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

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  • Pathfinder
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    Translation Google

    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/2019/10/2...ans-la-zone-de

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  • Pathfinder
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    Translation Google
    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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  • Pathfinder
    replied
    Translation Google

    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/2019/10/1...ique-de-portee

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

    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/2019/10/2...des-structures

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  • Pathfinder
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    Translation Google

    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/2019/10/1...ante-de-mahulo

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  • Pathfinder
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    Translation Google

    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/2019/10/1...ge-des-centres

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  • Shiloh
    replied
    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*





    Enlarge image



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





    Enlarge image
    Table 1: Confirmed and probable Ebola virus disease cases, and number of health areas affected, by health zone, North Kivu and Ituri provinces, Democratic Republic of the Congo, data as of 15 October 2019**





    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, 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:

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  • Pathfinder
    replied
    Translation Google

    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/2019/10/1...ai-mai-dans-la

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  • Pathfinder
    replied
    Translation Google

    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-...bola-a-lwemba/

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  • Pathfinder
    replied
    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/...0713102019.pdf

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

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  • Pathfinder
    replied
    Translation Google
    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.
    ...

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  • Pathfinder
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    Translation Google
    EPIDEMIOLOGICAL SITUATION
    EVOLUTION OF THE EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI AS AT OCTOBER 11, 2019

    Saturday, October 12, 2019
    • Since the beginning of the epidemic, the cumulative number of cases is 3,212, of which 3,098 are confirmed and 114 are probable. In total, there were 2,148 deaths (2034 confirmed and 114 probable) and 1031 people cured.
    • 466 suspected cases under investigation;
    • 2 new confirmed cases at CTE in Ituri in Mandima;
    • 2 new confirmed deaths, including:
    • 2 community deaths in Ituri in Mandima;
    • No confirmed deaths in CTE;
    • 3 people healed from the CTE, including 2 in Ituri in Komanda and 1 in North Kivu in Katwa;
    • 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 a press conference on the evolution of Ebola Virus Disease in Kinshasa
    • - The Technical Secretary of the Multisectoral Committee for Ebola Virus Epidemic Response (CMRE), Prof. Jean Jacques Muyembe Tamfum chaired this Saturday, October 12, 2019 in Kinshasa press conference during which he reported on the 10 th epidemic Ebola virus disease in DRC since its declaration on 1 st August 2018 to date;
    • - To this end, he showed the strategies used in the response of this epidemic and spoke of the recourse to technological innovations, while recalling that the Head of State, President Félix-Antoine Tshisekedi Tshilombo, placed him at head of the technical secretariat of CMRE, with two main missions. This includes ending the epidemic as soon as possible and capitalizing on the achievements of this epidemic to strengthen the DRC's health system, starting with the three provinces affected by this epidemic;
    • - Speaking of the evolution of the response, he reported some tangible progress, notably from July 2019, where 90 confirmed cases per week were recorded, or 15 per day, while currently there are fewer than 20 case by week, ie 1 to 3 cases per day, or even zero cases confirmed as the 05 October 2019 last. " In this period, three provinces were active (North and South Kivu, as well as Ituri), while today only the province of Ituri is affected . Today, only 9 zones are affected of the 22 recorded in July 2019, "said the technical secretary of the CMRE;
    • - He said that for now the epidemic is concentrated in the North from where it came before revealing itself in Mangina and Mabalako in North Kivu. Hence all efforts are concentrated to put an end to this epidemic as quickly as possible;
    • - Regarding strategies to end this epidemic, the Pof. Muyembe spoke about the change of approach that is now multisectoral and that at present, the outline of the epidemic is placed under the leadership of the presidency of the Democratic Republic of Congo with as coordinator the Prime Minister. This committee has a technical secretariat which directs the general coordination managed by Prof. Steve Ahuka and the provincial sub-coordinators of the response;
    • - The second strategy was to maintain the motivation of the teams on the spot. This has been regularized with the support of the World Bank. An operating budget is now given to the coordination in Goma as well as all the co-ordination;
    • - The other strategy is to give more importance to national leadership. A partnership has been built with WHO, UNICEF and MSF that support coordination in Goma. Nationals are at the forefront and partners support. This has changed a lot on the field, says Professor Muyembe;
    • - Finally, notes the Technical Secretary, innovations have been made with this epidemic with the use of experimental vaccines, first RVSV zebov from Merck with belt vaccination which has shown its effectiveness;
    • - " It is time to use a new vaccine, following the recommendations of the SAGE expert group that advises WHO on immunization. On May 15, 2019, this group recommended using an adjusted dose of the RVSV vaccine to prevent a possible shortage due to the fact that the epidemic lasts a long time, "Prof. Muyembe;
    • - He added: " His second recommendation was to use a second preventive vaccine. After proposals, it is the Johnson & Johnson vaccine that presents the most data on the scientific level . He announced that the teams are prepared to give correct communication and to vaccinate the population;
    • - He recalled that this second vaccine is used in West Africa since 2013, will also be used in Rwanda and Goma to protect the Congolese compatriots of Goma, where more than 64,000 of them cross the border daily. to go to Gisenyi and vice versa;
    • - The 1 st batch of the vaccine J & J, 500 000 doses will arrive in the DRC from 18 October 2019 and the vaccination will not start at the beginning of November 2019 in two towns of Goma to extend then in d other provinces;
    • - The clinical trials carried out by the DRC will serve the whole world, since now two molecules tested are now available to break the chain of transmission during the next appearances of the Ebola virus.
    • - " From this year, Ebola became a curable disease because we found medicines to cure the sick. It can also be avoided by immunization, especially if both are presented in time, "concluded the technical secretary of the Multisectoral Ebola Epidemic Response Committee at Ebola Virus Disease. . Muyembe Tamfum.
    VACCINATION
    • - A new vaccination ring was opened around two confirmed cases from 10 October 2019 in the Biakato Health Area in Mangina / AS Biakato mine with low participation due to a strong community reluctance;
    • - Vaccination of newly recruited front-line staff continues at Kyondo Reference Hospital and Kayna Health Zone in Bulinda, North Kivu;
    • - Continuation of Local Polio Vaccination Days integrated with Vitamin A supplementation and Mebendazole deworming in 17 health zones at the Butembo antenna in North Kivu;
    • - Since the beginning of vaccination on August 8, 2018, 237,165 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.
    ...

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  • Shiloh
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    Source: https://www.who.int/csr/don/10-octob...-ebola-drc/en/
    Ebola virus disease – Democratic Republic of the Congo

    Disease outbreak news: Update
    10 October 2019



    The number of reported cases of Ebola virus disease (EVD) consistently declined in recent weeks, with 14 new confirmed cases reported in North Kivu and Ituri provinces during the epidemiological week of 30 September through 6 October (Figure 1). At peak transmission in April 2019, there were 126 cases in the week. 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.

    In mid-September, serious security incidents in Lwemba Health Area, Mandima Health Zone, stalled outbreak response activities for more than two weeks. To improve confidence and community engagement in response activities, an open forum for discussion and reconciliation was held in Lwemba with partners and civil society last week. Response activities have since resumed but remain limited. Improved access may result in enhanced case finding and contact tracing therefore could result in an increase in the number of reported cases and contacts in the area.

    There is a shift in hot spots from urban settings to more rural, hard-to-reach communities, across a more concentrated geographical area. During the past 21 days (from 18 September through 8 October), a total of 59 confirmed cases were reported from ten health zones (Table 1, Figure 2), with almost four out of five confirmed cases from four health zones: Mandima (31%, n=18), Mambasa (29%, n=17), Komanda (10%, n=6), Oicha (8%, n=5). This brings 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, especial around some mining sites. The occurrence of transmission along a major road in from Komanda and Mambasa also poses greater risk of spread westward to other major cities in the country (such as to Kisangani).

    As of 8 October, a total of 3207 EVD cases were reported, including 3093 confirmed and 114 probable cases, of which 2144 cases died (overall case fatality ratio 67%). Of the total confirmed and probable cases, 59% (n=1797) were female, 31% (n=909) were children aged less than 18 years, and 5% (n=162) were health workers.

    As of 4 October, 1000 people have survived EVD in this outbreak. Since November 2018, the Ministry of Health and the Institute of Biomedical Research laboratory, with support from WHO, have undertaken a programme to aid in the reintegration of survivors into the community. The programme provides to EVD survivors monthly clinical, biological and psychological follow-up for a year after their discharge from the treatment center. Currently there are three operational clinics located in Beni, Butembo and Mangina.

    Under Pillar 1 of the current Strategic Response Plan, the estimated funding requirement for all partners for the period July to December 2019 is US$ 287 million, including US$ 120-140 million for WHO. As of 10 October, US$ 60.4 million have been received by WHO, with additional funds committed or pledged. Further resources are needed to fund the response through to December 2019 and into the first quarter of 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 8 October, WHO has received US$ 1.6 million. Whilst 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 8 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 8 October 2019*





    Enlarge image
    Table 1: Confirmed and probable Ebola virus disease cases, and number of health areas affected, by health zone, North Kivu and Ituri provinces, Democratic Republic of the Congo, data as of 8 October 2019**





    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, carried out on 8 October 2019, concluded that the national and regional risk levels remain very high, while global risk levels remain low.

    Substantial progress has been made in the response over the past month with the number of new confirmed cases on a stable decline. With ongoing transmission shifting from major metropolitan hotspots to rural health zones, vigilance is required as these areas can be difficult to access and face security challenges. Response strategies must continue to be adapted to the local context and capacities for operational readiness and preparedness should be enhanced and sustained in non-outbreak affected areas including major transit routes. 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:

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  • Pathfinder
    replied
    Translation Google

    The DRC has launched the use of the new vaccine to protect against different types of Ebola virus

    By TopCongo FM 88.4 Useful Frequency October 8, 2019 3 0 2 Minutes Read

    "This vaccine here Johnson & Johnson protects you against other types of Ebola virus, including Sudan and Bundibugyo. This vaccine has a second advantage, it contains the antigens of other viruses because EVSV only protects against Ebola Zaire virus. At home, the Ebola Bundibugyo virus is circulating. For example, the outbreak of Isiro in 2012 was caused by the strain Ebola Bundibugyo, " said Tuesday the coordinator of the multisectoral committee in charge of the response to this disease.

    The new vaccine concerns all trafficking between the DRC and Rwanda, including small cross-border businesses, to reassure that Ebola will not cross the border.

    The inhabitants of Karisimbi and Majengo health areas are also concerned.

    According to Professor Jean-Jacques Muyembe, this vaccine will also be given to people in areas not yet affected by Ebola.

    Since the beginning of the epidemic, the cumulative number of cases is 3,205, of which 3,091 confirmed and 114 probable. In total, there were 2,142 deaths (2,028 confirmed and 114 probable) and 1,006 people healed.

    "363 suspected cases are under investigation and a new case has been confirmed at CTE North Kivu in Oicha. No new deaths were confirmed and 2 cured people had just come out of the CTE Butembo, "says epidemiological bulletin issued October 6 by the Committee in charge of the response to Ebola.

    Which also reveals that no "health worker 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, " learned TOP CONGO FM.

    Alain Tshibanda

    https://topcongofm.net/la-rdc-a-lanc...u-virus-ebola/

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  • Pathfinder
    replied
    Translation Google

    DRC: Ebola response agents threatened by Mai-Mai in Mambasa

    Posted on Mon, 07/10/2019 - 09:50 | Edited Mon, 07/10/2019 - 09:50

    Ebola response agents and their facilities are under heavy threat of Mayi-Mayi militia attacks in Mambasa territory (Ituri). They have issued leaflets in several places to announce an imminent attack, said Sunday, October 6 the administrator of the territory. The NGO CODEPEF reports that some residents have already left the outlying areas of Mambasa.

    Leaflets were collected from three different locations, in which the militiamen announced their imminent incursion into Mambasa center. According to the administrator of the territory, these armed men even launched telephone messages to blackmail the response team.

    They demand - through these messages - money to organize the funeral of one of their brother who died of Ebola about three weeks ago in Mangina.

    According to the NGO CODEPEF, among the attack targets of these militiamen, there is in particular the Ebola treatment center installed in the general reference hospital of Mambasa, the hotel pygmies, which hosts the agents of riposte , and the grouping office, which hosted the response team.

    Panicking, some residents fled to Mambasa center to avoid being victims. Some agents of riposte are afraid to go on ground.

    The deputy coordinator of the NGO CODEPEF, Laurent Keya, indicates that these threats are taken very seriously, because these militiamen have already attacked Lwemba and Bikatato and do several damage:

    "We ourselves have seen these tacts, which announced the attacks of these elements Mai-Mai to the chief town of the territory of Mambasa. Why do they want to come to attack Mambasa? We, the people of Mambasa, accept that organizations come to work here ... "

    The administrator of the Mambasa territory ensures that all steps are taken to secure the population and response activities, "which are proceeding normally. Local sources report that the FARDC has intensified patrols in Mambasa-center.

    https://www.radiookapi.net/2019/10/0...ai-mai-mambasa

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  • Pathfinder
    replied
    Translation Google

    North Kivu: victim of threats, MSF plans to reduce its interventions in Masisi and Walikale

    Posted on Sat, 05/10/2019 - 13:53 | Modified on Sat, 05/10/2019 - 13:53

    The international organization Doctors Without Borders (MSF), based in Goma, plans to further reduce its humanitarian interventions in the Masisi and Walikale territories of North Kivu. In a statement issued Friday, October 4, the NGO said that this measure would apply if his teams continue to be threatened, or are not sufficiently protected in this region.

    "Our teams have recently faced a number of security threats and incidents in the Walikale and Masisi territories ..." , said MSF head of North Kivu Antony Kergosien.

    He added that these security threats and incidents have "forced his organization to temporarily reduce its humanitarian activities in the region, which, in turn, deprives local populations of essential medical care. "

    "If our teams, convoys and facilities are not respected and protected, we will have to re-evaluate our ability to intervene and adjust our medical and humanitarian programs in the health zones concerned," continued Kergosien.

    The MSF / North Kivu communiqué does not give any details about the perpetrators of the threats to its teams in Masisi and Walikale nor to what level would the resizing of its interventions.

    However, MSF recalls that the security of humanitarian actors is essential to ensure their presence and intervention, and therefore demands that it and other humanitarian organizations operating in the region have unimpeded access to no more need for attention.

    Since 1981, MSF has been working in the Democratic Republic of Congo, where it provides the population with medical, surgical, pediatric and obstetric care, as well as the management of malnutrition and HIV / AIDS. It also responds to epidemics like measles and Ebola.

    https://www.radiookapi.net/2019/10/0...-interventions

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