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DRC - Ebola outbreak in North Kivu and Ituri: July 30, 2018+
EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI
Thursday 20 June 2019
The epidemiological situation of the Ebola Virus Disease dated 19 June 2019 :
Since the beginning of the epidemic, the cumulative number of cases is 2,204, of which 2,110 are confirmed and 94 are probable. In total, there were 1,479 deaths (1,385 confirmed and 94 probable) and 606 people healed.
349 suspected cases under investigation;
14 new confirmed cases, including 5 in Beni, 4 in Mabalako, 3 in Kalunguta, 1 in Alimbongo and 1 in Katwa;
The new confirmed case of Alimbongo is a 6-month-old boy listed as a contact of a probable case being validated at Musienene.
9 new confirmed case deaths:
2 community deaths, including 1 in Kalunguta and 1 in Beni;
7 deaths at CTE, including 3 in Beni, 2 in Butembo and 2 in Mabalako;
2 new cures from the CTE, including 1 in Beni and 1 in Katwa.
"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
EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI
Friday 21 June 2019
The epidemiological situation of the Ebola Virus Disease dated June 20, 2019 :
Since the beginning of the epidemic, the cumulative number of cases is 2,211, of which 2,117 are confirmed and 94 are probable. In total, there were 1,489 deaths (1,395 confirmed and 94 probable) and 612 people cured.
400 suspected cases under investigation;
7 new confirmed cases, including 4 in Beni, 1 in Katwa, 1 in Mandima and 1 in Bunia;
10 new confirmed cases deaths:
3 community deaths, 2 in Beni and 1 in Katwa;
7 deaths at CTE, 2 in Mabalako, 2 in Butembo, 2 in Katwa and 1 in Beni;
6 new healings from the CTE, including 5 in Katwa and 1 in 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
EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI
Saturday, June 22, 2019
The epidemiological situation of the Ebola Virus Disease dated 21 June 2019 :
Since the beginning of the epidemic, the cumulative number of cases is 2,226, of which 2,132 are confirmed and 94 are probable. In total, there were 1,497 deaths (1,403 confirmed and 94 probable) and 613 people healed.
343 suspected cases under investigation;
15 new confirmed cases, including 6 in Mabalako, 3 in Lubero, 3 in Mandima, 2 in Beni and 1 in Bunia;
8 new confirmed cases deaths:
4 community deaths, 2 in Mabalako, 1 in Mandima and 1 in Bunia;
4 deaths at CTE, including 2 in Beni, 2 in Mabalako and 1 in Butembo;
1 person cured exit of the CTE of Beni.
... Point of entry surveillance
The Port of Entry Surveillance Commission and the International Organization for Migration (IOM) held a technical meeting to operationalize three new sanitary control points on the BUTEMBO-MABALAKO-ALOYA road, namely VISIKI, MANGATU and KAMAHUME. Two of these sanitary control points, KAMAHUME and MANGATU, were officially inaugurated the same day.
EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI
Sunday, June 23, 2019
The epidemiological situation of the Ebola Virus Disease dated 22 June 2019 :
Since the beginning of the epidemic, the cumulative number of cases is 2,239, of which 2,145 are confirmed and 94 are probable. In total, there were 1,506 deaths (1,412 confirmed and 94 probable) and 621 people healed.
276 suspected cases under investigation;
13 new confirmed cases, including 5 in Lubero, 3 in Beni, 1 in Mangurujipa, 1 in Mabalako, 1 in Mandima, 1 in Rwampara and 1 in Kalunguta;
9 new confirmed case deaths:
5 community / hospital deaths, including 1 in Mangurujipa, 1 in Beni, 1 in Rwampara, 1 in Kalunguta and 1 in Mabalako;
4 deaths at CTE, 2 in Beni and 2 in Butembo;
8 people cured out of CTE, including 5 in Mabalako, 2 in Butembo and 1 in Beni.
/! \ Correction Ebola bulletin of Saturday, June 22, 2019 : 4 deaths at CTE, including 2 in Beni, 1 in Butembo and 1 in Mabalako
... Minister of Health visits Bunia
The Minister of Health, Dr. Oly Ilunga Kalenga spent two days in Bunia, from Friday 21st to Saturday 22nd June 2019, to inquire about the evolution of the Ebola outbreak in the capital. of Ituri Province after the resurgence of the epidemic following the arrival of an imported case. His visit to Bunia aimed to assess the effectiveness of the response mechanisms with the Governor of Ituri Province, Jean Bamanisa, the provincial Minister of Health and the coordination of the response of the Ituri Province.
The city of Bunia has been preparing for several months for the arrival of confirmed cases of Ebola from areas already affected by the epidemic. Thus, for Dr. Oly Ilunga Kalenga, the mechanisms were quickly put in place to fight this epidemic, including the different pillars of the response and the field workers who insist on the importance of sensitization and dialogue with stakeholders. communities to take ownership of the response. " Putting public health measures in place is one thing, but it is mainly the community that has to take ownership, accept protective measures and also vaccination, a way to break the chain of transmission, " the report said. health Minister.
Currently, there is only one Transit Center (CT) in Bunia. The Minister of Health said work has begun to turn the CT into an Ebola Treatment Center (ETC). In addition to the construction of the CTE in Bunia, a project to strengthen the health system of the province of Ituri is being prepared.
As for the main challenge to end this epidemic, Dr. Oly Ilunga Kalenga reiterated the importance of awareness-raising, community mobilization, while asserting that the press also has an important role to play in this struggle, including leaders community and religious, as well as community and street leaders. " This epidemic must be our problem at all if we want to end it very quickly, " he pleaded.
He finally called on the people to trust the government, which intervenes through the Ministry of Health, to protect their family, their parent, their friend and herself by accepting the dignified and safe burial, which is done in accordance with the respect for customs and traditions, as far as possible.
... 122 Contaminated health workers
3 Lubero health workers, including 2 vaccinated, are among the new confirmed cases.
The cumulative number of confirmed / probable cases among health workers is 122 (5% of all confirmed / probable cases) including 39 deaths.
"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
Goma: 302 cases of cholera reported in Karisimbi Health Zone.
By Lesvolcansnews
Beds for cholera patients. Ph. UN.org
More than 302 cases of cholera, including 15 deaths, have been reported in the city of Goma, chief town of North Kivu province. The epidemic mainly affects Karisimbi Commune, the northern part of the city of Goma. According to the minutes of the regular council of ministers of Friday, June 21, presided by the Acting Governor, Feller Lutayichirwa Mulwahale, of the 15 deaths recorded, five are deaths in health facilities and 10 deaths in households...
Unfortunately, the cholera outbreak resurfaced as the province of North Kivu faces Ebola virus disease in the northern part of the province. During this meeting, the provincial health minister in North Kivu briefed the ministers on the emergence of new and growing cases in Mabalako, Beni and Mandima territory, in Mambasa territory, province of Ituri.
Plus de 302 cas de choléra, dont 15 décès, ont été recensés dans la ville de Goma chef-lieu de la province du Nord-Kivu. L’épidémie touche principalement la commune de Karisimbi, partie nord de …
DRC-Ebola: A vehicle of the response team set on fire in Beni
Monday, June 24, 2019 - 12:53
A jeep used by the Ebola Response Team was set on fire on Monday, June 24, 2019 by a group of motorcycle taxi drivers in the Kalinda district of Beni city, North Kivu.
The driver of the vehicle type Land cruiser was, meanwhile, injured.
"The vehicle was carrying mattresses, the driver was pursued by a group of bikers honking last. When the driver saw that the windows of his vehicle were broken by these bikers, he pulled out of the vehicle to escape, the driver is injured, he is taken care of, "told ACTUALITE.CD Malyawatu Leopold, head from Kalinda district, in Mulekera commune.
...
Une jeep utilisée par l’équipe de riposte contre l’épidémie Ebola a été incendiée ce lundi 24 juin 2019 par un groupe des conducteurs des taxis-motos au quartier Kalinda, en ville de Beni (Nord-Kivu).
"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
Our sources indicate that members of the Ebola response team who would like to carry material goods from which the mattresses to the family of one of the recently deceased Ebola people in Kalinda Ward in Mulekera Commune were attacked by the inhabitants hostile to the activities of the riposte.
By this new action of resistance, these inhabitants would like to denounce the death of at least 3 people in their neighborhood at the interval of only a few days, one says on the spot.
They first beat the members of the crew and burned the jeep with all the belongings there.
Police came late to disperse angry protesters with live ammunition.
Already, the voices are rising to condemn this umpteenth case of resistance in the city of Beni.
At the weekly parade on Monday, Sylvain Kakule Lumbulumbu Bourgumestre of the Mulekera commune where the scene took place, condemned this case.
He also called on his constituents to collaborate to defeat Ebola
Roger Kakulirahi / Correspondent in South Kivu
MEDIA CONGO PRESS / Prunelle RDC
Nos sources indiquent que les membres de l’equipe de la riposte contre ébola qui voudrait acheminer des biens matériels parmis lesquels les...
"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
EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI
Monday, June 24, 2019
The epidemiological situation of the Ebola Virus Disease dated June 23, 2019 :
Since the beginning of the epidemic, the cumulative number of cases is 2,247, of which 2,153 confirmed and 94 probable. In total, there were 1,510 deaths (1,416 confirmed and 94 probable) and 623 people healed.
269 suspected cases under investigation;
8 new confirmed cases, including 3 in Mabalako, 2 in Beni, 1 in Komanda, 1 in Biena and 1 in Musienene;
4 new confirmed cases deaths:
1 community death at Biena;
3 deaths at CTE, including 2 in Beni and 1 in Mabalako;
2 people cured out of ETCs, including 1 in Beni and 1 in Butembo.
... Two teams of the riposte assaulted in Beni
Two teams of the response were attacked this Monday, June 24, 2019 in Beni. This is a vaccination team that was attacked in the Tamende health area and an attacked psychosocial support team in the Madrandelle health area, while they were both full activity. These teams were attacked by young people, including bikers following the death of their friend, a young boy who died on Monday at CTE. This young has a twin brother, who is also confirmed Ebola case and is currently in treatment at CTE. It should be noted that these two health areas have reported several cases of Ebola in recent weeks. From these attacks, there is a report of 2 wounded policemen who were transferred to the Beni General Referral Hospital and a burned vehicle.
The coordinator of Beni's response, Dr Gaston Tshapenda, said that an intermediary between the coordination and this community has already been delegated to meet the people of these two countries, especially the young people with a view to finding a compromise to bring back the situation calm. " Right now, it's hard to work. All the teams are waiting and working in slow motion, while there are alerts here and there, "he pleaded, adding that the security situation is calm and that the teams are acting with caution.
"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
Posted on Tue, 25/06/2019 - 09:31 | Edited on Tue, 25/06/2019 - 09:31
The head of emergency operations for WHO / Africa and Ebola response coordinator for WHO in North Kivu and Ituri, Dr. Michel Yao, announced Monday, June 24, the suspension of all activities of the response against Ebola in Beni. He speaks of a precautionary measure after the attack on Monday by a team of health workers engaged in the response and burning of their vehicle in the municipality of Mulekera de Beni.
"It was an intervention in a health facility in the Tamende health area. Unfortunately, this team, which had left for a decontamination, was attacked on their way back to Madrandele. (The assailants) burned the car and the teams escaped there were two wounded who are currently in the hospital, "said Dr. Michel Yao.
According to him, there would also be threats of attack of the office of the co-ordinating Ebola response in that city.
"In these conditions, it's hard to work. Activities are suspended while we can learn more and ensure that the teams are safe, "said the source, adding that this measure does the city of Beni.
Le responsable des opérations d’urgence pour l’OMS / Afrique et coordonnateur de la riposte contre Ebola pour l’OMS au Nord-Kivu et Ituri, Dr Michel Yao, a annoncé lundi 24 juin la suspension de toutes les activités de la riposte contre Ebola à Beni. Il parle d’une mesure prise par précaution après l’attaque, lundi, d’une équipe des agents de santé engagés dans la riposte et l’incendie de leur véhicule dans la commune de Mulekera de Beni. « Il s’agissait d’une intervention dans une formation sanitaire dans l’aire de santé de Tamende.
"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
Beni: A civilian taken hostage and facilities of the response against Ebola destroyed in a raid Mai-Mai in Mukulya-lyakobo
Posted Mar 25/06/2019 - 08:29
7SUR7.CD
Several material damages were recorded after the passage of armed men assimilated to Mai-Mai militia in Liaiobo / Kikondi in the commune of Beu town in Beni the night of Sunday to Monday, June 24th.
The provisional toll reported that the response facilities located in FONER barrier Mukulya are destroyed.
In addition to material damage, these rebels have also taken a certain Karambira hostage.
As a reminder, a vehicle of the Ebola response was set on fire on the same day on Monday 24 June in Beni-Kalinda by a group of young people.
Bantou Kapanza Son / Correspondent 7SUR7.CD in Beni
Plusieurs dégâts matériels ont été enregistrés après le passage des hommes armés assimilés aux miliciens Maï-Maï à Liaiobo/kikondi dans la commune de Beu ville à Beni la nuit du dimanche au lundi 24 juin dernier. Le bilan provisoire fait état des installations de la riposte se trouvant à la barrière FONER de Mukulya détruites. Outre les dégâts matériels, ces rebelles ont également pris en otage un certain Karambira. Pour rappel, un véhicule de la riposte contre Ebola a été incendié la même journée du lundi 24 juin à Beni-Kalinda par un groupe des jeunes.
"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
Bunia: first case of Ebola declared cured by the response team
Posted By: Loikaon: June 25, 2019
A 16-year-old girl with Ebola in the Hoho district in the south-western outskirts of Bunia in Ituri is declared cured after she was treated.
Christian Shako, provincial coordinator of the response to this disease that confirms the information to buniaactualite.com indicates that the girl will be presented this Tuesday, June 25 to the provincial governor, Jean Bamanisa Saidi at his office.
A motorized caravan will even be organized in her honor, says the same source, since the Tchai barrier at the entrance to Bunia.
Ebola virus disease has been reported in the city of Bunia since June 9, after a woman from Beni in neighboring North Kivu, epicenter of the contagion, died in the neighborhood above cited while she spent 5 days interned in a local medical facility.
To date, 9 cases have been confirmed with the virus, among them 2 deaths and 7 others undergoing treatment.
Urban authorities and aid workers, aware of the danger, face popular resistance from some young people who refuse to believe in the existence of Ebola, accusing humanitarian organizations of making money behind this disease.
Last week, members of the response team were attacked while conducting a secure burial at Kindia Ward Cemetery east of the city, where local residents suspected they were burying an empty coffin.
"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
DRC: Eight suspected perpetrators of the fire of a vehicle of the Ebola response arrested in Beni
Tuesday, June 25, 2019 - 21:30
Eight (8) young people from Beni in North Kivu province were arrested on Monday night by the Congolese National Police (PNC).
Among the detainees are some activists from the citizen movement Lucha and some youth from the veranda Mutsanga movement.
They are accused of setting fire in the Kalinda district, to a jeep of the Ebola response team on Monday and injuring his driver.
"We arrested at around 8 pm yesterday, 8 young people, when they came back from the cemetery. They committed a lot of damage during the day, including the burning of a vehicle of the response team in Kalinda neighborhood and removing the body of a dead person from ebola at the general hospital. I can not tell you now if there are among them any young people in this or that movement, but all I can tell you is that they are being auditioned by our services to determine their responsibility in order to bring them before their natural judge ", said to NEWS. CD, Colonel Safari Kazingufu, commander of the police in the city of Beni.
Following these incidents, the World Health Organization (WHO) has temporarily suspended its activities in Beni.
Huit (8) jeunes de Beni dans la province du Nord-Kivu ont été arrêtés lundi soir par la police nationale congolaise (PNC).
"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
EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI
Tuesday, June 25, 2019
The epidemiological situation of the Ebola Virus Disease dated June 24, 2019 :
Since the beginning of the epidemic, the cumulative number of cases is 2,265, of which 2,171 are confirmed and 94 are probable. In total, there were 1,522 deaths (1,428 confirmed and 94 probable) and 626 people healed.
296 suspected cases under investigation;
18 new confirmed cases, including 7 in Beni, 3 in Mabalako, 2 in Butembo, 2 Mandima, 1 in Vuhovi, 1 in Lubero, 1 in Manguredjipa and 1 in Musienene;
12 new confirmed cases deaths:
7 community deaths, including 4 in Beni, 1 in Butembo, 1 in Mandima and 1 in Mangurujipa;
5 deaths in CTEs, including 3 in Beni, 1 in Mabalako and 1 in Katwa;
3 healed people out of the Katwa CTE.
... Partial resumption of response activities in Beni
The activities of the response have partially resumed this Tuesday, June 25, 2019 in Beni, after assessment of the situation between the coordination of the response of Beni and the security commission. Interviews were held with the families around whom the resistance had taken shape to appease the situation. In addition, a dialogue with young people from the health areas of Madrandelle and Tamende, where the security incidents took place, is scheduled for Wednesday, June 26, 2019.
On the WHO side, surveillance and vaccination activities have been temporarily suspended in Beni as well as in some remote areas of the city that require the use of vehicles. It should be noted that the two agents of response wounded in the incidents of June 24, 2019 are day laborers of the response supported by WHO.
...
123 Contaminated health workers
One Lubero health worker, vaccinated, is one of the new confirmed cases.
The cumulative number of confirmed / probable cases among health workers is 123 (5% of all confirmed / probable cases), including 39 deaths.
...
"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
EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI
Wednesday, June 26, 2019
The epidemiological situation of the Ebola Virus Disease dated 25 June 2019 :
Since the beginning of the epidemic, the cumulative number of cases is 2,277, of which 2,183 are confirmed and 94 are probable. In total, there were 1,531 deaths (1,437 confirmed and 94 probable) and 628 people healed.
329 suspected cases under investigation;
12 new confirmed cases, including 4 in Mabalako, 2 in Beni, 1 in Oicha, 1 in Musienene, 1 in Masereka, 1 in Lubero, 1 in Kyondo, 1 in Butembo;
9 new confirmed case deaths:
4 community deaths, 2 in Beni, 1 in Oicha and 1 in Butembo;
5 deaths in CTEs, including 3 in Beni and 2 in Katwa;
2 people recovered from ETCs, including 1 in Butembo and 1 in Komanda.
...
125 Contaminated health workers
Two health workers from Mabalako and Butembo, including one vaccinated, are among the new confirmed cases.
The unvaccinated Butembo health worker died in the community after refusing to be followed.
The cumulative number of confirmed / probable cases among health workers is 125 (5% of all confirmed / probable cases), including 40 deaths.
...
"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
Ebola response in Congo leaves locals at greatest risk
...
For one local responder working for the international non-governmental organisation Mercy Corps, the risk of catching the disease and facing physical threats has been a daily concern.
?To protect ourselves, we live in anonymity,? said the responder, who spoke to The New Humanitarian over email and on condition of anonymity for fear of security threats. ?All family members know that (they) should not talk about what ?dad? is doing.?
...
Vaccinations, burying the dead, and de-contaminations are all carried out by local actors, according to Stephanie Tam with Mercy Corps.
Local responders who speak the language and understand specific communities are most effective in combating the disease, but they also face greater resistance and risks.
...
Local people are vital in fighting the latest Ebola outbreak, but are they receiving the support and protection they need?
"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
EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI
Thursday, June 27, 2019
The epidemiological situation of the Ebola Virus Disease dated June 26, 2019 :
Since the beginning of the epidemic, the cumulative number of cases is 2,284, of which 2,190 are confirmed and 94 are probable. In total, there were 1,540 deaths (1,446 confirmed and 94 probable) and 637 people healed.
328 suspected cases under investigation;
7 new confirmed cases, including 5 in Beni, 1 in Mabalako, 1 in Rwampara;
9 new confirmed case deaths:
2 community deaths in Beni;
7 deaths in CTEs, including 4 in Mabalako, 2 in Butembo and 1 in Beni;
9 people recovered from ETCs, including 7 in Mabalako and 2 in Katwa.
...Dialogue with the Madrandele community
On Thursday, June 27, 2019, a dialogue was held between the Madrandele health area community, the EVD response coordinator in Beni, the experts from the communication, psychosocial and epidemiological surveillance committees, as well as delegates from the Ministry of Health. WHO and UNICEF.
This dialogue led by the mayor of the city of Beni, Bakwanamaha Modeste, was held in the Kalinda district of Madrandele where two teams of the response were attacked on 23 June. A first meeting had already taken place with the families concerned by this incident on Wednesday, June 26, 2019.
Thursday's community dialogue aimed to better understand the concerns of the community in order to involve them more and to gain their support for all the actions of the Ebola response.
"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
The Ebola virus disease (EVD) outbreak in the North Kivu and Ituri provinces continues at a stable pace this week. Although response operations were temporarily interrupted in Beni following two days of insecurity in the surrounding areas, operations have largely resumed. However, in the town of Musienene, violent threats persist against healthcare workers (HCW) and local security forces providing assistance to the response efforts. Furthermore, response activities in Kambau health area, Manguredjipa health zone were also suspended following security incidents.
Of growing concern this week, are the current hotspots of Mabalako, particularly the Aloya health area, and Mandima (Figure 1), which were the first health zones to report EVD cases in August/September 2018. Sporadic reintroduction events in areas such as Vuhovi, which had not reported any new cases in the past 24 days, further compound the evolving situation. Other areas experiencing a similar resurgence in EVD cases after a period of prolonged absence include Komanda and Masereka.
In the 21 days, between 5 to 25 June 2019, 67 health areas within 19 health zones reported new cases, representing 10% of the 664 health areas within North Kivu and Ituri provinces (Figure 2). During this period, a total of 252 confirmed cases were reported, the majority of which were from the health zones of Mabalako (35%, n=88), Beni (17%, n=43), Mandima (12%, n=30), Butembo (5%, n=13) , Musienene (5%, n=13) , Kalunguta (5%, n=12), and Katwa (5%, n=12). As of 25 June 2019, a total of 2277 EVD cases, including 2183 confirmed and 94 probable cases, were reported (Table 1). A total of 1531 deaths were reported (overall case fatality ratio 67%), including 1437 deaths among confirmed cases. Of the 2277 confirmed and probable cases with known age and sex, 57% (1287) were female, and 29% (663) were children aged less than 18 years. Cases continue to rise among health workers, with the cumulative number infected rising to 129 (6% of total cases).
In Mabalako, a total of 88 confirmed cases, with 61 concentrated in the Aloya health area, have been reported from 5-25 June. Multiple transmissions chains have been identified to be related to family connections, and 15 infections were associated with healthcare facility related infections. Currently, the main challenges present in Mabalako revolve around follow up of registered cases and the low number of alerts reported relative to the number of new EVD cases detected.
In Mandima, as of 25 June, a total of 30 cases have been reported in the past 21 days, with the majority of the cases (22) originating from Biakato Mines, Biakato Mayi, and Alima health areas. Six chains of transmission have been identified over that time period, with new cases being primarily attributed to individuals having contact with an infected family member or other patients in healthcare facilities. Timely investigation of alerts in Mandima to date have been suboptimal due to lack of access and insecurity, with only 73% of alerts being investigated thoroughly within the first 24 hours.
No new EVD cases or deaths have been reported in the Republic of Uganda since the previous EVD Disease Outbreak News publication on 13 June 2019. As of 26 June, 108 potentially exposed contacts have been identified and are under surveillance, including 13 who have completed followed up. Contacts will be visited daily for 21 days until the last contact completes follow-up on 3 July. All contacts remain asymptomatic to date. All 14 suspected cases reported to date have tested negative for EVD. On 26 June, ring vaccination of potential contacts was completed, with a total of 1063 individuals having consented and been successfully vaccinated, including 74 contacts (34 were not eligible for vaccination), 740 contacts of contacts, and 249 healthcare workers. Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 25 June 2019*
Enlarge image
*Data in recent weeks are subject to delays in case confirmation and reporting, as well as ongoing data cleaning. Other health zones include: Alimbongo, Biena, Bunia, Kalunguta, Kayna, Komanda, Kyondo, Lubero, Mangurujipa, Masereka, Mutwanga, Nyankunde, Oicha, Rwampara and Tchomia. Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 25 June 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 25 June 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 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. Weekly increases in the number of new cases were observed from February through mid-May 2019, with lower though still substantial rates since then. A general deterioration of the security situation, and the persistence of pockets of community mistrust exacerbated by political tensions and insecurity, especially over the past four weeks, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions. However, recent community dialogue, outreach initiatives, and restoration of access to certain hotspot areas have resulted in some improvements in community acceptance of response activities and case investigation efforts. In order to ensure staff safety and security, security mitigation measures are being enhanced, and procedural, operational, and physical security challenges are being addressed. The high proportion of community deaths reported among confirmed cases, relatively low proportion of new cases who were known contacts under surveillance, existence of transmission chains linked to nosocomial infection, persistent delays in detection and isolation in ETCs, and challenges in the timely reporting and response to probable cases, are all factors increasing the likelihood of further chains of transmission in affected communities and increasing the risk of geographical spread both within the Democratic Republic of the Congo and to neighbouring countries. The high rates of population movement occurring from outbreak affected areas to other areas of the Democratic Republic of the Congo and across porous borders to neighbouring countries during periods of heightened insecurity further compounds these risks. Additional risks are posed by the long duration of the current outbreak, fatigue amongst response staff, and ongoing strain on limited resources. Conversely, substantive operational readiness and preparedness activities in a number of neighbouring countries have likely increased capacity to rapidly detect cases and mitigate local spread. These efforts must continue to be scaled-up. WHO advice
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 travellers to/from the affected countries. 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.
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