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

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  • Translation google

    SUBJECT: EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI ON 09
    SEPTEMBER 2019


    Date: Tuesday, September 10, 2019

    Since the beginning of the epidemic, the cumulative number of cases is 3,084, of which 2,973 are confirmed and 111 are probable. the

    In total, there were 2,071 deaths (1,960 confirmed and 111 probable) and 935 people healed.

     451 suspected cases under investigation;

    3 new confirmed cases, including:
    o 1 in North Kivu 1 in Beni;
    o 2 in Ituri in Mambasa.

     1 new confirmed death in North Kivu:
    o No community deaths were recorded Monday 09 September 2019;
    o 1 death in the CTE in North Kivu Butembo.

     10 people cured out of CTE, including 9 in North Kivu, including 5 in Mabalako, 2 to
    Butembo and 1 in Beni, as well as 1 in Ituri in Komanda.

     No health worker is among the newly confirmed cases. The accumulation of cases
    confirmed / probable among health workers is 157 (5% of all cases
    confirmed / probable), including 41 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

    Comment


    • Translation Google

      Ebola: Rising cases in Mambasa in Ituri province

      Posted on Wed, 11/09/2019 - 11:44 | Modified on Wed, 11/09/2019 - 11:44

      The Ebola epidemic is gaining momentum in Mambasa territory in Ituri, said Tuesday 10 September the provincial coordinator of the Ebola response in Ituri Christophe Shako. Forty-one cases were confirmed including twenty-three deaths recorded since July 2019. There are seven cures of the reintegrated patients in the community.

      Christophe Shako attributes the amplification of the spread of the disease to the resistance of some people who have been in direct contact with patients who escape the response teams in the region.

      The distance to the treatment center would also encourage the escape of some patients. Several of them are transferred to the Makayanga treatment center, 90 km from Mambasa in Irumu territory (Ituri) while others die in the community without attending treatment centers.

      The provincial coordinator of the Ebola response in Ituri says an Ebola treatment center is being built at the general hospital in Mambasa.

      Awareness is also being raised in several localities in the Mambasa territory where resistance has been observed, says Ituri Provincial Minister of Health Patrick Karamura.

      L’épidémie à virus Ebola prend de l’ampleur dans le territoire de Mambasa en Ituri, a affirmé mardi 10 septembre le coordonnateur provincial de la riposte contre Ebola en Ituri Christophe Shako. Quarante-et-un cas ont été confirmés dont vingt-trois décès recensés depuis juillet 2019. On note sept guérisons des malades réinsérés dans la communauté. Christophe Shako attribue l’amplification de la propagation de la maladie à la résistance de certaines personnes ayant été en contact direct avec les malades qui échappent aux équipes de riposte dans la région.

      "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

        DRC: US Secretary of the Department of Health expected Thursday in Kinshasa

        Wednesday, September 11, 2019 - 13:32

        The secretary of the Department of Health and Human Services of the United States, Alex Azar arrives in Kinshasa this Thursday, September 12, 2019. He will stay for three days from September 12 to 14 in order to discuss with the President of the Republic and the government of the current Ebola outbreak.

        "In addition to his meeting with President Tshisekedi, Secretary Azar will learn from Congolese experts, including the new Minister of Health, Eteni Longondo and Dr. Jean-Jacques Muyembe how the United States can support local and international efforts to stop the Ebola epidemic, "said a statement from the US Embassy's public affairs section in the DRC.
        ...


        https://actualite.cd/2019/09/11/rdc-...jeudi-kinshasa
        "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

          SUBJECT: EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI ON 10
          SEPTEMBER 2019


          Date: Wednesday, September 11, 2019

          Since the beginning of the epidemic, the cumulative number of cases is 3,091, of which 2,980 are confirmed and 111 are probable. the
          total, there were 2,074 deaths (1,963 confirmed and 111 probable) and 938 people healed.

           409 suspected cases under investigation;

          7 new confirmed cases, including:
          o 4 in North Kivu 2 in Beni, 1 in Kayna and 1 in Mabalako;
          o 3 in Ituri, including 2 in Mambasa and 1 in Mandima.

           3 new confirmed deaths in North Kivu:
          o 1 community death in North Kivu in Mabalako;
          o 2 deaths in CTE in North Kivu in Katwa.

           3 healed people released from CTEs in North Kivu in Beni.

           No health worker is among the newly confirmed cases. The accumulation of cases
          confirmed / probable among health workers is 157 (5% of all cases
          confirmed / probable), including 41 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

          Comment


          • Translation Google

            Beni: Soon an Ebola Treatment Center in KALUNGUTA Health Zone

            POSTED BY: RMBB WRITING 11/09/2019

            The KALUNGUTA Health Zone will soon have an Ebola Treatment Center. This statement is from the coordinator of the response to Ebola this Wednesday, September 11, 2019.

            In a telephone interview with Radio MOTO BUTEMBO-BENI, Dr John KOMBE said that the CTE KALUNGUTA is eminently important given the ultimate need to bring this specialized Ebola disease treatment facility closer to the population of this area which has become one of the great epicentres of this epidemic.

            Dr John KOMBE added that he has already written to his national hierarchy pending the realization of this decision. For his part, Dr. CISSE, coordinator in charge of communication from UNICEF, this provision will facilitate the transfer of patients from this area to a closer structure of the community.

            This action will be extended to schools that will be equipped with prevention and protection devices.

            It should be noted that the KALUNGUTA Health Zone has already registered 184 confirmed cases since the onset of the disease. Currently, the most virulent places are the health areas MABOYA, MATABA, VURONDO, KABASHA and LISASA-PABUKA, as deplored Dr. Justin MUYISA KISENGE, Chief Medical Officer of the KALUNGUTA Health Zone.

            La Zone de Santé de KALUNGUTA aura bientôt un Centre de Traitement d’Ebola. Cette affirmation est du coordonateur de la réponse à Ebola ce mercredi 11 septembre 2019. Dans un entretien téléphonique…
            "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 virus disease – Democratic Republic of the Congo

              Disease outbreak news: Update
              12 September 2019


              Ebola virus disease (EVD) transmission in the Democratic Republic of the Congo continued to ease this past week, with 40 new confirmed cases reported in North Kivu and Ituri provinces; this is the lowest weekly incidence since March 2019. While these signs are promising, it remains too soon to tell if this trend will persist. Emerging hotspots continue to pose challenges in terms of accessibility, insecurity, and violence. Surveillance indicators highlight that public health risks of further spread remain very high.

              During the past 21 days (from 21 August through 10 September 2019), a total of 157 confirmed cases were reported form 15 health zones (Table 1, Figure 2), with the majority coming from the health zones of Kalunguta (19%, n=30), Beni (18%, n=28), Mambasa (16%, n=25), and Mandima (13%, n=20). Alimbongo, Oicha, and Pinga health zones recently passed 21 days without a new confirmed case of EVD.

              As of 10 September, a total of 3091 EVD cases were reported, including 2980 confirmed and 111 probable cases, of which 2074 cases died (overall case fatality ratio 67%). Of the total confirmed and probable cases, 56% (1737) were female, 29% (886) were children aged less than 18 years, and 5% (157) were health workers.

              Under Pillar 1 of the current Strategic Response Plan, the estimated funding requirement for all partners for the period July to December 2019 is US$ 287 million, including US$ 120-140 million for WHO. As of 12 September 2019, US$ 54.9 million have been received by WHO, with further funds committed or pledged. Currently available funds will close the financing gap up until the end of September 2019. Further resources are needed to fund the response through to December 2019, and WHO is appealing to donors to provide generous support. A summary of funding received by WHO since the start of this outbreak can be found here.

              Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 10 September 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, Ariwara, Biena, Bunia, Goma, Kalunguta, Kayna, Komanda, Kyondo, Lolwa, Lubero, Mambasa, Manguredjipa, Masereka, Musienene, Mutwanga, Mwenga, Nyankunde, Nyiragongo, Oicha, Pinga, Rwampara, Tchomia, and Vuhovi.

              Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 10 September 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 10 September 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 information about public health response actions by the Ministry of Health, 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, carried out on 5 August 2019, concluded that the national and regional risk levels remain very high, while global risk levels remain low.

              Although there are possible early signs of the outbreak easing, including the decrease in numbers of new confirmed cases in Beni and Mandima, these must be interpreted with caution and it is too soon to know if this is an indication of a decrease in transmission intensity of EVD. The high proportion of community deaths, relatively low proportion of new cases who were known contacts under surveillance, existence of transmission chains linked to possible nosocomial infection, persistent delays in detection and isolation of cases, and challenges in accessing some communities due to insecurity and pockets of community reticence are all factors increasing the likelihood of further chains of transmission in affected communities.

              The factors mentioned above, coupled with high rates of population movement from outbreak-affected areas to other parts of the Democratic Republic of the Congo, and across porous borders to neighbouring countries, increase the risk of geographical spread – both within the Democratic Republic of the Congo and to neighbouring countries. Conversely, substantive operational readiness and preparedness activities in a number of neighbouring countries have increased capacity to rapidly detect cases and mitigate local spread. These efforts must continue to be scaled-up and sustained.

              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. Further information is available in the WHO recommendations for international traffic related to the Ebola Virus Disease outbreak in the Democratic Republic of the Congo.
              ...


              https://www.who.int/csr/don/12-septe...-ebola-drc/en/
              "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

                SUBJECT: EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI AT 11
                SEPTEMBER 2019


                Date: Thursday, September 12, 2019

                Since the beginning of the epidemic, the cumulative number of cases is 3,099, of which 2,988 are confirmed and 111 are probable. the
                In total, there were 2,077 deaths (1,966 confirmed and 111 probable) and 941 people healed.

                 446 suspected cases under investigation;

                8 new confirmed cases, including:
                o 3 in North Kivu in Kalunguta;
                o 5 in Ituri, including 3 in Komanda and 2 in Mandima.

                 3 new confirmed deaths, including:
                o 1 community death in Ituri in Mandima;
                o 2 deaths in CTEs in North Kivu in Mabalako and 1 in Ituri in Komanda.

                 3 healed people released from CTEs in North Kivu in Beni and Butembo.

                 No health worker is among the newly confirmed cases. The accumulation of cases
                confirmed / probable among health workers is 157 (5% of all cases
                confirmed / probable), including 41 deaths.
                ...

                https://www.dropbox.com/s/t0398xgbao...02019.pdf?dl=0
                "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


                • Police in the Democratic Republic of Congo have arrested a former health minister for allegedly mismanaging funds allocated for the Ebola epidemic.
                  Oly Ilunga resigned as health minister in July after being stripped of responsibility for the fight against Ebola.
                  Police said they detained him because they had information that he intended to evade legal proceedings and leave the country.
                  He denies any wrongdoing.
                  In his July resignation letter, Dr Ilunga criticised the World Health Organization's plan to use an unlicensed vaccine against Ebola.
                  There was a shortage in supply of the previous vaccine and health experts argued another vaccine, which had not been widely tested, should be used.
                  Dr Ilunga said the previous vaccine was the only one with clinically proven effectiveness.
                  He also criticised the decision to remove him as head of the Ebola response team, and replace him by a committee which he said had interfered with his work.
                  Foreign donors have provided more than $150m (?120m) to combat Ebola in Dr Congo where more than 2,000 people have died since the start of the current outbreak.

                  https://www.bbc.com/news/world-africa-49702705

                  Comment


                  • Translation Google

                    Ebola in DRC: Tension in Luemba after the death of a Red Cross agent


                    Posted on Mon, 16/09/2019 - 15:06 | Edited Mon, 16/09/2019 - 15:13

                    The situation remained tense until Monday, September 16, in Luemba village (Ituri), where the health center, the police office and the homes of some Ebola response agents were burned by a group of suspected Mai Mai Simba. They raided this town of Ituri after the death on Sunday by Ebola, of a Red Cross agent at the Mangina treatment center and whose body was brought back to Luemba. The local population and these armed men accuse the response team of causing the death of the victim to justify the funding received to fight this epidemic.

                    Shortly before dark, the body of this local Red Cross agent was taken back to Luemba, 57 kilometers from Mambasa center. At the arrival of the body, the local population has risen, says the police commander in the territory of Mambasa.

                    Angry protesters attacked the response team, who accompanied the body. Police officers were shot in the air to disperse the crowd.

                    Shortly before midnight, a group of armed men, identified with Simba militia, raided this entity. They set fire to the village chief's house, the Luemba health center and the police station. The administrator of the interim territory adds that the houses belonging to the people who work in the response team were also ransacked. A policeman, badly wounded with a machete, was evacuated to the hospital. Until Monday morning, the situation was tense and the body of the victim, abandoned in the village. Police fear that the remains will be recovered by the population for an unsecured burial.

                    La situation est restée tendue jusqu’à lundi 16 septembre au village Luemba (Ituri), où le centre de santé, le bureau de la police et les maisons d’habitation de certains agents chargés de la riposte contre la maladie à virus Ebola ont été incendiés par un groupe des présumés Maï-Maï Simba. Ces derniers ont fait incursion dans cette localité de l’Ituri après le décès dimanche par Ebola, d’un agent de la Croix rouge au centre de traitement de Mangina et dont le corps a été ramené à Luemba.
                    "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/Walikale: People Urged Not to Attack MSF on Ebola Vaccine

                      By Admin

                      Kiswa Masudi Shala, president of civil society in Walikale territory, called on the people of Walikale territory to stop attacking MSF for the Ebola vaccine.

                      In an interview that this actor gave to the press last weekend, he revealed that a campaign against this vaccine taxing it of injecting the disease itself, makes the population hostile, leading it to boo and launch discourteous remarks against the staff of this international humanitarian Ngos.

                      It is with this in mind, he said, that he called on her to stop immediately with this clumsy behaviour which does not honour the territory, letting her know that the MSF is not coordinating Ebola activities but rather the Ministry of Health.
                      ...

                      The Editorial Board

                      Président de la société civile du territoire de Walikale, Kiswa Masudi Shala a appelé les habitants dudit territoire à cesser de s’en prendre au MSF en ce qui est du vaccin contre la maladie à viru…

                      "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


                      • Outbreaks and Emergencies Bulletin, Week 37: 9 - 15 September 2019
                        ...
                        Democratic Republic of the Congo

                        3 116 Cases
                        2 090 Death
                        67% CFR

                        EVENT DESCRIPTION

                        The Ebola virus disease (EVD) outbreak in North Kivu, South Kivu and
                        Ituri provinces in Democratic Republic of the Congo continues, with 13
                        health zones and 51 health areas reporting confirmed cases in the past
                        21 days (24 August to 13 September 2019). Since our last report on 8
                        September 2019 (Weekly Bulletin 36), there have been 37 new confirmed
                        cases and 26 new deaths. The principle hot spots of the outbreak in
                        the past 21 days are Kalunguta (22%; n=35), Mambasa (17%; n=28),
                        Mandima (15%; n=24) and Beni (13%; n=21). Nine health zones, namely
                        Mambasa, Komanda, Mandima, Kalunguta, Kyondo, Mabalako, Beni,
                        Kayna and Katwa have reported new confirmed cases in the past seven
                        days and remain points of attention. The health zones of Alimbongo and
                        Oicha have a total of 21 days without notification of new confirmed cases.
                        As of 13 September 2019, a total of 3 116 EVD cases, including 3 005
                        confirmed and 111 probable cases have been reported. To date, confirmed
                        cases have been reported from 29 health zones: Ariwara (1), Bunia (4),
                        Komanda (49), Lolwa (3), Mambasa (49), Mandima (281), Nyakunde
                        (1), Rwampara (8) and Tchomia (2) in Ituri Province; Alimbongo (5),
                        Beni (669), Biena (16), Butembo (281), Goma (1), Kalunguta (180),
                        Katwa (648), Kayna (26), Kyondo (25), Lubero (31), Mabalako (373),
                        Manguredjipa (18), Masereka (50), Musienene (84), Mutwanga (32),
                        Nyiragongo (3), Oicha (55), Pinga (1) and Vuhovi (103) in North Kivu
                        Province and Mwenga (6) in South Kivu Province.

                        As of 13 September 2019, a total of 2 090 deaths were recorded,
                        including 1 979 among confirmed cases, resulting in a case fatality ratio
                        among confirmed cases of 66% (1 979/3 005). The cumulative number
                        of health workers affected is now 159, which is 5% of the confirmed and
                        probable cases to date.

                        Contact tracing is ongoing in 14 health zones. A total of 13 294 contacts
                        are under follow-up as of 13 September 2019, of which 11 891 have been
                        seen in the past 24 hours, comprising 89% of the contacts, comparable
                        to that during the past seven days (90%). Alerts in the affected provinces
                        continue to be raised and investigated. Of 3 093 alerts processed (of
                        which 2 980 were new) in reporting health zones on 13 September 2019,
                        2 992 were investigated and 497 (17%) were validated as suspected
                        cases.

                        PUBLIC HEALTH ACTIONS

                        Surveillance activities continue, including case investigations, active
                        case finding in health facilities and communities, and identification
                        and listing of contacts around the latest confirmed cases. Crossborder collaboration continues, particularly in Uganda and Rwanda.

                        As of 13 September 2019, a cumulative total of 220 529 people has
                        been vaccinated since the start of the outbreak in August 2018.

                        Point of Entry/Point of Control (PoE/PoC) screening continues, with
                        over 94 million screenings to date. A total of 111/117 (95%) PoE/
                        PoC transmitted reports as of 13 September 2019.

                        The protocol for treatment of Ebola patients in Democratic Republic
                        of the Congo has been revised following data from a randomized
                        clinical trial showing, for the first time, that Ebola treatments improve
                        survival rates. Two of the four trial drugs were found to have the
                        greatest efficacy and are now being provided to confirmed cases
                        under the compassionate use protocol.

                        There are continued community reintegration and psychosocial
                        activities for patients discharged from ETCs, along with
                        psychoeducation sessions to strengthen community engagement
                        and collaboration in the response.

                        Water, sanitation and hygiene (WASH) activities continue and during
                        this week, 136 households and two schools were equipped with
                        infection prevention and control and WASH inputs.

                        Community awareness and mobilization messages are being updated, revised and
                        harmonized and have been pre-tested by the commission and will subsequently be
                        shared in coordination and sub-coordination activities.

                        In Butembo a dialogue was held with community leaders and transit agency
                        officials to reinforce their commitment to strict adherence to prevention measures
                        in the community, including points of entry and WASH measures; in Mutwanga, the
                        Ruwenzori Sector Chief appealed for the community to collaborate with response
                        teams and compliance with hygiene measures; in Mwenga, 63 local leaders, school
                        authorities and women?s association members from Kalambi health area were briefed
                        on EVD and community engagement.

                        SITUATION INTERPRETATION

                        There are early signs of the outbreak easing, including the decrease in numbers of new
                        confirmed cases in Beni and Mandima and the lack of new confirmed cases for 21 days in
                        Alimbongo and Oicha. However, it is too soon to know if this is an indication of a decrease
                        in transmission intensity of EVD. Local authorities and partners need to continue their robust
                        response to the disease, using both novel and proven public health measures to ensure that
                        there is no further geographical spread of the disease.



                        The WHO Health Emergencies Programme is currently monitoring 70 events in the region. This week's edition covers key new and ongoing events, including: Ebola virus disease outbreak in the Democratic Republic of the Congo Measles outbreak in Democratic Republic of the Congo Lassa fever outbreak in Liberia Humanitarian crisis in South Sudan
                        "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: finally, a second vaccine will be used in the DRC

                          Wednesday 18 September 2019 - 12:51

                          ACTUALITE.CD

                          The DRC will introduce a second vaccine in the fight against Ebola virus disease from 15 October.

                          Dr. Eteni Longondo, Minister of Health, is preparing to sign the letter authorizing this second vaccine of his return from the mission he began since Monday in eastern DRC.

                          This vaccine is produced by Janssen Pharmaceutica, a Belgian pharmaceutical company subsidiary of Johnson & Johnson, based in Beerse in the province of Antwerp. The first clinical trials of this product were conducted in Sierra Leone.

                          So far, the only vaccine to be used is rVSV-ZEBOV, manufactured by the pharmaceutical group Merck, following approval by the Ethics Committee in its decision of May 20, 2018.

                          La RDC va introduire un deuxième vaccin dans la lutte contre la maladie à virus Ebola à partir du 15 octobre.

                          "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

                            SUBJECT: EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI AT 17
                            SEPTEMBER 2019


                            Date: Wednesday, 18 September 2019

                            Since the beginning of the epidemic, the cumulative number of cases is 3,145, of which 3,034 confirmed and 111 probable. At
                            In total, there were 2,103 deaths (1,992 confirmed and 111 probable) and 961 people healed.

                             430 suspected cases under investigation;

                            15 new confirmed cases, including:
                            o 8 in North Kivu, including 4 in Beni and 4 Kalunguta;
                            o 7 in Ituri, including 5 in Mambasa, 1 in Komanda and 1 in Mandima.

                             5 new confirmed deaths, including:
                            o 2 community deaths, including 1 in North Kivu in Kalunguta and 1 in Ituri in Mambasa;
                            o 3 confirmed deaths, 2 in North Kivu in Mabalako and 1 in Ituri in Komanda.

                             1 person cured out of CTE in North Kivu in Butembo.

                             No health worker is among the newly confirmed cases. The accumulation of cases
                            confirmed / probable among health workers is 159 (5% of all cases
                            confirmed / probable), including 41 deaths.
                            ...

                            NEWS

                            Endorsement of the SRP4 operational action plans in Goma by the Minister of Health

                             The Minister of Health, Dr. Eteni Longondo, endorsed this Wednesday, September 18, 2019 at
                            Headquarters for the Coordination of the Ebola Response to the #Ebola Virus Disease in Goma
                            in North Kivu Province, the Operational Action Plan (OAP) of the Fourth Plan
                            strategic response (SRP 4.1);

                             He did so on behalf of the Congolese Government in the presence of the Technical Secretary of the Committee
                            multi-sectoral response in the provinces of North Kivu and Ituri, stating that
                            the development of these plans is of a participatory nature while emphasizing the obligation of
                            regularity of technical and financial reporting;

                             "I remain attentive to the evolution of the epidemic and plan to organize by the end of October an evaluation
                            halfway through the implementation of the PRS 4, "said Minister Eteni,

                             This endorsement is fourth on the five orientations that the Minister of Health, end mission
                            in North Kivu and Ituri, to give the teams of the response for the continuation of their activities on ground.

                             The other four orientations include the effective use of expertise
                            response to #MVE alongside international experts supporting the DRC in
                            this frame. To this end, he requested the technical secretariat of the CMRE and the management of the
                            epidemiological surveillance to forward the list of all national experts on the #MVE
                            for an urgent deployment aimed at gap coverage in Human Resources;

                             He also emphasized financial accountability in addition to technical accountability, prior to
                            officially surrender, five all-terrain vehicles on the ten acquired government of the
                            Republic. These vehicles will support the various field activities;

                             He invited the coordination of the response to reflect on the rationality of many of the actors
                            which are now planned at around 10,000 for communication,
                            epidemiological surveillance and follow-up of contacts;

                             He finally promised, in the context of the multisectoriality of the response, to share with his colleagues
                            concerned with the pillars of security, community involvement and funding to follow closely
                            implementation of these other pillars of support to the public health pillar with a view to resolving
                            weaknesses in the implementation of the earlier Plans of the response;

                             In addition, the Deputy General Coordinator of the Response, Dr. Justus Nsio Mbeta, established the
                            difference between SRP3 and SRP4. The SRP4, he said, was built on the analysis of the SRP3 based
                            essentially on the pillar of the public health response with a security base, while
                            PRS 4 is proposed along with three other pillars, namely improving engagement
                            security and other services, as well as the planning and monitoring of
                            Finance ._ *

                            Minister of Health Visits Epidemic Response Laboratory at #Ebola Virus Disease

                             Prior to his return to Kinshasa, the Minister of Health, Dr. Eteni Longondo, paid a visit to
                            Goma Provincial Hospital, where he inquired about the day-to-day work of the lab technicians
                            committed to the response to the #Ebola Virus Disease epidemic;

                             He took the opportunity to visit the various services of this health facility
                            before declaring that this visit is part of the strengthening of
                            health targeting access to quality care for all Congolese;

                             For the #Ebola virus disease, Dr Eteni deplored, in general, the resistance of
                            communities with regard to this Disease. #EVD, he said, is a reality that continues
                            to threaten the Congolese people. Nevertheless, he pointed out, we are witnessing
                            a lower mortality rates. _*
                            ...
                            "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 virus disease – Democratic Republic of the Congo

                              Disease outbreak news: Update
                              19 September 2019


                              The intensity of the Ebola virus disease (EVD) transmission in the Democratic Republic of the Congo increased slightly from last week, with 57 new confirmed cases reported in North Kivu and Ituri provinces from 11-17 September 2019 versus 40 in the previous week. In the past week, localised, minor security incidents have impacted the response, including safe and dignified burials (SDB) and vaccination activities in Mambasa and Komanda Health Zones.

                              In addition, there was a major security incident in Lwemba, within Mandima Health Zone, from 14-17 September. The event was a community response to the death of a local healthcare worker from EVD. Due to the violence that occurred during the incident, all activities have been suspended in the area until further notice. This has a serious impact on the response activities on the ground, and it could lead to gaps or delays in the reporting of new EVD cases in this hotspot area. Overall, these incidents underscore the need for continued and proactive engagement and sensitizing of local communities throughout areas with EVD transmission and high-risk areas that may not currently be affected.

                              During the past 21 days (from 28 August through 17 September 2019), a total of 145 confirmed cases were reported from 14 health zones (Table 1, Figure 2), with the majority coming from the health zones of Kalunguta (21%, n=30), Mambasa (21%, n=30), and Mandima (19%, n=27). With 14 cases in the last 21 days, there is a relative decrease in cases coming from Beni Health Zone. Masereka and Lolwa Health Zones cleared 21 days without a new confirmed case of EVD.

                              As of 17 September, a total of 3145 EVD cases were reported, including 3034 confirmed and 111 probable cases, of which 2103 cases died (overall case fatality ratio 67%). Of the total confirmed and probable cases, 56% (1760) were female, 29% (898) were children aged less than 18 years, and 5% (159) were health workers.

                              Under Pillar 1 of the current Strategic Response Plan, the estimated funding requirement for all partners for the period July to December 2019 is US$ 287 million, including US$ 120-140 million for WHO. As of 19 September 2019, close to US$ 60 million have been received by WHO, with further funds committed or pledged. Currently available funds will close the financing gap just up until the end of October 2019. Further resources are needed to fund the response through to December 2019. WHO is appealing to donors to provide generous support. A summary of funding received by WHO since the start of this outbreak can be found here.

                              Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 17 September 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, Ariwara, Biena, Bunia, Goma, Kalunguta, Kayna, Komanda, Kyondo, Lolwa, Lubero, Manguredjipa, Masereka, Musienene, Mutwanga, Mwenga, Nyankunde, Nyiragongo, Oicha, Pinga, Rwampara, Tchomia, and Vuhovi.

                              Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 17 September 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 17 September 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 information about public health response actions by the Ministry of Health, 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, carried out on 5 August 2019, concluded that the national and regional risk levels remain very high, while global risk levels remain low.

                              Given the continued shift in outbreak hotspots, heterogeneity in transmission dynamics, and suspected delays in reporting due to security incidents, marginal variations in case numbers need to be interpreted with caution. These factors, coupled with high rates of population movement from outbreak-affected areas to other parts of the Democratic Republic of the Congo, and across porous borders to neighbouring countries, increase the risk of geographical spread – both within the Democratic Republic of the Congo and to neighbouring countries. Conversely, substantive operational readiness and preparedness activities in a number of neighbouring countries have increased capacity to rapidly detect cases and mitigate local spread. These efforts must continue to be scaled-up and sustained.

                              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. Further information is available in the WHO recommendations for international traffic related to the Ebola Virus Disease outbreak in the Democratic Republic of the Congo.

                              ...

                              https://www.who.int/csr/don/19-septe...-ebola-drc/en/
                              "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

                                SUBJECT: EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI AT 19
                                SEPTEMBER 2019


                                Date: Friday, September 20th, 2019

                                Since the beginning of the epidemic, the cumulative number of cases is 3,157, of which 3,046 confirmed and 111 probable. At

                                In total, there were 2,111 deaths (2000 confirmed and 111 probable) and 966 people healed.

                                 503 suspected cases under investigation;

                                 7 new confirmed cases, including:
                                o 1 in North Kivu, Katwa;
                                o 6 in Ituri, including 5 in Mambasa, 1 in Komanda.

                                 3 new confirmed deaths, including:
                                o No community deaths among confirmed cases;
                                o 3 confirmed deaths in North Kivu, including 2 Butembo and 1 in Beni.

                                 3 cured people released from the CTE in North Kivu, including 1 in Beni, 1 in Butembo and 1 in Katwa.

                                 One health worker, living and unvaccinated, is one of the new confirmed cases in Katwa. The
                                cumulative confirmed / probable cases among health workers is 160 (5% of all
                                confirmed / probable cases), including 41 deaths.
                                ...

                                NEWS

                                Clarification of the Technical Secretary of the Multisectoral Committee on the Response to the Epidemic to Disease
                                to virus #Ebola, the Prof. Jean Jacques Muyembe Tamfum, on the introduction of the second vaccine against
                                the #Ebola virus in #RDC

                                 The second vaccine is not an invention of Prof Muyembe or his team. It's a
                                recommendation of the special group advising WHO on immunization. At its
                                meeting of May 7, 2019, this group made two main recommendations. The first was
                                the use of the full dose of the rVSV-ZEBOV vaccine so far, ie 1 mm per individual and
                                prediction of a possible shortage, we advise the use of the second adjusted dose of 0.5
                                mm to gain the number of dose to give to the contacts.

                                 If the epidemic continues, there will always be the risk of stock-outs. Hence the recommendation
                                to use the second vaccine, especially preventive. We have made an inventory of candidates
                                current vaccine at the National Institute for Biomedical Research (INRB), as an institute
                                research, and we selected three vaccine candidates. These are Chinese, Russian and
                                American-Belgian (including the Jonshon & Jonshon (J & J) vaccine).

                                 When we pass all the criteria, we realize that the J & J vaccine has the most data
                                scientists. This justifies our choice on J & J which has passed several stages demonstrating that it is
                                nontoxic and can protect.

                                 The only problem for this vaccine is that it will give itself in two bites. The first bite protects
                                against the #Ebola Zaire virus and the second, which is 25 or 50 days later, protects against
                                other # Ebola viruses (Sudan, Bundibudio, etc.). Everyone knows that # Republic
                                # # of the Congo, there are two viruses circulating: #Ebola Zaire virus and type
                                Bundibudio. The J & J vaccine will protect the population against these two viruses that circulate in the
                                country.

                                 This vaccine is safe for the population. It has already been used in Uganda and it is the
                                second year that we continue to vaccinate the population with this vaccine in Guinea. Currently,
                                Rwanda is ready to use this vaccine to protect its population that comes for reasons of
                                trade in # Democratic Republic of #Congo.

                                 It is a vaccine that other countries use and why we can not use it in the DRC
                                to protect our people. Do not confuse the two vaccines. The rVSV-ZEBOV vaccine
                                currently used, concerns infected areas, namely the provinces of # North Kivu and
                                # Ituri, while the second vaccine will be used in uninfected areas. We think
                                first, to protect all these small Congolese merchants who go to Rwanda all day,
                                because at least 64 thousand people cross each day at the Little Goma Barrier to go to
                                Rwanda. We must also protect Rwanda.

                                 We will first start by vaccinating this population and then expanding it to create
                                a corridor of people certainly immune to South Kivu who has been threatened. Where we are
                                want to protect this population and also protect caregivers, as well as all
                                those who work in the care structures.

                                ...



                                "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

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