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

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    Ebola: the first teams of Dr. Muyembe expected in North Kivu

    Posted on Sat, 27/07/2019 - 09:16 | Edited on Sat, 27/07/2019 - 09:19

    The first teams in the Ebola response are expected to leave Kinshasa for Goma in North Kivu on Saturday (July 27th) under the leadership of the executive secretary of the multisectoral Ebola Committee, Dr. Muyembe Tamfum. The question of security was at the center of the talks, the day before in Kinshasa, between the interim Minister of the Interior, Basile Olongo, and this technical secretariat.

    "The fight against Ebola currently has two bottlenecks. The first bottleneck is the non-commitment of the population and the second bottleneck is insecurity, " told the press Muyembe Tamfum, the technical secretariat of this committee, to the result of the interview between the two parties.

    The fight against Ebola is no longer just a health problem, he said, but a multisectoral problem.

    "We are proposing that the police accompany the Ebola teams in the field," said Dr. Muyembe Tamfum.

    More than 1,700 people have already died from this epidemic in North Kivu and Ituri for more than a year.


    "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


    • (From a blog)

      Translation Google


      JUL 27

      Mistrust of the emitters of the messages among the factors to be addressed in the awareness, the case of Dome

      All started on Thursday July 18 with the death of an 18-year-old girl, who died at the Mambasa Reference General Hospital as a result of EVD, after confirmed examination by the Komanda Laboratory (3 cases of Ebola in Mambasa Center). That same day in her village, Dome, located 26 km from Mambasa center on the axis Mambasa-Makeke, in Bapwele group in chiefdom of Babila Bakwanza, three other people died and the results of swabs applied on their bodies and sent to Mangina were expected on Friday in Mambasa, unfortunately this result had not been made public, no one knows why. The population appalled by the loss of four of their own and having no precise information on this epidemic which for them is a game system set up by the humanitarian members of the response to make money and exterminate a community cited, the young people of this village organized themselves into a team of self-defense against the response team which they consider as executioner. As a reminder, these young people attacked the team AJEDEC confused with the response because being in a jeep with a NGO logo. According to one of two attacked officers, they were hit by a few slaps and three cans of palm oil were stolen in the process. They had their lives saved thanks to the intervention of the police who were on the spot by following of the territorial administrator.

      "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-Lubero: Ebola patient escaped treatment center, response teams deployed to find him

        Sunday, July 28, 2019 - 15:34

        The Ministry of Health reports that a patient diagnosed with Ebola positive on July 25, 2019 at the Lubero Health Zone escaped from the treatment center and joined the community. The teams of the riposte were deployed to find him.

        From 22 to 25 July, a total of 38 confirmed cases were recorded in the ETCs (Ebola treatment center) during this period: 22 in Beni, 6 in Mandima, 3 in Kalungut, 2 in Katwa, 2 in Lubero, 1 in Butembo, 1 in Komanda and 1 in Vuhovi. 19 deaths were recorded in the CTEs during this period: 10 deaths at the CTE of Beni, 4 deaths at the CTE of Butembo, 3 deaths at the CTE of Mabalako, 2 deaths at the CTE of Katwa. And in the community, 5 confirmed deaths were recorded: 3 in Mandima, 1 in Beni and 1 in vuhovi. A total of 2 deaths were reported in the Beni TC during this period.

        On the good news side, a total of 33 cures were discharged from the CTEs during this period: 19 cured at the CTE of Beni, 9 cured at the CTE of Mabalako, 6 cured at the CTE of Katwa, 1 cured at the CTE of Butembo.

        Since the beginning of the epidemic, the cumulative number of cases is 2,641, of which 2,547 are confirmed and 94 are probable. In total, there were 1,773 deaths (1,679 confirmed and 94 probable) and 760 people healed.

        Le ministère de la Santé rapporte qu’un malade dépisté positif Ebola, le 25 juillet 2019, à la zone de santé de Lubero, s’est échappé du centre de traitement et a rejoint la communauté.
        "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


        • Barry Rodrigue@barryr33082845 5h5 hours ago More



          #Mambase Health area. 2 honorables elected local politicians giving support to @WHO #Riskcommunication Team during direct discussions in a public place. This interesting event is taking place in SOME, village where #Ebola confirmed cases have been notified. Pics Humudi Baraka.














          "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

            ACTUALITE.CD@actualitecd

            3:00 PM - 29 Jul 2019 from Democratic Republic of Congo

            Ebola: Since the beginning of the epidemic, the cumulative number of cases is 2,659, of which 2,565 are confirmed and 94 are probable. In total, there were 1,782 deaths (1,688 confirmed and 94 probable) and 766 people healed

            358 suspected cases under investigation;
            18 new confirmed cases, including 11 in Beni, 3 in Mandima, 2 in Mambasa, 1 in Komanda and 1 in Mutwanga.

            9 new confirmed case deaths:
            5 community deaths,
            2 in Mandima, 1 in Beni, 1 in Mambasa and 1 in Mutwanga, 4 deaths in CTE, including 3 in Beni and 1 in Mabalako; 6 people healed from the CTE de Beni

            Three health workers are among the new confirmed cases, including two in Beni, living and unvaccinated, and one in Mandima, living and vaccinated. The cumulative number of confirmed / probable cases among health workers is 145 (5% of all confirmed / probable cases), 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

              DRC: Five Ebola deaths in Some in Ituri

              Posted on Tue, 30/07/2019 - 09:55 | Modified on Tue, 30/07/2019 - 09:55

              Five people died of Ebola on Sunday (July 28th) in Some, a locality in Mambasa territory (Ituri). The administrator of the territory, Idrisse Koma, who gave this figure Monday, July 29 to Radio Okapi, indicates that a total of nineteen deaths are already recorded during this month.

              "Yesterday [Sunday] there were five bodies. People were dismayed by five deaths in one day, "said Idrisse Koma.

              According to him, the inhabitants refuse to admit that this epidemic is raging in their village.

              "Young people believed that Ebola does not exist. They did not understand. But given the cases we have, we think it is important to educate young people and old people to make them understand the prevention of Ebola, "said Idrisse Koma.

              He asked the people of his entity to collaborate with the response team to prevent the spread of this disease.

              For his part, the coordinator of the response team in Ituri confirmed the death cases without specifying the number.

              He also deplored the resistance of the population to the response teams, which justifies the multiplication of Ebola cases.


              "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

                WHO in the DRCVerified account
                @OMSRDCONGO
                6 hours ago

                Telling #Ebola, 1 year later, #RDC. These nurses were there from the first hours of the Ebola outbreak in August 2018, at the Mangina Health Center. It is thanks to them that the first care of the patients could be made to # save lives...










                "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

                  Two main obstacles prevented Ebola from being defeated in north-eastern DRC a year after the outbreak was declared

                  By Norbert Tambwe Wediambulu

                  Kinshasa, July 30, 2019 (ACP) .- The actors engaged in the fight against the Ebola virus disease in the provinces of North Kivu and Ituri, in the North-East of the Democratic Republic of Congo (DRC), that the specialists of this terrible viral disease have so far identified two main obstacles that prevented the end of the epidemic, one year after its official declaration, on August 1, 2018, by the Congolese government.

                  Since the outbreak was reported from 1 August 2018 to 23 July 2019, the Ministry of Health has reported a total of 2,612 cases (2,518 confirmed cases in the laboratory and 94 probable cases). The number of deaths is 1,756 (1,662 deaths of confirmed cases and 94 deaths of probable cases) until 23 July 2019. In view of this situation, the two targeted obstacles preventing an end to this epidemic are the non-commitment local communities in the fight against the epidemic and insecurity in a region of about 100 local and foreign armed groups.

                  Non-community involvement

                  Non-community involvement is manifested by reluctance, denial of the disease, and lack of confidence in the epidemic response teams, which include looking for sick people in households and people who die as a result of the virus disease. Ebola treatment centers. Community reluctance sometimes takes a violent form (throwing stones, physical aggression, threats, ...) and one of the main consequences of community resistance is the high rate of community deaths, that is to say deaths that occur outside the Ebola treatment centers.

                  According to the Congolese Ministry of Health, between 28 and 43% of deaths reported each week take place outside an Ebola treatment center. These deaths occur either in private hospitals and clinics, in community health centers, or at home. Ebola patients are often hidden until after their death. However, the contagiousness of a patient is maximal after his death. Hence the need for safe and dignified burials to limit the community spread of the virus.

                  It has been found that the majority of community deaths have a dignified and secure burial. However, the new technical secretariat of the multisectoral DRC Ebola Response Committee set up by the DRC President has a lot of work to do. He will have to make every effort to secure the commitment of the communities in this struggle. In order to build trust between the response teams and the communities, it will first be necessary to obtain the support of opinion leaders (political leaders, religious leaders, traditional leaders, civil society actors, etc.) in the fight against Ebola. , since they have the ability to influence the mass.

                  Armed attacks have largely contributed to the worsening of the epidemic

                  Armed attacks against the teams and response operations have contributed significantly to the increase in the number of Ebola cases, particularly between March and June 2019. According to the Congolese Ministry of Health, the bar of 1,000 cases of Ebola has reached March 24, 2019, almost 8 months after the outbreak was declared.

                  It was found that in two and a half months, this number has doubled to 2,000 cases on June 2, 2019. This increase in cases, notes the Congolese Ministry of Health, is directly related to armed attacks against teams and operations in Butembo and Katwa that started with the fires of the Ebola treatment centers in late February 2019 and culminated in the murder of Dr. Richard Mouzoko Kiboung of Cameroon, engaged in the fight against Ebola on behalf of WHO (World Health Organization).

                  After each armed attack, the response to the epidemic is halted for an indefinite period. As a result, an increase in EVD cases was observed every 10 to 15 days after each attack. Insecurity is thus a huge challenge for the Congolese State and its partner MONUSCO (UN Mission for Stabilization in Congo). The most positive point is that the Ebola epidemic, one year after its declaration, is contained in 2 of the 26 provinces in the DRC. Cases imported from the region of Beni-Butembo reported in Uganda and Goma, the capital of North Kivu province, were quickly checked. The transmission chains related to these cases have been virtually halted in Uganda and Goma. ACP / ZNG / MPK / JLL / CKM

                  "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

                    Ituri: a new case of Ebola death recorded in Some

                    Posted on Tue, 30/07/2019 - 20:16 | Modified on Tue, 30/07/2019 - 20:16

                    A woman died of Ebola on Tuesday, July 30 in Some 26 kilometers from Mambasa (Ituri), reports the administrator of the territory Idrissa Koma.

                    The woman, along with other villagers, has been manipulating the body of her son, who recently died of Ebola. This body was delighted by the team's response to the disease.

                    The territorial authority says that in the face of the spread of the disease, the population who resisted the Ebola response teams finally adhered to the preventive measures, agreeing to be vaccinated and to attend awareness campaigns.

                    "Thirty-six people have already been vaccinated and there are many candidates for this operation."

                    However, the territory administrator admits that the challenges are enormous to eradicate this disease because "some people are hiding in the fields, in the bush and others have abandoned the village. "

                    ...
                    https://www.radiookapi.net/2019/07/3...nregistre-some

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

                    DRC: The situation is not improving in Beni, ALIMA has never admitted so many Ebola patients

                    Wednesday, July 31, 2019 - 09:01

                    All the actors in the Ebola response seem unanimous: the epidemic is not under control and tends to spread more in addition to returning to areas where the situation seemed to be mastering.

                    ALIMA (The Alliance for International Medical Action), which has been mobilized in the field since August 2018, reports, for example, that over the past two weeks, it has had to increase its capacity to take charge in one of its two treatment centers. Ebola.

                    "In Beni, ALIMA has never admitted so many patients with Ebola. More than 60 confirmed Ebola patients are currently hospitalized, "the NGO said in a statement.
                    ...

                    https://actualite.cd/2019/07/31/rdc-...tients-malades

                    "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
                      EPIDEMIOLOGICAL SITUATION
                      EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

                      Wednesday, July 31, 2019


                      The Epidemiological Situation of Ebola Virus Disease, July 30, 2019
                      • Since the beginning of the epidemic, the cumulative number of cases is 2 701, of which 2 607 are confirmed and 94 are probable. In total, there were 1,813 deaths (1,719 confirmed and 94 probable) and 776 people healed.
                      • 293 suspected cases under investigation;
                      • 11 new confirmed cases, including 3 in Vuhovi, 1 in Mandima, 1 in Mambasa, 1 in Kalunguta and 1 in Nyiragongo (Goma);
                      • Continued search for the confirmed case in the health zone of Lubero dated 25/07/2019;
                      • 10 new confirmed cases deaths:
                        • 2 community deaths, including 1 in Beni and 1 in Mandima;
                        • 6 deaths at CTE, including 3 in Beni, 2 in Mabalako and 1 in Butembo;
                        • 2 deaths at the CT of Beni;
                      • 6 people recovered from CTEs, including 4 Mabalako, 1 in Katwa and 1 in Butembo;
                      • Two alive health workers are among the new confirmed cases of Mambasa (non-vaccinated) and Vuhovi (vaccinated). The cumulative number of confirmed / probable cases among health workers is 148 (5% of all confirmed / probable cases), including 41 deaths.


                      ...
                      Organization of the Coordination Workshop for the Ebola Response to the Ebola Epidemic
                      • The Technical Secretariat of the Multi-sectoral Epidemic Response Committee of the EVD is organizing a coordination workshop from 31 July to 02 August 2019 to coordinate the response to the EVD epidemic at the Karibu Hotel in Goma in the province of North Kivu.
                      • This workshop aims to brief the Technical Secretariat of the Multisectoral Committee by coordinating the response on the organization of the current response in order to enable it to make informed decisions thus avoiding a major disruption of the response.
                      • It will enable the Technical Secretariat to inquire about the current epidemiological situation of EVD and the main challenges to be addressed, to learn about the current response structure (organization of the different levels of coordination) and the new strategic plan for the response. (PSR4) and synergy with the security, humanitarian and financial sectors, as well as the operational readiness of DRC neighboring countries to create a favorable environment for the response.
                      • It will also allow him to discuss challenges and perspectives related to priority themes (pillars). This workshop will result in the priority actions to be carried out over the next 90 days and the overall orientations on the response, as well as the new organizational structure of the response.
                      • It should be noted that under SRP-4, effective and coherent change in strategies, effective coordination, consistent standards and support for the most vulnerable communities are envisaged. at risk in the provinces of North Kivu and Ituri while preventing the spread of the epidemic in other provinces and countries bordering the DRC.
                      Death of the second confirmed case of Ebola in Goma
                      • The second confirmed Ebola case from Goma died on Wednesday 31 July 2019 at the CTE Nyiragongo de Goma located in the General Reference Hospital of this city.
                      • This last case of Goma is a patient, who began to present the symptoms of EVD on July 22, 2019. On July 30, 2019 he went to the Goma General Referral Hospital (HGR). located in the Nyiragongo Health Zone, where he was directly transferred to the CTE for appropriate care. The CTE, being installed within this HGR.
                      • Previously, he was treated as an outpatient by a nurse in a private community health center in the Nyiragongo Health Zone.
                      ...






                      "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
                        EPIDEMIOLOGICAL SITUATION
                        EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

                        Thursday, August 01, 2019

                        Epidemiological Situation of Ebola Virus Disease on July 31, 2019

                        Since the beginning of the epidemic, the cumulative number of cases is 2,713, of which 2,619 confirmed and 94 probable. In total, there were 1,823 deaths (1,729 confirmed and 94 probable) and 782 people healed.
                        • 423 suspected cases under investigation;
                        • 13 new confirmed cases, including 5 in Beni, 2 in Mabalako, 2 in Mandima, 1 in Nyiragongo (Goma), 1 in Vuhovi, 1 in Katwa and 1 in Mutwanga;
                        • 10 new confirmed cases deaths:
                          • 2 community deaths, including 1 in Beni and 1 in Mandima;
                          • 7 CTE deaths, including 3 in Beni, 2 in Mabalako, 1 in Komanda and 1 in Goma;
                          • 1 death at the CT of Beni;
                        • 6 people cured out of ETCs, including 5 in Beni and 1 in Katwa;
                        • One health worker, living and vaccinated, is among the new confirmed cases in Beni. The cumulative number of confirmed / probable cases among health workers is 149 (5% of all confirmed / probable cases), including 41 deaths.
                        ...


                        Follow-up of the situation of contacts of the second case confirmed Ebola of Goma
                        • 151 contacts have been reported around the 2 nd confirmed case of EVD in Goma since 22 July 2019. Among these contacts, 118 have already been vaccinated, including 70 at high risk (CHR) and 48 contact contacts (CC);
                        • The girl and the woman of this case of Goma constitute to date the 3 rd and 4 thpositive cases of EVD recorded in Goma;
                        • The sister of this same case, who fled to the province of South Kivu, was found in Biara in the health zone of Muti Muresa. 40 contacts have already been vaccinated around this contact Thursday 1 st August 2019, including 9-pin high-risk contacts and 31 contacts.

                        A traditional healer among the confirmed cases of Mabalako
                        • This is a 25 year old man, living and vaccinated on July 20, 2019 (geographical vaccination). He practiced self-medication on July 24-29, 2019 with a gradual worsening of symptoms.
                        • It was taken to the CTE after validation on July 30, 2019 after the alert launched by a Community Relay (ReCo). It has been confirmed MVE on July 31, 2019. 22 people-contacts are listed around this case, whose investigations are ongoing.
                        The confirmed case of Lubero on the run
                        • The confirmed case of July 25, 2019 in Lubero Health Zone (ZS), who fled into the community, is reported to be in Lukanga in the Masereka SZ, 17 km from Lubero. A team went there on Thursday 1 st August 2019 for his transfer to the CTE. END
                        ...



                        "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

                          Ituri / Ebola: A team of health workers in Mungwalu to trace the course of the second case who died in Goma

                          Friday, August 2nd, 2019 - 11:34

                          A team of Ebola response agents arrived in Mungwalu on Thursday, August 1, 2019 to trace the path of the second case of the epidemic that died this week in Goma. According to the health authorities, the patient was a gold miner from Mungwalu.

                          "There is a resident who left here in early July to go to Goma and he was confirmed by Ebola before dying a day later and it made us think that it is already necessary to investigate his path here . We must already warn of the danger, so we came to meet the providers in the Mungbwalu Health Zone to find out how to launch the awareness activities. But I say so far we have not yet declared Ebola here, "said Dr. Prosper Ofwa, Chief Medical Officer of Bunia Health Zone.

                          The bourgmestre of the rural commune of Mungwalu, Jean Pierre Bikilisende, who received the delegation, said he already had some information on the victim thanks to the local security committee of his entity. "We already have some information about this victim. I call the people of my jurisdiction to calm nothing serious is reported so far, "he reassured.

                          A third case of Ebola in Goma was a girl about a year old, a child of the deceased gold miner. The goldsmith's wife was declared Thursday positive, becoming the fourth case in the capital of North Kivu. This Thursday, August 01, 2019, the Ebola virus disease totaled one year. According to the response data, the cumulative number of cases is 2 701, of which 2 607 are confirmed and 94 are probable. In total, there were 1,813 deaths (1,719 confirmed and 94 probable) and 776 people healed.

                          Franck Asante

                          Une équipe des agents de la riposte d’Ebola est arrivée à Mungwalu jeudi 1 août 2019 en vue de tracer le parcours du deuxième cas de l’épidémie décédé cette semaine à Goma.

                          "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 persistence, the 9th case of Kasindi / Beni is dead

                            By Admin

                            The EBOLA virus disease is gradually intensifying in KASINDI, a border area of ​​the DRC with the Republic of Uganda, a city located in the extreme east of the territory of Beni in North Kivu.

                            The ninth case of EBOLA haemorrhagic fever recorded at KASINDI died on Thursday, August 1st, 2019.

                            This is a woman, wife of a soldier "FARDC" who died hospital center UMOJA commonly called at ZANGo and it is only around 12 o'clock last Friday that the results of the laboratory test indicated that she was positive for EBOLA virus disease.

                            For the moment, the risk of spreading EBOLA virus disease on the border between the Democratic Republic of Congo and UGANDA is still very low, since all the personnel of this health facility have been identified and their vaccination is planned for this weekend.

                            And also, the epidemiological surveillance at all points of entry and exit Kasindi-Lubiriya is boosted more.

                            Kakule Sikuli Musubao, one of the communicators of the teams involved in the response to EBOLA virus disease in the health zone of MUTWANGA in the RUWENZRI sector, urges the population to observe hygiene measures in their daily lives in order to fight this viral disease.

                            The Animal and Plant Quarantine Service (SQAV) reaffirms the continuity of its strong actions in the epidemiological control at the KASINDI border post with regard mainly to the destruction by incineration of bushmeat whose origin is subject to acute doubt.

                            However, the person in charge of this service, the veterinary doctor Dr. SIMBA SIDANO RODIN, expresses his deep concern about his separation in the coordination of teams in the response to this viral haemorrhagic fever.

                            The latter expressed the wish to see the Ministry of Public Health think of his involvement.


                            Paul Zaidi

                            La maladie à virus EBOLA s’intensifie progressivement à KASINDI, zone frontalière de la RDC à la république ougandaise, une cité située à l’extrême Est du territoire de Beni au Nord-Kiv…

                            "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/02-augus...-ebola-drc/en/
                              Ebola virus disease ? Democratic Republic of the Congo

                              Disease outbreak news: Update
                              2 August 2019

                              The Ebola virus disease (EVD) outbreak in North Kivu and Ituri provinces in the Democratic Republic of the Congo continued this week with similar transmission intensity to recent weeks, with an average of 85 cases per week (range 79 to 91 cases per week) in the past six weeks (Figure 1). There are currently no confirmed cases of EVD outside of the Democratic Republic of the Congo.
                              On 30 July, a confirmed EVD case was reported in Nyiragongo Health Zone on the outskirts of Goma city. The case worked as a miner in Ituri Province and travelled down through several outbreak hotspots, where he likely acquired the disease. Currently, there is no indication that the case had links to the to the first case identified in Goma on 14 July (see the 18 July Disease Outbreak News). Given that he was ill and in the community for several days before presenting to a health facility, secondary transmission to close contacts was anticipated. Two family members, a child and spouse, have subsequently tested positive and are receiving care in the Goma Ebola Treatment Centre (ETC). Other suspected cases among contacts are awaiting test results. Bolstered by months of preparedness, a sizable response, including exhaustive contact tracing and ring vaccination, was rapidly implemented upon detection of these cases with the aim of preventing tertiary spread or sustained local transmission in Goma city. Nonetheless, teams remain ready to rapidly respond to new cases. As of 1 August 2019, there are four confirmed case of EVD in Goma.
                              In the 21 days from 11 July through 31 July 2019, 71 health areas within 18 health zones reported new cases, representing 11% of the 664 health areas within North Kivu and Ituri provinces (Table 1, Figure 2). During this period, a total of 260 confirmed cases were reported, with the majority coming from the health zones of Beni (52%, n=135) and Mandima (16%, n=41). Most (68%, n=28) of the cases reported in Mandima Health Zone came from Som? Health Area, which has in turn seeded cases to the nearby city of Mambasa in recent weeks. The response in Som? Health Area was challenging for several weeks, due to tension between local communities and Ebola response teams. However, the situation has improved, following dialogues with community leaders to understand the community?s perspective and to define common ground for collaboration. Biena Health Zone recently cleared 21 days since their last reported case. However, hotspots continue to be the source of cases in other areas through the movement of suspected and confirmed cases and their contacts, and high risks remain for the virus to be reintroduced to these areas, requiring teams to remain fully resourced and vigilant.
                              As of 31 July 2019, a total of 2713 EVD cases were reported, including 2619 confirmed and 94 probable cases, of which 1823 cases died (overall case fatality ratio 67%). Of the total confirmed and probable cases, 56% (1527) were female, and 29% (773) were children aged less than 18 years. Cases continue to increase among health workers, with the cumulative number infected rising to 149 (5% of all confirmed and probable cases). 1 August 2019 marked one year since the Government of the Democratic Republic of the Congo declared the Ebola outbreak. UN partners reaffirmed our collective commitment to the people of the Democratic Republic of the Congo, and called for solidarity to end the outbreak.
                              Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 31 July 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, Lubero, Mangurujipa, Masereka, Mutwanga, Nyankunde, Nyiragongo, Oicha, Rwampara and Tchomia.
                              Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 1 August 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 31 July 2019**




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

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

                              WHO continuously monitors changes to the epidemiological situation and context of the outbreak to ensure that support to the response is adapted to the evolving circumstances. The last assessment concluded that the national and regional risk levels remain very high, while global risk levels remain low.
                              Substantial rates of transmission continue within outbreak affected areas of North Kivu and Ituri provinces, with demonstrated extension to new (high risk) areas and across borders in recent months, although without sustained local transmission in these areas. The high proportion of community deaths, relatively low proportion of new cases who were known contacts under surveillance, existence of transmission chains linked to nosocomial infection, persistent delays in detection and isolation, 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. While the overall security situation in the last 21 days was generally calm and bore no significant impact on the response operations, it remained unstable and concerning, with repeated sightings and activities of non-state armed groups within the area of operations. Threats on response personnel and assets continued to be recorded, indicating a possible level of prevailing community reticence by some sectors, groups, or individuals. The continuity of response activities is facilitated by the close monitoring of the operational environment and the corresponding implementation of appropriate security measures. Additional risks are posed by the long duration of the current outbreak, fatigue amongst response staff, and ongoing strain on limited resources and funding.
                              The abovementioned risks, coupled with high rates of population movement from outbreak affected areas to other areas 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 likely increased capacity to rapidly detect cases and mitigate local spread. These efforts must continue to be scaled-up.
                              WHO advice

                              On 17 July 2019, the Director-General convened the Emergency Committee under the International Health Regulations (IHR) to review the situation on the Ebola outbreak in the Democratic Republic of the Congo. The Director-General accepted the Emergency Committee?s recommendation that the outbreak constitutes a Public Health Emergency of International Concern (PHEIC). Further information, including temporary recommendations advised by the Emergency Committee, is available in the statement, speech by WHO Director General, and news release.
                              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.
                              For more information, please see:

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                              • Translation Google

                                Ituri: Geographical vaccination campaign against Ebola in the locality of Some

                                Bunia, 06 August 2019 (ACP) .- A campaign of geographical vaccination against Ebola is underway in the locality of Some, located 25km from Mambasa center located 165km from the city of Bunia, said Tuesday to the press the coordinator the response to Ebola in Ituri, Dr. Christophe Ckako.

                                He explained that this strategy set by the technical secretariat of the response to this epidemic aims to vaccinate the entire population of this region of Ituri to prevent high-risk people who are hidden in the population from escaping the this campaign in order to cut the chain of contamination.

                                A response team deployed in Mongwalu

                                In addition, Dr. Christophe Ckako has hinted that an Ebola response team has been deployed since last week in the rural commune of Mongwalu, located 85km north of Bunia in Djugu territory to conduct investigations. against this disease following the positive confirmed case on July 30 in Goma in the province of North Kivu came from this mining entity.

                                He clarified that this confirmed case did not develop the disease in Mongwalu because of which the deployed team will conduct thorough investigations to know the true identity of the entourage of this person who died a few days after Ebola the center treatment. ACP / Fng / ZNG / nig

                                "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                                -Nelson Mandela

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