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

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  • Shiloh
    replied
    Source: https://www.who.int/csr/don/26-June-2020-ebola-drc/en/
    Ebola virus disease – Democratic Republic of the Congo


    Disease outbreak news: Update
    26 June 2020



    On 25 June 2020, the Minister of Health of the Democratic Republic of the Congo declared the end of the Ebola Virus Disease (EVD) outbreak in North Kivu, Ituri and South Kivu Provinces . In accordance with WHO recommendations, the declaration was made more than 42 days after the last person who contracted EVD in this outbreak tested negative twice and was discharged from care.

    The outbreak was declared on 1 August 2018 following investigations and laboratory confirmation of a cluster of EVD cases in North Kivu Province. Further investigations identified cases in Ituri and North Kivu Provinces with dates of symptom onset from May to August 2018. In 2019, the outbreak subsequently spread to South Kivu Province, and on 17 July 2019, the WHO Director-General declared the outbreak a Public Health Emergency of International Concern. In the Democratic Republic of the Congo, 11 outbreaks have been recorded since the first recognized outbreak in 1976. The 10th EVD outbreak in North Kivu, Ituri and South Kivu Provinces was the country's longest EVD outbreak and the second largest in the world after the 2014–2016 EVD outbreak in West Africa.

    The response to the outbreak was led by the Ministry of Health with support from WHO and partners in the areas of surveillance, contact tracing, laboratory services, infection prevention and control (IPC), clinical management, community engagement, safe and dignified burials, response coordination and preparedness activities in neighbouring provinces. The engagement of local leaders, communities and survivors in EVD survivor care programmes and community messaging played a central role in curtailing the outbreak. Challenges in establishing trust with affected communities, reticence for admission to Ebola treatment facilities, a high level of insecurity due to the presence of armed groups in the affected areas, as well as a series of attacks against health workers contributed to the difficulty of containing this outbreak.

    Despite these challenges, no new confirmed cases have been reported since April 2020, and North Kivu, Ituri and South Kivu Provinces were declared Ebola-free 23 months after the first cases were reported. June 2020 marks the beginning of the handover of outbreak response and surveillance activities from the central government and international partners to the Provincial Health Divisions.

    From 17 to 23 June 2020, an average of 2790 alerts were reported per day and investigated. Of these, over 99% were investigated within 24 hours, and an average of 428 alerts were validated as suspected cases each day, requiring specialized care and laboratory testing to rule out EVD. Sustained numbers of alerts have been reported daily since April 2020 due to strengthened capacity to detect emergent cases and continuous support of provincial health divisions and the Ministry of Health. The timely testing of suspected cases was achieved by a network of eight laboratories. From 15 to 21 June 2020, a total of 3219 samples were tested including 2665 blood samples from alive, suspected cases; 323 swabs from community deaths; and 344 samples from re-tested patients. Overall, the number of samples tested by the laboratories increased by 4% compared to the previous week.

    From 1 August 2018 to 25 June 2020, a total of 3470 EVD cases were reported from 29 health zones including 3317 confirmed cases and 153 probable cases. Of the total confirmed and probable cases, 57% (n=1974) were female, 29% (n=1006) were children aged less than 18 years and 5% (n=171) were health care workers. There were 2287 deaths recorded (overall case fatality ratio 66%), 33% (1152/3470) of cases died outside of Ebola treatment centres, and 1171 cases recovered from EVD. Over the course of the outbreak, more than 250 000 contacts of cases were registered in North Kivu, Ituri and South Kivu Provinces.

    On 25 June 2020, the Democratic Republic of the Congo entered a 90-day period of heightened surveillance. Although human-to-human transmission of Ebola virus has ended in North Kivu, Ituri and South Kivu Provinces and the outbreak has officially been declared over, the risk of re-emergence still exists. Therefore, there is a critical need to maintain response operations to rapidly detect and respond to any new cases and to prioritize ongoing support and care for people who recovered from EVD.

    Ebola virus can persist in some body fluids of survivors for several months, and in rare cases may result in secondary transmission or in relapse, as seen in this outbreak. In addition, Ebola virus is present in animal reservoirs in the region, so there is continued risk of zoonotic spillover. Given that cases may continue to occur from time to time in the Democratic Republic of the Congo, maintaining a robust surveillance system and response operations to rapidly detect, isolate, test and treat new suspected cases are essential.
    Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 25 June 2020*






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    *Excludes n=71/3470 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 zones’ indicate health zones other than Kalunguta, Mandima, Mabalako, Beni, Butembo & Katwa Health Zones which have been affected by EVD.
    Public health response


    In response to this EVD outbreak, from 1 August 2018 to 25 June 2020:
    • 11 field laboratories were set up to test up to 4200 samples a week, using GeneXpert polymerase chain reaction (PCR). Overall, more than 220 000 samples were tested;
    • 11 Ebola Treatment Centres were set up to care for people with Ebola and provided supportive care and life-saving therapeutics to 2198 confirmed cases;
    • 25 decentralized and centralized transit centres were set up to care for suspect cases;
    • An Ebola vaccine was licensed, and two treatments, regeneron (REGN-EB3) and mAb114, were found to be highly effective. 305 841 people were identified as eligible for vaccination, of whom 99% (n=303 905) were vaccinated;
    • Since November 2018, a national care programme for EVD survivors has been set up to provide dedicated clinical and psychological care and biological follow-up of body fluids. Every month, more than 90% of people who recovered from EVD attend the monthly follow-up, showing good acceptance and usefulness of the programme;
    • More than 29 000 death alerts resulted in more than 26 000 safe and dignified burials performed (88% success throughout the outbreak);
    • IPC supportive supervision and mentorship were provided to more than 3000 health facilities;
    • More than 2100 healthcare workers were trained on IPC;
    • More than 1000 metric tons of supplies were delivered through 750 international cargos; and
    • Over 180 million screenings were conducted for Ebola symptoms at borders or other points of control.

    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 - North Kivu, Ituri and South Kivu Provinces


    The latest WHO assessment concluded that the current EVD outbreak has been contained, considering that more than 42 days (two incubation periods) have elapsed since the date of the second consecutive negative test of the last case confirmed case on 13 May 2020. On 26 June 2020, WHO maintained the risk assessment for this event as Moderate at the national and regional levels, and the risk level remained Low at the global level.

    Under the Consolidation and Stabilization Strategic Plan adopted by the Ministry of Health, enhanced surveillance, a long-term programme for Ebola survivor care, and other response mechanisms remain in place following the end of the outbreak declaration to maintain increased vigilance and contribute to strengthening and resilience of the local health systems.

    Given that EVD is likely to persist in an animal reservoir in the Democratic Republic of the Congo, a new zoonotic spillover event may occur. Moreover, an EVD cluster may also occur from exposure to body fluids of survivors, although the probability of this will reduce over time.

    WHO considers ongoing challenges in access and security, community trust in authorities, fragile health systems, coupled with the emergence of coronavirus 2019 (COVID-19), cholera, measles and the EVD outbreak recently reported in Équateur Province, as factors that might jeopardize the country’s ability to rapidly detect and respond to the re-emergence of EVD cases in North Kivu, Ituri and South Kivu Provinces.

    As per the advice of the International Health Regulations (2005) Emergency Committee, which was convened on 26 June 2020, the WHO Director-General declared that the EVD outbreak in North Kivu, Ituri and South Kivu Provinces no longer constitutes a Public Health Emergency of International Concern. For further information, please see the Statement on the meeting of the International Health Regulations (2005) Emergency Committee for Ebola virus disease in the Democratic Republic of the Congo on 26 June 2020
    WHO advice


    WHO advises the following risk reduction measures as an effective way to reduce EVD transmission in humans:
    • Reducing the risk of wildlife-to-human transmission from contact with infected fruit bats or non-human primates and the consumption of their raw meat. Animals should be handled with gloves and other appropriate protective clothing. Animal products (blood and meat) should be thoroughly cooked before consumption.
    • Reducing the risk of human-to-human transmission from direct or close contact with people with EVD symptoms, particularly with their bodily fluids. Gloves and appropriate personal protective equipment should be worn when taking care of ill patients. Regular hand washing is required after visiting patients in a hospital, as well as after taking care of patients at home.
    • Strengthen infection prevention and control practices in healthcare facilities: standard precautions should be applied to all patients cared for in a health care facility irrespective of their infection status. A particular focus is required for traditional practitioners.
    • Reducing the risk of possible sexual transmission, based on further analysis of ongoing research and consideration by the WHO Advisory Group on the Ebola Virus Disease Response, WHO recommends that male survivors of EVD practice safe sex and hygiene for 12 months from onset of symptoms or until their semen tests negative twice for Ebola virus. Contact with body fluids should be avoided and washing with soap and water is recommended. WHO does not recommend isolation of male or female convalescent patients whose blood has tested negative for the Ebola virus.
    • Continue training and re-training of health workers on infection prevention and control measures, early detection, isolation and treatment of EVD suspected cases.

    WHO continues to advise against any restriction of travel and trade to the Democratic Republic of the Congo in relation to this event based on the currently available information. 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/11-June-2020-ebola-drc/en/
    Ebola virus disease – Democratic Republic of the Congo


    Disease outbreak news: Update
    11 June 2020



    No new confirmed cases of Ebola virus disease (EVD) have been reported in Ituri, North Kivu and South Kivu Provinces of the Democratic Republic of the Congo since 27 April 2020 (Figure 1).

    The source of infection of the cluster reported in April 2020 remains unconfirmed.

    From 4 to 10 June 2020, an average of 3357 alerts were reported per day, of which 3346 (over 99%) were investigated within 24 hours. Of these, an average of 545 alerts were validated as suspected cases each day, requiring specialized care and laboratory testing to rule-out EVD. The number of reported and validated alerts has remained stable in recent weeks. Timely testing of suspected cases continues to be provided from eight laboratories. From 1 to 7 June 2020, 3130 samples were tested including 2421 blood samples from alive, suspected cases; 331 swabs from community deaths; and 378 samples from re-tested patients. Overall, the number of samples tested by the laboratories increased by 4% compared to the previous week.

    As of 9 June 2020, a total of 3463 EVD cases, including 3317 confirmed and 146 probable cases have been reported, of which 2280 cases died (overall case fatality ratio 66%), and 1171 have recovered. Of the total confirmed and probable cases, 57% (n=1970) were female, 29% (n=1002) were children aged less than 18 years, and 5% (n=171) were health care workers.

    Handover of outbreak response and surveillance activities from the central government and International partners to the Provincial Health Department (DPS) started on 1 June and is ongoing.

    For information about the EVD outbreak in Équateur Province see the WHO Regional Office for Africa Ebola Virus Disease Situation Report issued 9 June 2020.
    Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 9 June 2020*






    Enlarge image



    *Excludes n=68/3463 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 9 June 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 - North Kivu, South Kivu and Ituri Provinces


    On 14 April 2020, WHO revised the risk assessment for this event from High to Moderate at the national and regional levels, while the risk level remained Low at the global level. The risk assessment will be continuously reassessed in the coming days based on available and shared information.

    For further information, please see the Statement on the meeting of the International Health Regulations (2005) Emergency Committee for Ebola virus disease in the Democratic Republic of the Congo on 14 April 2020
    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 regarding this EVD outbreak. 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 in relation to this EVD outbreak. 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/04-June-2020-ebola-drc/en/

    Ebola virus disease – Democratic Republic of the Congo


    Disease outbreak news: Update
    4 June 2020

    North Kivu, South Kivu and Ituri outbreak


    No new confirmed cases of Ebola virus disease (EVD) have been reported in Ituri, North Kivu and South Kivu Provinces of the Democratic Republic of the Congo since 27 April 2020 (Figure 1).

    The source of infection of the cluster reported in April 2020 remains unconfirmed.

    From 27 May to 2 June 2020, an average of 2870 alerts were reported per day, of which 2867 (over 99%) were investigated within 24 hours. Of these, an average of 438 alerts were validated as suspected cases each day, requiring specialized care and laboratory testing to rule-out EVD. The number of reported and validated alerts has remained stable in recent weeks. Timely testing of suspected cases continues to be provided from eight laboratories. From 25 to 31 May 2020, 3017 samples were tested including 2295 blood samples from alive, suspected cases; 308 swabs from community deaths; and 414 samples from re-tested patients. Overall, the number of samples tested by the laboratories was similar to the previous week.

    As of 2 June 2020, a total of 3463 EVD cases, including 3317 confirmed and 146 probable cases have been reported, of which 2280 cases died (overall case fatality ratio 66%), and 1171 have recovered. Of the total confirmed and probable cases, 57% (n=1970) were female, 29% (n=1002) were children aged less than 18 years, and 5% (n=171) were health care workers.

    Handover of outbreak response and surveillance activities from the central government and International partners to the Provincial Health Department (DPS) started on 1 June.
    Équateur outbreak


    On 1 June 2020, the Ministry of Health in the Democratic Republic of the Congo notified WHO of a new outbreak of EVD in Mbandaka city, Équateur Province which involved an initial cluster of four deaths that occurred between 18 and 30 May 2020.
    Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone, North Kivu, South Kivu and Ituri Provinces. Data as of 2 June 2020*






    Enlarge image



    *Excludes n=68/3463 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, South Kivu and Ituri Provinces, Democratic Republic of the Congo, data as of 2 June 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 - North Kivu, South Kivu and Ituri Provinces


    On 14 April 2020, WHO revised the risk assessment for this event from High to Moderate at the national and regional levels, while the risk level remained Low at the global level. The risk assessment will be continuously reassessed in the coming days based on available and shared information.

    For further information, please see the Statement on the meeting of the International Health Regulations (2005) Emergency Committee for Ebola virus disease in the Democratic Republic of the Congo on 14 April 2020
    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 regarding this EVD outbreak. 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 in relation to this EVD outbreak. 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/03-June-2020-ebola-drc/en/

    Ebola virus disease – Democratic Republic of the Congo


    Disease outbreak news
    3 June 2020



    On 31 May 2020, WHO received information that between 18 and 30 May, four deaths were reported from the same quarter (quartier Air Congo) in Mbandaka Health Zone, Mbandaka city, Equateur Province, the Democratic Republic of the Congo. All cases had experienced fever and bleeding prior to their deaths. Of the four patients who died, two of them visited the General Reference Hospital (HGR) in Wangata; a sample (swab) was taken from one of them who died on 30 May. Safe and dignified burials were not performed for these four patients.

    On 31 May, the brother of the probable case who died on 22 May and his wife presented to HGR Wangata; both had fever, non-bloody diarrhoea and vomiting. They were placed in isolation after blood samples were collected.

    The three samples including two blood samples and a swab, were analyzed at a laboratory in Mbandaka where all three samples tested positive for Ebola virus disease (EVD) by GeneXpert Ebola assay. One of the three samples (swab) was sent on 31 May 2020, to the Institut National de Recherche Biomédicale (INRB) in Kinshasa and tested positive for Zaire Ebolavirus using polymerase chain reaction (PCR).

    As of 2 June 2020, eight epidemiologically-linked cases, including two confirmed alive cases, two suspected cases and four deaths (one confirmed and three probable deaths), have been reported. The Ministry of Health (MOH) officially declared the outbreak in Equateur Province on 1 June 2020.

    Equateur Province experienced an EVD outbreak with 54 cases and 33 deaths, reported between 8 May 2018 through 24 July 2018. This is the eleventh outbreak of EVD reported in the Democratic Republic of the Congo since the virus was discovered in 1976.

    In the context of the current COVID-19 outbreak, the health capacity and resources in the Democratic Republic of the Congo are already strained and causing additional burdens on the national health system. The risk of disruption to surveillance and routine public health activities due to COVID-19 might jeopardize the country’s ability to rapidly contain re-emergence of these EVD cases. As of 2 June 2020, the Democratic Republic of the Congo has reported 3 194 COVID-19 cases and 71 deaths.
    Public health response


    WHO, with the MOH, are implementing a coordinated rapid response to stop the spread of the outbreak, and to identify any other suspect cases and initiate contact tracing. In-depth epidemiological investigation and contact tracing were initiated on 31 May 2020.

    The MOH, with support from WHO and partners have planned the following actions:
    • Start risk communication and community engagement activities;
    • Develop rapid response plan with clear needs;
    • Conduct rapid risk assessment;
    • Supply vaccine and cold-chain equipment;
    • Mobilize financial support.

    The laboratory capacity in Mbandaka is being assessed and support is on-going for appropriate set-up and additional supplies. Safe and dignified burial activities could resume shortly following proper community engagement. Support for case management is also important to ensure provision of care to affected individuals.

    WHO did not receive adequate EVD funding since the start of 2020, and is currently using its emergency funds to support the epidemiological and public health interventions. Financial and human resources of the Democratic Republic of the Congo, WHO, and partners are challenged by the ongoing COVID-19 outbreak.
    WHO risk assessment


    WHO notes that the current resurgence is undesirable, but not unexpected given the identification of wildlife spillover potential in Africa, accompanied by the high population density in the region and considering the sociological, ecological, and environmental drivers that could influence the emergence of EVD.

    There is a need for: epidemiologists to conduct disease surveillance; infection prevention and control (IPC) specialists; vaccinators; case management and laboratory staff; and, risk communication and community engagement experts. Materials for infection prevention and control (IPC) and personal protective equipment (PPE), cold-chain, reagents for laboratory diagnostics, and means of transportation are required for the teams.

    The area where the cases and deaths were reported, is populated with poor and vulnerable populations, known to be reluctant to social mobilization. This might pose further challenges in terms of case investigation, contact tracing, safe and dignified burials, and vaccination in the coming days.

    Additional challenges have been identified regarding:
    • further investigations into this event to understand the extent of the outbreak;
    • contact identification and tracing, and identification of suspected cases;
    • vaccination to control the outbreak;
    • risk communication;
    • the COVID-19 context including lockdowns and non-availability of flights.

    The investigations are ongoing to assess the full extent of the outbreak and therefore high vigilance should be maintained. This information will help define the risk in the coming days.
    WHO advice


    WHO advises the following risk reduction measures as an effective way to reduce Ebola virus disease transmission in humans:
    • Reducing the risk of wildlife-to-human transmission from contact with infected fruit bats or monkeys/apes and the consumption of their raw meat. Animals should be handled with gloves and other appropriate protective clothing. Animal products (blood and meat) should be thoroughly cooked before consumption.
    • Reducing the risk of human-to-human transmission from direct or close contact with people with Ebola symptoms, particularly with their bodily fluids. Gloves and appropriate personal protective equipment should be worn when taking care of ill patients at home. Regular hand washing is required after visiting patients in hospital, as well as after taking care of patients at home.
    • Reducing the risk of possible sexual transmission, based on further analysis of ongoing research and consideration by the WHO Advisory Group on the Ebola Virus Disease Response, WHO recommends that male survivors of EVD practice safe sex and hygiene for 12 months from onset of symptoms or until their semen tests negative twice for Ebola virus. Contact with body fluids should be avoided and washing with soap and water is recommended. WHO does not recommend isolation of male or female convalescent patients whose blood has been tested negative for Ebola virus.
    • Continue training and re-training of health work force for early detection, isolation and treatment of EVD cases.

    WHO continues to advise against any restriction of travel and trade to the Democratic Republic of the Congo based on the currently available information.
    For further information, please see:

    Leave a comment:


  • Shiloh
    replied
    Source: https://www.who.int/csr/don/28-May-2020-ebola-drc/en/


    Ebola virus disease – Democratic Republic of the Congo

    Disease outbreak news: Update
    28 May 2020

    From 20 to 26 May 2020, no new cases of Ebola virus disease (EVD) have been reported from the Democratic Republic of the Congo (Figure 1).
    Since the resurgence of the outbreak on 10 April 2020, seven confirmed cases have been reported from Kasanga, Malepe and Kanzulinzuli Health Areas in Beni Health Zone. Investigations into the origin of the last cluster of cases in Beni Health Zone are ongoing. To date, no definitive source of infection has been identified.
    From 20 to 26 May 2020, an average of 2715 alerts were reported per day, of which 2709 (over 99%) were investigated within 24 hours. Of these, an average of 404 alerts were validated as suspected cases each day, requiring specialized care and laboratory testing to rule-out EVD. In the past two weeks, there was a slight decrease in overall and validated alerts in Beni Health Zone. Timely testing of suspected cases continues to be provided from eight laboratories. From 18 to 24 May 2020, 3065 samples were tested including 2313 blood samples from alive, suspected cases; 331 swabs from community deaths; and 421 samples from re-tested patients. Overall, laboratory activities increased by 7% compared to the previous week.
    On 22 May, two historic probable cases reported in Mabalako and Lubero Health Zones were validated from people who had onset of symptoms in March 2019 and July 2019. As of 26 May 2020, a total of 3463 EVD cases, including 3317 confirmed and 146 probable cases have been reported. Of these, 2280 people died (overall case fatality ratio 66%) and 1171 survived. Of the total confirmed and probable cases, 57% (n=1970) were female, 29% (n=1002) were children aged less than 18 years, and 5% (n=171) were health care workers.
    On 14 May 2020, the Ministry of Health of the Democratic Republic of the Congo began the 42-day countdown to the declaration of the end of the EVD outbreak. Given the long duration and large magnitude of this outbreak and the fact that the virus is present in animal reservoirs in the region, there is a risk of re-emergence of the virus in the period leading up to, and beyond, the declaration of the end of the outbreak. It is crucial to maintain a strong and robust surveillance system in order to detect, isolate, test and treat new suspected cases as early as possible and to break possible chains of transmission. Continued coordination and communication among partners, authorities and affected communities along with EVD survivor advocacy remain essential in this outbreak response.
    Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 26 May 2020*




    Enlarge image

    *Excludes n=68/3463 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 26 May 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 14 April 2020, WHO revised the risk assessment for this event from High to Moderate at the national and regional levels, while the risk level remained Low at the global level. The risk assessment will be continuously reassessed in the coming days based on available and shared information.
    For further information, please see the Statement on the meeting of the International Health Regulations (2005) Emergency Committee for Ebola virus disease in the Democratic Republic of the Congo on 14 April 2020
    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 regarding this EVD outbreak. 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 in relation to this EVD outbreak. 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/21-May-2020-ebola-drc/en/

    Ebola virus disease – Democratic Republic of the Congo


    Disease outbreak news: Update
    21 May 2020



    From 13 to 19 May 2020, no new cases of Ebola virus disease (EVD) have been reported from North Kivu Province, Democratic Republic of the Congo (Figure 1). Since the resurgence of the outbreak on 10 April 2020, seven confirmed cases have been reported from Kasanga, Malepe and Kanzulinzuli Health Areas in Beni Health Zone. Of these, two cases who were receiving care at the ETC recovered and were discharged, and one remains in the community (status unknown). The four other people confirmed to have Ebola died, including two community deaths and two deaths in the ETC in Beni. No new cases have been reported since 27 April. The last person confirmed to have Ebola recovered and was discharged from the treatment centre on 14 May 2020. On the same day, the Ministry of Health of the Democratic Republic of the Congo declared the launch of the 42-day countdown to the end of the outbreak. On 18 May, all 90 contacts who remained under surveillance completed their 21-day follow up.

    A total of 1486 people have been vaccinated in Beni and Karisimbi since 10 April 2020. To date, no definitive source of infection has been identified.

    From 13 to 19 May 2020, an average of 2832 alerts were reported per day, of which 2827 (over 99%) were investigated within 24 hours. Of these, an average of 385 alerts were validated as suspected cases each day, requiring specialized care and laboratory testing to rule-out EVD. In the past three weeks, the alert rate has improved in affected health zones. Timely testing of suspected cases continues to be provided from eight laboratories. From 11 to 17 May 2020, 2869 samples were tested including 2081 blood samples from alive, suspected cases; 382 swabs from community deaths; and 406 samples from re-tested patients. Overall, laboratory activities increased by 15% compared to the previous week.

    As of 19 May 2020, a total of 3462 EVD cases, including 3317 confirmed and 145 probable cases have been reported. Of these, 2279 people died (overall case fatality ratio 66%) and 1171 survived. Of the total confirmed and probable cases, 57% (n=1970) were female, 29% (n=1002) were children aged less than 18 years, and 5% (n=171) were health care workers. Since the beginning of the outbreak 250 292 contacts have been registered, and since August 2018, 303 867 people (frontline workers; contacts and contacts of contacts of confirmed cases) have been vaccinated against EVD with the rVSV-ZEBOV-GP vaccine.

    Efforts to retrieve the missing confirmed case and investigations into the origin of the recent cluster in Beni Health Zone are still ongoing. Given the long duration and large magnitude of the Ebola outbreak in Ituri, North Kivu, and South Kivu Provinces in the Democratic Republic of the Congo and the endemicity of Ebola virus in animal reservoirs in the region, there is a risk of re-emergence of the virus leading up to the declaration of the end of the outbreak, as well as beyond. In the coming weeks and months, it is crucial to maintain a strong and robust surveillance system in order to detect, isolate, test and treat new suspected cases as early as possible, to improve outcome of potential cases, and to interrupt any new chains of transmission. Maintaining strong communication and coordination among partners, authorities and affected communities, as well as continuing support for and engagement with EVD survivors are essential in this outbreak response.
    Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 19 May 2020*






    Enlarge image



    *Excludes n=74/3462 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 19 May 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 14 April 2020, WHO revised the risk assessment for this event from High to Moderate at the national and regional levels, while the risk level remained Low at the global level. The risk assessment will be continuously reassessed in the coming days based on available and shared information.

    For further information, please see the Statement on the meeting of the International Health Regulations (2005) Emergency Committee for Ebola virus disease in the Democratic Republic of the Congo on 14 April 2020
    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 regarding this EVD outbreak. 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 in relation to this EVD outbreak. 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/14-May-2020-ebola-drc/en/

    Ebola virus disease – Democratic Republic of the Congo


    Disease outbreak news: Update
    14 May 2020



    From 6 to 12 May 2020, no new cases of Ebola virus disease (EVD) have been reported from North Kivu Province, Democratic Republic of the Congo (Figure 1). Since the resurgence of the outbreak on 10 April 2020, seven confirmed cases have been reported from Kasanga, Malepe and Kanzulinzuli Health Areas in Beni Health Zone. Of these, one is receiving care at the Beni Ebola treatment centre (ETC), one who was receiving care at the ETC recovered and was discharged, and one remains in the community, 35 days after symptom onset. Efforts to locate this individual are being undertaken to test and provide care for this person. Four of the people confirmed to have Ebola died, including two community deaths and two deaths in the ETC in Beni. So far, no definitive source of infection has been identified.

    As of 12 May, 90 contacts are currently under surveillance, of which 41 are high-risk contacts who had direct contact with body fluids of the last confirmed case. All contacts have exited their high-risk period (seven to 13 days after last exposure). Contacts from the previous six cases reported in April have exited their follow-up period. Of the 41 high-risk contacts, 37 have been vaccinated. A total of 1486 people have been vaccinated in Beni and Karisimbi since 10 April 2020.

    From 6 to 12 May 2020, an average of 2536 alerts were reported per day, of which 2524 were investigated within 24 hours. Of these, an average of 330 alerts were validated as suspected cases each day, requiring specialized care and laboratory testing to rule-out EVD. In the past three weeks, the alert rate has improved notably in Beni and Butembo sub-coordinations. From 4 to 10 May 2020, 2494 samples were tested including 1843 blood samples from alive, suspected cases; 318 swabs from community deaths; and 333 samples from re-tested patients. Overall, laboratory activities increased by 18% compared to the previous week.

    As of 12 May 2020, a total of 3462 EVD cases, including 3317 confirmed and 145 probable cases have been reported. Of these, 2279 people died (overall case fatality ratio 66%) and 1170 survived. Of the total confirmed and probable cases, 57% (n=1970) were female, 29% (n=1002) were children aged less than 18 years, and 5% (n=171) were health care workers.

    The cluster of EVD cases that emerged in April highlights the importance of heightened vigilance for the response in the face of significant challenges around community engagement, access to affected areas, ongoing insecurity issues, and limited response capacity due to other local and global emergencies. The origin of this recent chain of transmission should continue to be investigated in order to prepare for similar events in the future. It is crucial to detect, isolate, test and treat new suspected cases as early as possible to improve the chances of survival of the people affected, and to break the chain of transmission. Strong coordination and communication among partners, authorities and affected communities is essential, as well as continued support for and engagement with EVD survivors.
    Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 12 May 2020*






    Enlarge image



    *Excludes n=74/3462 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 12 May 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 14 April 2020, WHO revised the risk assessment for this event from High to Moderate at the national and regional levels, while the risk level remained Low at the global level. The risk assessment will be continuously reassessed in the coming days based on available and shared information.

    For further information, please see the Statement on the meeting of the International Health Regulations (2005) Emergency Committee for Ebola virus disease in the Democratic Republic of the Congo on 14 April 2020
    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 regarding this EVD outbreak. 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 in relation to this EVD outbreak. 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/07-May-2020-ebola-drc/en/
    Ebola virus disease – Democratic Republic of the Congo


    Disease outbreak news: Update
    7 May 2020



    From 29 April to 5 May 2020, no new cases of Ebola virus disease (EVD) have been reported from North Kivu Province, Democratic Republic of the Congo (Figure 1). Since the resurgence of the outbreak on 10 April 2020, seven confirmed cases have been reported from Kasanga, Malepe and Kanzulinzuli Health Areas in Beni Health Zone. Of these, one is receiving care at the Beni Ebola treatment centre (ETC), one who was receiving care at the ETC recovered and was discharged, and one remains in the community. Four of the people confirmed to have Ebola died, including two community deaths and two deaths in the ETC in Beni. A total of 1137 people have been vaccinated in Beni and Karisimbi since 10 April 2020.

    Specimens from all confirmed cases were sent to the Institut Research Biomédicale (INRB) for genetic sequencing to support the investigation of the source of infection. Laboratory sequencing of the virus showed that all seven cases were linked to the same chain confirmed in July 2019, suggesting exposure to a persistent source of infection. Individuals in the current cluster may have been infected by direct contact with body fluids of a survivor (asymptomatic or relapse case). Investigations into the transmission chains from July 2019 in Beni and Katwa Health Zones and the confirmed cases reported in Beni Health Zone in April 2020 are ongoing. The origin of this cluster of cases is yet to be confirmed.

    Surveillance performance has remained at a similar level compared to last week, although alert rates remain suboptimal. A total of 1102 contacts of the seven recent confirmed cases have been registered to date. On 5 May 2020, of the 449 identified contacts to be followed, 438 (98%) were seen; 123 (27%) were high risk contacts who had direct contact with body fluids of confirmed cases. As of 5 May, 19 (15%) of the 123 high risk contacts of confirmed cases have been offered accommodation in a dedicated facility where they are provided with food and other essential goods, to allow for closer monitoring and prompt isolation and provision of care to those who might become symptomatic.

    From 29 April to 5 May 2020, an average of 2260 alerts were reported per day, of which 2252 were investigated within 24 hours. Of these, an average of 298 alerts were validated as suspected cases each day, requiring specialized care and laboratory testing to rule-out EVD. From 27 April to 3 May, 2113 samples were tested, including 1466 blood samples from alive, suspected cases; 308 swabs from community deaths; and 339 samples from re-tested patients. Overall, laboratory activities increased by 37% compared to the previous week.

    As of 5 May 2020, a total of 3462 EVD cases, including 3317 confirmed and 145 probable cases have been reported, of which 2279 cases died (overall case fatality ratio 66%). Of the total confirmed and probable cases, 57% (n=1970) were female, 29% (n=1002) were children aged less than 18 years, and 5% (n=171) were health care workers. As of 5 May, a total of 1170 cases have recovered from EVD.

    It is critical to detect, isolate, test and treat new suspected cases as early as possible in order increase the chances of survival of those infected, and to break the chain of transmission. Outbreak response teams face a number of challenges, including limited resources because of other local and global emergencies, and the presence of armed groups which limits access to some communities. A major funding gap is also constraining the response. WHO currently requires US$21.5 million to ensure continuity of essential response activities in the Democratic Republic of the Congo.
    Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 5 May 2020*






    Enlarge image



    *Excludes n=74/3462 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 5 May 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 14 April 2020, WHO revised the risk assessment for this event from High to Moderate at the national and regional levels, while the risk level remained Low at the global level. The risk assessment will be continuously reassessed in the coming days based on available and shared information.

    For further information, please see the Statement on the meeting of the International Health Regulations (2005) Emergency Committee for Ebola virus disease in the Democratic Republic of the Congo on 14 April 2020
    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 regarding this EVD outbreak. 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 in relation to this EVD outbreak. 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/30-April-2020-ebola-drc/en/


    Ebola virus disease – Democratic Republic of the Congo

    Disease outbreak news: Update
    30 April 2020

    From 22 to 28 April 2020, one new confirmed case of Ebola virus disease (EVD) was reported from Beni Health Zone in North Kivu Province, Democratic Republic of the Congo (Figure 1). This person was listed as a contact of a confirmed case, a family member who was reported on 17 April. The person was vaccinated on 20 April and was followed by the contact tracing team, though not on a regular basis due to insecurity.
    Since the resurgence of the outbreak on 10 April 2020, seven confirmed cases have been reported, all from Beni Health Zone. Of these, one is receiving care at the Beni Ebola treatment centre (ETC), one who was receiving care at the ETC recovered and was discharged, and one remains in the community. Response teams are engaging with the community in order to try to bring that person to the ETC for access to treatment and supportive care, and to prevent further transmission in the community. Four of the people confirmed to have Ebola died, including two community deaths and two deaths in the ETC in Beni.
    Specimens from all confirmed cases were sent to the Institut Research Biomédicale (INRB) for genetic sequencing to support surveillance teams in investigating the source of infection. Laboratory sequencing of the virus showed that six out of seven cases were linked to the same chain confirmed in July 2019, suggesting exposure to a persistent source of infection. Individuals in the current cluster may have been infected by direct contact with body fluids of a survivor (asymptomatic or relapse case). Investigations into the transmission chains from July 2019 in Beni and Katwa Health Zones and the confirmed cases reported in April 2020 are ongoing in order to identify the origin of the current cluster of EVD cases.
    Surveillance performances have improved compared to last week, although alert rates remain suboptimal. A total of 970 contacts of the seven recent confirmed cases have been registered; among these contacts, 897 (92%) were followed and 726 (75%) were vaccinated. Of the 970 contacts, 382 (40%) were high risk contacts (direct contact with body fluids of confirmed cases). As of 28 April 2020, 57 (15%) of the 382 high risk contacts of confirmed cases have been offered accommodation in a dedicated facility where they are provided with food and other essential goods, to allow for closer monitoring and prompt isolation and provision of care to those who might become symptomatic.
    From 22 to 28 April 2020, an average of 2152 alerts were reported and investigated per day. Of these, an average of 230 alerts were validated as suspected cases each day, requiring specialized care and laboratory testing to rule-out EVD. Timely testing of suspected cases continues to be provided from eight laboratories. From 20 to 26 April 2020, 1544 samples were tested including 961 blood samples from alive, suspected cases; 285 swabs from community deaths; and 298 samples from re-tested patients. Overall, laboratory activities increased by 50% compared to the previous week.
    As of 28 April 2020, a total of 3462 EVD cases, including 3316 confirmed and 145 probable cases have been reported, of which 2279 cases died (overall case fatality ratio 66%). Of the total confirmed and probable cases, 57% (n=1961) were female, 29% (n=996) were children aged less than 18 years, and 5% (n=171) were health care workers. As of 28 April, a total of 1170 cases have recovered from EVD.
    Response teams face a number of challenges, including limited response resources because of other local and global emergencies, and the presence of armed groups which limits access to some communities. It is essential to detect, isolate, test and treat new suspected cases as early as possible in order to improve outcome of cases and break the chain of transmission. A major funding gap is also constraining the response; WHO currently requires US$21.5 million to ensure continuity of essential response activities in the Democratic Republic of the Congo.
    Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 28 April 2020*




    Enlarge image

    *Excludes n=88/3461 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 28 April 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 14 April 2020, WHO revised the risk assessment for this event from High to Moderate at the national and regional levels, while the risk level remained Low at the global level. The risk assessment will be continuously reassessed in the coming days based on available and shared information.
    For further information, please see the Statement on the meeting of the International Health Regulations (2005) Emergency Committee for Ebola virus disease in the Democratic Republic of the Congo on 14 April 2020
    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 regarding this EVD outbreak. 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 in relation to this EVD outbreak. 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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  • Treyfish
    replied
    Escaped Ebola patient hiding in Congo militia-held area: officials

    APRIL 28, 2020 / 5:04 AM / UPDATED 7 HOURS AGO

    BENI, Democratic Republic of Congo (Reuters) - An Ebola patient who escaped from a treatment centre in eastern Congo earlier this month has been hiding in an area controlled by local militia groups, local authorities and a World Health Organization (WHO) official said on Tuesday.
    ....On April 17, a 28-year-old motorbike taxi-driver who had tested positive for Ebola ran away from the centre where he was being treated in the town of Beni.

    Health workers had been unable to locate him. But local authorities on Tuesday said he was living in an area controlled by a number of armed militias..
    ....https://www.reuters.com/article/us-h...2A1TO?rpc=401&

    Leave a comment:


  • Shiloh
    replied
    Source: https://www.who.int/csr/don/23-April-2020-ebola-drc/en/

    Ebola virus disease – Democratic Republic of the Congo


    Disease outbreak news: Update
    23 April 2020



    From 15 to 21 April 2020, three new confirmed cases of Ebola virus disease (EVD) were reported in the Democratic Republic of the Congo, all from Beni Health Zone in North Kivu Province (Figure 1). Two out of three cases were registered as contacts, though none were regularly followed by the response team because of insecurity and ongoing challenges with community reticence.

    In total, six cases have been reported since 10 April, four of whom have passed away; two in the community and two in an Ebola treatment centre (ETC). Currently, there is one confirmed case receiving care at an ETC and one who remains in the community; response teams are engaging with the community in order to try to bring the person to the ETC for access to treatment and supportive care, and to prevent further transmission in the community.

    Prior to the emergence of this cluster in Beni, the last person confirmed to have EVD tested negative twice and was discharged from a treatment centre on 3 March 2020. As of 21 April, a total of 762 contacts of these cases have been registered, of which 603 (79%) were followed.

    Specimens from all six confirmed cases were sent to the Institut Research Biomédicale (INRB) for genetic sequencing to support surveillance teams in investigating the source of infection and to determine if cases were linked to a known chain of transmission. Laboratory sequencing of the virus showed a link to cases that were confirmed in July 2019, suggesting exposure to a persistent source of infection. Therefore, individuals in the current cluster may have been infected by direct contact with body fluids of a survivor (asymptomatic or relapse case). Investigations into the transmission chains from July 2019 in Beni and Katwa Health Zones, as well as confirmed cases reported in April 2020 are ongoing.

    From 15 to 21 April 2020, an average of 2037 alerts were reported and investigated per day. Of these, an average of 196 alerts were validated as suspected cases each day, requiring specialized care and laboratory testing to rule-out EVD. Though the alert rate increased slightly in the past week, it remains at a suboptimal level as teams are pulled into other emergencies, including COVID-19. Response teams also face other challenges, such as the presence of armed groups and limited access to some communities.

    Timely testing of suspected cases continues to be provided from nine laboratories. From 13 to 19 April 2020, 1030 samples were tested including 583 blood samples from alive, suspected cases; 267 swabs from community deaths; and 180 samples from re-tested patients. Overall, laboratory activities increased by 6% compared to the previous week.

    As of 21 April 2020, a total of 3461 EVD cases, including 3316 confirmed and 145 probable cases have been reported, of which 2279 cases died (overall case fatality ratio 66%). Of the total confirmed and probable cases, 56% (n=1943) were female, 28% (n=983) were children aged less than 18 years, and 5% (n=171) were health care workers. As of 21 April, a total of 1169 cases have recovered from EVD.

    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. More information: End in sight, but flare-ups likely in the Ebola outbreak in the Democratic Republic of the Congo.
    Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 21 April 2020*






    Enlarge image



    *Excludes n=130/3461 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 21 April 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 14 April 2020, WHO revised the risk assessment for this event from High to Moderate at the national and regional levels, while the risk level remained Low at the global level. The risk assessment will be continuously reassessed in the coming days based on available and shared information.

    For further information, please see the Statement on the meeting of the International Health Regulations (2005) Emergency Committee for Ebola virus disease in the Democratic Republic of the Congo on 14 April 2020
    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 regarding this EVD outbreak. 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 in relation to this EVD outbreak. 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:


  • Treyfish
    replied
    WHO confirms 4 fresh cases of Ebola in Congo


    Published

    2 days ago

    on

    April 22, 2020
    By

    Nsikak Nseyen
    Four new cases of Ebola have been confirmed in the Democratic Republic of Congo (DRC).

    The World Health Organisation (WHO) Regional Office for Africa confirmed the development on its official twitter account @WHOAFRO on Wednesday.

    It said, “Four new cases of Ebola have been reported in the past 10 days in Beni, DRC – the epicenter of the outbreak...https://dailypost.ng/2020/04/22/who-...bola-in-congo/

    Leave a comment:


  • Shiloh
    replied
    Source: https://www.who.int/csr/don/16-April-2020-ebola-drc/en/

    Ebola virus disease – Democratic Republic of the Congo


    Disease outbreak news: Update
    16 April 2020



    From 10 to 14 April 2020, three new confirmed cases of Ebola virus disease (EVD) were reported in the ongoing outbreak in the Democratic Republic of the Congo (Figure 1). All of the cases were reported from Beni Health Zone in North Kivu Province. Two individuals passed away in the community after visiting several healthcare facilities. The infection of the third individual has been epidemiologically linked to one of these cases. The individual is currently receiving care at an Ebola treatment centre. Prior to this development, the last person confirmed to have EVD tested negative twice and was discharged from a treatment centre on 3 March 2020.

    Specimens from all confirmed cases were sent to the Institut de Recherche Biomedicale (INRB) in Katwa and in Kinshasa for genetic sequencing in order to support surveillance teams in the investigation of the source of infection and to determine whether these cases were linked to a known chain of transmission. A total of 332 contacts of these cases have been registered, 248 of whom were followed on 14 April 2020, and 200 of whom were vaccinated by three vaccination teams that have been activated. While approximately 6,000 doses are available in Beni Health Zone, WHO anticipates potential challenges with the vaccine pipeline due to limited flight ability as a result of the coronavirus disease 2019 (COVID-19) pandemic.

    From 8 to 14 April 2020, an average of 2015 alerts were reported and investigated per day. Of these, an average of 177 alerts were validated as suspected cases each day, requiring specialized care and laboratory testing to rule-out EVD. The alert rate has decreased for the past three weeks as teams are pulled into other emergencies, including COVID-19. Other challenges include the presence of armed groups and limited access to some affected health areas, movement of contacts, and possible under-reporting to the central coordination of the outbreak response. Timely testing of suspected cases continues to be provided from 11 laboratories. From 6 to 12 April 2020, 968 samples were tested including 466 blood samples from alive, suspected cases; 274 swabs from community deaths; and 228 samples from re-tested patients. Overall, laboratory activities decreased by 28% compared to the previous week.

    On 9 April 2020, two new probable cases, with onset of symptoms in November 2019 and December 2019, were retrospectively validated. As of 14 April 2020, a total of 3458 EVD cases were reported from 29 health zones (Table 1), including 3313 confirmed and 145 probable cases, of which 2277 cases died (overall case fatality ratio 66%). Of the total confirmed and probable cases, 56% (n=1943) were female, 28% (n=982) were children aged less than 18 years, and 5% (n=171) were health care workers.

    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. More information is available from End in sight, but flare-ups likely in the Ebola outbreak in the Democratic Republic of the Congo.

    The new confirmed cases 40 days after the last person tested negative and was discharged from care are not unexpected. The WHO recommended criteria for declaring the end of the EVD outbreak includes a 42-day waiting period because undetected chains of transmission or new flare-ups may arise. The sequencing analysis will be critical to inform the investigation of the source of infection and to help detect any missed cases in the chain of transmission that led to this cluster. It is essential to remain vigilant and maintain enhanced surveillance, rapid detection and response capacities, as well as continue to engage community leaders to address or mitigate community mistrust in affected areas.
    Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 14 April 2020*






    Enlarge image



    *Excludes n=130/3458 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 14 April 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 14 April 2020, WHO revised the risk assessment for this event from High to Moderate at the national and regional levels, while the risk level remained Low at the global level. The risk assessment will be continuously reassessed in the coming days based on available and shared information.

    For further information, please see the Statement on the meeting of the International Health Regulations (2005) Emergency Committee for Ebola virus disease in the Democratic Republic of the Congo on 14 April 2020
    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:


  • Treyfish
    replied
    Congo records third new Ebola case from same infection chain - WHO
    • 2 HOURS AGO
    The new Ebola case prevented the Democratic Republic of Congo from declaring the end of the second-deadliest outbreak of the virus.

    The Democratic Republic of Congo recorded a third new Ebola case on Monday, a seven-year-old girl who had started showing symptoms after visiting the same health centre as the two previous cases, the World Health Organization said on Monday.

    After more than seven weeks without a new infection, Congo had been due on Sunday to mark an end to the second-deadliest outbreak of the virus on record, until a case was confirmed on Friday in the eastern city of Beni.
    ... https://www.trtworld.com/africa/cong...hain-who-35380

    Leave a comment:


  • Treyfish
    replied
    DR Congo reports third case of Ebola

    Seven-year-old girl has good chance of survival, says WHO official

    James Tasamba |14.04.2020

    The Democratic Republic of Congo reported its third new case of Ebola on Monday, a seven-year-old girl who had visited the same health center as the two previous cases in the city of Beni.

    Boubacar Diallo, deputy incident manager for the World Health Organization’s Ebola response, said the girl started showing symptoms on April 11 but has a good chance of survival.

    The trio had visited the Horizon Healthcare Centre in Beni.

    The WHO earlier Monday said it had set up Ebola vaccination centers in Beni a day after a second virus-linked death in the country's northeastern region. ... https://www.aa.com.tr/en/africa/dr-c...-ebola/1803731

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