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

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EPIDEMIOLOGICAL SITUATION EVOLUTION OF THE EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI AS AT OCTOBER 12, 2019 Sunday, October 13, 2019 Since the beginning of the epidemic, the cumulative number of cases is 3,218, of which 3,104 are confirmed and 114 are probable. In total, there were 2,150 deaths (2036 confirmed and 114 probable) and 1032 people cured. 429 suspected cases under investigation; 6 new confirmed cases to CTEs, including; 4 in North Kivu, including 2 in Beni and 2 in Kalunguta 2 in Ituri, including 1 in Mandima and 1 in Nyakunde; 2 new confirmed deaths, including: 1 community death in North Kivu in Kalunguta; 1 new confirmed death in CTE in North Kivu in Beni; 1 person healed out of CTE in Ituri in Mambasa; No health workers are among the newly confirmed cases. The cumulative number of confirmed / probable cases among health workers is 161 (5% of all confirmed / probable cases), including 41 deaths. ... NEWS New health area infected with Ebola virus in Ituri - A new Health Area has been affected by Ebola Virus Disease in Ituri. This is the Maroro Health Area in the Nyakunde Health Zone; - Indeed, Nyakunde was already at 294 days without notifying a new confirmed case of EVD and returned to zero following this new affection; - Of all the 6 cases reported this Sunday, October 13, 2019, none of them were listed as contact, nor monitored regularly or vaccinated; - It is also reported that the alerts of all these cases are coming back from the community and their contacts are being listed, the investigations are continuing, the decontamination of the patients' households is being carried out and the ring of vaccination has been opened around all these cases. ... https://us3.campaign-archive.com/?u=...&id=5dce1edd5c

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Outbreaks and Emergencies Bulletin, Week 41: 7 - 13 October 2019

Ebola virus disease Democratic Republic of the Congo

3 218 Cases
2 150 Deaths
67% CFR

EVENT DESCRIPTION

The Ebola virus disease (EVD) outbreak in North Kivu, South Kivu
and Ituri provinces in Democratic Republic of the Congo continues,
with 14 new confirmed cases and an additional eight deaths since
our last report on 7 October 2019 (Weekly Bulletin 40). Six health
zones (Mandima, Beni, Kalunguta, Nyankunde, Lolwa and Oicha)
have reported new confirmed cases in the past seven days with a
new health area, Marabo, in Nyankunde Health Zone, reporting a
confirmed case. In the past 21 days (22 September to 12 October
2019), 23 health areas across 10 health zones have reported a
confirmed case. The principle hot spots of the outbreak in the past
21 days are Mandima (41%; n=21 cases), Mambasa (14%; n=7
cases), and Oicha (12%; n=6 cases).

As of 12 October 2019, a total of 3 218 EVD cases, including
3 104 confirmed and 114 probable cases have been reported. To
date, confirmed cases have been reported from 29 health zones:
Ariwara (1), Bunia (4), Komanda (56), Lolwa (6), Mambasa (72),
Mandima (310), Nyakunde (2), Rwampara (8) and Tchomia (2) in
Ituri Province; Alimbongo (5), Beni (677), Biena (18), Butembo
(283), Goma (1), Kalunguta (192), Katwa (651), Kayna (28), Kyondo
(25), Lubero (31), Mabalako (373), Manguredjipa (18), Masereka
(50), Musienene (84), Mutwanga (32), Nyiragongo (3), Oicha (62),
Pinga (1) and Vuhovi (103) in North Kivu Province and Mwenga (6)
in South Kivu Province.

As of 12 October 2019, a total of 2 150 deaths were recorded,
including 2 036 among confirmed cases, resulting in a case fatality
ratio among confirmed cases of 66% (2 036/3 104). The cumulative
number of health workers affected is 162, which is 5% of the
confirmed and probable cases to date.

Contact tracing is ongoing in 11 health zones. A total of 5 622
contacts are under follow-up as of 12 October 2019, of which 4
988 have been seen in the past 24 hours, comprising 89% of the
contacts. Alerts in the affected provinces continue to be raised and
investigated. Of 3 190 alerts processed (of which 3 078 were new) in
reporting health zones on 12 October 2019, 3 039 were investigated
and 429 (14%) were validated as suspected cases.

On 17 July 2019, the WHO Director-General, Dr Tedros Ghebreyesus
declared the EVD outbreak in Democratic Republic of the Congo a
Public Health Emergency of International Concern (PHEIC), following
a meeting of the International Health Regulations Committee for EVD.

PUBLIC HEALTH ACTIONS

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

As of 12 October 2019, a cumulative total of 237 632 people
have been vaccinated since the start of the outbreak in August
2018.

Point of Entry/Point of Control (PoE/PoC) screening continues,
with over 105 million screenings to date. A total of 108/112
(96%) PoE/PoC transmitted reports as of 12 October 2019.

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

Water, sanitation and hygiene (WASH) activities continue and during this week, 5
households in Mandima were equipped with infection prevention and control and
WASH inputs.

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

SITUATION INTERPRETATION

The number of new confirmed cases does seem to be declining, but previous experience
shows that this trend needs to be interpreted with caution. Notwithstanding this, in areas
where robust public health measures have succeeded, no new confirmed cases have been
reported, showing that these approaches need to continue. Local and national authorities
need to continue their input, along with partners and donors, to ensure that gains continue
and ultimately bring the outbreak to a close.

https://apps.who.int/iris/bitstream/handle/10665/329330/OEW41-0713102019.pdf

https://www.afro.who.int/node/11863

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DRC-Ituri: Mayi-Mayi threatens to attack Ebola response in Lwemba

BY AFRICA INFO MAGAZINE ON OCTOBER 17, 2019SOCIETY

A new Mayi-Mayi militia leaflet, threatening to attack the agents involved in the Ebola response, was collected on Thursday, October 17, 2019, in Lwemba, Babila-Babombi chiefdom, Mambasa territory, in the province of Ituri (North-East of DR Congo).

On Tuesday, October 15, 2019, leaflets for information and warning were collected in the town of Lwemba, more than 60 kilometers from the capital of the Mambasa territory.

The human rights NGO Convention for the Development of Forest Peoples, through its Deputy Coordinator Laurent Kyeya, says he is "concerned" by this recurrent situation.

"In these leaflets, the Mai-Mai have had to claim the recent Lwemba attack that resulted in cascading fires of the homes of returnees, customary chiefs and opinion leaders.

In the wake, they warned that they will "attack, on Saturday 19 and Sunday, October 20, 2019, all those who work in the response to Lwemba.

"This situation has created a generalized psychosis for the people of this locality and those of other parties affected by the Ebola outbreak," she warned.

And to add:
"This is how the CODEPEF / Ituri asks security authorities to first identify these Mayi-Mayi groups because, until today, they remain unknown. Then neutralize them to guarantee security for the population of Mambasa territory, in general, and that of the Babila-Babombi chiefdom, in particular. "

Fabrice Ngima

https://afriqueinfomagazine.net/rdc-ituri-mai-mai-menacent-dune-attaque-agents-de-riposte-contre-ebola-a-lwemba/

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Ituri: The fight against Ebola confronted by the presence of May May in the health zone of Mangina

Posted on Wed, 16/10/2019 - 16:37 | Changed on Wed, 16/10/2019 - 16:40

The Ebola Response Team in Mangina, Mambassa Territory reports that since August 2018, it has registered approximately 310 positive cases of Ebola.

She says there is a high prevalence in recent days as a result of population resistance mainly in the health areas of Lwemba and Biakato. According to the local response team, "there is insecurity due to the presence of May May militiamen who control certain localities. It's been a month since the agents do not reach the village of Baiti and others where there are many suspicious cases, "says this source.

Regarding security in this area, the Mambasa Territory Administrator reports that "Putsa and Yombe local chiefs took machetes last week to attack the returnee team that has withdrawn from the area. The deputy chief of Butama locality has also urged its population to refuse to be vaccinated, "said the administrator of Mambasa.

The latter says that he has dismissed the deputy head of Butama. He also suspended the local leaders of Putsa and Yombe, for having "manifested the resistance".

Another problem encountered in the response to the Ebola virus disease, "is the state of disrepair of roads that does not facilitate the transfer of patients and the mobility of the response team in the area."

Response coordination requires the intervention of the competent authorities to put an end to these obstacles that may favor the spread of the disease in the region.

https://www.radiookapi.net/2019/10/16/actualite/sante/ituri-la-lutte-contre-ebola-confrontee-la-presence-des-mai-mai-dans-la

[Shiloh]

Source: https://www.who.int/csr/don/17-octob...-ebola-drc/en/
Ebola virus disease – Democratic Republic of the Congo

Disease outbreak news: Update
17 October 2019



The number of confirmed cases of Ebola virus disease (EVD) has been relatively low in recent weeks, with 15 new confirmed cases reported in North Kivu and Ituri provinces during the epidemiological week of 7 October through 13 October (Figure 1). These encouraging signs are offset by a marked increase in case incidence in Biakato Mine Health Area, Mandima Health Zone. During the past 21 days (from 25 September through 15 October), a total of 50 confirmed cases were reported from ten health zones (Table 1, Figure 2), of which two-thirds (62%, n=31) were reported from or had transmission links to Biakato Mine Health Area.

Issues with access and security are impacting case finding and investigations, contact tracing, safe and dignified burials, decontamination of affected residences, and vaccination rings in parts of Mandima Health Zone. This is reflected in the decline in the proportion of confirmed cases listed as contacts (from 57% to 13%) and increase in the proportion of cases dying outside of Ebola Treatment Centres or Transit Centres (from 14% to 27%) this past week. This is further demonstrated by the relatively low numbers of alerts reported in the two areas over the past 42 days, with 32% less than the expected number.

A recent qualitative investigation in these health zones indicated that there is poor understanding among the population and local health workers of the transmission mechanism and symptoms of the disease, compounded with an environment of mistrust surrounding the origin of the disease, and reason for vaccination. This may impact the reporting of cases and engagement with response activities. Less than half of the respondents indicated that they would call a hotline if a member of their community was suspected of having Ebola, and almost half reported that they would encourage a family member to go to a Treatment/Transit Centre if they were suspected of having Ebola. Furthermore, less than half of individuals interviewed understood the functions of different interventions in the response, and less than 5% were involved in the response. This investigation highlights the importance of engaging communities in response activities in the upcoming weeks.

As of 15 October, a total of 3227 EVD cases were reported, including 3113 confirmed and 114 probable cases, of which 2154 cases died (overall case fatality ratio 67%). Of the total confirmed and probable cases, 56% (n=1811) were female, 28% (n=918) were children aged less than 18 years, and 5% ((n=162) were health workers.

The Director-General will reconvene the Emergency Committee under the International Health Regulations (IHR), as three months have passed since the declaration of the public health emergency of international concern (PHEIC) on 17 July. The committee will review progress in the implementation of the Temporary Recommendations issued by the Director-General on 17 July, discuss whether the event still constitutes a PHEIC, and if yes, advise for new or updated Temporary Recommendations under the IHR. The current recommendations are available here as will be the upcoming statement.

Under Pillar 1 of the current Strategic Response Plan, the estimated funding requirement for all partners for the period July to December 2019 is US$ 287 million, including US$ 140 million for WHO. As of 17 October 2019, US$ 69.5 million has been received by WHO, with additional funds committed or pledged. Further resources are needed to fully fund the response through to December 2019 and into Q1 2020.

Under Pillar 5, Regional Preparedness, the funding requirement for all partners is US$ 66 million, of which WHO requires US$ 21 million. As of 17 October 2019, WHO has received US$ 4.3 million. While some additional pledges are in the pipeline, increased funding for preparedness in neighboring countries is urgently needed. WHO is appealing to donors to provide generous support. A summary of funding received by WHO since the start of this outbreak can be found here. Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 15 October 2019*





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*Data in recent weeks are subject to delays in case confirmation and reporting, as well as ongoing data cleaning. Other health zones include: Alimbongo, Ariwara, Biena, Bunia, Goma, Kalunguta, Kayna, Komanda, Kyondo, Lolwa, Lubero, Manguredjipa, Masereka, Musienene, Mutwanga, Mwenga, Nyankunde, Nyiragongo, Oicha, Pinga, Rwampara, Tchomia, and Vuhovi. Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 17 October 2019*





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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 15 October 2019**





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

For further information about public health response actions by the Ministry of Health, WHO, and partners, please refer to the latest situation reports published by the WHO Regional Office for Africa:

• Ebola situation reports: Democratic Republic of the Congo

WHO risk assessment

WHO continuously monitors changes to the epidemiological situation and context of the outbreak to ensure that support to the response is adapted to the evolving circumstances. The last assessment, carried out on 8 October 2019, concluded that the national and regional risk levels remain very high, while global risk levels remain low.

Although the decline in case incidence is encouraging, it must be interpreted with caution as the situation remains highly contingent upon the level of access and security within affected communities. Concurrent with the decline in case incidence, there has been a further shift in hotspots from urban settings to more rural, hard-to-reach communities, within a more concentrated geographical area. These areas bring additional challenges to the response, including: an extremely volatile security situation; difficulty accessing some remote areas; relatively poorer Ebola awareness and delays to engaging with the community leading to mistrust and misunderstandings; and, potential under-reporting of cases. In such environments, risks of resurgence remain very high, as do the risks of re-dispersion of the outbreak with cases travelling outside of hotspots to seek healthcare or for other reasons. These risks continue to be mitigated by the substantial response and preparedness activities in the DRC and neighboring countries, with support from a consortium of international partners. WHO advice

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

For more information, please see:

• WHO resources and updates on Ebola virus disease
• News release: As Ebola cases reach 3000 in DRC, WHO calls on all partners to fulfil promises to communities
• Ebola virus disease in the Democratic Republic of the Congo – Operational readiness and preparedness in neighbouring countries
• Second Ebola vaccine to complement “ring vaccination” given green light in DRC
• Update on Ebola drug trial: two strong performers identified
• Independent Monitoring Board Recommends Early Termination of Ebola Therapeutics Trial in DRC Because of Favourable Results with Two of Four Candidates
• Ebola response funding
• WHO and partners to help the Government boost health facility defences against Ebola in the Democratic Republic of the Congo
• The Strategic Advisory Group of Experts (SAGE) on Immunization
• Highlights from the Meeting of the Strategic Advisory Group of Experts (SAGE) on Immunization

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Ituri: arrest of 6 suspects involved in the rampage of health centers in Biakato

Posted on Fri, 18/10/2019 - 12:21 | Modified on Fri, 18/10/2019 - 12:21

Six people suspected of being involved in the ransacking of health centers organizing Ebola response activities were arrested on Thursday (October 17th) in Biakato (Ituri). Police say they detained these people for investigative reasons.

On Wednesday night to Thursday, four health facilities in Biakato were targeted. According to medical sources, these men attacked the response devices following rumors surrounding the death of a resident at the Mangina treatment center.

It was around 7 pm that a group of mainly young people invaded four health facilities from Biakato-center to Mupanda and Bandikindu in the Babila Teturi group in charge of Babila babombi. These are Bora Uzima health posts, Ushindi, Bismillah Clinic and Grace Pediatrics.

According to the testimony of some human rights activists who went there on Thursday, these protesters first ransacked all the handwashing devices and isolated posts of suspected cases of Ebola. They then threatened to kill the head of Bora Uzima health post.

The latter was saved thanks to the intervention of one of his men who dissuaded his companions on the pretext that this nurse is not a member of the response team.

Police say they have already apprehended six suspects. She says for the moment that the situation is relatively calm in Biakato-entre.

However, the police are asking the population to alert the security forces in time to prevent violence against the response team in the area.

https://www.radiookapi.net/2019/10/18/actualite/sante/ituri-interpellation-de-6-suspects-impliques-dans-le-saccage-des-centres

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Mambasa: Mayi-Mayi Mazembe attack Mahulo health center

Posted on Fri, 18/10/2019 - 17:55 | Modified on Fri, 18/10/2019 - 18:03

Armed men identified as Mai-Mai Mazembe ransacked the Mahulo health center in Lwemba locality on Thursday night.

It is one of the medical facilities where the Ebola response activities in the Mambasa territory take place. The human rights NGO, the Convention for the Development of Forest People (CODEPEF), indicates that these assailants armed with knives, also set fire to the depots where drugs and food for Ebola patients were stored. .

According to this NGO, these gunmen chanted hostile songs to the retaliatory team during the Luemba attack. They went directly to the Health Center. Laurent Keya, deputy head of this organization says that the pharmacy and the food depot have been ransacked.

The Administrator of this territory indicates that arrangements will be made to secure this area. In the meantime, Idrissa Koma is asking people to continue to help the response team to eradicate this disease.

For the third time, within a week, Ebola response sites have been attacked by armed men in this region of Mambasa.

https://www.radiookapi.net/2019/10/18/actualite/sante/mambasa-des-mai-mai-mazembe-attaquent-le-centre-de-sante-de-mahulo

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DRC: WHO maintains Ebola as a public health emergency of international concern

Posted on Sat, 19/10/2019 - 09:15 | Edited on Sat, 19/10/2019 - 09:15

The World Health Organization (WHO) has decided to maintain the current Ebola epidemic in the DRC as a public health emergency of international concern. The statement was made Friday, October 18 in Geneva, after the meeting of the Emergency Committee convened by the Director General of WHO under the International Health Regulations (IHR). Three months have passed since the declaration of the Public Health Emergency of International Concern (PHEIC) on July 17.

In the field, WHO teams have found that access and security issues have an impact on case finding and investigation, contact tracing, safe and dignified burials, decontamination of affected homes, and immunization circles in parts of the Mandima health zone.

This is reflected in the decrease in the proportion of confirmed cases registered as contacts (from 57% to 13%) and in the increase in the proportion of deaths outside Ebola treatment centers or transit centers ( from 14% to 27%) last week.

"The relatively low number of alerts reported in the two areas in the last 42 days, 32% less than expected, is also reflected , " said the UN agency based in Geneva.
...

https://www.radiookapi.net/2019/10/19/actualite/sante/rdc-loms-maintient-ebola-comme-urgence-de-sante-publique-de-portee

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Attacks on Ebola response teams: Mambasa health workers leave jobs

Posted on Mon, 21/10/2019 - 08:22 | Edited Mon, 21/10/2019 - 08:22

A dozen health facilities involved in the response to Ebola do not work in Lwemba locality in the territory of Mambasa. According to local health sources, almost all staff have fled because of violence by some residents and armed men who resist response measures. The response team is asking the relevant authorities to strengthen the presence of law enforcement to secure sanitary facilities and agents.

According to Mandima Health District Chief Medical Officer, there are 16 health facilities where the response activities at the Lwemba Health Center are taking place. But less than five are operational to date. He said that several agents fled to Biakato at 18 km, following the repeated attacks of these health structures by some residents and Mai-Mai militia.

The last case was recorded on Saturday, October 19th. Two buildings at Lwemba General Hospital were set on fire. Seven motorcycles and drugs were burned. He denounces the violence that paralyzes the response activities in this entity where new cases of Ebola are recorded almost daily. Mandima Health District Chief Medical Officer recommends that the authorities reinforce the presence of military officers to secure health facilities and staff.

In Biakato, on the other hand, response activities are operational in all 26 health units in this health zone. However, the population still shows resistance despite an awareness campaign to persuade them to appropriate the fight. This in order to eradicate this disease in these two entities that are the focus of this epidemic in Ituri.

https://www.radiookapi.net/2019/10/21/actualite/sante/attaques-contre-les-equipes-de-riposte-ebola-les-employes-des-structures

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EPIDEMIOLOGICAL SITUATION EVOLUTION OF THE EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI AS AT OCTOBER 21, 2019 Tuesday, October 22, 2019 • Since the beginning of the epidemic, the cumulative number of cases is 3,248, of which 3,131 are confirmed and 117 are probable. In total, there were 2,172 deaths (2055 confirmed and 117 probable) and 1044 people cured. • 446 suspected cases under investigation; • 1 new probable case validated in Ituri in Mandima; • 4 new confirmed cases, including: o 2 cases in North Kivu, including 1 in Kalunguta and 1 in Mabalako; o 2 cases in Ituri, including 1 in Mambasa and 1 in Mandima; • No new confirmed deaths recorded; • No cured person has left CTE; • No health worker is among the new confirmed cases. The cumulative number of confirmed / probable cases among health workers is 161 (5% of all confirmed / probable cases), including 41 deaths. The data presented in this table are subject to change after extensive investigation and after redistribution of cases and deaths in their respective health areas. Summary of epidemiological data at week 42 (October 14-20, 2019) • Number of new probable cases: 2 • Number of confirmed new cases: 21 • Number of new confirmed deaths: 19 o Community deaths : 8 o Confirmed deaths in CTE: 11 • Number of new cures: 11 • Number of health zones removed from the list: 2 -------------------------------- LEXICON • A community death is any death that occurs outside of an Ebola Treatment Center. • A probable case is a death for which it was not possible to obtain biological samples for confirmation in the laboratory but where the investigations revealed an epidemiological link with a confirmed or probable case. Distribution of Ebola Virus Disease (EVD) Cases by Health Zone in the Provinces of Ituri and North Kivu as of 21 October 2019 Distribution of Ebola Virus Disease (EVD) Cases by Health Zone in the Provinces of Ituri and North Kivu from 14 to 20 October 2019 Epidemic curve Confirmed and probable EVD cases by health zone and disease start date Ituri Province, North Kivu and South Kivu up to SE 42 2019 NEWS DRC and its nine bordering countries sign the Joint Transboundary Framework on Ebola Response to the Epidemic • The Democratic Republic of the Congo and its nine neighbors (Angola, Burundi, Central African Republic, Republic of Congo, Rwanda , South Sudan, Uganda, United Republic of Tanzania and Zambia) signed Monday in Goma after the meeting of ministers, senior health officials and immigration, as well as various partners, a framework common to strengthen cross-border collaboration on Ebola and other epidemic preparedness and response to the Ebola epidemic; • These ten countries have identified the Ebola Virus Disease epidemic in northeastern DRC, which has lasted more than a year, as a concern, particularly a growing risk of spread to neighboring countries. They also recognized the common threat this epidemic poses to health and economic security in the Great Lakes subregion and other parts of Africa, as well as the need to develop an action plan to mitigate the effects of these threats; • For the Deputy Minister of Health of the DRC, Mr. Albert Mpeti Biyombo, it is good for the DRC to formalize a framework of collaboration and adopt a roadmap with the neighboring countries on the preparation and response to Ebola. "In this way, we will be able to pool our resources to strengthen health security and safety, "said Albert Mpeti, • North Kivu Province Governor Carly Nzanzu Kasivita, recognizing the solidarity shown by through this meeting, stated that the results achieved will allow all to agree on cross-border communication mechanisms on EVDs and on a common action plan for preparing and responding to emergencies; • For the Regional Director of the World Organization for Africa (WHO Africa), Dr. Matshidiso Moeti, these events underscore the immense importance of cross-border collaboration to improve the sharing and exchange of information to contain epidemics, harmonize resources, increase coordination and prevent diseases from crossing borders, especially since other diseases are also a major threat; • It emphasized that cross-border movement of people, goods and services can increase the risk of transmitting infectious pathogens that cause diseases such as Ebola, cholera, measles and yellow fever; • According to Dr. Moeti, information sharing is improving, but its level must be acceptable. " We need countries to openly share the information needed to save lives. Our mission is to establish cross-border collaboration that will cover all epidemics and public health emergencies , "she said; • African Union Commissioner for Social Affairs, Amira Elfadil Mohammed, proposed the establishment of a cross-border collaboration and asset-sharing mechanism to alleviate suffering and minimize the social and economic impact of epidemics; • The ministerial meeting was jointly organized by the Government of the DRC, through its Ministry of Health and Technical Secretariat of the Multisectoral Committee for the Response to Ebola Virus Disease (ST / CMRE), the WHO and the World Health Commission. African Union through its African Centers for Disease Control and Prevention (CDC Africa). Description of the probable case of Mandima: A new probable case validated in the Mandima health zone in Ituri • This is a 24-year-old woman notified on October 14, 2019. She died in the Biakato Mines Health Area at Yosefu Village in Mandima Health Zone in Ituri Province. This woman was not listed as a contact and was not vaccinated; • The date of onset of signs in this woman dates back to October 4, 2019, with the date of exposure from September 17 to September 30, 2019, by fever and abdominal pain in hospitalization at the Codemuco Medical Center (CMC); • From September 28 to October 10, 2019, this woman was hospitalized at the CMC where she had a caesarean section on a term pregnancy. It was October 10th that bleeding occurred at the level of the operative wound. She left this medical facility against medical advice to Ndombilo Biakato Mines and died on October 11 en route; • The body was transported and buried at Yosefu Village without a dignified and secure burial, or with oral removal; • This woman was co-patient of a confirmed case on October 11, 2019 taken care of at the CMC CODEMUCO from September 30th to October 3rd, 2019. Her son and her husband are confirmed by EVD, respectively on October 16th and 19th, 2019; • Public health actions around this case were conducted in collaboration with Oicha's response team. VACCINATION • A vaccination team was deployed to open a ring around the confirmed case of 20 October 2019 in the Epulu Health Area in Mambasa 75 km from Mambasa center in North Kivu province on the road to Kisangani; • Two rings were opened around the two confirmed cases of 17 October 2019 in Binase and Salama / Madidi Health Areas in the Mambasa Health Zone in Ituri; • The Satellite Ring opened at Mambasa prison in Ituri around the confirmed case of 12 October 2019 in the Nyakunde ZS in North Kivu was closed; • A vaccination ring of front-line staff was opened in the city of Bunia in Ituri; • The vaccination of taximen motorcyclists continues in the sub-coordinations of Butembo, Beni, Mangina in Mabalako in North Kivu and Mambasa in Ituri; • Continued immunization of newly recruited front-line staff (LRP) in Kyondo Health Zone (HGR Kyondo) and Kayna Health Area (Bulinda Health Area), Musienene (Kimbulu Reference Health Center) and Butembo (Vulindi Health Area); • Since the start of vaccination on August 8, 2018, 241,253 people have been vaccinated; • 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 20 May 2018. ... https://us3.campaign-archive.com/?u=...&id=c94334cd3f

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Ituri: 17 positive cases of Ebola recorded in a week in the Mangina Health Zone

Posted on Wed, 23/10/2019 - 14:17 | Modified on Wed, 23/10/2019 - 14:17

Seventeen positive Ebola cases have been registered for more than a week in the Mandima health zone in Mambasa territory (Ituri). These figures are published this Wednesday by the response coordination.

However, the response team regrets the persistence of resistance in some localities in the territory of Mambasa where activities are idling.

The Ebola outbreak surveillance team reports that three positive cases have been recorded since Monday in the Mandima Health Zone. According to the same source, 14 cases were reported last week in this health entity.

The assistant response coordinator from Goma who is on mission in the area indicates that these new cases are not due to the spread of the disease in this area. But are rather the results of the intensification of response activities, particularly in the health area of Biakato. Clearly, he said, sensitized people now accept to bring suspects into health centers.

But some residents continue to show resistance especially in Lwemba where activities have resumed timidly, say medical sources.

This after the fire last week of two buildings that contained drugs and seven motorcycles of the response team.

In Mambasa center, one segment of the population also continues to oppose Ebola prevention measures.

According to the administrator of the territory, some young people ransacked Tuesday the house of an imam accused of supporting the team against Ebola. The police fired shots of summons to disperse the crowd who wanted to attack the agents of riposte. This demonstration was organized after the death on Tuesday of a woman at the Ebola treatment center in Mambasa-center.

https://www.radiookapi.net/2019/10/23/actualite/sante/ituri-17-cas-positifs-debola-enregistres-en-une-semaine-dans-la-zone-de

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Source: https://www.who.int/csr/don/24-octob...-ebola-drc/en/
Ebola virus disease – Democratic Republic of the Congo

Disease outbreak news: Update
24 October 2019



The number of confirmed cases of Ebola virus disease (EVD) remains relatively low this week, with 21 new confirmed cases reported in North Kivu and Ituri provinces during the epidemiological week of 14 – 20 October. The observed fluctuation in case incidence (Figure 1) may be expected given the challenges faced by response teams in the prior weeks.

Biakato Health Area in Mandima Health Zone reported almost half the number of new confirmed cases in the past week (52%, n=11) and had links to the majority of cases (76%, n=16). The movement of 5 cases exposed in Biakato Mines Health Area, but detected outside of the area, brings forth operational challenges for teams on the ground. Movement of cases while symptomatic not only increases the risk of spread of EVD to unaffected and previously cleared geographic areas, it also hinders timely case investigations, contact tracing, and response measures implemented to limit the risk of transmission.

The deployment of additional support to the Biakato Mines Health Area has led to improvements in response efforts in the past week. The proportion of confirmed cases listed as contacts has increased from 13% to 57%. Similarly, in the past week there has been an increase from 47% to 90% in confirmed cases with a known epidemiological link to a case. Nevertheless, both indicators are below the level we would aim to be at this stage. As case incidence declines, continued strengthening of community-based surveillance and alerts from health facilities to rapidly detect flare-ups is a high priority for all areas.

During the past 21 days (from 2 – 22 October), 50 confirmed cases were reported from eight active health zones in North Kivu and Ituri provinces (Figure 2, Table 1) with the majority reported in three health zones: Mandima (52%, n=26), Mambasa (12%, n=6), and Mabalako (10%, n=5). The major metropolitan area of Butembo city, comprising Katwa and Butembo health zones, which reported almost 1000 cases to date, recently cleared 21 days without newly detected cases. While this milestone highlights advances in the response, movement of cases to previously cleared health zones can quickly result in resurgence. An example of this was the detection of cases in Mabalako, all linked to Biakato Mines, after not reporting a confirmed case for 33 days. To mitigate the risk of onward transmission, ensuring community access and full operational readiness in cleared health zones and strategic at-risk communities is essential.

As of 22 October, a total of 3250 EVD cases were reported, including 3133 confirmed and 117 probable cases, of which 2174 cases died (overall case fatality ratio 67%). Of the total confirmed and probable cases, 56% (n=1827) were female, 28% (n=921) were children aged less than 18 years, and 5% (n=163) were health workers.

On 18 October, the Director-General reconvened the Emergency Committee under the International Health Regulations. The Committee reviewed progress in the implementation of the Temporary Recommendations issued by the Director-General on 17 July 2019. Updates on the outbreak were provided by representatives of the Democratic Republic of the Congo, as well as the UN Ebola Emergency Response Coordinator and the WHO Secretariat. Updates on preparedness in the neighbouring countries were provided by the United Republic of Tanzania, Republic of Uganda and the WHO Regional Office for Africa. It was the view of the Committee that this event still constitutes a public health emergency of international concern (PHEIC) under the IHR. The Committee provided this advice to the Director-General, who issued revised Temporary Recommendations under the IHR.

Under Pillar 1 of the current Strategic Response Plan, the estimated funding requirement for all partners for the period July to December 2019 is US$ 287 million, including US$ 140 million for WHO. As of 21 October 2019, US$ 69.5 million has been received by WHO, with additional funds committed or pledged. Further resources are needed to fully fund the response through to December 2019 and into Q1 2020.

Under Pillar 5, Regional Preparedness, the funding requirement for all partners is US$ 66 million, of which WHO requires US$ 21 million. As of 21 October 2019, WHO has received US$ 4.3 million. While some additional pledges are in the pipeline, increased funding for preparedness in neighbouring countries is urgently needed. WHO is appealing to donors to provide generous support. A summary of funding received by WHO since the start of this outbreak can be found here. Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 24 October 2019*





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*Excludes n=184 cases for whom onset dates not reported. Data in recent weeks are subject to delays in case confirmation and reporting, as well as ongoing data cleaning. Other health zones include: Alimbongo, Ariwara, Biena, Bunia, Goma, Kalunguta, Kayna, Komanda, Kyondo, Lolwa, Lubero, Manguredjipa, Masereka, Musienene, Mutwanga, Mwenga, Nyankunde, Nyiragongo, Oicha, Pinga, Rwampara, Tchomia, and Vuhovi. . Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 24 October 2019*





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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 24 October 2019**





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

For further information about public health response actions by the Ministry of Health, WHO, and partners, please refer to the latest situation reports published by the WHO Regional Office for Africa:

• Ebola situation reports: Democratic Republic of the Congo

WHO risk assessment

WHO continuously monitors changes to the epidemiological situation and context of the outbreak to ensure that support to the response is adapted to the evolving circumstances. The last assessment, carried out on 8 October 2019, concluded that the national and regional risk levels remain very high, while global risk levels remain low.

While the relatively lower case incidence observed is encouraging, it must be interpreted with caution as the situation remains highly contingent upon the level of access and security within affected communities. Concurrent with the decline in case incidence, there was a further shift in hotspots from urban settings to more rural, hard-to-reach communities, within a more concentrated geographical area. These areas bring additional challenges to the response, including: an extremely volatile security situation; difficulty accessing some remote areas; delays to engaging with the community which in turn lead to mistrust and misunderstandings; and, potential under-reporting of cases. In such environments, risks of resurgence remain very high, as do the risks of re-dispersion of the outbreak with cases travelling outside of hotspots to seek healthcare or for other reasons. These risks continue to be mitigated by the substantial response and preparedness activities in the DRC and neighbouring countries, with support from a consortium of international partners. WHO advice

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

For more information, please see:

• WHO resources and updates on Ebola virus disease
• News release: As Ebola cases reach 3000 in DRC, WHO calls on all partners to fulfil promises to communities
• Ebola virus disease in the Democratic Republic of the Congo – Operational readiness and preparedness in neighbouring countries
• Second Ebola vaccine to complement “ring vaccination” given green light in DRC
• Update on Ebola drug trial: two strong performers identified
• Independent Monitoring Board Recommends Early Termination of Ebola Therapeutics Trial in DRC Because of Favourable Results with Two of Four Candidates
• Ebola response funding
• WHO and partners to help the Government boost health facility defences against Ebola in the Democratic Republic of the Congo
• The Strategic Advisory Group of Experts (SAGE) on Immunization
• Highlights from the Meeting of the Strategic Advisory Group of Experts (SAGE) on Immunization

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Translation Google

EPIDEMIOLOGICAL SITUATION EVOLUTION OF THE EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI AS AT OCTOBER 23, 2019 Thursday, October 24, 2019 Since the beginning of the epidemic, the cumulative number of cases is 3,256, of which 3,139 are confirmed and 117 are probable. In total, there were 2,177 deaths (2060 confirmed and 117 probable) and 1045 people healed. 486 suspected cases under investigation; 6 new confirmed cases, including: 2 cases in North Kivu 1 in Butembo and 1 in Kalunguta; 4 cases in Ituri in Mandima; 3 new confirmed deaths, including: 1 community death in Ituri in Mandima; 2 deaths of confirmed cases in CTEs in North Kivu, including 1 in Butembo and 1 in Mabalako; No healed person left CTE; No health workers are among the newly confirmed cases. The cumulative number of confirmed / probable cases among health workers is 161 (5% of all confirmed / probable cases), including 41 deaths. ... NEWS Organization of the funeral at the general coordination of the response to the epidemic at the EVM in Goma - The general coordination of the response to the Ebola virus disease #Ebola organized this Thursday, October 24, 2019 in Goma, capital of North Kivu province the funeral of one of the agents of the Vaccination Commission , Dr. Munze Manke Julienne Judith, died Tuesday, October 22 at 7:15 am at Butembo Graben University Clinics following a short illness; - A Mass of thanksgiving was organized in memory of the illustrious disappeared. In the following activities, there was a testimony; - His biography was read by the general coordinator of the epidemic response to the #Ebola Virus Maldie, Prof. Steve Ahuka: Born in Kinshasa on October 10, 1983, graduated in Surgery and Delivery Medicine at Gamal Abdel Nasser University in Conakry, Guinea. She returned to Kinshasa in March 2011, where she practiced as a doctor in several formations of the city. In 2014, she joined the National Emergency and Humanitarian Actions Program of the Ministry of Health, where she worked as an emergency physician. In this capacity, Dr. Judith has taken part in numerous humanitarian actions for the populations of the DRC and in several neighboring countries. She was recruited in the medical care of the repressed Brazzaville in 2014. - His body was repatriated to Kinshasa at the end of this ceremony. The mortal remains of the famous disappeared arrived Wednesday at the General Provincial Hospital of Goma reference from Butembo. ... MONITORING AT ENTRY POINTS - Start of construction of the Biakato Mine Control Point (PoC) screening devices in the Mandina Health Zone in Ituri; - A joint team of the National Border Hygiene Program (PNHF), the International Organization for Migration (IOM) and United Nations Police (UNPOL) came down to Komanda in Ituri to assess the security situation of the PoC strategic; - In addition, another joint mission was organized by the PNHF in collaboration with IOM and OCHA on the Mbau-Mandina-MANGINA-Mandumbi and Biakato axis to make an inventory of these PoCs; ... https://us3.campaign-archive.com/?u=...&id=145de3018d

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WEEKLY BULLETIN ON OUTBREAKS
AND OTHER EMERGENCIES
Week 43: 21 - 27 October 2019
Data as reported by: 17:00; 27 October 2019

Ebola virus disease Democratic Republic of the Congo

3 263 Cases
2 180 Deaths
67% CFR

EVENT DESCRIPTION

The Ebola virus disease (EVD) outbreak in North Kivu, South Kivu
and Ituri provinces in Democratic Republic of the Congo continues,
with nine health zones and 20 health areas reporting confirmed cases
in the past 21 days (6 to 26 October 2019). Since our last report
on 20 October 2019 (Weekly Bulletin 42), there have been 23 new
confirmed cases and 11 new deaths. The principle hot spots of the
outbreak in the past 21 days are Mandima (54%; n=30 cases) and
Mabalako (16%; n=9 cases). Five health zones, Mandima, Butembo,
Kalunguta, Mabalako and Mambasa have reported new confirmed
cases in the past seven days.

As of 26 October 2019, a total of 3 263 EVD cases, including
3 146 confirmed and 117 probable cases have been reported. To
date, confirmed cases have been reported from 29 health zones:
Ariwara (1), Bunia (4), Komanda (56), Lolwa (6), Mambasa (77),
Mandima (333), Nyakunde (2), Rwampara (8) and Tchomia (2) in
Ituri Province; Alimbongo (5), Beni (679), Biena (18), Butembo
(285), Goma (1), Kalunguta (193), Katwa (651), Kayna (28), Kyondo
(25), Lubero (31), Mabalako (382), Manguredjipa (18), Masereka
(50), Musienene (84), Mutwanga (32), Nyiragongo (3), Oicha (62),
Pinga (1) and Vuhovi (103) in North Kivu Province and Mwenga (6)
in South Kivu Province.

As of 27 October 2019, a total of 2 180 deaths were recorded,
including 2 060 among confirmed cases, resulting in a case fatality
ratio among confirmed cases of 66% (2 063/3 146). The cumulative
number of health workers is 163, which is 5% of the confirmed and
probable cases to date.

Contact tracing is ongoing in ten health zones. A total of 4 437
contacts are under follow-up as of 26 October 2019, of which 3
572 have been seen in the past 24 hours, comprising 81% of the
contacts. Alerts in the affected provinces continue to be raised and
investigated. Of 3 182 alerts processed (of which 3 081 were new) in
reporting health zones on 26 October 2019, 3 041 were investigated
and 357 (12%) were validated as suspected cases.

On 17 July 2019, the WHO Director-General, Dr Tedros Ghebreyesus
declared the EVD outbreak in Democratic Republic of the Congo a
Public Health Emergency of International Concern (PHEIC), following
a meeting of the International Health Regulations Committee for EVD
On 18 October, the Director-General reconvened the EC to review
progress in the implementation of the Temporary Recommendations
issued by the Director-General on 17 July 2019 and it was the view
of the EC that this event still constitutes a PHEIC.

PUBLIC HEALTH ACTIONS

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

As of 26 October 2019, a cumulative total of 243 322 people
have been vaccinated since the start of the outbreak in August
2018.

Point of Entry/Point of Control (PoE/PoC) screening continues,
with over 109 million screenings to date. A total of 108/112
(96%) PoE/PoC transmitted reports as of 26 October 2019.

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

A clinic in Mabolio health area, Beni Health Zone was closed due to the high risk
of nosocomial infection.

Water, sanitation and hygiene (WASH) activities continue and on 22 October 2019,

2 health facilities and 2 households visited by 3 of the 4 confirmed cases reported
on 21 October 2019 were decontaminated. The confirmed case in Mabalako has
not yet been identifies, while the household of the confirmed case in Mambasa
has not yet benefited from IPC and WASH activities because of family resistance.
Community awareness and mobilization messages are being updated, revised and
harmonized and have been pre-tested by the commission and will subsequently
be shared in coordination and sub-coordination activities.

Communication, mobilization and community engagement officials from
different religious groupings in Goma have started training on EVD response; the
Biakato sub-coordination committee participated in the evaluation of community
engagement activities with 37 religious leaaders from the Biakato-Mines health
area, to resolve community resistance to response measures.

SITUATION INTERPRETATION

Improvements in response indicators in the past week are encouraging and testament to
the resilience of response teams. However, substantive rates of transmission remain in
Mandima Health Zone, with smaller clusters elsewhere, which require a concerted effort
from all response teams and international partners to control. It is critical that all areas
of the response remain effective, engaged and fully resourced, with response activities
continuing to be scaled and adapted to the evolving local context.

https://apps.who.int/iris/bitstream/handle/10665/329488/OEW43-2127102019.pdf

https://www.afro.who.int/node/11915

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Translation Google

EPIDEMIOLOGICAL SITUATION EVOLUTION OF THE EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI AS AT OCTOBER 28, 2019 Tuesday, October 29, 2019 Since the beginning of the epidemic, the cumulative number of cases is 3,268, of which 3,151 are confirmed and 117 are probable. In total, there were 2,182 deaths (2065 confirmed and 117 probable) and 1048 people cured. 475 suspected cases under investigation; 4 new confirmed cases, including: 3 in North Kivu, including 2 in Mabalako and 1 in Beni; 1 in Ituri in Mandima; 1 new confirmed death, of which: No community deaths have been recorded; 1 death of cases confirmed in the CTE in North Kivu in Mabalako; 2 people healed from the CTE in Ituri in Mambasa; No health workers are among the newly confirmed cases. The cumulative number of confirmed / probable cases among health workers is 161 (5% of all confirmed / probable cases), including 41 deaths; Continued research of the patient confirmed on 23 October 2019 in Mandima in Ituri and fleeing into the community. The data presented in this table are subject to change after extensive investigation and after redistribution of cases and deaths in their respective health areas. Epidemiological data summary at week 43 (21-27 October 2019) Number of probable new cases: 1 Number of new confirmed cases: 20 Number of new confirmed deaths: 9 Community deaths: 3 Deaths confirmed in CTEs: 6 Number of new healings: 2 Number of health zones removed from the list: 1 -------------------------------- LEXICON • A community death is any death that occurs outside of an Ebola Treatment Center. • A probable case is a death for which it was not possible to obtain biological samples for confirmation in the laboratory but where the investigations revealed an epidemiological link with a confirmed or probable case. Distribution of Ebola Virus Disease (EVD) Cases by Health Zone in the Provinces of Ituri and North Kivu as of 28 October 2019 Distribution of Ebola Virus Disease (EVD) Cases by Health Zone in the Provinces of Ituri and North Kivu from 21 to 27 October 2019 Epidemic curve Confirmed and probable EVD by health zone and date of onset of illness Ituri province, North Kivu and South Kivu to SE 43 2019 NEWS Launch of the EVM SRP4 mid-term review in Goma in the provinces of North and South Kivu and Ituri - Minister of Health Dr. Eteni Longondo on Tuesday launched the workshop on the Operational Review of the Integrated Strategy for Ebola Virus Disease (EVD) Response in the North and South Kivu Provinces Ituri (SRP4); - " After 14 months of epidemic, more in a conventional emergency response.Each intervention must strengthen post-Ebola health systems; - One of the expected results in this workshop is the revision of the SRP4 in SRP4.1 focusing initially on the elimination of the epidemic and on the other hand, on the integration of the interventions of a stabilization strategy and capitalization in health zones, where the epidemic has been fought and in other risk areas , "said the Minister of Health; - To this end, it recommended to the technical partners to provide a framework for the provincial and national actors and not to replace them in order to allow the reinforcement of the capacities of the human resources and to perpetuate the fight; - " The stakes of the Ebola Virus Disease, go beyond the DRC. Africa and the world have their eyes fixed on the floor as to the follow-up to the management of this 10 th epidemic , "said Dr. Eteni, recalling that the recent ministerial meeting in Goma, October 21, 2019 testifies African integration in the fight against Ebola and also against its spread in other countries; - " Our response is based on scientific evidence and the improvement and quality of our interventions. The results are there, but we must be vigilant to reach the zero cases of Ebola Virus Disease by strengthening surveillance, community engagement and security, "confirmed the technical secretary of the Multisectoral Committee for the Response to the Epidemic. Ebola Virus Disease, Prof. Jean-Jacques Muyembe Ntamfum; - The North Kivu provincial health minister, Mo?se Kakule Kanyere, on behalf of the governor, wished that the reflections of these meetings focus on the end of the epidemic; - " I would like to draw the attention of all stakeholders in the response to MVE on the need to reframe the interventions towards strengthening the health system to contain all eventualities can meet after this 10 th epidemic and continue to meet to the best of our health sector. This response aims to revive our socio-economic situation through development projects in the three provinces affected by the Ebola Virus Disease , "said Provincial Minister Kanyere; - It should be remembered that this workshop aims to assess the level of implementation of planned interventions for SRP-4 of the tenth epidemic at EVD. ... https://us3.campaign-archive.com/?u=...&id=14029a76e2

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Translation Google EPIDEMIOLOGICAL SITUATION EVOLUTION OF THE EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI AS AT OCTOBER 29, 2019 Wednesday, October 30, 2019 Since the beginning of the epidemic, the cumulative number of cases is 3,269, of which 3,152 are confirmed and 117 are probable. In total, there were 2,182 deaths (2065 confirmed and 117 probable) and 1048 people cured. 532 suspected cases under investigation; 1 new confirmed cases in Ituri in Mambasa; No new confirmed deaths have been recorded; No healed person left the ETC; No health workers are among the newly confirmed cases. The cumulative number of confirmed / probable cases among health workers is 161 (5% of all confirmed / probable cases), including 41 deaths; Continued research of the patient confirmed on 23 October 2019 in Mandima in Ituri and fleeing into the community.

...

NEWS

Continuation of the EVM SRP4 mid-term review in Goma in the provinces of North and South Kivu and Ituri - The Mid-Term Review Workshop of the Fourth Integrated Strategic Operational Plan for the Ebola Response to the Epidemic in the North, South Kivu and Ituri Provinces (SRP4) launched on Tuesday 29 October 2019 in Goma by the Minister of Health, Dr. Eteni Longondo continues until 31 October in Goma in the presence of the technical secretary of the response to the Ebola Virus Disease, Prof. Jean-Jacques Muyembe Ntamfum, North Kivu provincial health minister, representing the governor of this province and the various technical and financial partners of the response; - The second day of these meetings, from 29 to 31 October 2019, was more focused on the zero Ebola case strategy in the DRC. Indeed, according to the general coordinator of Ebola response to the epidemic, Prof. Steve Ahuka, the Zero Case Strategy is very important because it will bring the DRC towards the end of the Ebola outbreak. will also help prepare for the post-Ebola era by strengthening the health system so that it is more responsive to future outbreaks; - " The decline in the number of cases is not the end of the epidemic.However, efforts need to be strengthened to stop Ebola transmission by reducing the time between the onset of signs and treatment. "Said Prof. Steve Ahuka, adding that " In recent weeks, there has been a significant reduction in cases from 100 per week to July to around the twenties. Question now to think about how to have zero cases, so stop the transmission "; - During this second day, there was also a question of evaluating the funds allocated to the response and its use with a view to reorienting priorities; - The other most important strategy, said the general coordinator, is to be able to immunize the largest number of the population. Why will introduce a 2 ndvaccine that will be given in areas not infected with MVE to create a large number of people protected from the disease, so that in case of a possible outbreak, as this one does can not take action; - This 2 nd vaccine, he added, will be given to all volunteers and eligible in the regions, where these vaccinations will be organized. He reported that this vaccination will start first in the health zone of Karisimbi in Goma and will continue progressively in other regions; - It has, for this purpose, stressed that all of these strategies are aimed at protecting the population and constitute a benefit for the largest number of Congolese targeted areas benefiting from the 2 nd vaccine; - This second day was also focused on the presentation of active sub-coordination and continue to report cases of Ebola Virus Disease, followed by those who have not reported cases for some time. We illustrate the case of South Kivu Province and Chomia Health Zone in North Kivu at 63 and 402 days, respectively, without notification of cases. It also presented the contribution of the various pillars to the response, common services, community engagement and some safety aspects in support of public health activities. ... https://us3.campaign-archive.com/?u=...&id=83a8e49227