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  • Shiloh
    replied
    Source: https://www.who.int/csr/don/26-March-2020-ebola-drc/en/

    Ebola virus disease – Democratic Republic of the Congo


    Disease outbreak news: Update
    26 March 2020



    No new cases have been reported in the ongoing Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo since 17 February 2020 (Figure 1). However, due to challenges related to continued insecurity and population displacement in previous hotspots, limited access to some affected communities, and potential shortages of resources amidst other local and global emergencies, there remains a high risk of re-emergence of the virus. Therefore, it is critical to maintain surveillance and response operations in the period leading up to the declaration of the end of the outbreak, as well as after the declaration – as outlined in the WHO recommended criteria for declaring the end of the EVD outbreak.

    Active outbreak response activities continue, which include investigating and validating new alert cases, supporting appropriate care and rapid diagnosis of suspected cases (which continue to be detected), supporting survivors through a multi-disciplinary programme, and strategically transitioning activities. From 18 to 24 March, an average of 4619 alerts were reported and investigated daily. Of these alerts, 358 were validated as suspected cases, requiring specialized care and laboratory testing to rule-out EVD. From 16 to 22 March, 2747 samples were tested including: 1479 blood samples from alive, suspected cases; 374 swabs from community deaths; and 894 samples from re-tested patients. Overall, laboratory activity was conducted at similar levels as compared to the prior week.

    Last week, nine historical probable cases were validated, whose dates of symptom onset were between October 2018 and July 2019, bringing the cumulative number of probable cases to 143. Further historical probable cases are expected to be validated as investigations into past cases continue.

    As of 24 March 2020, a total of 3453 EVD cases were reported from 29 health zones (Table 1), including 3310 confirmed and 143 probable cases, of which 2273 cases died (overall case fatality ratio 66%). Of the total confirmed and probable cases, 57% (n=1935) were female, 29% (n=979) were children aged less than 18 years, and 5% (n=171) were health care workers.

    WHO has not received funding for the Ebola response since December 2019. An urgent injection of US $20 million is required to ensure that response teams have the capacity to maintain the appropriate level of operations through to the beginning of May 2020. If no new resources are received, WHO risks running out of funds for the Ebola response before the end of the outbreak. For more information, please see this statement.
    Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 24 March 2020*






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    *Excludes n=149 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. ‘Non-active zones’ indicate health zones that have not reported new cases in the last 42 days.
    Table 1: Confirmed and probable Ebola virus disease cases, and number of health areas affected, by health zone, North Kivu Province, Democratic Republic of the Congo, data as of 24 March 2020**






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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: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 high, while global risk levels remain low.
    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. 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 practise 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:

    Leave a comment:


  • Shiloh
    replied
    Source: https://www.who.int/csr/don/19-March-2020-ebola-drc/en/

    Ebola virus disease – Democratic Republic of the Congo


    Disease outbreak news: Update
    19 March 2020



    There have been no new cases of Ebola virus disease (EVD) reported in the ongoing outbreak in the Democratic Republic of the Congo since 17 February 2020. However, because there is still a risk of re-emergence of EVD, it is critical to maintain surveillance and response operations until and after the end of outbreak declaration – as outlined in the WHO recommended criteria for declaring the end of the EVD outbreak.

    Unfortunately, the response faces increasing limitations that could result in delayed detection and control of flare-ups. These limitations include a funding shortfall, ongoing insecurity and lack of access to some areas, and limited staffing and resources amidst other local and global emergencies.

    No funding for the Ebola response has been received by WHO since December 2019. An urgent injection of USD 20 million is required to ensure that response teams have the capacity to maintain the appropriate level of operations through to the beginning of May 2020. If no new resources are received, WHO risks running out of funds for the Ebola response before the end of the outbreak. For more information, please see this statement.

    Ongoing response activities include investigating and validating new alert cases, supporting appropriate care and rapid diagnosis of suspected cases (which continue to be detected), supporting survivors through a multi-disciplinary programme, and strategically transitioning activities. From 9 to 15 March, over 32 000 alerts were reported and investigated. Of these, 2550 alerts were validated as suspected cases, requiring specialized care and laboratory testing to rule-out EVD. During this same period, 2760 samples were tested, including 1565 blood samples from alive suspected cases, 405 swabs from community deaths, and 790 samples from re-tested patients.

    As of 17 March 2020, a total of 3444 EVD cases were reported from 29 health zones (Table 1), including 3310 confirmed and 134 probable cases, of which 2264 cases died (overall case fatality ratio 66%). Of the total confirmed and probable cases, 56% (n=1931) were female, 28% (n=975) were children aged less than 18 years, and 5% (n=171) were health care workers.
    Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 17 March 2020*






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    *Excludes n=148 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. ‘Non-active zones’ indicate health zones that have not reported new cases in the last 42 days.
    Table 1: Confirmed and probable Ebola virus disease cases, and number of health areas affected, by health zone, North Kivu Province, Democratic Republic of the Congo, data as of 17 March 2020**






    Enlarge image



    **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: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 high, while global risk levels remain low.
    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. 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 practise 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:

    Leave a comment:


  • Shiloh
    replied
    Source: https://www.who.int/csr/don/12-March-2020-ebola-drc/en/
    Ebola virus disease – Democratic Republic of the Congo

    Disease outbreak news: Update
    12 March 2020



    It has been over 21 days since the last confirmed case of Ebola virus disease (EVD) has been reported (Figure 1). On 9 March, the last 46 contacts finished their follow-up. These are important milestones in the outbreak as over one maximum incubation period has passed without any confirmed cases of EVD. However, there is still a high risk of re-emergence of EVD, and a critical need to maintain response operations – as outlined in the WHO recommended criteria for declaring the end of the EVD outbreak.

    Extensive surveillance, pathogen detection, clinical management and other response activities are currently ongoing. These include, but are not limited to, investigating and validating new alert cases, supporting appropriate care and rapid diagnostics of suspected cases which continue to be detected each day, and supporting survivors through a multi-disciplinary programme to help mitigate potential risks of re-emergence. Over the course of the past week (4–10 March 2020), over 32 000 alerts were reported and investigated, and 2584 alerts were validated as suspected cases; requiring specialized care and laboratory testing to rule-out EVD. From 2 to 8 March, 2818 samples were tested including: 1574 blood samples from alive, suspected cases; 376 swabs from community deaths; and 868 samples from re-tested patients. Overall, this was a 16% decrease in testing compared to the previous week.

    Throughout the outbreak, alert rates steadily climbed as active and passive case finding systems were strengthened, reaching additional health zones with the evolution of the outbreak, and continuously adapted to suit local context. With the decline in confirmed case incidence and gradual transition toward routine disease surveillance systems, alert rates have expectantly begun to decline in some areas. It, however, remains important for appropriate levels of surveillance to be maintained through the end of outbreak declaration to rapidly detect relapse, reintroduction or new emergence events, thereby providing an opportunity to implement effective control measures and avoid a potential resurgence of the outbreak.

    As of 10 March 2020, a total of 3444 EVD cases were reported from 29 health zones (Table 1, Figure 2), including 3310 confirmed and 134 probable cases, of which 2264 cases died (overall case fatality ratio 66%). Of the total confirmed and probable cases, 56% (n=1931) were female, 28% (n=975) were children aged less than 18 years, and 5% (n=171) were health care workers. Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 10 March 2020*





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    *Excludes n=148 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. ‘Non-active zones’ indicate health zones that have not reported new cases in the last 42 days. Table 1: Confirmed and probable Ebola virus disease cases, and number of health areas affected, by health zone, North Kivu Province, Democratic Republic of the Congo, data as of 10 March 2020**





    Enlarge image



    **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: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 high, while global risk levels remain low. 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. 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 practise 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:

    Leave a comment:


  • Shiloh
    replied
    Source: https://www.who.int/csr/don/05-March-2020-ebola-drc/en/
    Ebola virus disease – Democratic Republic of the Congo

    Disease outbreak news: Update
    5 March 2020



    No new cases of Ebola virus disease have been reported since 17 February, and on 3 March, the only person confirmed to have EVD in the last 21 days (Figure 1) was discharged from an Ebola Treatment Centre after recovering and testing negative twice for the virus. This is an important milestone in the outbreak. However, there is still a high risk of re-emergence of EVD, and a critical need to maintain response operations – as outlined in the WHO recommended criteria for declaring the end of the EVD outbreak.

    As of 3 March 2020, a total of 3444 EVD cases were reported from 29 health zones (Table 1, Figure 2), including 3310 confirmed and 134 probable cases, of which 2264 cases died (overall case fatality ratio 66%). Of the total confirmed and probable cases, 56% (n=1927) were female, 28% (n=973) were children aged less than 18 years, and 5% (n=171) were health care workers.

    WHO’s financial need for the Ebola Response for January to June 2020 (SRP 4.1) is US $83 million. Thanks to the generosity of donors during 2019, WHO had some carry-over funding available, however, WHO now requires US$ 40 million to ensure continuity of activities. Survivors of Ebola virus disease

    Ebola virus may persist in some survivors’ body fluids, with potential to infect others. In at least one instance during this outbreak, relapse was observed, sparking a new chain of transmission which has taken several months to interrupt. At the individual level, people who have recovered from EVD may develop medical and psychological complications. EVD survivors should be offered support when they return to their communities in order to care for any post-EVD complications.

    In response to these needs, and based on lessons learned from previous outbreaks, a multi-disciplinary follow-up programme for EVD survivor care was initiated just three months after the declaration of the outbreak by the Ministry of Health and the Institut National de Recherche Biomédicale (INRB), with the support of the World Health Organization and the World Food Programme. It was the first time a national EVD survivor programme was implemented in the early phase of an EVD outbreak.

    The programme entails monthly visits to health clinics for at least 18 months to follow up with clinical, biological and psychological aspects of each survivor’s health and well-being. Each month, more than 85% of survivors come to the clinics. This suggests that survivors and their communities accept, trust and have confidence in the programme. In addition, survivors are offered specialized services by trained local professionals, working in close collaboration with survivors’ associations. This includes ophthalmic care, neurological care, psychosocial support, laboratory services, pregnancy management and paediatric care. The programme has continued to adapt with the evolution of the outbreak. Five dedicated clinics are currently operating in Beni, Butembo, Goma, Mangina, and Mambasa.

    Since the beginning of the outbreak, 1160 people have recovered from EVD. This includes 50 (4%) infants under 1-year-old, 55 (5%) children aged 1 to 4 years old, 145 (13%) children aged 5 to 17, and 910 (78%) adults aged 18 years or older. Of the total survivors, 641 (55%) are female, including eight women that were pregnant at the time of EVD infection, and survived with a viable foetus. To ensure proper pregnancy follow-up and safe delivery, WHO supported the implementation of dedicated care for these women. This is the first time women who were pregnant while sick with EVD have recovered with healthy babies and is a major breakthrough in supporting pregnant women who recovered from EVD.

    In order to provide appropriate and needed care for EVD survivors it is essential to sustain the programme for at least 18 months after the outbreak is declared over. Furthermore, concerted research efforts are required to better understand and respond to survivor needs. WHO will support INRB and partners in these endeavours. Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 3 March 2020*





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    *Excludes n=153 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. ‘Non-active zones’ indicate health zone that have not reported new cases in the last 42 days. Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 3 March 2020*





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    Table 1: Confirmed and probable Ebola virus disease cases, and number of health areas affected, by health zone, North Kivu Province, Democratic Republic of the Congo, data as of 3 March 2020**





    Enlarge image



    **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: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 high, while global risk levels remain low. 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. 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 practise 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:

    Leave a comment:


  • Shiloh
    replied
    Source: https://www.who.int/csr/don/27-febru...-ebola-drc/en/
    Ebola virus disease – Democratic Republic of the Congo

    Disease outbreak news: Update
    27 February 2020



    From 19 to 25 February, no new confirmed cases of Ebola virus disease (EVD) were reported. This was the first time since the beginning of the response that no new confirmed cases were reported over a seven-day period (Figure 1). The most recent case was reported in Beni Health Zone, North Kivu Province on 17 February. While the lack of new confirmed cases reported in the last seven days is a major achievement, the outbreak remains active and risk of additional cases emerging remains high. In the past 21 days (5 to 25 February 2020), four confirmed cases were reported from two health areas in Beni Health Zone in North Kivu Province (Figure 2, Table 1). Even with strengthened surveillance operations, transmission of Ebola virus outside of groups currently under surveillance cannot be excluded. Ebola virus also persists in some survivors’ body fluids, with potential to infect others. In at least one instance during this outbreak, relapse – in which a person who has recovered from EVD develops symptoms again – was observed, sparking a new chain of transmission which has taken several months to interrupt. To mitigate a potential resurgence of the outbreak, it is critical to maintain response capacities to rapidly detect and respond to any new cases, and to prioritize survivor support and monitoring and the maintenance of cooperative relationships with the survivors’ associations.

    Substantial surveillance, pathogen detection, and clinical management activities are currently ongoing, including validating alerts, following remaining contacts who were potentially exposed to the virus, supporting rapid diagnostics of suspected cases, and working with community members to strengthen surveillance on people who pass away in the communities. As of 25 February, 510 contacts are currently under surveillance, of which 97% were followed daily in the last seven days. In the last seven days, more than 5100 alerts per day were reported and investigated, of which over 400 alerts (including ~70 community deaths) were validated as suspected EVD cases; requiring laboratory testing and specialized care within the established Ebola treatment and transit centres. On average, suspect cases stay in these facilities for three days before EVD can be definitively ruled out (i.e. after two negative polymerase chain reaction tests 48 hours apart), while care is provided for their illness under isolation precautions. Timely testing of suspected cases continues to be provided across 11 operational laboratories deployed in cities that have been affected by the outbreak. From 17 to 23 February, more than 3600 samples were tested.

    To maintain operations and prevent potential resurgence of the outbreak, WHO requires further funding. Under the Strategic Response Plan (SRP 4.1), WHO’s financial need for the Ebola Response from January to June 2020 is US $83 million. Thanks to the generosity of many donors during 2019, WHO has some carry-over funding, which has been applied to maintain operations through February 2020. USD $40 million is currently needed to ensure continuity of activities to bring the case incidence to zero, and to continue building strong and resilient health systems.

    As of 25 February, a total of 3444 EVD cases were reported, including 3310 confirmed and 134 probable cases, of which 2264 cases died (overall case fatality ratio 66%) (Table 1). Of the total confirmed and probable cases, 56% (n=1928) were female, 28% (n=974) were children aged less than 18 years, and 5% (n=172) were health care workers. Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 25 February 2020*





    Enlarge image



    *Excludes n=155 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. ‘Non-active zones’ indicate health zone that have not reported new cases in the last 42 days. Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 25 February 2020*





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    Table 1: Confirmed and probable Ebola virus disease cases, and number of health areas affected, by health zone, North Kivu Province, Democratic Republic of the Congo, data as of 25 February 2020**





    Enlarge image



    **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: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 high, while global risk levels remain low. 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. 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 practise 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:

    Leave a comment:


  • Shiloh
    replied
    Source: https://www.who.int/csr/don/20-febru...-ebola-drc/en/

    Ebola virus disease – Democratic Republic of the Congo

    Disease outbreak news: Update
    20 February 2020

    During the past week, the incidence of new Ebola virus disease (EVD) cases has remained low (Figure 1). From 12 to 18 February, one new confirmed case was reported. The case was reported in Beni Health Zone, North Kivu Province and had an epidemiological link to a confirmed case reported on 5 February. As the case was alerted and transferred to an Ebola Treated Centre four days after symptom onset, there remains a risk that onward transmission to contacts may have occurred, and further cases may be expected from the currently active chain of transmission. Ebola virus may also persist in some survivors’ body fluids for several months, and in a limited number of instances, transmissions from exposure to body fluids of survivors have been documented during this outbreak. The ongoing programme for survivor care helps mitigate the risks of re-introduction events.
    To maintain operations and prevent re-emergence of the outbreak, WHO is requesting funding. Under the Strategic Response Plan (SRP 4.1), WHO’s financial need for the Ebola Response from January to June 2020 is US $83 million. Thanks to the generosity of many donors during 2019, WHO has some carry-over funding, which has been applied to maintain operations through February 2020. USD $40 million is currently needed to ensure continuity of response and preparedness activities to bring the case incidence to zero, and continue building strong, resilient health systems.
    In the past 21 days (29 January to 18 February 2020), eight confirmed cases were reported from four health areas within two active health zones in North Kivu Province (Figure 2, Table 1): Beni (n=7) and Mabalako (n=1). It has been more than 42 days since Butembo and Mambasa Health Zones reported new cases. The continued reduction of geographic spread of EVD cases and the declining trend in case incidence observed in the past 21 days are encouraging.
    As of 18 February, a total of 3433 EVD cases were reported, including 3310 confirmed and 123 probable cases, of which 2253 cases died (overall case fatality ratio 66%) (Table 1). Of the total confirmed and probable cases, 56% (n=1924) were female, 28% (n=969) were children aged less than 18 years, and 5% (n=172) of all reported cases were health care workers. Substantial case finding activities continue with more than 5000 alerts reported and investigated daily, among which, approximately 450 suspected EVD cases are detected each day who require laboratory testing and specialized care within the established Ebola treatment and transit centres.
    Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 18 February 2020*




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    *3433 confirmed and probable cases, reported as of 18 February 2020. Excludes n=161 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. Non-active health zones indicate health zone that have not reported cases in the last 42 days.
    Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 18 February 2020*




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    Table 1: Confirmed and probable Ebola virus disease cases, and number of health areas affected, by health zone, North Kivu Province, Democratic Republic of the Congo, data as of 18 February 2020**




    Enlarge image
    **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: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 high, while global risk levels remain low. This assessment acknowledged improvements in case incidence and other epidemiological indicators, and the strengthened local and regional capacities. Dynamics of the outbreak, however, remain contingent upon access for response teams to affected areas. Continued insecurity remains a barrier to the outbreak response effort.
    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. 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 practise 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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  • Shiloh
    replied
    Source: https://www.who.int/csr/don/13-febru...-ebola-drc/en/
    Ebola virus disease – Democratic Republic of the Congo

    Disease outbreak news: Update
    13 February 2020



    This week, the case incidence continued to be low in the Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo (Figure 1). From 5 to 11 February, three new confirmed cases were reported in Beni Health Zone, North Kivu Province. All three cases have epidemiological links to a transmission chain originating in Aloya Health Area, Mabalako Health Zone, with possible nosocomial exposure in Beni. The most recent case reported from Beni Health Zone on 11 February was isolated one day after symptom onset. Early detection of cases reduces the probability of transmission of EVD in the community and significantly improves the clinical outcome for the patients.

    In the past 21 days (22 January to 11 February 2020), 12 confirmed cases, including three community deaths, were reported from four health areas within two active health zones in North Kivu Province (Figure 2, Table 1): Beni (n=11) and Mabalako (n=1). It has been 42 days since Katwa Health Zone has reported new cases. The continued reduction of geographic spread of EVD cases and the declining trend in case incidence observed in the past 21 days are encouraging; however, these improvements remain fragile and should not be interpreted as an indication that response efforts can be reduced. Continued vigilance is essential to improve infection prevention and control in health care facilities, as well as ensuring early identification and follow up of cases and contacts.

    As of 11 February, a total of 3432 EVD cases were reported, including 3309 confirmed and 123 probable cases, of which 2253 cases died (overall case fatality ratio 66%) (Table 1). Of the total confirmed and probable cases, 56% (n=1923) were female, 28% (n=968) were children aged less than 18 years, and 5% (n=172) of all reported cases were health care workers.

    On 12 February, the WHO Director-General reconvened the Emergency Committee under the International Health Regulations (IHR). The Committee reviewed progress in the implementation of the Temporary Recommendations issued on 18 October 2019. Updates on the outbreak were provided by representatives of the Ministry of Health of the Democratic Republic of the Congo, the UN Ebola Emergency Response Coordinator and the WHO Secretariat. The situation in neighbouring countries was reviewed, as well as preparedness in nonaffected areas of the Democratic Republic of the Congo. It was the view of the Committee that this event still constitutes a public health emergency of international concern (PHEIC). Further details can be found in the Emergency Committee Statement.

    On 10 February, WHO published new guidlines for healthcare providers regarding the management of pregnant and breastfeeding women in the context of Ebola virus disease. The document reviews existing evidence and provides a single set of recommendations on the care continuum for women exposed to, diagnosed with, or recovered from Ebola, and will enable healthcare providers, emergency response teams and health policy-makers to improve prevention and treatment measures in an Ebola outbreak. The news release of this guideline can be found here. Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 11 February 2020*





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    *3432 confirmed and probable cases, reported as of 11 February 2020. Excludes n=163 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. Non-active health zones indicate health zone that have not reported cases in the last 42 days. Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 11 February 2020*





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    Table 1: Confirmed and probable Ebola virus disease cases, and number of health areas affected, by health zone, North Kivu Province, Democratic Republic of the Congo, data as of 11 February 2020**





    Enlarge image



    **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:WHO risk assessment

    On 12 February 2020, WHO revised the risk assessment for this event from Very High down to High at the national and regional levels, while the risk level was maintained as Low at the global level. 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. This assessment acknowledged improvements in case incidence and other epidemiological indicators, and the strengthened local and regional capacities. Dynamics of the outbreak, however, remain contingent upon access for response teams to affected areas. Continued insecurity remains a barrier the outbreak response effort. The limited number of community deaths still occasionally reported among new EVD cases can perpetuate transmission, with potential for new cases to arise outside of groups under surveillance. Ebola virus may persist in some survivors’ body fluids. In a limited number of instances, secondary transmissions from exposure to body fluids of survivors have been documented. We should expect further clusters of cases following exposure to survivors’ infected body fluids in the coming few months. This risk can be mitigated through the dedicated programme for survivor care and monitoring. At both a national and regional level, potential limitations imposed on response and preparedness activities (e.g. shortages of funding, loss of access to communities due to deterioration in security, etc.), could reverse the gains that have been made in controlling the outbreak. 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. 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 practise 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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  • Pathfinder
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    Statement on the meeting of the International Health Regulations (2005) Emergency Committee for Ebola virus disease in the Democratic Republic of the Congo on 12 February 2020

    12 February 2020
    Statement

    Geneva, Switzerland The meeting of the Emergency Committee convened by the WHO Director-General under the International Health Regulations (IHR) (2005) to review the current Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo (DRC) took place on Wednesday, 12 February 2020, from 14:00 to 16:45 Geneva time (CEST).

    Proceedings of the meeting


    Members and advisors of the Emergency Committee were convened by teleconference.

    The Secretariat welcomed the Committee and thanked them for their support. The meeting was turned over to the Chair, Dr Robert Steffen.

    Dr Steffen also welcomed the Committee and gave the floor back to the Secretariat.

    Representatives of WHO’s legal department and the department of compliance, risk management, and ethics briefed the Committee members on their roles and responsibilities.

    Committee members were reminded of their duty of confidentiality and their responsibility to disclose personal, financial, or professional connections that might be seen to constitute a conflict of interest. Each member who was present was surveyed and no conflicts of interest were judged to be relevant to the meeting.

    The Chair then reviewed the agenda for the meeting and introduced the presenters.

    Presentations were made by representatives of the Ministry of Health of the Democratic Republic of the Congo (DRC), the WHO Secretariat, and the UN Ebola Emergency Response Coordinator.

    The current situation in the DRC was reviewed. As of 10 February 2020, there were a total of 3431 cases, of which 3308 were confirmed and 123 were probable. 2253 persons have died (66%). Between 3 and 9 February 2020, three new confirmed cases were reported in Beni Health Zone, North Kivu. These three cases were already registered as contacts and two were under surveillance at the time of detection. More than 2000 contacts are being followed. There has been an increase in the number of security incidents in recent months.

    Challenges that remain include: strengthening of community acceptance for full commitment to response measures; protection of personnel at strategic health checkpoints; improvement of infection prevention and control practices in health facilities; strengthening of the local health system; and comprehensive treatment and support for patients in recovery.

    The WHO Secretariat gave an overview of the epidemiological situation, which shows an overall encouraging trend in case incidence and geographic spread. It was noted that sustaining this progress depends on the security situation and control of the well-known drivers of transmission, particularly in traditional health facilities, and on continued trust and communication with the community.

    A risk communication and community engagement programme has been developed, as has an EVD survivors programme. It is critical to ensure the long-term sustainability of these two initiatives.

    The situation in countries neighbouring DRC was reviewed, as was preparedness in nonaffected areas of DRC. An EVD operational readiness standardized approach has been implemented in 9 priority countries. More than 2400 alerts have been investigated, and more than 14,600 health workers have been vaccinated.

    The UN Ebola Emergency Response Coordinator gave a brief report on operational support, focused on security challenges and preparations for any resurgence of disease.

    Context and Discussion


    The Committee noted a great deal of progress in the situation since its last meeting and commended the response, under the leadership of the DRC Ministry of Health and the multisectoral coordination commission established in July 2019. Support provided by WHO, UN agencies, nongovernmental organizations and other partners has also contributed to limiting the spread and impact of this virus in a difficult context. An increase in the number of alerts was attributed to strong and proactive community surveillance.

    Conclusions and Advice


    It was the unanimous view of the Committee that this event still constitutes a public health emergency of international concern (PHEIC) under the IHR (2005).

    The Committee acknowledged the revised risk assessment, which puts the risk now as high at national and regional levels, and low at the global level.

    The Committee was concerned that withdrawing the PHEIC now might have adverse consequences for the response efforts through diminishing focus. Additionally, although the primary concern of the Committee is EVD, there are serious ongoing outbreaks of other diseases, including measles and cholera, in DRC. The country continues to need support to combat infectious diseases as well as to strengthen its health system. Further, there remains an urgent need to maintain international solidarity for the response.

    The Committee noted the ongoing discussions about the interpretation in the text of the IHR (2005) of the terms international and regional spread, and about creating an intermediate level of response between the binary possibilities of PHEIC or no PHEIC, in a way that does not require reopening negotiations on the Regulations. The Committee supports these discussions, as an intermediate level would be as useful for gradually ending a PHEIC and for signaling the potential for one to be declared.

    The Committee provided the following advice to the Director-General for his issuance as revised Temporary Recommendations under the IHR (2005).

    For DRC:
    • Sustain the political commitment and multisectoral coordination approach to the response.
    • Continue to engage and build trust with associations of survivors to facilitate rapid detection of any cases arising from exposure to infected bodily fluids of survivors.
    • Continue to strengthen capacity, implementation, and coordination for community awareness and engagement, including a focus on hotspots, preventing resurgence where cases have declined, and to support survivors in their communities.
    • Further enhance the acceptance of response measures and address access and security issues by engaging influencers and decision makers for all interventions.
    • Strengthen measures to prevent and manage nosocomial infections, including systematic mapping of health facilities, targeting of IPC interventions and sustain support to those facilities through monitoring and supervision, including in private-sector and traditional health facilities.
    • Continue cross-border screening and step up monitoring at checkpoints around hotspots and at main roads.
    • Continue to implement and share real-time full-genome genetic sequencing of all new confirmed cases.
    • Strengthen measures to prevent and manage nosocomial infections, including systematic mapping of health facilities, targeting of IPC interventions and sustain support to those facilities through monitoring and supervision.
    • Strengthen preparedness in non-affected provinces of DRC, and more generally strengthen the health system across the country to respond to concurrent health emergencies.
    • Continue to implement optimal vaccine strategies that have proven maximum impact on curtailing the outbreak, as recommended by WHO’s Strategic Advisory Group of Experts (SAGE).

    For countries at risk:
    • At-risk countries should maintain their work with partners to improve their preparedness for detecting and managing imported or locally acquired cases, including the transparent sharing of detailed information on suspect cases, as required by the International Health Regulations (2005), and sharing laboratory samples of suspect cases for confirmatory testing in accordance with WHO norms and guidance.
    • Countries should continue to map population movements and sociological patterns that can predict risk of disease spread.
    • Risk communications and community engagement, especially at points of entry, should be maintained.

    For all countries:
    • As recommended previously, no country should close its borders or place any restrictions on travel and trade.
    • The Committee does not consider entry screening at airports or other ports of entry outside the region to be necessary.

    The Committee emphasized the importance of continued support by WHO and other national and international partners towards the effective implementation and monitoring of these recommendations.

    Based on this advice, the reports made by the affected State Party, and the currently available information, the Director-General accepted the Committee’s assessment and on 12 February 2020 maintained the Ebola outbreak in the Democratic Republic of the Congo as a Public Health Emergency of International Concern (PHEIC).

    The Director-General endorsed the Committee’s advice and issued them as Temporary Recommendations under IHR (2005) to reduce the international spread of Ebola, effective 12 February 2020. The Director-General thanked the Committee Members and Advisors for their advice and requested their reassessment of this situation within two months or earlier if the situation requires.

    https://www.who.int/news-room/detail...-february-2020

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  • Pathfinder
    replied


    World Health Organization (WHO)

    @WHO
    ˇ
    1h
    "Tomorrow, the Emergency Committee will meet to assess whether the #Ebola outbreak in #DRC continues to constitute a public health emergency of international concern"-
    @DrTedros

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  • Shiloh
    replied
    Source: https://www.who.int/csr/don/06-febru...-ebola-drc/en/
    Ebola virus disease – Democratic Republic of the Congo

    Disease outbreak news: Update
    6 February 2020



    From 29 January to 4 February four new confirmed cases were reported in the ongoing Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo. All four cases were reported in Beni Health Zone, North Kivu Province. Three cases had epidemiological links to the transmission chain which originated in Aloya Health Area, Mabalako Health Zone, and their most likely exposure was through nosocomial infection in traditional practitioner facilities. The fourth and most recent case reported in Beni Health Zone was not a known contact at the time of detection, stayed in the community for nine days after symptom onset, and passed away in the community on 4 February. Confirmed cases who spend time in the community increase the risk of transmission of EVD to contacts.

    In the past 21 days (15 January to 4 February January 2020), 18 confirmed cases, including three community deaths, were reported from three health areas within two active health zones in North Kivu Province (Figure 1, Figure 2, Table 1): Beni (n=17) and Mabalako (n=1). The reduction of geographic spread of EVD cases and the declining trend in case incidence observed in the past 21 days are encouraging. In addition, monthly surveillance indicators have overall improved since October 2019. These indicators include an increase in proportion of cases registered as contacts, a decrease in the proportion of community deaths among new reported cases, a decrease in delay to isolation, and a decrease in the monthly case fatality ratio.

    These improvements are fragile and should not be interpreted as an indication that response efforts can be reduced. Among the 18 people confirmed with EVD in the past 21 days, nine cases were isolated and provided care three or more days after symptom onset, which increases the possibility of community transmission. The four most recent cases reported in Beni Health Zone in the past seven days were not under surveillance at the time of detection. Therefore, heightened vigilance of the response is critical, including continued identification of cases and contacts, follow up of contacts, and continuing to improve infection prevention and control in health care facilities.

    As of 4 February, a total of 3429 EVD cases were reported, including 3306 confirmed and 123 probable cases, of which 2251 cases died (overall case fatality ratio 66%) (Table 1). Of the total confirmed and probable cases, 56% (n=1920) were female, 28% (n=967) were children aged less than 18 years, and 5% (n=172) of all reported cases were health care workers. Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 4 February 2020*





    Enlarge image



    *3429 confirmed and probable cases, reported as of 4 February 2020. Excludes n=169 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, Kayna, Komanda, Kyondo, Lolwa, Lubero, Mandima, Manguredjipa, Masereka, Mutwanga, Mwenga, Nyakunde, 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 4 February 2020*





    Enlarge image
    Table 1: Confirmed and probable Ebola virus disease cases, and number of health areas affected, by health zone, North Kivu Province, Democratic Republic of the Congo, data as of 4 February 2020**





    Enlarge image



    **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: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. 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. 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 practise 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:

    Leave a comment:


  • Pathfinder
    replied
    WEEKLY BULLETIN ON OUTBREAKS
    AND OTHER EMERGENCIES
    Week 5: 27 January - 2 February 2020
    Data as reported by: 17:00; 2 February 2020
    ...


    Ebola virus disease Democratic Republic of the Congo

    3 428 Cases
    2 250 Deaths
    66% CFR

    EVENT DESCRIPTION

    The Ebola virus disease (EVD) outbreak in North Kivu, South Kivu
    and Ituri provinces in Democratic Republic of the Congo continues.
    Since our last report on 26 January 2020 (Weekly Bulletin 4), there
    have been seven new confirmed cases in Beni (n=6) and Mabalako
    (n=1), with six new deaths. In the past 21 days (12 January to 1
    February 2020), 28 new confirmed cases were reported in Beni
    (64%; n=18) and Mabalako (36%; n=10 cases) health zones.
    At the
    same time, 27 health zones have not reported confirmed cases for
    more than 21 days.

    As of 1 February 2019, a total of 3 423 EVD cases, including 3 305
    confirmed and 123 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 (82), Mandima
    (347), Nyakunde (2), Rwampara (8) and Tchomia (2) in Ituri
    Province; Alimbongo (5), Beni (716), Biena (19), Butembo (295),
    Goma (1), Kalunguta (198), Katwa (653), Kayna (28), Kyondo (25),
    Lubero (31), Mabalako (463), Manguredjipa (18), Masereka (50),
    Musienene (85), Mutwanga (32), Nyiragongo (3), Oicha (65), Pinga
    (1) and Vuhovi (103) in North Kivu Province and Mwenga (6) in
    South Kivu Province.

    As of 1 February 2020, a total of 2 250 deaths were recorded,
    including 2 127 among confirmed cases, resulting in a case fatality
    ratio among confirmed cases of 64% (2 127/3 305). As of 1 February
    2020, the total number of health workers affected remains at 172,
    representing 5% of confirmed and probable cases.
    Contact tracing is ongoing in three health zones. A total of 2 374
    contacts are under follow-up as of 1 February 2020, of which 2 053
    (86.5%) have been seen in the past 24 hours. Alerts in the affected
    provinces continue to be raised and investigated. Of 4 965 alerts
    processed (of which 4 963 were new) in reporting health zones on
    1 February 2020, 4 963 were investigated and 447 (9.0%) were
    validated as suspected cases.

    PUBLIC HEALTH ACTIONS

    Response and surveillance activities continue in all affected
    areas. However, the security situation is worrying in some areas.
    In Oicha a new incursion resulted in civilian casualties and in
    Musienene and Biena response activities have been paralyzed by
    the presence of armed militia. In Butembo and Katwa, security
    has been reinforced.

    As of 1 February 2020, a cumulative total of 283 899 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 146 million screenings to date. A total of 104/109
    (95.4%) PoE/PoC transmitted reports as of 1 February 2020.
    Water, sanitation and hygiene (WASH) activities continue and as
    of 1 February 2020, 133 health facilities have been evaluated in
    Beni, Oicha, Kalunguta, Butembo and Mabalakao; at the same
    time 255/290 providers were briefed on IPC measures.

    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.

    The Deputy Mayor of Beni, who is determined to end EVD in his
    town, accompanied contacts identified to the vaccination site at
    the Kanzulinzuli health area; additionally, 49 heads of household
    around the confirmed case of 28 January 2020, were persuaded
    to participate in response activities.

    SITUATION INTERPRETATION

    New confirmed cases continue to be reported in Beni and Mabalako
    Health Zones. The ongoing insecurity in these regions is of grave
    concern, with the potential to disrupt response activities,
    which will
    lead to further transmission of EVD. Continued access and heightened
    vigilance is required as well as the need to maintain case investigation
    and contact tracing activities.

    https://apps.who.int/iris/bitstream/...0102022020.pdf

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  • Pathfinder
    replied
    Translation Google

    North Kivu: Dr Muyembe announces the relocation of the coordination of the response to Ebola in Beni

    Posted on Fri, 1/31/2020 - 10:32 AM | Modified on Fri, 31/01/2020 - 10:32

    The national coordination of the response to Ebola will soon be based again in Beni, the new epicenter of this epidemic. The announcement was made Thursday, January 30, to the Governor of North Kivu Province by Dr. Jean-Jacques Muyembe, coordinator of the technical secretariat of the multisectoral committee for the response to the Ebola virus disease.

    For Dr Muyembe, this relocation will bring coordination closer to the affected area for quick responses.

    The situation is currently alarming in Beni, where new positive cases of Ebola have been recorded following population movements.

    He also said that precautionary measures were being taken to save people in North Kivu from the coronavirus epidemic, which is raging in China.

    https://www.radiookapi.net/2020/01/3...dination-de-la

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  • Shiloh
    replied
    Source: https://www.who.int/csr/don/30-janua...-ebola-drc/en/
    Ebola virus disease – Democratic Republic of the Congo

    Disease outbreak news: Update
    30 January 2020



    From 22 to 28 January five new confirmed cases were reported in the ongoing Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo. All five cases were reported from Beni Health Zone and had epidemiological links to the transmission chain which originated in Aloya Health Area, Mabalako Health Zone. The most likely exposure for all these cases was through nosocomial infection in traditional practitioner facilities. All of the cases were identified as contacts but were not followed up at the time of detection.

    One confirmed case reported on 20 January stayed in the community for four days prior to being admitted to an Ebola treatment centre (ETC) and infected two additional people in the community. These two individuals, reported on 27 January, stayed four to five days in the community while symptomatic prior to isolation. One other confirmed case stayed in the community for eight days after symptom onset and passed away in the community on 28 January. Confirmed cases who spend time in the community increase the risk of transmission of EVD to contacts. Therefore, further cases can be expected in the coming two weeks in Bundji and Kanzulinzuli Health Areas and neighbouring health areas in Beni Health Zone.

    In the past 21 days (8 to 28 January 2020), 28 confirmed cases were reported from five health areas within three active health zones in North Kivu Province (Figure 1, Figure 2, Table 1): Beni (n=18), Mabalako (n=9), and Musienene (n=1). Beni Health Zone remains the current hotspot of the outbreak, having reported 64% of confirmed cases in the past 21 days. As of 28 January, the following health zones marked more than 21 days without confirmed cases of EVD: Mambasa Health Zone in Ituri Province (23 days), and Butembo (25 days) Health Zone in North Kivu Province. Of the 28 people confirmed with EVD in the past 21 days, 20 were isolated and provided care within the first two days after symptom onset, which means that they have better chances of survival and are less likely to infect contacts in the community.

    In the past 21 days encouraging trends about the development of the outbreak have been observed. The past epidemiological week (20 to 26 January 2020) saw the smallest number of cases reported since the beginning of the response; cases have been reported in five health areas in three health zones; contact tracing performance as well as the daily number of reported alerts continue to improve over time (Figure 3, Figure 4). Contact tracing has notably improved as a result of the provision of accommodation and essential services in Beni Health Zone to known contacts who have agreed to be followed. Despite these encouraging signs, continuous vigilance is warranted in order to overcome remaining challenges. Possible nosocomial transmission linked to traditional practitioner facilities remains a major driver of the current outbreak and poses specific challenges such as contact identification.

    As of 28 January, a total of 3421 EVD cases were reported, including 3302 confirmed and 119 probable cases, of which 2242 cases died (overall case fatality ratio 66%) (Table 1). Of the total confirmed and probable cases, 56% (n=1918) were female, 28% (n=963) were children aged less than 18 years, and 5% (n=172) of all reported cases were health care workers. Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 28 January 2020*





    Enlarge image



    **3421 confirmed and probable cases, reported as of 28 January 2020. Excludes n=169 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, Kayna, Komanda, Kyondo, Lolwa, Lubero, Mandima, Manguredjipa, Masereka, Mutwanga, Mwenga, Nyakunde, 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 28 January 2020*





    Enlarge image
    Figure 3. Alerts of Ebola virus disease reported, investigated, and validated daily from outbreak affected areas in the Democratic Republic of the Congo, as of 28 January 2020





    Enlarge image
    Figure 4. Number of contacts registered and followed up each day, as of 28 January 2020





    Enlarge image
    Table 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 28 January 2020**





    Enlarge image



    **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: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. 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. 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 practise 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:

    Leave a comment:


  • Pathfinder
    replied
    WEEKLY BULLETIN ON OUTBREAKS
    AND OTHER EMERGENCIES
    Week 4: 20 - 26 January 2020

    Data as reported by: 17:00; 26 January 2020
    ...
    Ebola virus disease Democratic Republic of the Congo

    3 416 Cases
    2 239 Deaths
    66% 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 four health zones and seven health areas reporting 28 new
    confirmed cases in the past 21 days (5 to 25 January 2020). Since
    our last report on 19 January 2020 (Weekly Bulletin 3), there have
    been five new confirmed cases and three new deaths. The principle
    hot spots of the outbreak in the past 21 days are Beni (54%; n=15),
    Mabalako (36%; n=10 cases) and Butembo (12%; n=4).
    One health
    zone, Beni, has reported new confirmed cases in the past seven
    days.

    As of 25 January 2019, a total of 3 417 EVD cases, including 3 298
    confirmed and 119 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 (82), Mandima
    (347), Nyakunde (2), Rwampara (8) and Tchomia (2) in Ituri
    Province; Alimbongo (5), Beni (710), Biena (19), Butembo (295),
    Goma (1), Kalunguta (198), Katwa (653), Kayna (28), Kyondo (25),
    Lubero (31), Mabalako (462), Manguredjipa (18), Masereka (50),
    Musienene (85), Mutwanga (32), Nyiragongo (3), Oicha (65), Pinga
    (1) and Vuhovi (103) in North Kivu Province and Mwenga (6) in
    South Kivu Province.

    As of 25 January 2020, a total of 2 240 deaths were recorded,
    including 2 121 among confirmed cases, resulting in a case fatality
    ratio among confirmed cases of 64% (2 121/3 298). As of 25
    January 2020, the total number of health workers affected has risen
    to 172, still representing 5% of confirmed and probable cases.
    Contact tracing is ongoing in five health zones. A total of 2 112
    contacts are under follow-up as of 25 January 2020, of which 2 017
    (95.5%) have been seen in the past 24 hours. Alerts in the affected
    provinces continue to be raised and investigated. Of 5 572 alerts
    processed (of which 5 471 were new) in reporting health zones on
    25 January 2020, 5 439 were investigated and 494 (9.1%) were
    validated as suspected cases.

    PUBLIC HEALTH ACTIONS

    Response and surveillance activities continue in all affected
    areas. However, there was an attack on reponse teams in
    Masereka during the reporting period, and the security situation
    in Bunia is precarious.

    Military personnel have been deployed to Munze, a town a few
    kilometres away from Mangina, to counter militia incursions that
    could disrupt response activities in the area.

    As of 25 January 2020, a cumulative total of 275 485 people has
    been vaccinated since the start of the outbreak in August 2018.

    Point of Entry/Point of Control (PoE/PoC) screening continues,
    with over 144 million screenings to date. A total of 105/109
    (96.3%) PoE/PoC transmitted reports as of 22 January 2020.

    Water, sanitation and hygiene (WASH) activities continue, with
    392 healthworkers briefed in Beni, Oicha. Butembo and Mambasa
    and there was formative assessment of 553 hand-washing points
    in the same health zones.

    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.

    A mass campaign “let’s all vaccinate against EVD” was launched
    in Aloya, Mabalako Health Zone and Mambasa. In addition, the
    commission continued with community dialogue to persuade the
    community to be vaccinated and to persuade traditional healers
    and health structures to collaborate in the transfer of suspected
    cases to the Ebola treatement and transit centres in Aloya, Beni
    and Biakato.

    SITUATION INTERPRETATION

    New confirmed cases continue to be reported in Beni and Mabalako and
    Butembo in North Kivu Province. Enhanced surveillance performance
    has helped ensure faster isolation of sick individuals, which in turn
    decreases the likelihood of infection in the community. Continued
    access and heightened vigilance is required to sustain these gains in
    case investigation and contact tracing activities.

    https://apps.who.int/iris/bitstream/...2026012020.pdf

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  • Shiloh
    replied
    Source: https://www.who.int/csr/don/23-janua...-ebola-drc/en/

    Ebola virus disease – Democratic Republic of the Congo

    Disease outbreak news: Update
    23 January 2020

    Nine new confirmed cases were reported from 15 to 21 January in the ongoing Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo. All of the cases were reported from Beni Health Zone in North Kivu Province. Eight of the cases (8/9) were registered contacts prior to symptom onset; all nine had epidemiological links to a confirmed case.
    In the past 21 days (1 to 21 January 2020), 35 confirmed cases were reported from 11 health areas within five active health zones in North Kivu and Ituri Provinces (Figure 1, Figure 2, Table 1): Beni (n=14), Mabalako (n=11), Butembo (n=5), Mambasa (n=4), and Musienene (n=1). Beni and Mabalako Health Zones remain the current hotspots of the outbreak, having reported 71% of confirmed cases in the past 21 days. Of the 35 people confirmed with EVD in the past 21 days, 24 were isolated and provided care within the first two days after the onset of symptoms, meaning they have better chances of survival and are less likely to infect contacts in the community. In the past 21 days, only one confirmed EVD death occurred in the community, outside of an Ebola treatment centre.
    In recent weeks, contacts of confirmed cases have been offered the option of staying in supportive accommodation allocated for identified EVD contacts where they are provided with food and other essential goods. This allows for systematic daily follow-up of contacts and enables prompt isolation and provision of care to contacts that become symptomatic. As a result, the median time to isolation in the past 21 days has decreased from three days to one day (interquartile range 0-3).
    The number of new confirmed cases reported each week has remained stable over the past six weeks, with approximately 14 new EVD cases reported weekly. In addition, improved surveillance indicators such as the proportion of cases listed as contacts and followed prior to detection, and the decreased time to isolation of cases are encouraging signs.
    As of 21 January, a total of 3416 EVD cases were reported, including 3297 confirmed and 119 probable cases, of which 2238 cases died (overall case fatality ratio 66%) (Table 1). Of the total confirmed and probable cases, 56% (n=1912) were female, 28% (n=963) were children aged less than 18 years, and 5% (n=172) of all reported cases) were healthcare workers.
    Analysis of ongoing chain of transmission

    As of 21 January, the current transmission chain is comprised of 82 confirmed and probable cases reported in 13 health areas in six health zones; Mabalako, Beni, Biena, Butembo, Katwa, and Musienene Health Zones. The transmission chain originated from one individual who was classified as a relapse of EVD in Aloya Health Area, Mabalako Health Zone (first reported in the Disease Outbreak News published on 19 December 2019). The individual, which is the first and only case of relapse documented in this outbreak, was infected in June 2019, relapsed in November, and passed away in December.
    Further analyses indicate that the individual directly infected 29 people while symptomatic in the community for nine days before being isolated. Of the cases who were directly infected from this case, 11/29 were through possible nosocomial transmission. The remaining 52 cases resulted from onward transmissions.
    Based on available information regarding the place of exposure for cases in this transmission chain, the main drivers are individuals exposed in the community due to delays to case isolation (50%, 41/82), possible nosocomial transmission (37%, 30/82), and community deaths where cases were exposed during funerals (2%, 2/82). The estimated reproduction number (R), which is the expected number of secondary cases produced by a single infection in a susceptible population, of this transmission chain was not statistically significantly different from the overall mean R of this outbreak, likely due to the limited sample size of cases in the transmission chain which originated in Aloya Health Area. These findings reinforce the importance of early identification of cases and safe and dignified burials.
    Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 21 January 2020*




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    *3416 confirmed and probable cases, reported as of 21 January 2020. Excludes n=169 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, Bunia, Goma, Kayna, Komanda, Kyondo, Lolwa, Lubero, Mandima, Manguredjipa, Masereka, Mutwanga, Mwenga, Nyakunde, 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 21 January 2020*




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    Table 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 21 January 2020**




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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: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.
    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. 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 practise 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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