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  • https://en.wikipedia.org/wiki/Haut-Uele

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

    Translation Google

    Santé / Haut-Uélé: a proven case of ebola from Watsa notified to Butembo

    It is the administrator of this territory who delivered the news this Monday, January 28, 2019 during a meeting of security extended to local notabilities in the room of the community center in Durba.

    The victim, who was not accepted in Komanda in Ituri and tested positively upon arrival, is currently at the ebola center in Butembo, North Kivu. The 33-year-old trader had been transferred since the 15th of the current month to receive proper care in his home after five days of hospitalization in a health facility in Moku, a trading center about 50 kilometers from Watsa. -Center.

    The territorial authority invites its citizens not to panic. However, Innocent Makanda Mwamba Lubusu insists on the observance of preventive measures, including washing hands, shaking hands, handling or consuming smoked meat or animals found dead and others to deal with this situation.

    Already 26 people contacted by the victim, including the medical staff, have been identified, isolated and followed up. A delegation led by Congolese Minister of Public Health Oly Ilunga and its partners is announced for Tuesday for adequate measures, says Makanda.

    ORIENTALINFO.NET

    01/28/2019

    http://orientalinfo.net/01/28/sante-...fie-a-butembo/

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

    Haut-Uélé: Minister of Health Oly Ilunga in Watsa to get a feel for the epidemiological situation

    Haut-Uélé on maximum alert since the announcement of a positive case tested ebola virus in Butembo from Moku in Watsa territory last weekend.

    It is this health emergency that justifies the arrival on Tuesday 29 January 2019 at 15:30 'of the Congolese Minister of Public Health in this part of the country.

    Oly Ilunga at the head of a strong delegation including experts from his ministry and the World Health Organization (WHO) will study together with the local authorities the plan for deployment of adequate response mechanisms to cope with to this ebola virus disease he told the press. But already the boss of health in the Democratic Republic of Congo speaks reassuring signals in view of the negative results of investigations carried out on the basis of biological and epidemiological elements by the advance team arrived on the ground the day before.

    Mr. Ilunga calls on the population of the region to remain calm, to trust the politico-administrative and health authorities and above all to respect all the security directives that will be provided.

    The delegation also noted the presence of the provincial health minister Edmond Mitano Dekuba and that of his colleague in charge of decentralization and customary affairs Ndambo Danga.

    Today, 35 people are under surveillance at the Moku Trading Center, a suspected center for this viral disease located almost 50 kilometers from Watsa Center.

    Recall that the politico-administrative and security authorities were alerted to the notification of a positive case of ebola virus disease in Butembo in North Kivu from the health zone of Watsa in Haut-Uélé. The victim, a 30-year-old young economic operator, had been transferred since the 15th of the current month to receive appropriate care in his home environment after five days of hospitalization in a local health facility.

    ORIENTALINFO.NET

    29/01/2019 / BY WRITING

    http://orientalinfo.net/01/29/haut-u...idemiologique/

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

    Comment


    • Translation Google

      DRC-Ebola: No circulation of the virus in Haut-Uélé (Dr. Oly Ilunga)

      More fear than harm. No circulation of ebola virus disease in Watsa territory in Haut-Uélé province. This is the conclusion of the in-depth investigations conducted by a team of experts led by the Congolese Minister of Public Health on official mission to Watsa since last Tuesday.

      Dr. Oly Ilunga, who visited on Wednesday in Moku, suspected outbreak of the disease where 35 people were under surveillance, indicated that all epidemiological and clinical indicators showed that the patient from Moku tested positive in Butembo in North Kivu was not infected at Watsa in Haut-Uélé. It was during a brief focus meeting held early in the evening in the Durba Community Center room.

      "The results are encouraging. The sister-in-law of the victim was negative. We are therefore reassured that the contamination has not occurred here but rather in Butembo.

      However, Ilunga Oly calls to maintain the vigilance and the maintenance of all the preventive devices put in place by the politico-administrative and health authorities with the support of Kibali gold mine, the mining giant of Haut-Uélé.

      "In this kind of disease, one must always be careful and really remain alert for 42 days by what it is the countdown period once someone is identified. It is essential to be rigorous, not to underestimate the disease and continue to raise awareness, continue the community approach.

      For his part, Edmond Mitano, provincial health minister in Haut-Uélé, on behalf of the provincial governor, hailed the readiness of the central government for this health alert. According to him, this reflects the interest shown for the province of Rhino Blanc, which deserves such attention on all levels, he said.

      Note that the delegation leaves Watsa for Kinshasa via Isiro this Thursday morning.

      ORIENTALINFO.NET

      30/01/2019 / BY WRITING

      http://orientalinfo.net/01/30/rdc-eb...dr-oly-ilunga/
      "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
      -Nelson Mandela

      Comment


      • Translation Google

        Report

        30.01.19 North Kivu: some causes of resistance to the response in the region (CongoForum)

        BUTEMBO / BENI - Ebola virus disease continues to cause deaths east of the Democratic Republic of Congo, particularly in the province of North Kivu. This disease, which persists in the area of ​​Beni-Lubero; is far from being mastered despite the strong response teams deployed in this part of the DRC to fight against this very dangerous virus. These teams from the World Health Organization (WHO) in collaboration with the Ministry of Health are facing resistance from the local community. This complicates the implementation of activities aimed at fighting this disease.

        Several causes are at the base of this resistance or the persistence of the resistance. Among these causes, both internal and external sources within the response have diverging responses. For some sources, this opposition situation displayed by the inhabitants of the health zones affected by the disease is explained by the poor recruitment of community relay workers in the different health areas.

        This implies bad explanations of the disease and its antidote, previously badly recruited. These even contradict each other on the ground during outreach activities. It is especially on the questions of the duration of the incubation of the virus in the body before the presentation of the first ones. Another contradiction is around the importance of the vaccine, its effectiveness, its effects and its role.

        These sources add that the non-use of local opinion leaders at the beginning of operations has also greatly influenced the installation of resistance in the population. The non-consideration of anthropological data by coordinating the response is one of the causes.

        Accompanying the vaccine with food distributed to vaccinated contacts also raises doubts about the operations of the response. In addition, the accompaniment of the response team by police officers plunges the public into the doubt of politicization of Ebola virus disease.

        Finally, the name of the disease itself, "haemorrhagic fever", but the population said not to record bleeding for most reported cases except at the beginning of this outbreak. However this situation is justified by the members of the response who say that this is related to the temperature of the Butembo area which is almost humid.

        Note that this epidemic is declared the second in the world.

        http://www.congoforum.be/fr/nieuwsde...iteit=selected
        "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
        -Nelson Mandela

        Comment


        • Translation Google
          DIRECTORATE GENERAL FOR DISEASE CONTROL
          EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

          Thursday 31 January 2019


          The epidemiological situation of the Ebola Virus Disease dated January 30, 2019 :
          • Since the beginning of the epidemic, the cumulative number of cases is 759, 705 confirmed and 54 probable. In total, there were 468 deaths (414 confirmed and 54 probable) and 259 people cured.
          • 178 suspected cases under investigation.
          • 7 new confirmed cases, including 6 in Katwa and 1 in Butembo.
          • 3 new deaths of confirmed cases, including
            • 1 community death in Katwa
            • 2 deaths at CTE, including 1 in Butembo and 1 in Katwa



          /! \ The data presented in this table is subject to further changes after thorough investigation and after redistribution of cases and deaths in their health areas.

          Remarks:
          • In order to prevent the total number of cases from going up or down daily, the suspect cases have been placed in a separate category. For example, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
          • The category of probable cases includes all reported deaths for which it has not been possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.
          • A community death is a death in the community, outside of a licensed health center.
          News of the response

          Supported
          • The Ebola Treatment Center (ETC) of Kayina, consisting of 8 beds, opened this Wednesday, January 30, 2019. This is the 10 th CTE built after those of Beni, Bunia, Butembo, Goma, Katwa, Komanda Mandima Mangina and Tchomia.

          Vaccination
          • More than 70,000 people were vaccinated in 28 health zones, spread among four provinces of the Democratic Republic of Congo.
          • Since the beginning of vaccination on 8 August 2018, 70,611 people have been vaccinated , including 20,321 in Beni, 16,657 in Katwa, 7,939 in Butembo, 6,008 in Mabalako, 2,656 in Kalunguta, 2,110 in Komanda, 1,911 in Goma, 1,821 in Oicha, 1,663 in Mandima, 1,157 in Karisimbi, 883 in Kayina, 877 in Vuhovi, 842 in Kyondo, 750 in Masereka, 700 in Lubero, 599 in Mutwanga, 590 in Rutshuru, 554 in Bunia, 527 in Nyankunde, 524 in Biena, 442 in Musienene, 355 in Tchomia, 179 in Mangurujipa, 167 in Kirotshe, 154 in Alimbongo, 125 in Nyiragongo, 87 in Watsa (Haut-Uélé) and 13 in Kisangani.
          • ...
          https://us13.campaign-archive.com/?u...&id=b6ba7cc34f



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

          Comment


          • Source: https://www.who.int/csr/don/31-janua...-ebola-drc/en/
            Ebola virus disease – Democratic Republic of the Congo

            Disease outbreak news: Update
            31 January 2019

            The Ministry of Health (MoH), WHO and partners continue to respond to an outbreak of Ebola virus disease (EVD), despite persistent challenges around security and community mistrust impacting response measures. Relatively high numbers of cases were reported in recent weeks (Figure 1), mostly driven by the outbreak in Katwa Health Zone; the current focus of large scale response activities. Smaller clusters continue to be reported beyond Katwa Health Zone, including from Beni and Oicha; however, teams have quickly and systematically responded to these clusters to prevent onward transmission and guard against further geographical expansion of the outbreak. Teams are also working actively to strengthen community trust and participation in all affected areas.
            As we approach six months since declaration of the outbreak, there have been a total of 752 EVD cases1 (698 confirmed and 54 probable) reported, including 465 deaths (overall case fatality ratio: 62%) as of 29 January 2019. Thus far, 259 people have been discharged from Ebola Treatment Centres (ETCs) and enrolled in a dedicated program for monitoring and supporting survivors. Among cases with a reported age and sex, 59% (439/750) were female, and 30% (224/749) were aged less than 18 years; including 115 children under 5 years.
            During the last 21 days (9 January – 29 January 2019), 118 new cases have been reported from 11 health zones (Figure 2), including: Katwa (80), Beni (9), Butembo (7), Kayina (5), Manguredjipa (4), Oicha (4), Biena (3), Kyondo (2), Musienene (2), Komanda (1) and Vuhovi (1). In addition, five historic probable cases from Komanda Health Zone were reported during the past week with illness onset dating back to November 2018.
            The outbreak in Katwa and Butembo health zones is partly being driven by nosocomial transmission events in private and public health centres. Since 1 December 2018, 86% (125/145) of cases in these areas had visited or worked in a health care facility before or after their onset of illness. Of those, 21% (30/145) reported contact with a health care facility before their onset of illness, suggesting possible nosocomial transmission. In Katwa during the past 3 weeks (since 9 January), 49 health structures were identified where confirmed cases were hospitalised, including nine health centres where nosocomial transmission potentially occurred. Moreover, during the same period, eight new health care worker (HCW) infections were reported in Katwa; overall, 65 HCWs have been infected to date. Response teams are following up with the identified health care facilities to address gaps around triage, case detection and infection prevention and control measures.
            Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset, data as of 29 January 2019 (n=752)*


            *Data in recent weeks are subject to delays in case confirmation and reporting, as well as ongoing data cleaning – trends during this period should be interpreted cautiously.


            Figure 2: Confirmed and probable Ebola virus disease cases by health zone in North Kivu and Ituri provinces, Democratic Republic of the Congo, data as of 29 January 2019 (n=752)




            Public health response

            The MoH continues to strengthen response measures, with support from WHO and partners. For detailed information about the public health response actions by WHO and partners, please refer to the latest situation reports published by the WHO Regional Office for Africa: WHO risk assessment

            WHO reviewed its risk assessment for the outbreak and the risk remains very high at the national and regional levels; the global risk level remains low. This Ebola virus outbreak is affecting north-eastern provinces of the Democratic Republic of the Congo bordering Uganda, Rwanda and South Sudan. There is a potential risk for transmission of Ebola virus at the national and regional levels due to extensive travel between the affected areas, the rest of the country, and neighbouring countries for economic and personal reasons as well as due to insecurity. The country is concurrently experiencing other epidemics (e.g. cholera, vaccine-derived poliomyelitis, malaria), and a long-term humanitarian crisis. Additionally, the security situation in North Kivu and Ituri at times limits the implementation of response activities.
            As the risk of national and regional spread is very high, it is important for neighbouring provinces and countries to enhance surveillance and preparedness activities. The International Health Regulations (IHR 2005) Emergency Committee has advised that failing to intensify these preparedness and surveillance activities would lead to worsening conditions and further spread. WHO will continue to work with neighbouring countries and partners to ensure that health authorities are alerted and are operationally prepared to respond.
            WHO advice

            International traffic: 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 passengers leaving the Democratic Republic of the Congo. 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.
            For more information, see:


            1Data in recent weeks are subject to delays in case confirmation and reporting, as well as ongoing data cleaning – trends during this period should be interpreted cautiously.


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            • Translation Google
              DIRECTORATE GENERAL FOR DISEASE CONTROL
              EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

              Sunday, February 3, 2019


              The epidemiological situation of the Ebola Virus Disease dated 2 February 2019 :
              • Since the beginning of the epidemic, the cumulative number of cases is 774, including 720 confirmed and 54 probable. In total, there were 481 deaths (427 confirmed and 54 probable) and 264 people cured.
              • 163 suspected cases under investigation.
              • 5 new confirmed cases, including 3 in Katwa, 1 in Mabalako, and 1 in Kalunguta
              • 6 new deaths of confirmed cases:
                • 2 community deaths including 1 in Mabalako and 1 in Katwa
                • 4 deaths in CTEs, 2 in Butembo, 1 in Beni and 1 in Katwa.
              • Contacts identified in Komanda have all completed the 21-day follow-up period .



              /! \ The data presented in this table is subject to further changes after thorough investigation and after redistribution of cases and deaths in their health areas.

              Remarks:
              • In order to prevent the total number of cases from going up or down daily, the suspect cases have been placed in a separate category. For example, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
              • The category of probable cases includes all reported deaths for which it has not been possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.
              • A community death is any death occurring outside of an Ebola Treatment Center.
              News of the response

              Vaccination
              • Since the beginning of vaccination on 8 August 2018, 72,768 people have been vaccinated , including 20,473 in Beni, 17,684 in Katwa, 8,099 in Butembo, 6,008 in Mabalako, 2,686 in Kalunguta, 2,200 in Komanda, 1,991 in Goma, 1,821 in Oicha, 1,663 in Mandima, 1,157 in Karisimbi, 1003 in Kayina, 915 in Vuhovi, 892 in Kyondo, 764 in Bunia, 750 in Masereka, 700 in Lubero, 599 in Mutwanga, 590 in Rutshuru, 567 in Biena, 527 in Nyankunde, 486 in Musienene, 355 in Tchomia, 232 in Mangurujipa, 167 in Kirotshe, 204 in Alimbongo, 125 in Nyiragongo, 97 in Watsa (Haut-Uélé) and 13 in Kisangani.
              • 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 19 May 2018.



              ...
              https://us13.campaign-archive.com/?u...&id=aea9304842
              "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
              -Nelson Mandela

              Comment


              • Ebola in the Democratic Republic of the Congo: time to sound a global alert?

                Lawrence Gostin
                Alexandra Phelan
                Alex Godwin Coutinho
                Mark Eccleston-Turner
                Ngozi Erondu
                Oyebanji Filani
                Tom Inglesby
                Rebecca Katz
                Allan Maleche
                Jennifer B Nuzzo
                Oyewale Tomori
                Matthew Kavanagh

                Published:February 04, 2019DOI:https://doi.org/10.1016/S0140-6736(19)30243-0

                The epidemic of Ebola virus disease in the Democratic Republic of the Congo (DRC) is the second largest in history after the 2014 west African epidemic. A storm of detrimental factors complicates this event: armed conflict, political instability, and mass displacement. WHO, the DRC Government, and non-governmental organisation (NGO) partners have shown remarkable leadership but are badly stretched. The outbreak remains far from controlled, risking a long-term epidemic with regional, perhaps global, impacts.

                Faced with an evolving complex humanitarian crisis, and recent elections complete, WHO Director-General Tedros Adhanom Ghebreyesus should reconvene the Emergency Committee (EC) and consider declaring a Public Health Emergency of International Concern (PHEIC). The first EC report on Oct 17, 2018, called for “intensified” action, fearing “significant deterioration”.1 The EC's fears have been prescient. Cases of Ebola virus disease have more than tripled, with an expanded geographical footprint into 18 health zones.2 Governments, including the USA, have withdrawn personnel, fearing for their safety.3

                Effective mitigation requires case identification. Yet less than 20% of new Ebola cases have been on known contact lists.4 This situation undercuts vital interventions, such as contact investigations, isolation, and safe burials. WHO might have to shift from ring vaccination to vaccination based on geographical location, but doing so effectively will require far more doses; limited vaccine supplies, therefore, are concerning.5
                ...

                https://www.thelancet.com/journals/l...243-0/fulltext
                "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                -Nelson Mandela

                Comment


                • Translation Google
                  DIRECTORATE GENERAL FOR DISEASE CONTROL
                  EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

                  Monday, February 4, 2019


                  The epidemiological situation of the Ebola Virus Disease dated February 3, 2019 :
                  • Since the beginning of the epidemic, the cumulative number of cases is 785, of which 731 are confirmed and 54 are probable. In total, there were 484 deaths (430 confirmed and 54 probable) and 265 people healed.
                  • 165 suspected cases under investigation.
                  • 11 new confirmed cases, including 4 in Katwa, 3 in Kyondo, 2 in Butembo, 1 in Kalunguta, and 1 in Vuhovi.
                  • 3 new deaths of confirmed cases:
                    • 2 community deaths, including 1 in Kyondo and 1 in Vuhovi
                    • 1 death at the CTE of Butembo.
                  • 1 person healed out of CTE Katwa.


                  ...
                  https://us13.campaign-archive.com/?u...&id=bc3267bb6a
                  "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                  -Nelson Mandela

                  Comment


                  • Translation Google

                    Ebola: response teams find high-risk contact

                    Thursday 7 February 2019 - 14:45
                    ...
                    A search of the Ministry of Health on social networks allowed the teams of the response to find, on February 6, a high-risk contact, a national of Butembo, who wanted to go to Kinshasa. Currently he is supported. Through the active search for Ebola cases in the provinces of Ituri and North Kivu, it is possible for response teams to reduce the risk of spreading the disease. These teams even go to the most remote corners of these two provinces to not only raise awareness of the epidemic but also to search for suspicious cases. Community relays are also involved.
                    ...
                    http://www.adiac-congo.com/content/e...t-risque-95334

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

                    Beni: a health center attacked by men carrying knives

                    Posted the game, 07/02/2019 - 15:31 | Changed the game, 07/02/2019 - 15:31

                    A group of men carrying knives invaded Kasitu health center on Tuesday in Vuhovi health zone in chiefdom of Bashu, territory of Beni.

                    These men destroyed and burned the center's mattresses. The local civil society delivering the information says the Ebola response teams were there at the time of the attack.

                    They were rehabilitating the mattresses that were destroyed a few days ago in the same center.
                    ...
                    https://www.radiookapi.net/2019/02/0...orteurs-darmes
                    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                    -Nelson Mandela

                    Comment


                    • Translation Google
                      DIRECTORATE GENERAL FOR DISEASE CONTROL
                      EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

                      Thursday 7 February 2019


                      The epidemiological situation of the Ebola Virus Disease dated February 6, 2019 :
                      • Since the beginning of the epidemic, the cumulative number of cases is 791, 737 confirmed and 54 probable. In total, there were 492 deaths (438 confirmed and 54 probable) and 267 people cured.
                      • 189 suspected cases under investigation.
                      • 2 new confirmed cases, including 1 in Butembo and 1 in Kyondo
                      • 4 new confirmed cases deaths:
                        • 2 community deaths, including 1 in Butembo and 1 in Kyondo
                        • 2 deaths at Katwa CTE




                      /! \ The data presented in this table is subject to further changes after thorough investigation and after redistribution of cases and deaths in their health areas.

                      Remarks:
                      • In order to prevent the total number of cases from going up or down daily, the suspect cases have been placed in a separate category. For example, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
                      • The category of probable cases includes all reported deaths for which it has not been possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.
                      • A community death is any death occurring outside of an Ebola Treatment Center.
                      News of the response

                      Women's safety during the response

                      The Ministry of Health is challenged by the circulation of messages on social networks alleging that women have been victims of sexual advances in exchange for work in the response to Ebola.

                      Although local women's NGOs have already denounced some of these messages as rumors aimed at tarnishing the image of women working in the response, the Ministry of Health can not ignore these allegations and takes them very seriously.

                      Thus, the Ministry of Health asks people who have been victims or witnesses of such incidents to report them confidentially through the free numbers of the civil protection of North Kivu: +243 999 009 405 or +243 820 800 001 .

                      The Ministry of Health recalls that ALL services related to the response to the Ebola outbreak (vaccination, treatment at the Ebola treatment center, psychological monitoring, dignified and secure burial, etc.) are FULLY FREE . Anyone who offers such services for payment in kind or in cash must be reported.

                      In addition, recruitment procedures in the response respond to selection criteria based on professional competence and experience. Only a limited number of Ebola counterparts, identifiable through their official badge, have the capacity to recruit new people to the response.

                      Thus, for safety reasons, it is recommended that women ensure:
                      • Always ask the person claiming to be a recruiter to have an official badge confirming their position in the response;
                      • Do not accept appointments outside the coordination offices of the response; and
                      • Report any inappropriate behavior.


                      Vaccination
                      • Since the start of vaccination on 8 August 2018, 75,526 people have been vaccinated , including 20,473 in Beni, 18,784 in Katwa, 8,317 in Butembo, 6,064 in Mabalako, 2,736 in Kalunguta, 2,200 in Komanda, 2,131 in Goma, 1,844 in Oicha. , 1,663 in Mandima, 1,157 in Karisimbi, 1,054 in Bunia, 1,153 in Kayina, 1,082 in Kyondo, 953 in Vuhovi, 920 in Masereka, 744 in Mutwanga, 700 in Lubero, 590 in Rutshuru, 567 in Biena, 527 in Nyankunde, 510 in Musienene, 355 in Tchomia, 306 in Mangurujipa, 254 in Alimbongo, 207 in Kirotshe, 125 in Nyiragongo, 97 in Watsa (Haut-Uélé) and 13 in Kisangani.
                      • 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 19 May 2018.



                      ...
                      https://us13.campaign-archive.com/?u...&id=03dda59271
                      "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                      -Nelson Mandela

                      Comment


                      • Source: https://www.who.int/csr/don/07-febru...-ebola-drc/en/
                        Ebola virus disease – Democratic Republic of the Congo

                        Disease outbreak news: Update
                        7 February 2019

                        The Ebola virus disease (EVD) in the Democratic Republic of the Congo continues with relatively high numbers of cases reported in recent weeks (Figure 1), and some encouraging signs. Katwa and Butembo health zones remain the epicentres of the outbreak, reporting 71% of cases in the last three weeks, with smaller clusters continuing to occur concurrently across a geographically dispersed area.
                        As of 5 February, 789 EVD cases1 (735 confirmed and 54 probable) have been reported, including 488 deaths (overall case fatality ratio: 62%). Thus far, 267 people have been discharged from Ebola Treatment Centres (ETCs) and enrolled in a dedicated monitoring and support programme. Among cases with a reported age and sex, 58% (454/788) were female, and 30% (232/786) were aged less than 18 years; including 116 children under five years. Five new health worker infections were reported in Katwa (4) and Kalunguta (1); overall 67 health workers have been affected to date.
                        During the last 21 days (16 January – 5 February 2019), 119 new cases have been reported from 13 health zones (Figure 2), including: Katwa (75), Butembo (9), Beni (8), Kyondo (5), Kayna (5), Oicha (4), Manguredjipa (4), Biena (2), Kalunguta (2), Mabalako (2), Masereka (1), Mutwanga (1), and Vuhovi (1)2. Current epidemiological analyses points to nosocomial transmission due to poor infection prevention and control (IPC) practices, persistent delays in detection and isolation of new cases, frequent community deaths (and subsequent contact with deceased), and transmission within family and community networks, as the main drivers of ongoing disease transmission. Insecurity and pockets of community resistance have continuously stifled efforts to combat these risks; nevertheless, response teams remain committed to actively strengthening community trust and participation in all affected areas, and are beginning to observe tangible improvements in Katwa and elsewhere.
                        Komanda Health Zone has recently passed the most risky transmission period, with the last confirmed case reported on 11 January and all contacts completing the minimum follow-up period; however, a high degree of vigilance will need to be maintained to rapidly detect potential flare-ups and reintroductions here and in other previously affected areas.
                        Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset, data as of 5 February 2019 (n=789)1




                        1 Data in recent weeks are subject to delays in case confirmation and reporting, as well as ongoing data cleaning – trends during this period should be interpreted cautiously.
                        2The five probable cases from Komanda (all of whom died in November 2018), were reported during the week of 21 – 27 January 2019 following a retrospective re-classification of cases.
                        Figure 2: Confirmed and probable Ebola virus disease cases by health zone in North Kivu and Ituri provinces, Democratic Republic of the Congo, data as of 5 February 2019 (n=789)




                        Public health response

                        The MoH continues to strengthen response measures, with support from WHO and partners. For detailed information about the public health response actions by WHO and partners, please refer to the latest situation reports published by the WHO Regional Office for Africa: WHO risk assessment

                        WHO reviewed its risk assessment on 9 January 2019 for the outbreak and the risk remains very high at the national and regional levels; the global risk level remains low. This Ebola virus outbreak is affecting north-eastern provinces of the Democratic Republic of the Congo bordering Uganda, Rwanda and South Sudan. There is a potential risk for transmission of Ebola virus at the national and regional levels due to extensive travel between the affected areas, the rest of the country, and neighbouring countries for economic and personal reasons as well as due to insecurity. The country is concurrently experiencing other epidemics (e.g. cholera, vaccine-derived poliomyelitis, malaria), and a long-term humanitarian crisis. Additionally, the security situation in North Kivu and Ituri at times limits the implementation of response activities.
                        As the risk of national and regional spread is very high, it is important for neighbouring provinces and countries to enhance surveillance and preparedness activities. The International Health Regulations (IHR 2005) Emergency Committee has advised that failing to intensify these preparedness and surveillance activities would lead to worsening conditions and further spread. WHO will continue to work with neighbouring countries and partners to ensure that health authorities are alerted and are operationally prepared to respond.
                        WHO advice

                        International traffic: 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 passengers leaving the Democratic Republic of the Congo. 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.
                        For more information, see:

                        Comment


                        • Translation Google
                          DIRECTORATE GENERAL FOR DISEASE CONTROL
                          EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

                          Friday, February 8, 2019


                          The epidemiological situation of the Ebola Virus Disease dated February 7, 2019 :
                          • Since the beginning of the epidemic, the cumulative number of cases is 800, of which 739 are confirmed and 61 are probable. In total, there were 502 deaths (441 confirmed and 61 probable) and 271 people cured.
                          • 178 suspected cases under investigation.
                          • 2 new confirmed cases, including 1 in Oicha and 1 in Kyondo
                          • 3 new confirmed cases deaths:
                            • 1 community death in Kyondo
                            • 2 deaths at CTE, including 1 in Butembo and 1 in Katwa
                          • 7 new probable cases (historical deaths) validated in Katwa.
                            • More information on this will be provided in the bulletin of Saturday, February 9, 2019.
                          • 4 new people healed out of Butembo CTE.




                          /! \ The data presented in this table is subject to further changes after thorough investigation and after redistribution of cases and deaths in their health areas.

                          Remarks:
                          • In order to prevent the total number of cases from going up or down daily, the suspect cases have been placed in a separate category. For example, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
                          • The category of probable cases includes all reported deaths for which it has not been possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.
                          • A community death is any death occurring outside of an Ebola Treatment Center.
                          News of the response

                          Ebola case in the army
                          • Cases of Ebola Virus Disease have recently been reported in the Congolese national army in Butembo town. Two soldiers, from the Oicha health zone and working at Butembo airport, were identified as confirmed cases of Ebola on January 12, 2019. The two soldiers spent five days at the Treatment Center. Ebola and came out cured.
                          • Apart from these two confirmed cases, there were three suspect cases for which the laboratory tests were negative.
                          • In addition, on February 4, 2018, six police officers were admitted as suspected cases in Butembo and were discharged after the laboratory tests returned negative.


                          Vaccination
                          • Since the beginning of vaccination on 8 August 2018, 76,425 people have been vaccinated , including 20,473 in Beni, 19,171 in Katwa, 8,517 in Butembo, 6,076 in Mabalako, 2,736 in Kalunguta, 2,201 in Goma, 2,200 in Komanda, 1,844 in Oicha. , 1,663 in Mandima, 1,203 in Kayina, 1,142 in Kyondo, 1,157 in Karisimbi, 1,054 in Bunia, 953 in Vuhovi, 920 in Masereka, 744 in Mutwanga, 700 in Lubero, 590 in Rutshuru, 567 in Biena, 527 in Nyankunde, 510 in Musienene, 355 in Tchomia, 306 in Mangurujipa, 254 in Alimbongo, 207 in Kirotshe, 125 in Nyiragongo, 100 in Rwampara, 97 in Watsa (Haut-Uélé), and 13 in Kisangani.
                          • 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 19 May 2018.



                          ...
                          https://us13.campaign-archive.com/?u...&id=cf6bbe374c
                          "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                          -Nelson Mandela

                          Comment


                          • Translation Google
                            DIRECTORATE GENERAL FOR DISEASE CONTROL
                            EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

                            Saturday 9 February 2019


                            The epidemiological situation of the Ebola Virus Disease dated February 8, 2019 :
                            • Since the beginning of the epidemic, the cumulative number of cases is 806, of which 745 are confirmed and 61 are probable. In total, there were 505 deaths (444 confirmed and 61 probable) and 273 people healed.
                            • 190 suspected cases under investigation.
                            • 6 new cases confirmed in Katwa.
                            • 3 new confirmed cases deaths:
                              • 1 community death in Katwa
                              • 2 deaths at Butembo CTE
                            • 2 new people healed out of Butembo CTE.




                            /! \ The data presented in this table is subject to further changes after thorough investigation and after redistribution of cases and deaths in their health areas.

                            Remarks:
                            • In order to prevent the total number of cases from going up or down daily, the suspect cases have been placed in a separate category. For example, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
                            • The category of probable cases includes all reported deaths for which it has not been possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.
                            • A community death is any death occurring outside of an Ebola Treatment Center.
                            News of the response


                            New probable cases of Katwa
                            • Seven new probable cases (historical deaths) have been validated retrospectively in the health zone of Katwa. These are people who started the illness between November and December 2018 and who died between November 2018 and January 2019.


                            Vaccination
                            • Since Friday, February 08, 2019, immunization of primary care providers has started in Rwampara, a new health zone in Ituri. Vaccination in this health zone is justified by the fact that Rwampara is located on the Bunia-Kisangani road, which is operated by thousands of people from Beni. This vaccination of primary care providers in the Rwampara health zone is part of the preventive measures to limit the spread of the disease in the other provinces.
                            • Since the start of vaccination on 8 August 2018, 77,010 persons have been vaccinated , including 20,503 in Beni, 19,346 in Katwa, 8,587 in Butembo, 6,076 in Mabalako, 2,746 in Kalunguta, 2,271 in Goma, 2,200 in Komanda, 1,844 in Oicha. , 1,663 in Mandima, 1,253 in Kayina, 1,242 in Kyondo, 1,157 in Karisimbi, 1,054 in Bunia, 973 in Vuhovi, 920 in Masereka, 700 in Lubero, 744 in Mutwanga, 590 in Rutshuru, 567 in Biena, 527 in Nyankunde, 510 in Musienene, 355 in Tchomia, 306 in Mangurujipa, 254 in Alimbongo, 207 in Kirotshe, 180 in Rwampara (Ituri), 125 in Nyiragongo, 97 in Watsa (Haut-Uélé) and 13 in Kisangani.
                            • 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 19 May 2018.



                            ...
                            https://us13.campaign-archive.com/?u...&id=ec1fc46f2b
                            "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                            -Nelson Mandela

                            Comment


                            • Translation Google

                              BUTEMBO fight against Ebola: police rescue response agents from youth attack in MUTIRI

                              Posted on: 09/02/2019 at 17h28min59s
                              By Radio Moto Butembo-Beni

                              The response team responsible for supervision in health facilities was attacked by young people from cell Ngothe B MUTIRI neighborhood this Saturday, February 9, 2019. According to the head of the hospital Dieu-merci, the visibility of this team marked by the presence of the vehicle would be the basis of this attack. "This is not the first time that supervisors have come here, they come to supervise every day without a truck, but no harm has ever been observed," said KABUYAYA WAKINYWA, head of the targeted structure. In an interview with our reporter, this official draws up a amount of 120 US dollars taken from the body of its structure, and the damaged truck. The agents of the riposte were saved thanks to the intervention of the police.

                              http://radiomotofm.info/lirearticle.php?billet=5414
                              "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                              -Nelson Mandela

                              Comment


                              • Translation Google
                                DIRECTORATE GENERAL FOR DISEASE CONTROL
                                EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

                                Sunday, February 10, 2019


                                The epidemiological situation of the Ebola Virus Disease dated 9 February 2019 :
                                • Since the beginning of the epidemic, the cumulative number of cases is 811, of which 750 are confirmed and 61 are probable. In total, there were 510 deaths (449 confirmed and 61 probable) and 276 people healed.
                                • 148 suspected cases under investigation.
                                • 5 new confirmed cases, 2 in Katwa, 2 in Butembo and 1 Vuhovi.
                                • 5 new confirmed case deaths:
                                  • 3 community deaths, 2 in Katwa and 1 in Vuhovi.
                                  • 2 deaths in the CTEs, including 1 at the CTE of Butembo and 1 at the CTE of Katwa.
                                • 3 new people healed, including 2 exits from the CTE of Butembo and 1 from the CTE of Katwa.



                                ...
                                https://us13.campaign-archive.com/?u...&id=8de649dc78
                                "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                                -Nelson Mandela

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