extended for another 21 days. Additionally, on 8 November 2022, the Ministry of Education and Sports directed schools across Uganda to finish the school term on 25 November 2022, two weeks earlier than planned.

                                On 28 October 2022, the Ministry of Health in Uganda implemented measures to restrict travelling of contacts of confirmed Ebola cases during the follow-up period (21 days).

                                The Ugandan government is carrying out community-based surveillance and active case finding. An on-site mobile laboratory has been established in Mubende and risk communication activities are ongoing in all affected districts. Africa Centres for Disease Control and Prevention (Africa CDC), WHO, Global outbreak alert and response network (GOARN), and other partners have teams in Uganda to support the coordination of the response.

                                As of 5 November 2022, there are five Ebola treatment units (ETUs) between Mubende, Kampala and Kabarole districts. A new ETU is being established in Kassanda in response to increase in reported cases from the region.

                                Previously, EVD in Uganda was reported in 2019 due to Zaire ebolavirus, which was imported from the Democratic Republic of the Congo. EVD outbreaks caused by Sudan ebolavirus have previously occurred in Uganda (four outbreaks) and Sudan (three outbreaks). The last outbreak of EVD due to Sudan ebolavirus in Uganda was reported in 2012

                                ECDC Assessment

                                Risk to EU/EEA citizens living in or travelling to affected areas in Uganda


                                Despite the increase in number of cases and the transmissions reported in the densely populated capital city of Kampala, the current probability that EU/EEA citizens living in or travelling to EVD-affected areas of Uganda will be exposed to the virus is very low, provided that they adhere to the recommended precautionary measures (see further information below). Transmission requires direct contact with blood, secretions, organs or other bodily fluids of dead or living infected people or animals; all unlikely exposures for the general EU/EEA tourists or expatriates in Uganda.

                                Considering that infection with Sudan ebolavirus leads to severe disease but that the probability of exposure of EU/EEA citizens is very low, the impact for the EU/EEA citizens living and travelling in affected areas in Uganda is considered low. Overall, the current risk for EU/EEA citizens living or travelling to affected areas in Uganda is considered low.

                                Risk of introduction and spread within the EU/EEA


                                The most likely route by which the Ebola virus could be introduced to the EU/EEA is through infected people from affected areas travelling to the EU/EEA or medical evacuation of cases to the EU/EEA. According to the International Air Travel Association, in 2019, there were about 126,000 travellers arriving in the EU/EEA from Uganda. Based on experience from the largest EVD outbreak in West Africa to date (2013-2016), where thousands of cases were reported, with transmission in large urban centres, and hundreds of EU/EEA humanitarian and military personnel deployed to the affected areas, importation of cases by travellers is considered unlikely.


                                The likelihood of secondary transmission of Ebola virus within the EU/EEA and the implementation of sustained chains of transmission within the EU/EEA is very low as cases are likely to be promptly identified and isolated and follow up control measures are likely to be implemented. During the large EVD outbreak in West Africa in 2013–2016, there was only one local transmission in the EU/EEA (in Spain) in a healthcare worker who had attended to an evacuated EVD patient. The impact for the EU/EEA citizens living in the EU/EEA is considered low and overall, the current risk for the citizens in the EU/EEA is considered very low.

                                Healthcare providers in the EU/EEA should be informed of and sensitised to:
                                • the possibility of EVD among travellers returning from affected areas;
                                • the clinical presentation of the disease and need to enquire about travel history and contacts in people returning from EVD-affected countries;
                                • the availability of protocols for the ascertainment of possible cases and procedures for referral to healthcare facilities;
                                • the imperative need for strict implementation of barrier management, use of personal protective measures and equipment and disinfection procedures in accordance with specific guidelines and WHO infection control recommendations when providing care to EVD cases.
                                Vaccines


                                The licensed vaccines available, protect against EVD due to Zaire ebolavirus. There are no licensed vaccines against EVD due to Sudan ebolavirus, and there are no available data on the level of cross-protections. The availability of a vaccine was proven to be very helpful in the control of the recent outbreaks in the Democratic Republic of the Congo. The unavailability of vaccines will be an additional challenge in the control of this outbreak.

                                ECDC actions


                                ECDC is monitoring this situation through its epidemic intelligence activities and will report relevant updates on a weekly basis.


                                Ebola cases in Uganda, 2022

                                Ebola cases in Uganda 2022. Source: WHO; Ministry of Health, Uganda; Government of Uganda
                                Disclaimer: This figure is based on the latest available data from different public official sources. Updates are not always available on a daily basis. In addition, please note that there is a delay between the date of disease onset, the date of detection and the date of reporting, resulting in a reporting lag. This should be taken into consideration when interpreting these figures.

                                Geographical distribution of EVD cases in Uganda, 2022

                                Map showing number of Ebola virus cases reported in Uganda

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                                https://www.ecdc.europa.eu/en/news-e...20seven%20died.



                                "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 Mandela

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