Announcement

Collapse
No announcement yet.

DRC - Ebola outbreak in North Kivu and Ituri: July 30, 2018+

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

  • Translation Google
    DIRECTORATE GENERAL FOR DISEASE CONTROL
    EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

    Thursday 4 April 2019


    The epidemiological situation of the Ebola Virus Disease dated April 3, 2019 :
    • Since the beginning of the epidemic, the cumulative number of cases is 1,107, of which 1,041 confirmed and 66 probable. In total, there were 695 deaths (629 confirmed and 66 probable) and 339 people cured.
    • 289 suspected cases under investigation;
    • 7 new confirmed cases, including 3 in Katwa, 1 in Mandima, 1 in Vuhovi, 1 in Musienene and 1 in Beni;
    • 5 new deaths of confirmed cases, including
      • 2 community deaths including 1 in Vuhovi and 1 in Musienene;
      • 3 CTE deaths, 2 in Butembo and 1 in Mangina (Mandima patient);
    • 1 new patient healed from Butembo CTE;
    • One of Musienene's health workers is among the new confirmed cases. The cumulative number of confirmed / probable cases among health workers is 82 (7.4% of all confirmed / probable cases) including 29 deaths.

    /! \ The data presented in this table are subject to change later, after extensive investigations and after redistribution of cases and deaths in their health areas .



    ...

    "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


    • Translation Google

      Ebola in NORTH-KIVU: resistance against the response teams kills a woman in KATHIRI

      Posted on: 04/04/2019 at 18h24min17s

      By Radio Moto Butembo-Beni

      The death of KAVIRA KAKONDI Suzanne follows the irritation of the population against the presence of teams and symbols of response to the Ebola virus disease. A crowd of people burned the houses of the Chief of KATHIRI and a community relay of this same village located in ISALE-KASONGWERE Group in Chiefdom of Bashu in the territory of Beni.

      The victim was hit by a stray bullet. She died at the KYONDO reference general hospital a few hours later. The deceased was KAVIRA KAKONDI Suzanne, 40 years old. She is the mother of six children.
      ...
      It should be noted that a large number of people burned the houses of the KATIRI Chief and a community relay in the same village located in the ISALE-KASONGWERE Group. The fact dates from the night of Wednesday to Thursday.

      Shortly before these actions, the population of KATHIRI attacked the team of dignified and safe burials. The funeral procession departing for the Butembo cemetery was wounded and thrown projectiles. Police fired bullets in the air to disperse protesters. The procession has hardly cleared its way. But perpetrators of the disturbances did not yield to the intervention of the police. As a result, these protesters took the road to Kyondo-center. Objective, to damage the health facilities for the fight against Ebola. It was in Kyondo that the police managed to disperse the crowd by firing more bullets into the area.


      Posted on: 04/04/2019 at 18h24min17s
      By Radio Moto Butembo-Beni

      "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


      • Translation Google
        DIRECTORATE GENERAL FOR DISEASE CONTROL
        EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

        Friday, April 5, 2019


        The epidemiological situation of the Ebola Virus Disease dated April 4, 2019 :
        • Since the beginning of the epidemic, the cumulative number of cases is 1,117, of which 1,051 are confirmed and 66 are probable. In total, there were 702 deaths (636 confirmed and 66 probable) and 339 people cured.
        • 295 suspected cases under investigation;
        • 10 new confirmed cases, including 3 in Katwa, 2 in Beni, 1 in Vuhovi, 1 in Mandima, 1 in Butembo, 1 in Kalunguta and 1 in Mabalako;
        • 7 new confirmed case deaths, including
          • 5 community deaths, 2 in Katwa, 1 in Butembo, 1 in Mabalako and 1 in Vuhovi;
          • 2 deaths in CTE including 1 in Butembo and 1 in Mangina (patient of Mandima).

        /! \ The data presented in this table are subject to change later, after extensive investigations and after redistribution of cases and deaths in their health areas .



        ...
        "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


        • Source: https://www.who.int/csr/don/04-april-2019-ebola-drc/en/
          Ebola virus disease ? Democratic Republic of the Congo

          Disease outbreak news: Update
          4 April 2019

          This past week saw a marked increase in the number of Ebola virus disease (EVD) cases in the Democratic Republic of the Congo. During the last 21 days (13 March to 2 April 2019), 57 health areas within 12 health zones reported new cases; 42% of the 135 health areas affected to date (Table 1 and Figure 2). During this period, a total of 172 confirmed cases were reported from Katwa (50), Vuhovi (34), Mandima (28), Masereka (18), Beni (13), Butembo (12), Oicha (8), Kayna (3), Lubero (3), Kalunguta (1), Bunia (1) and Musienene (1). WHO and partners will continue to adapt our strategies and strengthen response efforts to limit the further spread of EVD in these health areas.
          As of 2 April, a total of 1100 confirmed and probable EVD cases have been reported, of which 690 died (case fatality ratio 63%). Of the 1100 cases with reported age and sex, 58% (633) were female, and 29% (320) were children aged less than 18 years. The number of healthcare workers affected has risen to 81 (7% of total cases), including 27 deaths.
          To date, a total of 338 EVD patients who received care at Ebola Treatment Centres (ETCs) have been discharged. As part of a broader programme to provide care for Ebola survivors and build sustainable, local response capacity, an eye care training programme and clinic was completed this week in Beni through the combined efforts of WHO, Ministry of Health, and a team of ophthalmologists from Emory University and the University of North Carolina. A total of 252 EVD survivors were screened in the eye clinic and ten national ophthalmologists were trained to provide higher level eye care in their communities. Feedback from participating national healthcare providers and enrolled survivors was overwhelmingly positive. Of note were some of the clinical findings witnessed in the present cohort of EVD survivors. The team noted that complications such as uveitis were observed at lower rates when compared to cases from the 2014-16 West Africa EVD outbreak.
          A Risk Communication and Community Engagement partners meeting was held in Goma from 25-26 March, involving more than 80 participants representing the different partners participating in the outbreak response. The discussion focused on engagement strategies that have worked in the past, what is working on the ground currently, and what needs to be improved to build upon our current gains and address future challenges.
          The recent shift of emphasis in the response strategy to promoting greater engagement and ownership by affected communities is beginning to produce results. While community reluctance and mistrust remain present in certain areas around Butembo and Katwa, other areas saw a notable decrease in resistance to the presence of response workers. Diligent efforts at engaging with community committees through direct dialogue resulted in the reopening of the ETC in Katwa, bringing the total number of operational facilities providing care up to six ETCs in Beni, Butembo, Goma, Komanda, Mangina, and six transit centres in Beni, Bunia, Katwa, Kayna, Bwanasura, and Oicha. A more proactive approach to investigating and resolving incidents in the communities is also being undertaken to minimise the risk of misunderstandings and to mitigate potential sources of mistrust between local residents and healthcare providers.
          The increase in the number of cases this week highlights the difficult environment the outbreak is occurring in, as well as the multitude of evolving challenges confronting the outbreak response on a daily basis. A holistic approach involving rigorous implementation of proven measures to break chains of transmission, thorough contract tracing, continued vaccination of high-risk contacts, and persistent efforts in community engagement must be persevered with to curtail the spread of EVD in the Democratic Republic of the Congo.
          Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset, data as of 2 April 2019*




          *Data in recent weeks are subject to delays in case confirmation and reporting, as well as ongoing data cleaning.
          Figure 2: Confirmed and probable Ebola virus disease cases by health area, North Kivu and Ituri provinces, Democratic Republic of the Congo, data as of 29 March 2019




          Enlarge image
          Table 1: Confirmed and probable Ebola virus disease cases, and number of health areas affected, by health zone, North Kivu and Ituri provinces, Democratic Republic of the Congo, data as of 2 April 2019**




          Enlarge image
          **Total cases and areas affected based during the last 21 days are based on the initial date of case alert, and may differ from date of confirmation and daily reporting by the Ministry of Health.
          Public health response

          For further detailed information about the public health response actions by the MoH, WHO, and partners, please refer to the latest situation reports published by the WHO Regional Office for Africa:
          WHO risk assessment

          WHO continuously monitors changes to the epidemiological situation and context of the outbreak to ensure that support to the response is adapted to the evolving circumstances. The last assessment concluded that the national and regional risk levels remain very high, while global risk levels remain low. Attacks on ETCs in Katwa and Butembo represented the first large-scale and organized attacks targeted directly at the Ebola response, and were of a different order of magnitude to episodes of mistrust in communities or dangers of being caught in crossfire between fighting parties. In addition, the persistence of pockets of community mistrust, exacerbated by political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas; reducing the overall effectiveness of interventions. The high proportion of community deaths reported among confirmed cases, persistent delays in detection and isolation in ETCs, challenges in the timely reporting and response to probable cases, collectively increase the likelihood of further chains of transmission in affected communities and increased risk of geographical spread within the Democratic Republic of the Congo and to neighbouring countries. As do the risk of increased population movement anticipated during periods of heightened insecurity.
          WHO advice

          International traffic: WHO advises against any restriction of travel to, and trade with, the Democratic Republic of the Congo based on the currently available information. There is currently no licensed vaccine to protect people from the Ebola virus. Therefore, any requirements for certificates of Ebola vaccination are not a reasonable basis for restricting movement across borders or the issuance of visas for passengers leaving the Democratic Republic of the Congo. WHO continues to closely monitor and, if necessary, verify travel and trade measures in relation to this event. Currently, no country has implemented travel measures that significantly interfere with international traffic to and from the Democratic Republic of the Congo. Travellers should seek medical advice before travel and should practice good hygiene.
          For more information, see:



          1The number of cases is subject to change due to ongoing reclassification, retrospective investigation and the availability of laboratory results.

          Comment


          • Translation Google

            (From a blog)

            Attack against MSF in Biakato / Ituri

            The MSF base in Biakato was attacked around 0200 hours on Friday by unidentified gunmen. Several valuables were taken away, staff were severely beaten.

            Yesterday by Chebeya's question



            ---------------------------------------------------------------
            Sammy Mupfuni
            @SMupfuni

            Apr 5

            #Ituri A base of @MSFcongo was robbed this Friday 05 in the morning at #Biakato by unidentified assailants. The NGO thus temporarily suspends its activities in this zone pending the improvement of the security situation.
            --------------------------------------------------------------

            BIAKATO: Women walk half-naked against Ebola response teams

            Posted on: 06/04/2019 at 19h07min17s
            By Radio Moto Butembo-Beni

            Great tension this Saturday, April 6, 2019 in BIAKATO chief town of the chieftaincy of BABILA-BABOMBI in the territory of MAMBASA. The population of the place that no longer wants teams to fight back against EBOLA has expressed anger through the streets. Some moms even walked half-naked according to local civil society that indicates that the elements of the order intervened to disperse the demonstrators.

            This population of the chieftaincy of Babila-Babombi has still not believed in the existence of EBOLA virus disease. This Saturday morning, she barricaded the national number 44 at the entrance of BIAKATO. This population was protesting the burial of a woman who died of Ebola in the CTE of MANGINA and that the EDS team wanted to bury her in this locality located more or less 40 kilometers from MANGINA.

            To express their anger, some of BIAKATO's moms walked half-naked, supported by young people from the square who no longer want to see the teams of the response against EBOLA in their community.

            It should be noted that while the population was demonstrating, FARDC soldiers and police fired several bullets into the air to disperse the protesters. And there are reports of arrests of some young people accused of burning sinks.

            The head of the BABILA-BABOMBI chiefdom, the mwami SELEMANI MBIDA, was the one who appeased the protesters. He called on them to work with the response teams to fight the spread of this epidemic, which is a real and deadly disease.


            Posted on: 06/04/2019 at 19h07min17s
            By Radio Moto Butembo-Beni



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

            Biakato: Great tension this morning between FARDC and population

            Post Image
            SOCIETY Published on: 06/04/19 at 09:44:14
            By: Eriksson Luhembwe.

            The population is on the streets protesting the arrest of more than four young boys by soldiers and policemen of the place. These young people are accused of destroying sinks (water points) placed by the Ebola response team to fight the spread of the epidemic.

            The military and police are trying to disperse the population coming to demand the release of these young people, without success for now. In Biakato, Mambasa Territory, Ituri Province, part of the population appears to be opposed to the Ebola response. This is causing the uprising of the population, some demonstrators do not hesitate to demonstrate in Adam's clothing (naked) According to Kasereka Sibamwenda member of the civil society of Biakato, the elements of the order seem to be overwhelmed.

            "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


            • Translation Google
              DIRECTORATE GENERAL FOR DISEASE CONTROL
              EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

              Saturday, April 6, 2019


              The epidemiological situation of the Ebola Virus Disease dated April 5, 2019 :
              • Since the beginning of the epidemic, the cumulative number of cases is 1,130, of which 1,064 are confirmed and 66 are probable. In total, there were 714 deaths (648 confirmed and 66 probable) and 342 people cured.
              • 284 suspected cases under investigation;
              • 13 new confirmed cases, including 7 in Katwa, 3 in Butembo, 1 in Beni, 1 in Vuhovi, and 1 in Oicha;
              • 12 new deaths of confirmed cases, including
                • 6 community deaths including 3 in Butembo, 2 in Katwa, and 1 in Beni;
                • 6 CTE deaths, 2 in Beni, 2 in Mangina (Mandima patients), 1 in Butembo and 1 in Katwa;
              • 3 new people healed out of Butembo CTE.

              /! \ The data presented in this table are subject to change later, after extensive investigations and after redistribution of cases and deaths in their health areas .





              Remarks:
              • In order to prevent the total number of cases from going up or down daily, the suspect cases have been placed in a separate category. For example, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
              • Deaths occurring at the level of the CTEs are provisionally recorded in the health zones of CTE implantation pending reclassification in the health zone of case notification.
              • The probable case category includes all deaths for which it was not possible to obtain biological samples for laboratory confirmation but where the investigations revealed an epidemiological link with a confirmed or probable case.
              • A community death is any death occurring outside of an Ebola Treatment Center.
              News of the response


              Butembo Rapid Impact Operations
              • Recent community dialogues in Butembo town and surrounding areas have revealed that part of the community reluctance is due to the willingness of the population to see the Government and partners invest more in the development of the region and improvement of the general living conditions of the population.
              • The Minister of Health, Dr. Oly Ilunga Kalenga, had initiated discussions with the Government's technical and financial partners in order to establish a medium and long-term development plan to restore the region socially and economically.
              • Thus, capitalizing on the ongoing investments in the region and in order to be able to pose immediate and visible actions for the community, the World Bank is committed to support the financing of Fast Impact Operations through the Stabilization project. East of the DRC for Peace (STEP) with the support of the Social Fund of the DRC (FSRDC).
              • The STEP project is being implemented in seven provinces of the country, including North Kivu, since 2014. Its three components are community support, livelihoods and job creation, as well as capabilities. Created in 2002, the FSRDC is the Government Executing Agency whose mission is:
                • To improve the living conditions of the Congolese population and their access to social services through the rehabilitation and reconstruction of community economic and social infrastructures;
                • To create income and employment in rural and urban areas through the implementation or implementation of income-generating micro-projects to alleviate poverty and promote economic and social development.
              • The first phase of the quick-impact operations, which began this week, involves the recruitment of 1,000 people for labor-intensive public works for road maintenance in the Butembo and Katwa districts. The second phase, currently being prepared by the FSRDC and the technical services of the town hall and the Office of Roads and Drainages (OVD), will include the recruitment of an additional 1,000 people and will start in May 2019. The recruitment procedure aims to maximize the use of local skills and resources for both labor and equipment purchases to ensure greater redistribution within the community.
              >>> Visit the FSRDC website for more information on these two initiatives <<<


              ...
              "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


              • Translation Google
                DIRECTORATE GENERAL FOR DISEASE CONTROL
                EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

                Sunday, April 7, 2019


                The epidemiological situation of the Ebola Virus Disease dated April 6, 2019 :
                • Since the beginning of the epidemic, the cumulative number of cases is 1,146, of which 1,080 are confirmed and 66 are probable. In total, there were 721 deaths (655 confirmed and 66 probable) and 345 people cured.
                • 303 suspected cases under investigation;
                • 16 new confirmed cases, including 11 in Katwa, 3 in Vuhovi, 1 in Beni, and 1 in Mandima;
                • 7 new confirmed case deaths, including
                  • 5 community deaths including 4 in Katwa and 1 in Mandima;
                  • 2 deaths at the CTE of Beni;
                • 3 new healed people, including 2 exits from Butembo CTE and 1 from CTE de Beni;
                • Three Katwa health workers (including one death) are among the new confirmed cases. The cumulative number of confirmed / probable cases among health workers is 85 (7.4% of all confirmed / probable cases) including 30 deaths.

                /! \ The data presented in this table are subject to change later, after extensive investigations and after redistribution of cases and deaths in their health areas .





                Remarks:
                • In order to prevent the total number of cases from going up or down daily, the suspect cases have been placed in a separate category. For example, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
                • Deaths occurring at the level of the CTEs are provisionally recorded in the health zones of CTE implantation pending reclassification in the health zone of case notification.
                • The probable case category includes all deaths for which it was not possible to obtain biological samples for laboratory confirmation but where the investigations revealed an epidemiological link with a confirmed or probable case.
                • A community death is any death occurring outside of an Ebola Treatment Center.
                News of the response


                ERRATUM - Rapid Impact Operations in Butembo (Bulletin of April 6, 2019)
                • An error in the link to the website of the Social Fund of the Democratic Republic of Congo (FSRDC) has been corrected: Visit the FSRDC website


                Laboratories, the pillar at the heart of the response
                • Laboratories play a central role in the response to the Ebola outbreak. The positive result of a sample taken from a patient will trigger a series of interventions around the patient to minimize the risk of contamination of his relatives and the spread of the epidemic. These interventions include the transfer of the patient from the transit center to the Ebola treatment center, the vaccination of the patient's contacts, the disinfection of his household and the health centers through which he would have passed, as well as the psychological follow-up of the patient and from his family. It is therefore important to ensure rapid communication of laboratory test results to both the patient and other teams in the Ebola response.
                • Community feedback mechanisms revealed that residents of the affected areas, particularly Butembo and Katwa, complained of the slow availability of laboratory test results and the perception that local laboratories and labs are not involved. .
                • The laboratories are managed by the National Institute for Biomedical Research (INRB) whose director, Professor Jean-Jacques Muyembe, is the chairman of the national laboratory commission in the context of the Ebola response. To date, seven mobile laboratories have been established in Beni, Bunia, Butembo, Goma, Katwa, Komanda and Mangina. This is the first time that the INRB has had the technical capacity to deploy as many mobile laboratories in the field as part of an active Ebola outbreak. While the majority of the sites have two GeneXpert machines, the sites of Beni, Butembo and Katwa have installed three to four per site to quickly test the hundreds of samples collected each day. Moreover, on all sites,


                ...
                "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


                • Translation Google
                  DIRECTORATE GENERAL FOR DISEASE CONTROL
                  EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

                  Monday, April 8, 2019


                  The epidemiological situation of the Ebola Virus Disease dated April 7, 2019 :
                  • Since the beginning of the epidemic, the cumulative number of cases is 1,154, of which 1,088 are confirmed and 66 are probable. In total, there were 731 deaths (665 confirmed and 66 probable) and 350 people healed.
                  • 248 suspected cases under investigation;
                  • 8 new confirmed cases, including 3 in Butembo, 3 in Mandima, 1 in Katwa and 1 in Vuhovi;
                  • 10 new deaths of confirmed cases, including
                    • 2 community deaths, 1 in Katwa and 1 in Mandima;
                    • 8 deaths at CTE, including 3 in Katwa, 2 in Beni, 2 in Butembo and 1 in Mangina (Mandima patient);
                  • 5 new people healed out of Butembo CTE.

                  /! \ The data presented in this table are subject to change later, after extensive investigations and after redistribution of cases and deaths in their health areas .





                  Remarks:
                  • In order to prevent the total number of cases from going up or down daily, the suspect cases have been placed in a separate category. For example, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
                  • Deaths occurring at the level of the CTEs are provisionally recorded in the health zones of CTE implantation pending reclassification in the health zone of case notification.
                  • The probable case category includes all deaths for which it was not possible to obtain biological samples for laboratory confirmation but where the investigations revealed an epidemiological link with a confirmed or probable case.
                  • A community death is any death occurring outside of an Ebola Treatment Center.
                  News of the response


                  Study on the Ebola epidemic in Likati, Bas-U?l? province (2017)
                  • A new study on the outbreak of Ebola Virus Disease in Likati, Bas-U?l? province, in 2017 was published in the Journal of Infectious Diseases . The international team behind this study included researchers from the Ministry of Health, the World Health Organization, M?decins Sans Fronti?res and the Canada Research Chairs.
                  • To recap, the Ministry of Health declared the Ebola outbreak in Likati May 11, 2017 and the outbreak ended on 1 th July 2017. During that outbreak, the country had recorded eight cases of Ebola of whom five were confirmed and three were probable, and four had died of the disease. This epidemic was limited to a single chain of transmission around the index case. Two members of his family caught the disease by transporting the patient on a motorcycle to a health center. These two family members, called secondary cases, then transmitted the disease to five additional people.
                  • Investigations revealed that the index case was exposed to the Ebola virus by handling bushmeat. A hunter had brought to the village of the index case a dead boar that the index case had dismembered and a dead monkey that had been sold to the market. Although the handling of a dead animal by a person is the source of the initial Ebola contamination, transmission between humans is still responsible for the spread and aggravation of an epidemic . Indeed, in the current epidemic in North Kivu and Ituri, 1 in 2 (53%) patients were infected by a family member who was also ill.
                  • The researchers identified several factors that contributed to the rapid control of the Likati epidemic, namely:
                    • Speed ​​of response : The Ministry of Health declared the Ebola outbreak less than six weeks after the index case developed the symptoms of the disease. Previous epidemics were detected and confirmed more than three months after the death of the index case;
                    • Training of health personnel : The epidemic alert was launched by a nurse from the Nambwa health center who immediately set up a system for isolating the patient and his family. The nurse himself had gone into isolation awaiting the arrival of the Kinshasa response teams to protect his family. This nurse had participated in an Ebola detection training program for local health providers in June 2016, which allowed her to quickly identify the index case;
                    • Responsibility of the community: On the advice of the nurse and having observed unusual deaths showing similar signs in the community, relatives of the index case have set up an ad hoc system of secure burial, which included the decontamination of personal belongings of the deceased, before the arrival of the response teams.


                  ...
                  "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


                  • Translation Google
                    DIRECTORATE GENERAL FOR DISEASE CONTROL
                    EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

                    Tuesday, April 9, 2019


                    The epidemiological situation of the Ebola Virus Disease dated April 8, 2019 :
                    • Since the beginning of the epidemic, the cumulative number of cases is 1,168, of which 1,102 are confirmed and 66 are probable. In total, there were 741 deaths (675 confirmed and 66 probable) and 350 people healed.
                    • 274 suspected cases under investigation;
                    • 14 new confirmed cases, including 7 in Katwa, 3 in Vuhovi, 1 in Butembo, 1 in Mandima, 1 in Masereka and 1 in Beni;
                    • 10 new deaths of confirmed cases, including
                      • 7 community deaths, 3 in Katwa, 1 in Butembo, 1 in Vuhovi, 1 in Masereka and 1 in Mandima;
                      • 3 deaths at CTE, 2 in Katwa and 1 in Butembo;
                    • One Vuhovi health worker (community death) is one of the new confirmed cases. The cumulative number of confirmed / probable cases among health workers is 86 (7.8% of all confirmed / probable cases), including 31 deaths.

                    /! \ The data presented in this table are subject to change later, after extensive investigations and after redistribution of cases and deaths in their health areas .





                    Remarks:
                    • In order to prevent the total number of cases from going up or down daily, the suspect cases have been placed in a separate category. For example, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
                    • Deaths occurring at the level of the CTEs are provisionally recorded in the health zones of CTE implantation pending reclassification in the health zone of case notification.
                    • The probable case category includes all deaths for which it was not possible to obtain biological samples for laboratory confirmation but where the investigations revealed an epidemiological link with a confirmed or probable case.
                    • A community death is any death occurring outside of an Ebola Treatment Center.
                    News of the response



                    Record number of cures unloaded in Butembo
                    • The week of 1 e to 7 April 2019, 17 patients were discharged cured CTE Butembo, a record never before achieved. Dr. Richard Kitenge, National Coordinator of CTE and Country Leader for Ebola Virus Disease (EVD), hopes that this good news will help change people's perceptions of ETC. In the town of Butembo, many patients avoided or refused to be transferred to the ETC for fear of dying there. Thus, the patients arrived late at the CTE, at an advanced stage of the disease to be able to be saved.
                    • Despite the persistence of a high rate of community deaths in Butembo town, it has been noted that an increasing number of sick people detected in the community or local health facilities agree to be transferred to the CTE soon after the start symptoms, increasing their chance of survival. As a reminder, 80% of patients (ie 8 out of 10 patients) who were taken care of less than 3 days after the onset of symptoms have come out of ETCs.
                    • Since the reopening of the Katwa and Butembo CTEs, changes have been made in the medical management of patients. The capacity of the Butembo CTE is now 94 beds and that of the Katwa CTE is 76 beds.
                    • At the Butembo CTE, the number of caregivers increased from 62 to 90 nurses and from 14 to 32 doctors, all recruited locally. The caregivers were divided into three teams: a team exclusively responsible for admissions to reduce the waiting time for patients arriving at the CTE, a team for monitoring patients in stable condition and a last larger team for patient follow-up. in critical condition. For patients in serious condition, psychologists are assigned to families to accompany them throughout the process. Psychologists serve as a link between CTE families and doctors to explain the evolution of the patient's medical situation in a simple and regular way to families. Families of patients are allowed to visit their sick relatives every day with the support of the health promotion teams. In addition, the therapeutic molecules are used again but in the context of the former therapeutic protocol for compassionate purposes and no longer in the context of the clinical trial.

                    Vaccination
                    • Since the beginning of the vaccination on August 8, 2018, 97,035 people have been vaccinated , including 24,245 in Katwa, 21,582 in Beni, 11,854 in Butembo, 6,279 in Mabalako, 4,073 in Mandima, 3,070 in Goma, 3,055 in Kalunguta, 2,489 in Oicha, 2.347 to Komanda, 1.729 to Masereka, 1.661 to Vuhovi, 1.630 to Kayina, 1.489 to Kyondo, 1.487 to Bunia, 1.357 to Karisimbi, 1.193 to Lubero, 1.025 to Biena, 958 to Musienene, 772 to Mutwanga, 690 to Rutshuru, 557 in Rwampara (Ituri), 527 in Nyankunde, 496 in Mangurujipa, 420 in Mambasa, 355 in Tchomia, 333 in Lolwa, 342 in Kirotshe, 254 in Alimbongo, 250 in Mweso, 245 in Kibirizi, 161 in Nyiragongo, 97 in Watsa (Haut-U?l?) and 13 in Kisangani.
                    • The only vaccine to be used in this outbreak is the rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck, following approval by the Ethics Committee in its decision of 19 May 2018.
                    WEEKLY SUMMARY OF EPIDEMIOLOGICAL DATA

                    Week 14 (April 1-7, 2019)

                    For the week from 1 st to April 7, 2019, we recorded:
                    • 1,979 suspected cases investigated and tested in the laboratory;
                    • 65 new confirmed cases:
                      • Katwa is the main household with 29 cases (44.6%);
                      • No new health zone affected.
                    • 52 deaths of confirmed cases:
                      • The main households are Katwa (15) and Butembo (15), which together account for 57.7% of new deaths during the week;
                      • Of the 52 deaths, 26 were community deaths and 26 occurred in an ETC.
                    • 19 new people healed:
                      • Significant increase compared to the previous week when 8 new cures were unloaded;
                      • Record for the Butembo CTE which unloaded 17 new cures this week.

                    ...

                    https://us13.campaign-archive.com/?u...&id=72a2d28492
                    "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 crisis: ?Police COERCION tactics? making outbreak worse, warns MSF
                      ...
                      By CIARAN MCGRATH
                      PUBLISHED: 22:36, Tue, Apr 9, 2019 | UPDATED: 22:49, Tue, Apr 9, 2019
                      ...
                      ?People in this region have been suffering for many years from a general lack of healthcare and from insecurity and violence, and Ebola is not necessarily their priority.

                      ?We need to think of tackling Ebola as part of the overall provision of healthcare.

                      ?The use of coercion has created animosity towards the Ebola response.

                      ?The police are involved in surveillance, contact tracing and various other activities.

                      ?This outbreak is happening in a conflict zone and we do not question the role that the police and other security forces can play in protecting those involved in the response.

                      ?But their current role in the response itself is counterproductive for gaining the trust of the population and containing the epidemic.?
                      ...
                      THE deadly Ebola outbreak in the Democratic Republic of Congo is being made worse by police coercion tactics which are stirring up hostility within the community towards public health workers, aid organisation Medicins San Frontieres (MSF) has said.
                      "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


                      • APRIL 10, 2019 / 10:11 AM / UPDATED 33 MINUTES AGO

                        WHO experts to decide whether Congo Ebola outbreak is international emergency

                        LONDON (Reuters) - The World Health Organization (WHO) on Wednesday said it had reconvened an expert panel to consider whether an outbreak of Ebola in the Democratic Republic of Congo constitutes a public health emergency of international concern.
                        ...
                        The emergency panel?s meeting will take place on Friday April 12 and its decision will be published late the same day.

                        "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


                        • Translation Google
                          DIRECTORATE GENERAL FOR DISEASE CONTROL
                          EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

                          Wednesday, April 10, 2019


                          The epidemiological situation of the Ebola Virus Disease dated April 9, 2019 :
                          • Since the beginning of the epidemic, the cumulative number of cases is 1,186, of which 1,120 are confirmed and 66 are probable. In total, there were 751 deaths (685 confirmed and 66 probable) and 354 people cured.
                          • 316 suspected cases under investigation;
                          • 18 new confirmed cases, including 11 in Katwa, 3 in Vuhovi, 3 in Mandima, and 1 in Beni;
                            • Of the new patients in Katwa, two volunteered for CTE at the onset of symptoms;
                          • 10 new deaths of confirmed cases, including
                            • 8 community deaths, 5 in Katwa, 2 in Mandima and 1 in Vuhovi;
                            • 2 deaths at CTE, including 1 in Katwa and 1 in Butembo;
                          • 4 new cures including 2 from the CTE of Beni and 2 from the CTE of Butembo;
                          • 1 health worker in Mandima is one of the new confirmed cases. The cumulative number of confirmed / probable cases among health workers is 87 (7.3% of all confirmed / probable cases), including 31 deaths.

                          /! \ The data presented in this table are subject to change later, after extensive investigations and after redistribution of cases and deaths in their health areas .


                          ...
                          "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


                          • Translation Google
                            DIRECTORATE GENERAL FOR DISEASE CONTROL
                            EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

                            Thursday 11 April 2019


                            The epidemiological situation of the Ebola Virus Disease dated April 10, 2019 :
                            • Since the beginning of the epidemic, the cumulative number of cases is 1,206, of which 1,140 are confirmed and 66 are probable. In total, there were 764 deaths (698 confirmed and 66 probable) and 358 people healed.
                            • 246 suspected cases under investigation;
                            • 20 new confirmed cases, including 8 in Katwa, 7 in Vuhovi, 2 in Mabalako, 1 in Butembo, 1 in Komanda, and 1 in Beni;
                              • A new patient from Katwa volunteered for the CTE as soon as the first symptoms appeared.
                              • The 2 cases of Mabalako are the parents of a confirmed case of Katwa who died on April 6 who had fled to Mabalako to avoid the teams of the riposte. The couple was found in an unsafe area of ​​Mabalako at an advanced stage of the disease but refused to be transferred to the CTE.
                            • 13 new confirmed case deaths, including
                              • 6 community deaths, 2 in Katwa, 2 in Mabalako, 1 in Butembo and 1 in Komanda;
                              • 7 deaths at CTE, including 6 in Katwa and 1 in Butembo;
                            • 4 new cures including 3 from the CTE of Butembo and 1 from CTE de Beni;
                            • Follow-up of the 107 contacts identified around the confirmed case of Bunia.

                            /! \ The data presented in this table are subject to change later, after extensive investigations and after redistribution of cases and deaths in their health areas .





                            Remarks:
                            • In order to prevent the total number of cases from going up or down daily, the suspect cases have been placed in a separate category. For example, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
                            • Deaths occurring at the level of the CTEs are provisionally recorded in the health zones of CTE implantation pending reclassification in the health zone of case notification.
                            • The probable case category includes all deaths for which it was not possible to obtain biological samples for laboratory confirmation but where the investigations revealed an epidemiological link with a confirmed or probable case.
                            • A community death is any death occurring outside of an Ebola Treatment Center.
                            News of the response

                            Butembo Airfield
                            • Two workers at Rughenda Airport in Butembo were transferred to the Butembo Ebola Treatment Center after laboratory tests confirmed that they had been infected with the Ebola virus disease. This is an Air Rale (RVA) agent and a porter who had attended the unsecured burial of a deceased Ebola acquaintance.
                            • This Thursday, the teams of the response vaccinated all the agents of the airport and disinfected all the airport facilities of this small earthen airport which receives only small carriers. Flights at Rughenda Airport have not been disrupted by response activities, but the authorities plan to strengthen epidemiological surveillance and sanitary control at the airport.

                            Emergency Committee of the World Health Organization
                            • The Director-General of WHO, Dr Tedros Adhanom, called the Emergency Committee for the International Health Regulations to meet, for the second time this Friday, April 12, 2019 to determine if the outbreak is now an urgent need public health of international concern.
                            • The role of this Committee is to recommend to the Director-General of WHO emergency measures, called temporary recommendations, to be adopted. These temporary recommendations include the health measures to be put in place by the country where the emergency is declared or by other countries to reduce the risk of international spread of the epidemic and to avoid unnecessary interference with international traffic. The Committee will continue to advise the Director-General throughout the duration of the emergency, including any necessary changes to the recommended actions.


                            ...
                            "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


                            • DR Congo: ?Ebola is spreading faster, and many people are no longer seeking care?

                              Nairobi/Geneva, 11 April 2019 ?The deadly Ebola outbreak in the Democratic Republic of the Congo is worsening as trust in the response effort falters, says the International Federation of Red Cross and Red Crescent Societies.
                              ...
                              ?This is a very distressing development,? said Emanuele Capobianco, IFRC?s Director of Health and Care. ?The bottom line is that Ebola is now spreading faster, and many people are no longer seeking care. It is clear that some vulnerable communities do not trust Ebola responders.?
                              ...
                              ?Trust can be built by going community to community, working with local leaders and villagers, listening to their concerns with empathy, and incorporating their feedback and preferences into how we work,? he said.
                              ...

                              Thank you for visiting ifrc.org – the official website of the International Federation of Red Cross and Red Crescent Societies (IFRC)
                              "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


                              • World Health Organization (WHO)Verified account @WHO 17m17 minutes ago More



                                The International Health Regulations Emergency Committee on #Ebola in #DRC - convened by @DrTedros - is currently in meeting. The Committee's advice and recommendation will be made public later today. Follow our tweets for updates.






                                WHO African Region, WHO DR CONGO and Tedros Adhanom Ghebreyesus

                                "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

                                Working...
                                X