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

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

    Monday, February 11, 2019


    The epidemiological situation of the Ebola Virus Disease dated February 10, 2019 :
    • Since the beginning of the epidemic, the cumulative number of cases is 816, of which 755 are confirmed and 61 are probable. In total, there were 513 deaths (452 ​​confirmed and 61 probable) and 277 people healed.
    • 178 suspected cases under investigation.
    • 5 new cases confirmed in Katwa.
    • 3 new deaths from confirmed cases in Katwa, all are community deaths.
    • 1 new person healed out of Butembo CTE.


    ...
    "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

      Bunia: a confirmed case of ebola recorded at the Salama clinic

      Posted By: buniaactualite.comon: February 12, 2019

      A confirmed case of ebola haemorrhagic fever was recorded this Monday, February 11 in the city of Bunia, capital of Ituri. The interim governor of the province, Pacific Keta, confirmed it to buniaactualite.com, indicating that it is a woman who died at the Salama clinic and whose samples were positive after laboratory analysis.

      Emergency measures have been taken to prevent new contaminations, ensures the provincial authority.

      This is the first ever confirmed case of this epidemic in Bunia city since the penetration of the virus in Ituri province in August last year, killing more than 4 people including Mambasa, Tchomia and Komanda.

      The risk of contamination in the capital of this province had increased since prevention teams along the border with neighboring North Kivu, epicenter of the contagion, have lowered their guard following the non-payment of their premiums by the health authorities.

      "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, February 12, 2019


        The epidemiological situation of the Ebola Virus Disease dated 11 February 2019 :
        • Since the beginning of the epidemic, the cumulative number of cases is 819, of which 758 are confirmed and 61 are probable. In total, there were 516 deaths (455 confirmed and 61 probable) and 278 people cured.
        • 170 suspected cases under investigation.
        • 3 new confirmed cases, including 1 in Katwa, 1 in Komanda and 1 in Butembo.
        • 3 new deaths from confirmed cases (all community deaths), including 1 in Katwa, 1 in Komanda and 1 in Butembo.
        • 1 new person healed out of Butembo CTE.




        /! \ The data presented in this table is subject to further changes after thorough investigation 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.
        • The category of probable cases includes all reported deaths for which it has not been possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.
        • A community death is any death occurring outside of an Ebola Treatment Center.
        News of the response


        Location in Bunia
        • The community death reported on Tuesday, February 12, 2019 in Komanda is a woman resident in Katwa who was the known contact of her husband who died of Ebola on January 20, 2019 in Katwa. She had refused follow-up contacts and vaccination. When she began to show signs of the disease, she fled with the help of her family to Bunia where she died. Her family in Butembo decided to bring the body to Vuhovi to bury her next to her husband. Having received the alert, Butembo's coordination of the response informed teams in the Ituri Provincial Division of Health to find the body and the family on the run. The security services intercepted the family at the Foner checkpoint in Komanda with the corpse who was disguised and disguised to believe that the young woman was still alive. The laboratory analyzes of the samples taken from the corpse and the dignified and secure burial were carried out in Komanda. The family members escaped but the provincial security services found them later.
        • This case was classified in Komanda, where confirmation of the diagnosis of Ebola virus disease was made, in accordance with the convention adopted for this outbreak. Since this case went through Bunia during his illness, a mixed team of epidemiologists and vaccinators arrived in Bunia on Tuesday, February 12, 2019 for in-depth investigations to trace his journey upon his arrival in Bunia, identify all his contacts and vaccinate them.

        Allegations of gender-based violence
        • The Guardian published on Tuesday, February 12, 2019, an article entitled " Ebola vaccine offered in exchange for sex, Congo taskforce meeting told ." The Ministry of Health contacted the Guardian asking them to correct the false allegations based on a misinterpretation of preliminary data from an assessment conducted by the International Rescue Committee (IRC). The Department's response is available here .
        • The Ministry of Health and its community engagement partners regularly conduct research and field surveys on various issues for the sole purpose of improving and adapting the response to the Ebola outbreak. These surveys are important tools for identifying and solving potential identified problems.
        • In this case, IRC conducted an assessment in Beni on the impact of the Ebola outbreak and the response on women and girls. The results of this evaluation are still being analyzed and a final report will be published once all the analyzes are finalized. In focus group discussions, participants expressed concern that some services related to the Ebola response might be offered to women and girls in return for sexual favors given the social and security context in which they live. However, IRC clarified that during the discussions, no particular response service was mentioned by the participants. In addition, none of the focus group participants reported individual cases of sexual exploitation in exchange for any services related to the Ebola response .
        • To date, the Ministry of Health has never received any complaints or reports of sexual exploitation by its staff as part of the Ebola response. Rumors about this had been circulating on social networks at one time and the Ministry of Health had been very clear that there would be no tolerance for this kind of behavior. Additional measures are being put in place to ensure a better system for detecting such incidents in the community.
        • The exploitation of vulnerable groups in times of crisis is a real problem that must be taken into account in the design and adaptation of Ebola response strategies. These vulnerable groups are not just women and girls, but also include young boys, the elderly and people with disabilities. Together with our partners, we will continue to conduct community surveys and surveys to ensure the protection of all these vulnerable groups as part of the response to the Ebola outbreak in North Kivu and Ituri.


        Vaccination
        • Since the start of vaccination on August 8, 2018, 78,000 people have been vaccinated , including 20,512 in Beni, 19,476 in Katwa, 8,907 in Butembo, 6,076 in Mabalako, 2,746 in Kalunguta, 2,391 in Goma, 2,200 in Komanda, 1,877 in Oicha. , 1,663 in Mandima, 1,325 in Kyondo, 1,283 in Kayina, 1,157 in Karisimbi, 1,074 in Bunia, 1,064 in Vuhovi, 920 in Masereka, 772 in Mutwanga, 700 in Lubero, 590 in Rutshuru, 567 in Biena, 546 in Musienene, 527 in Nyankunde, 396 in Mangurujipa, 355 in Tchomia, 254 in Alimbongo, 207 in Kirotshe, 180 in Rwampara (Ituri), 125 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.



        ...
        "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, February 13, 2019


          The epidemiological situation of the Ebola Virus Disease dated February 12, 2019 :
          • Since the beginning of the epidemic, the cumulative number of cases is 823, of which 762 are confirmed and 61 are probable. In total, there were 517 deaths (456 confirmed and 61 probable) and 283 people cured.
          • 177 suspected cases under investigation.
          • 4 new confirmed cases, 2 in Katwa and 2 in Butembo;
          • 1 new confirmed case death at Katwa CTE;
          • 5 new people healed from the CTE, including 2 in Butembo, 2 in Katwa and 1 Beni.




          /! \ The data presented in this table is subject to further changes after thorough investigation 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.
          • The category of probable cases includes all reported deaths for which it has not been possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.
          • A community death is any death occurring outside of an Ebola Treatment Center.
          News of the response


          Vaccination
          • Since the start of vaccination on August 8, 2018, 78,464 people have been vaccinated , including 20,512 in Beni, 19,621 in Katwa, 9,007 in Butembo, 6,076 in Mabalako, 2,746 in Kalunguta, 2,411 in Goma, 2,200 in Komanda, 1,937 in Oicha. , 1,663 in Mandima, 1,325 in Kyondo, 1,283 in Kayina, 1,157 in Karisimbi, 1,094 in Bunia, 1,064 in Vuhovi, 920 in Masereka, 772 in Mutwanga, 700 in Lubero, 590 in Rutshuru, 567 in Biena, 546 in Musienene, 527 in Nyankunde, 496 in Mangurujipa, 355 in Tchomia, 254 in Alimbongo, 207 in Kirotshe, 199 in Rwampara (Ituri), 125 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.



          ...
          "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 14 February 2019


            The epidemiological situation of the Ebola Virus Disease dated February 13, 2019 :
            • Since the beginning of the epidemic, the cumulative number of cases is 829, of which 768 are confirmed and 61 are probable. In total, there were 521 deaths (460 confirmed and 61 probable) and 286 people healed.
            • 201 suspected cases under investigation.
            • 6 new confirmed cases, including 3 in Katwa, 2 in Butembo and 1 in Bunia;
              • New health area reporting a confirmed case . A total of 19 health zones have been affected since the beginning of the epidemic.
              • The case of Bunia is the 6-month-old baby of a woman from Katwa who fled to Bunia and whose dead body was intercepted in Komanda. The baby was transferred to the Komanda CTE.
            • 4 new confirmed cases deaths:
              • 3 community deaths, 2 in Katwa and 1 in Butembo;
              • 1 death at the CTE of Butembo
            • 3 new people healed from the CTE, including 1 in Butembo and 2 in Beni.




            /! \ The data presented in this table is subject to further changes after thorough investigation 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.
            • The category of probable cases includes all reported deaths for which it has not been possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.
            • A community death is any death occurring outside of an Ebola Treatment Center.
            News of the response


            Vaccination
            • Since the start of vaccination on 8 August 2018, 79,146 people have been vaccinated , including 20,547 in Beni, 19,971 in Katwa, 9,214 in Butembo, 6,076 in Mabalako, 2,746 in Kalunguta, 2,421 in Goma, 2,200 in Komanda, 1,937 in Oicha. , 1,663 in Mandima, 1,325 in Kyondo, 1,283 in Kayina, 1,157 in Karisimbi, 1,094 in Bunia, 1,064 in Vuhovi, 920 in Masereka, 772 in Mutwanga, 700 in Lubero, 590 in Rutshuru, 567 in Biena, 546 in Musienene, 527 in Nyankunde, 496 in Mangurujipa, 355 in Tchomia, 279 in Rwampara (Ituri), 254 in Alimbongo, 207 in Kirotshe, 125 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.



            ...
            "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/14-febru...-ebola-drc/en/
              Ebola virus disease ? Democratic Republic of the Congo

              Disease outbreak news: Update
              14 February 2019

              Despite slightly fewer cases reported during the past week (Figure 1), current epidemiological indicators highlight that the Ebola virus disease (EVD) outbreak is continuing with moderate intensity. Katwa and Butembo remain the major health zones of concern, while simultaneously, small clusters continue to occur in various geographically dispersed regions. During the last 21 days (23 January ? 12 February 2019), 97 new cases have been reported from 13 health zones (Figure 2), including: Katwa (59), Butembo (12), Beni (7), Kyondo (4), Oicha (4), Vuhovi (3), Biena (2), Kalunguta (2), Komanda (1), Manguredjipa (1), Mabalako (1), Masereka (1), and Mutwanga (1).1 The recent case reported in the Komanda health zone was a resident of Katwa who was exposed to the virus, and subsequently travelled to both Bunia and Komanda. This case comes one month after the last reported case in Ituri Province; underscoring the high risks of reintroduction to previously affected areas, as well as the potential for spread to new ones.
              As of 12 February, 823 EVD cases2 (762 confirmed and 61 probable) have been reported, including 517 deaths (overall case fatality ratio: 63%). Cumulatively, cases have been reported from 118 of 287 health areas across 18 health zones, of which 37 health areas have reported a case in the last 21 days. Thus far, 283 people have been discharged from Ebola Treatment Centers (ETCs) and enrolled in a dedicated monitoring and support programme. One new health worker infection was reported in Katwa. To date, a total of 68 health workers have been infected.
              Main challenges this past week primarily pertain to community mistrust, particularly in Katwa, and the difficulty in encouraging community members to be more proactive in reporting suspected cases, presenting early to ETCs for treatment, and participating in community-based prevention and response efforts. However, in the face of these protracted challenges, response strategies have demonstrated to be effective in curtailing the spread of EVD. Fostering greater community trust by strengthening engagement with its members remains a top priority for response teams.
              On 13 February, the Ministry of Health (MoH) launched the Strategic Response Plan 3 (SRP 3). The plan lays out the response strategy, objectives and budget requirements for the MoH, WHO, and all implementing partners for the next six months (February through July 2019). SRP 3 takes into account recommendations from operational reviews, and builds on a series of new strategic directions that capitalize on lessons learned under the scope of SRP 2. Activities laid out aim to stop the transmission of EVD in North Kivu and Ituri provinces, and prevent its spread to other provinces and neighbouring countries.
              WHO remains confident that this outbreak can be successfully brought to an end through strategies outlined in SRP 3. To achieve the goals set out by the plan, MoH, WHO, and partners are appealing for US$ 148 million. WHO and partners count on the continued support of the international community to provide the required funding in order to stop this outbreak.
              Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset, data as of 12 February 2019 (n=822)




              Figure 2: Confirmed and probable Ebola virus disease cases reported between 22 January and 11 February by place of residence, North Kivu and Ituri provinces, Democratic Republic of the Congo (n=101)*




              *Map based on the latest available detailed line lists (data as of 11 February 2019), and excludes cases reported after this date, as well as cases with delayed/missing village or health area details. Categorization of cases by health zone may differ from the reported place of residence.
              Public health response

              For further 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 review conducted on 7 February 2019, outlines the high risk the EVD outbreak poses at the national and regional levels, though global risk levels remain low. This EVD outbreak is affecting primarily the north-eastern provinces of the Democratic Republic of the Congo bordering Uganda, Rwanda, and South Sudan. There is a potential risk for transmission of EVD at the national and regional levels due to extensive travel between the affected areas, the rest of the country, and neighbouring countries for economic and personal reasons, as well as due to insecurity. The country is concurrently experiencing other epidemics (e.g. cholera, vaccine-derived poliomyelitis, malaria), and a long-term humanitarian crisis. Additionally, the fragile security situation in North Kivu and Ituri, further limits the implementation of response activities.
              As the risk of national and regional spread is very high, it is important for neighbouring provinces and countries to enhance surveillance and preparedness activities. The International Health Regulations (IHR 2005) Emergency Committee has advised that failing to intensify these preparedness and surveillance activities would lead to worsening conditions and further spread. WHO will continue to work with neighbouring countries and partners to ensure that health authorities are alerted and are operationally prepared to respond.
              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:



              1 Excludes newly probable cases from Katwa (7) and Komanda (5), who died in November and December 2018 and were reported during the period of 21 January to 10 February following a retrospective re-classification of cases.
              2 Data in recent weeks are subject to delays in case confirmation and reporting, as well as ongoing data cleaning ? trends during this period should be interpreted cautiously.

              Comment


              • Haut-Uele Province

                Translation Google

                Watsa: Two people dead the night of February 13 in the Ebola table

                2 days ago Tropical Climate

                Concordant sources tell us that in Moku, a mining agglomeration located about fifty kilometers from Watsa, chief town of the territory of the same name; a 33-year-old man vomited blood and died. The other similar case was recorded in Durba the same night of February 13, 2019.

                Samples taken will be sent to the National Institute for Biological Research (INRB) of Beni during the day, an official source informs.

                On January 29, National Minister of Public Health Dr. Oly Ilunga led a delegation of health professionals to "respond to the Ebola alert" when a suspected case of this viral disease was observed in Moku from where a trader tested positive for Ebola in Butembo.

                However, if the epidemic has not been confirmed in Watsa territory as a result of the bioclinical analyzes and the context in which the patient tested positive has been contaminated, the fact remains that Watsa must remain in a state of alert. and full vigilance when we know that the DRC is facing the Ebola virus especially in the province of North Kivu where it was declared. North Kivu, home to the epidemic, maintains important trade with Haut-Uele.

                Editor



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

                DRC: Kibali Gold bars agents from visiting Ebola-affected areas

                By Desk Eco February 15, 2019 in News, Sustainable Development, Enterprises, Mining

                The Kibali Gold Mine Mining Company has limited the movement of its agents to prevent the spread of the Ebola epidemic in the Democratic Republic of Congo.

                "Following a more sustained fight against the spread of the ebola epidemic in our professional environment, it is advisable for any Kibali agent not to go to the affected areas including Beni, Butembo, and their surroundings during his annual leave. where for any other reason. Thus, the agent who would risk it, will be deprived of access to the mine and this, for a period of 21 days, which days will be considered justified absences but not paid, "says the memo of the director of Human Resources, Lucie Kikadi, today arrived at DESKECO.COM.
                ...
                La Société Minière Kibali Gold Mine vient de limiter les mouvements de ses agents pour éviter la propagation de l'épidémie à virus Ebola qui sévit en République démocratique du Congo.



                "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, February 15, 2019


                  The epidemiological situation of the Ebola Virus Disease dated February 14, 2019 :
                  • Since the beginning of the epidemic, the cumulative number of cases is 835, of which 770 are confirmed and 65 are probable. In total, there were 530 deaths (465 confirmed and 65 probable) and 287 people cured.
                  • 221 suspected cases under investigation;
                  • 2 new confirmed cases in Katwa;
                  • 5 new confirmed case deaths:
                    • 1 community death in Katwa;
                    • 4 deaths in CTEs, including 3 in Katwa and 1 in Bunia;
                      * Correction : The 6 month old baby from Bunia could not be transferred to the Komanda CTE due to its critical condition. He remained at the Bunia Transit Center (CT) where he died.
                  • 4 new probable cases (historical deaths) validated in Komanda;
                  • 1 new person healed out of Katwa CTE.




                  /! \ The data presented in this table is subject to further changes after thorough investigation 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.
                  • The category of probable cases includes all reported deaths for which it has not been possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.
                  • A community death is any death occurring outside of an Ebola Treatment Center.
                  News of the response


                  Vaccination
                  • Since the start of vaccination on 8 August 2018, 79,774 persons have been vaccinated , including 20,547 in Beni, 20,185 in Katwa, 9,351 in Butembo, 6,076 in Mabalako, 2,746 in Kalunguta, 2,441 in Goma, 2,200 in Komanda, 2,007 in Oicha. , 1,663 in Mandima, 1,325 in Kyondo, 1,283 in Kayina, 1,157 in Karisimbi, 1,094 in Bunia, 1,064 in Vuhovi, 920 in Masereka, 772 in Mutwanga, 700 in Lubero, 590 in Rutshuru, 567 in Biena, 546 in Musienene, 527 in Nyankunde, 496 in Mangurujipa, 355 in Tchomia, 346 in Rwampara (Ituri), 254 in Alimbongo, 207 in Kirotshe, 125 in Nyiragongo, 120 in Mambasa, 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.



                  ...
                  "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-Beni: Vuhovi health workers strike after the assassination of a nurse

                    Tuesday, February 19, 2019 - 18:54

                    Health workers in the Vuhovi Health Zone, in Bashu Chiefdom, in the Beni Territory, launched an indefinite strike from Tuesday, February 19, 2019. They protest against the assassination of their colleague M Saanane Visogho, nurse in charge of the Isango health center in Bunyuka on the night of Monday to Tuesday.

                    According to Mr. Mathe Maneno, coordinator of the intersyndical nurses and administrative officers of 17 health zones of Beni, Butembo and Lubero, their colleague was found dead in the Graben, right in the Virunga National Park after his abduction. day earlier by unidentified gunmen at his home in Isango.

                    "We deplore this tragedy that comes again to hit our body. This is an indicator of an outbreak of insecurity we have always denounced in this region of Bashu. It worries us to see people sacrificing themselves to heal and save lives being cowardly slaughtered, "he told ACTUALITE.CD.

                    To call on the authorities to guarantee their safety, Vuhovi's health workers have decided to dry all activities in all health facilities in this health zone located in the east of Butembo town until further notice. Mr Mathe Maneno said he feared that health workers would leave the insecure area today during this dangerous period of the Ebola epidemic.

                    "It's a tragedy that comes at a bad time, while tackling the Ebola outbreak. And health workers have a big role to play alongside communities. It is necessary that the authorities guarantee us security and peace. If not, we will be surprised to see health workers sheltering from insecurity, despite the seriousness of the epidemic, "he pleads.

                    Until Tuesday evening, the body of the murdered nurse was kept at the mortuary of Matanda Hospital in Butembo. According to Mo?se Kiputula, human rights activist in Bashu, this chieftaincy of the Beni territory is facing a resurgence of insecurity following the activism of Mai-Mai armed groups from the Virunga National Park. It is in this area of ​​Bunyuka that two Catholic prelates were abducted in July 2017 at the parish "Queen of Angels" by armed men. Until today, their destination remains a mystery.

                    Claude Sengenya


                    https://actualite.cd/2019/02/19/rdc-...-dun-infirmier
                    "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, February 19, 2019


                      The epidemiological situation of the Ebola Virus Disease dated February 18, 2019 :
                      • Since the beginning of the epidemic, the cumulative number of cases is 844, 779 confirmed and 65 probable. In total, there were 528 deaths (463 confirmed and 65 probable) and 255 people cured.
                      • 196 suspected cases under investigation;
                      • 4 new confirmed cases, including 3 in Katwa and 1 in Butembo;
                      • 2 new deaths from confirmed cases in Katwa, all are community deaths;
                      • 2 new people healed out of Butembo CTE.





                      /! \ Cleaning up the current database: changes in deaths of confirmed cases and cures .

                      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.
                      • The category of probable cases includes all reported deaths for which it has not been possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.
                      • A community death is any death occurring outside of an Ebola Treatment Center.
                      News of the response


                      Mastering the Ebola outbreak in Beni
                      • This Tuesday, February 19, 2019 marks the 21 th day with no new confirmed cases of Ebola in the Beni area of health. This is a major breakthrough after the outbreak that peaked between September and November 2018. We can consider that the Ebola outbreak is currently under control in Beni. Other health zones that have not reported a new confirmed case of Ebola in the last 21 days are Kayina, Mandima, Musienene, Nyankunde and Tchomia.
                      • However, there is still a risk of resumption of the epidemic in Beni because of frequent population displacements between Beni and neighboring areas where the epidemic remains active, including Butembo and Katwa.
                      • The health zones of Katwa and Butembo remain the main focus of the epidemic at present. In the last 21 days, 92 new confirmed Ebola cases were reported, of which 58 (or 63%) were in Katwa and 16 (or 17%) were in Butembo.
                      • As a reminder, the epidemic will be officially over when the country has not registered any new cases of Ebola for 42 days, ie twice 21 days (the incubation period of the virus).

                      Vaccination
                      • Since the start of vaccination on 8 August 2018, 81,306 persons have been vaccinated , including 20,664 in Katwa, 20,547 in Beni, 9,769 in Butembo, 6,109 in Mabalako, 2,746 in Kalunguta, 2,501 in Goma, 2,280 in Komanda, 2,053 in Oicha, 1,663 to Mandima, 1,325 to Kyondo, 1,283 to Kayina, 1,187 to Karisimbi, 1,094 to Bunia, 1,064 to Vuhovi, 920 to Masereka, 772 to Mutwanga, 767 to Biena, 700 to Lubero, 590 to Rutshuru, 576 to Musienene, 527 in Nyankunde, 496 in Mangurujipa, 355 in Tchomia, 376 in Rwampara (Ituri), 254 in Alimbongo, 230 in Mambasa, 207 in Kirotshe, 141 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.



                      ...
                      "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 / VUHOVI: all patients expelled from health facilities on the first day of the health care workers' strike

                        Posted on: 20/02/2019 at 16h13min04s
                        By Radio Moto Butembo-Beni

                        The health workers' dry strike The Vuhovi health zone is well under way. This is evidenced by the absence of medical staff in the health facilities in this region on Wednesday, February 20, 2019. It all started on the evening of Tuesday, February 18, 2019 just after the extraordinary meeting of the health care staff in Vuhovi health zone.

                        "All the patients were directly expelled from all health facilities. This Wednesday, the three patients who had stayed at Vuhovi's general referral hospital just went to hospitals in Butembo, "says PAO PASCAL from our club of auditors.

                        As a reminder, the dry strike of the medical officers of the Vuhovi health zone dates from the afternoon of Tuesday, February 19th. They have been protesting security incidents in this country for some time. The tale that broke the camel's back is the murder of the nurse who holds the ISONGA health center in the VUHOVI health zone. The body of KAMBALE SAANANE VISOGHO Joseph was found on the morning of Tuesday. The victim was abducted from his home by unidentified people the night of Monday to Tuesday. The kidnappers who subsequently became murderers killed their target in the presence of his wife about 5 kilometers from his ISONGA-based home.

                        Two weeks ago, residents' houses and a health post were set on fire by strangers in the same country. Following these security incidents, the health-care staff of the VUHOVI health zone decided to suspend all patient care activities until the public authorities put out of harm's way those who insecure the nursing staff. and health structures.

                        REDHO Condemns Murder of ISONGA Nurse

                        One of the voices rising to condemn the assassination of the nurse holding ISONGA is that of the Network for Human Rights, REDHO. This group of ONGDH condemns this murderous act. In a press release signed by its coordinator, Master MUHINDO WASIVINYWA, REDHO makes a number of recommendations. He recommends to the Public Prosecutor near the TGI Beni and the Military Auditor at the Beni Garrison Court to conduct the investigations. This, so that the authors are found and punished according to the law. REDHO is asking security services to increase their efforts. This group of ONGDH calls the population to denounce all the suspects for justice to be rendered.


                        Posted on: 20/02/2019 at 16h13min04s
                        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


                        • Source: https://www.who.int/csr/don/21-febru...-ebola-drc/en/
                          Ebola virus disease ? Democratic Republic of the Congo

                          Disease outbreak news: Update
                          21 February 2019

                          The Ebola virus disease (EVD) outbreak is continuing with moderate intensity. Katwa and Butembo remain the major health zones of concern, while simultaneously, small clusters continue to occur in various geographically dispersed locations. During the last 21 days (30 January ? 19 February 2019), 79 new cases have been reported from 40 health areas within 12 health zones (Figure 1), including: Katwa (46), Butembo (15), Kyondo (4), Vuhovi (4), Kalunguta (2), Oicha (2), Biena (1), Mabalako (1), Manguredjipa (1), Masereka (1), Mutwanga (1), and Rwampara (1).1
                          No new cases have been reported from the Beni in the last three weeks. This is a significant achievement given the previous intensity of the outbreak in this area. Elsewhere, trends in the case incidence (Figure 2) have been encouraging; however, other indicators (such as the continued high proportion of community deaths, persistent delays in case detection, documented local travel amongst many cases, and relatively low numbers of cases among contacts under surveillance) suggest a high risk of further chains of transmission in affected communities. Response teams must maintain a high degree of vigilance across all areas with declining case and contact tracing activity, as with areas with active cases, to rapidly detect new cases and prevent onward transmission.
                          As of 19 February, 848 EVD cases2 (783 confirmed and 65 probable) have been reported, of which 7% (485) were female and 30% (258) were children aged less than 18 years. Cumulatively, cases have been reported from 119 of 301 health areas across 19 health zones. Ongoing cleaning of case databases this past week corrected to the number of deaths and survivors discharged from Ebola Treatment Centres (ETCs) thus far; overall 529 deaths (case fatality ratio: 62%) and 257 survivors have been reported to date.
                          To complement ongoing response activities, the Ministry of Health is establishing a Strategic Coordination Centre in Goma. The new Centre will support the coordination and monitoring of the operations in close collaboration with sub-coordination teams working across all affected areas. The implementation of the Strategic Coordination Centre in Goma will not impact on the response capacity in the field, with WHO and partners continuing to maintain full-scale operations in Beni, Butembo and Bunia, as well as a strong presence in all affected Health Zones, to ensure the effectiveness of field operations.
                          Figure 1: Confirmed and probable Ebola virus disease cases by health area, North Kivu and Ituri provinces, Democratic Republic of the Congo, data as of 18 February 2019




                          Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset, data as of 19 February 2019*




                          *Data in recent weeks are subject to delays in case confirmation and reporting, as well as ongoing data cleaning ? trends during this period should be interpreted cautiously.
                          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. National and regional risk levels remain very high, though global risk levels remain low. This EVD outbreak is affecting primarily the north-eastern provinces of the Democratic Republic of the Congo bordering Uganda, Rwanda and South Sudan. There is a potential risk for transmission of EVD at the national and regional levels due to extensive travel between the affected areas, the rest of the country, and neighbouring countries for economic and personal reasons, as well as due to insecurity. The country is concurrently experiencing other epidemics (e.g. cholera, vaccine-derived poliomyelitis, malaria, measles), and a long-term humanitarian crisis. Additionally, the fragile security situation in North Kivu and Ituri, further limits the implementation of response activities.
                          As the risk of national and regional spread is very high, it is important for neighbouring provinces and countries to enhance surveillance and preparedness activities. The International Health Regulations (IHR 2005) Emergency Committee has advised that failing to intensify these preparedness and surveillance activities would lead to worsening conditions and further spread. WHO will continue to work with neighbouring countries and partners to ensure that health authorities are alerted and are operationally prepared to respond.
                          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:



                          1 Excludes probable cases reported following retrospective reclassification of cases with illness onset prior to the reporting period. One case reclassified from Bunia to neighboring Rwampara health zone following further investigation of the case?s household location.
                          2 The number of cases is subject to change due to ongoing reclassification, retrospective investigation, and the availability of laboratory results.

                          Comment


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

                            Thursday 21 February 2019


                            The epidemiological situation of the Ebola Virus Disease dated February 20, 2019 :
                            • Since the beginning of the epidemic, the cumulative number of cases is 853, of which 788 are confirmed and 65 are probable. In total, there were 531 deaths (466 confirmed and 65 probable).
                            • 177 suspected cases under investigation;
                            • 5 new confirmed cases, including 3 in Katwa, 1 in Kyondo and 1 in Kalunguta;
                            • 2 new community deaths of confirmed cases in Katwa.
                            /! \ Cleaning the current database: Revision of the healed database. We will start sharing the number of cures as soon as the revision is complete .





                            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.
                            • 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

                            Surveillance at Vuhovi
                            • Over the past two days, there has been a decline in the follow-up of contacts in Vuhovi due to the mourning of health staff and community relays following the abduction and assassination of the Bisongo health center's registered nurse. a group of unidentified people.
                            • The Response Coordinator and the WHO Incident Manager in Butembo traveled to Vuhovi to offer their condolences and encourage health professionals in the area to resume the response activities. Health workers have asked that the coordination be sure to increase their security to protect them against the attacks of the incivists who sow terror in this country. Contrary to certain information that has circulated, the patients of the Vuhovi General Reference Hospital have not been hunted and they continue to be cared for on site.


                            Vaccination
                            • Vaccination of front-line providers is started on a preventive basis in the Lolwa Health Zone between Komanda and Rwampara on the road connecting Beni to Bunia.
                            • Since the start of vaccination on 8 August 2018, 82,144 people have been vaccinated , including 20,952 in Katwa, 20,563 in Beni, 9,954 in Butembo, 6,109 in Mabalako, 2,746 in Kalunguta, 2,501 in Goma, 2,280 in Komanda, 2,053 in Oicha, 1,813 to Mandima, 1,325 to Kyondo, 1,283 to Kayina, 1,237 to Karisimbi, 1,094 to Bunia, 1,064 to Vuhovi, 920 to Masereka, 772 to Mutwanga, 767 to Biena, 700 to Lubero, 590 to Rutshuru, 583 to Musienene, 527 in Nyankunde, 496 in Mangurujipa, 418 in Rwampara (Ituri), 355 in Tchomia, 280 in Mambasa, 254 in Alimbongo, 207 in Kirotshe, 141 in Nyiragongo, 97 in Watsa (Haut-U?l?), 50 in Lolwa 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.



                            ...
                            "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 22 February 2019


                              The epidemiological situation of the Ebola Virus Disease dated 21 February 2019 :
                              • Since the beginning of the epidemic, the cumulative number of cases is 859, of which 794 are confirmed and 65 are probable. In total, there were 536 deaths (471 confirmed and 65 probable).
                              • 179 suspected cases under investigation;
                              • 6 new confirmed cases, 2 in Katwa, 2 in Butembo, 1 in Kalunguta and 1 in Beni;
                              • 5 new confirmed case deaths:
                                • 3 community deaths, 2 in Katwa and 1 in Butembo;
                                • 2 deaths in CTEs, including 1 in Katwa and 1 in Butembo
                              /! \ Cleaning databases in progress: Revision of the database of people cured. We will start sharing the number of cures as soon as the revision is complete .





                              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.
                              • 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


                              New confirmed case of Ebola in Beni
                              • A new confirmed case of Ebola was notified to Beni after 23 days without a case. It appears that the patient was contaminated after being exposed to bodily fluids from an Ebola cure. A thorough investigation and sequencing of the virus is underway to determine the epidemiological link.


                              Relocation of strategic coordination in Goma
                              • The Ebola strategic coordination move from Beni to Goma began this Friday, February 22, 2019. The strategic coordination is the team that coordinates the conduct of the response in its entirety and oversees all operational sub-coordination in the different health zones. affected.
                              • The Minister of Health, Dr. Oly Ilunga Kalenga, made the decision to relocate the strategic coordination in Goma at the end of November 2018 to clearly dissociate the strategic activities of planning and supervision of operational activities on the ground. In addition, by moving strategic coordination to Goma, all MoH partners will be able to more easily obtain the necessary security clearances from their respective organizations to work with the EVD response teams.
                              • This move will not disrupt the day-to-day activities of the field response. Beni's sub-coordination leading all activities on the ground remains in place until the complete end of the epidemic throughout the region, like the other sub-coordinations, notably those of Butembo, Katwa, Bunia, Lubero etc.
                              • It is important to note that this move to Goma in no way means that the Ebola outbreak has reached the city, although it remains exposed. On the contrary, the experience of the last six months has demonstrated the importance of placing strategic coordination in an area not affected by the epidemic to allow it to focus exclusively on the supervision, monitoring and planning of the epidemic. the whole response.

                              Vaccination
                              • Since the start of vaccination on 8 August 2018, 82,583 people have been vaccinated , including 21,184 in Katwa, 20,563 in Beni, 10,010 in Butembo, 6,109 in Mabalako, 2,746 in Kalunguta, 2,501 in Goma, 2,280 in Komanda, 2,084 in Oicha, 1,813 to Mandima, 1,325 to Kyondo, 1,307 to Karisimbi, 1,283 to Kayina, 1,094 to Bunia, 1,064 to Vuhovi, 920 to Masereka, 772 to Mutwanga, 767 to Biena, 700 to Lubero, 590 to Rutshuru, 583 to Musienene, 527 in Nyankunde, 496 in Mangurujipa, 418 in Rwampara (Ituri), 355 in Tchomia, 280 in Mambasa, 254 in Alimbongo, 207 in Kirotshe, 200 in Lolwa, 141 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.



                              ...
                              "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


                              • EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

                                Saturday, February 23, 2019

                                The epidemiological situation of the Ebola Virus Disease dated February 22, 2019 :

                                Since the beginning of the epidemic, the cumulative number of cases is 864, of which 799 are confirmed and 65 are probable. In total, there were 540 deaths (475 confirmed and 65 probable).
                                219 suspected cases under investigation;
                                5 new confirmed cases, including 3 in Katwa and 2 in Butembo;
                                4 new confirmed cases deaths:
                                3 community deaths, 2 in Butembo and 1 in Katwa;
                                1 death at the CTE of Butembo;
                                1 new person healed out of Katwa CTE.
                                ...


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                                EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

                                Sunday, February 24, 2019

                                The epidemiological situation of the Ebola Virus Disease dated February 23, 2019 :

                                Since the beginning of the epidemic, the cumulative number of cases is 869, 804 confirmed and 65 probable. In total, there were 546 deaths (481 confirmed and 65 probable).
                                Data for suspected cases not available;
                                5 new confirmed cases, including 2 in Katwa and 3 in Butembo;
                                6 new confirmed case deaths:
                                5 community deaths, 2 in Katwa and 3 in Butembo;
                                1 death at the CTE of Butembo
                                1 new person healed out of Butembo CTE.
                                ...
                                News of the response

                                Location in Katwa

                                Katwa remains the main focus of the epidemic. In the last 21 days, 86 new confirmed cases were reported, of which 49 (57%) were reported in Katwa.

                                Katwa surpassed Beni in terms of number of cases and deaths. To date, Beni has reported 235 cases (226 confirmed and 9 probable) and 127 deaths while Katwa is 239 cases (228 confirmed and 11 probable) and 182 deaths.

                                The mortality rate is also higher in Katwa. The mortality rate in Beni is 54% while it is 76% in Katwa. This high mortality rate in Katwa can be explained by the fact that contacts of confirmed cases who refused vaccination and follow-up of contacts are not found until after their death in the community. Thus, the percentage of community deaths in Katwa is much higher than in other health zones. The high number of community deaths remains a concern as they are an important source of spread of the epidemic. This situation demonstrates the importance of increasing community engagement and active case finding in the community and health facilities 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

                                Comment

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