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

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

    Monday, February 11, 2019


    The epidemiological situation of the Ebola Virus Disease dated February 10, 2019 :
    • Since the beginning of the epidemic, the cumulative number of cases is 816, of which 755 are confirmed and 61 are probable. In total, there were 513 deaths (452 ​​confirmed and 61 probable) and 277 people healed.
    • 178 suspected cases under investigation.
    • 5 new cases confirmed in Katwa.
    • 3 new deaths from confirmed cases in Katwa, all are community deaths.
    • 1 new person healed out of Butembo CTE.


    ...
    https://us13.campaign-archive.com/?u...&id=c17a373acd
    "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

      Bunia: a confirmed case of ebola recorded at the Salama clinic

      Posted By: buniaactualite.comon: February 12, 2019

      A confirmed case of ebola haemorrhagic fever was recorded this Monday, February 11 in the city of Bunia, capital of Ituri. The interim governor of the province, Pacific Keta, confirmed it to buniaactualite.com, indicating that it is a woman who died at the Salama clinic and whose samples were positive after laboratory analysis.

      Emergency measures have been taken to prevent new contaminations, ensures the provincial authority.

      This is the first ever confirmed case of this epidemic in Bunia city since the penetration of the virus in Ituri province in August last year, killing more than 4 people including Mambasa, Tchomia and Komanda.

      The risk of contamination in the capital of this province had increased since prevention teams along the border with neighboring North Kivu, epicenter of the contagion, have lowered their guard following the non-payment of their premiums by the health authorities.

      https://buniaactualite.com/bunia-un-...inique-salama/
      "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

        Tuesday, February 12, 2019


        The epidemiological situation of the Ebola Virus Disease dated 11 February 2019 :
        • Since the beginning of the epidemic, the cumulative number of cases is 819, of which 758 are confirmed and 61 are probable. In total, there were 516 deaths (455 confirmed and 61 probable) and 278 people cured.
        • 170 suspected cases under investigation.
        • 3 new confirmed cases, including 1 in Katwa, 1 in Komanda and 1 in Butembo.
        • 3 new deaths from confirmed cases (all community deaths), including 1 in Katwa, 1 in Komanda and 1 in Butembo.
        • 1 new person 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


        Location in Bunia
        • The community death reported on Tuesday, February 12, 2019 in Komanda is a woman resident in Katwa who was the known contact of her husband who died of Ebola on January 20, 2019 in Katwa. She had refused follow-up contacts and vaccination. When she began to show signs of the disease, she fled with the help of her family to Bunia where she died. Her family in Butembo decided to bring the body to Vuhovi to bury her next to her husband. Having received the alert, Butembo's coordination of the response informed teams in the Ituri Provincial Division of Health to find the body and the family on the run. The security services intercepted the family at the Foner checkpoint in Komanda with the corpse who was disguised and disguised to believe that the young woman was still alive. The laboratory analyzes of the samples taken from the corpse and the dignified and secure burial were carried out in Komanda. The family members escaped but the provincial security services found them later.
        • This case was classified in Komanda, where confirmation of the diagnosis of Ebola virus disease was made, in accordance with the convention adopted for this outbreak. Since this case went through Bunia during his illness, a mixed team of epidemiologists and vaccinators arrived in Bunia on Tuesday, February 12, 2019 for in-depth investigations to trace his journey upon his arrival in Bunia, identify all his contacts and vaccinate them.

        Allegations of gender-based violence
        • The Guardian published on Tuesday, February 12, 2019, an article entitled " Ebola vaccine offered in exchange for sex, Congo taskforce meeting told ." The Ministry of Health contacted the Guardian asking them to correct the false allegations based on a misinterpretation of preliminary data from an assessment conducted by the International Rescue Committee (IRC). The Department's response is available here .
        • The Ministry of Health and its community engagement partners regularly conduct research and field surveys on various issues for the sole purpose of improving and adapting the response to the Ebola outbreak. These surveys are important tools for identifying and solving potential identified problems.
        • In this case, IRC conducted an assessment in Beni on the impact of the Ebola outbreak and the response on women and girls. The results of this evaluation are still being analyzed and a final report will be published once all the analyzes are finalized. In focus group discussions, participants expressed concern that some services related to the Ebola response might be offered to women and girls in return for sexual favors given the social and security context in which they live. However, IRC clarified that during the discussions, no particular response service was mentioned by the participants. In addition, none of the focus group participants reported individual cases of sexual exploitation in exchange for any services related to the Ebola response .
        • To date, the Ministry of Health has never received any complaints or reports of sexual exploitation by its staff as part of the Ebola response. Rumors about this had been circulating on social networks at one time and the Ministry of Health had been very clear that there would be no tolerance for this kind of behavior. Additional measures are being put in place to ensure a better system for detecting such incidents in the community.
        • The exploitation of vulnerable groups in times of crisis is a real problem that must be taken into account in the design and adaptation of Ebola response strategies. These vulnerable groups are not just women and girls, but also include young boys, the elderly and people with disabilities. Together with our partners, we will continue to conduct community surveys and surveys to ensure the protection of all these vulnerable groups as part of the response to the Ebola outbreak in North Kivu and Ituri.


        Vaccination
        • Since the start of vaccination on August 8, 2018, 78,000 people have been vaccinated , including 20,512 in Beni, 19,476 in Katwa, 8,907 in Butembo, 6,076 in Mabalako, 2,746 in Kalunguta, 2,391 in Goma, 2,200 in Komanda, 1,877 in Oicha. , 1,663 in Mandima, 1,325 in Kyondo, 1,283 in Kayina, 1,157 in Karisimbi, 1,074 in Bunia, 1,064 in Vuhovi, 920 in Masereka, 772 in Mutwanga, 700 in Lubero, 590 in Rutshuru, 567 in Biena, 546 in Musienene, 527 in Nyankunde, 396 in Mangurujipa, 355 in Tchomia, 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=bb64465ceb
        "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

          Wednesday, February 13, 2019


          The epidemiological situation of the Ebola Virus Disease dated February 12, 2019 :
          • Since the beginning of the epidemic, the cumulative number of cases is 823, of which 762 are confirmed and 61 are probable. In total, there were 517 deaths (456 confirmed and 61 probable) and 283 people cured.
          • 177 suspected cases under investigation.
          • 4 new confirmed cases, 2 in Katwa and 2 in Butembo;
          • 1 new confirmed case death at Katwa CTE;
          • 5 new people healed from the CTE, including 2 in Butembo, 2 in Katwa and 1 Beni.




          /! \ 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 start of vaccination on August 8, 2018, 78,464 people have been vaccinated , including 20,512 in Beni, 19,621 in Katwa, 9,007 in Butembo, 6,076 in Mabalako, 2,746 in Kalunguta, 2,411 in Goma, 2,200 in Komanda, 1,937 in Oicha. , 1,663 in Mandima, 1,325 in Kyondo, 1,283 in Kayina, 1,157 in Karisimbi, 1,094 in Bunia, 1,064 in Vuhovi, 920 in Masereka, 772 in Mutwanga, 700 in Lubero, 590 in Rutshuru, 567 in Biena, 546 in Musienene, 527 in Nyankunde, 496 in Mangurujipa, 355 in Tchomia, 254 in Alimbongo, 207 in Kirotshe, 199 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=1052488d63
          "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 14 February 2019


            The epidemiological situation of the Ebola Virus Disease dated February 13, 2019 :
            • Since the beginning of the epidemic, the cumulative number of cases is 829, of which 768 are confirmed and 61 are probable. In total, there were 521 deaths (460 confirmed and 61 probable) and 286 people healed.
            • 201 suspected cases under investigation.
            • 6 new confirmed cases, including 3 in Katwa, 2 in Butembo and 1 in Bunia;
              • New health area reporting a confirmed case . A total of 19 health zones have been affected since the beginning of the epidemic.
              • The case of Bunia is the 6-month-old baby of a woman from Katwa who fled to Bunia and whose dead body was intercepted in Komanda. The baby was transferred to the Komanda CTE.
            • 4 new confirmed cases deaths:
              • 3 community deaths, 2 in Katwa and 1 in Butembo;
              • 1 death at the CTE of Butembo
            • 3 new people healed from the CTE, including 1 in Butembo and 2 in Beni.




            /! \ 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 start of vaccination on 8 August 2018, 79,146 people have been vaccinated , including 20,547 in Beni, 19,971 in Katwa, 9,214 in Butembo, 6,076 in Mabalako, 2,746 in Kalunguta, 2,421 in Goma, 2,200 in Komanda, 1,937 in Oicha. , 1,663 in Mandima, 1,325 in Kyondo, 1,283 in Kayina, 1,157 in Karisimbi, 1,094 in Bunia, 1,064 in Vuhovi, 920 in Masereka, 772 in Mutwanga, 700 in Lubero, 590 in Rutshuru, 567 in Biena, 546 in Musienene, 527 in Nyankunde, 496 in Mangurujipa, 355 in Tchomia, 279 in Rwampara (Ituri), 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=35fc0c8c52
            "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/14-febru...-ebola-drc/en/
              Ebola virus disease – Democratic Republic of the Congo

              Disease outbreak news: Update
              14 February 2019

              Despite slightly fewer cases reported during the past week (Figure 1), current epidemiological indicators highlight that the Ebola virus disease (EVD) outbreak is continuing with moderate intensity. Katwa and Butembo remain the major health zones of concern, while simultaneously, small clusters continue to occur in various geographically dispersed regions. During the last 21 days (23 January – 12 February 2019), 97 new cases have been reported from 13 health zones (Figure 2), including: Katwa (59), Butembo (12), Beni (7), Kyondo (4), Oicha (4), Vuhovi (3), Biena (2), Kalunguta (2), Komanda (1), Manguredjipa (1), Mabalako (1), Masereka (1), and Mutwanga (1).1 The recent case reported in the Komanda health zone was a resident of Katwa who was exposed to the virus, and subsequently travelled to both Bunia and Komanda. This case comes one month after the last reported case in Ituri Province; underscoring the high risks of reintroduction to previously affected areas, as well as the potential for spread to new ones.
              As of 12 February, 823 EVD cases2 (762 confirmed and 61 probable) have been reported, including 517 deaths (overall case fatality ratio: 63%). Cumulatively, cases have been reported from 118 of 287 health areas across 18 health zones, of which 37 health areas have reported a case in the last 21 days. Thus far, 283 people have been discharged from Ebola Treatment Centers (ETCs) and enrolled in a dedicated monitoring and support programme. One new health worker infection was reported in Katwa. To date, a total of 68 health workers have been infected.
              Main challenges this past week primarily pertain to community mistrust, particularly in Katwa, and the difficulty in encouraging community members to be more proactive in reporting suspected cases, presenting early to ETCs for treatment, and participating in community-based prevention and response efforts. However, in the face of these protracted challenges, response strategies have demonstrated to be effective in curtailing the spread of EVD. Fostering greater community trust by strengthening engagement with its members remains a top priority for response teams.
              On 13 February, the Ministry of Health (MoH) launched the Strategic Response Plan 3 (SRP 3). The plan lays out the response strategy, objectives and budget requirements for the MoH, WHO, and all implementing partners for the next six months (February through July 2019). SRP 3 takes into account recommendations from operational reviews, and builds on a series of new strategic directions that capitalize on lessons learned under the scope of SRP 2. Activities laid out aim to stop the transmission of EVD in North Kivu and Ituri provinces, and prevent its spread to other provinces and neighbouring countries.
              WHO remains confident that this outbreak can be successfully brought to an end through strategies outlined in SRP 3. To achieve the goals set out by the plan, MoH, WHO, and partners are appealing for US$ 148 million. WHO and partners count on the continued support of the international community to provide the required funding in order to stop this outbreak.
              Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset, data as of 12 February 2019 (n=822)




              Figure 2: Confirmed and probable Ebola virus disease cases reported between 22 January and 11 February by place of residence, North Kivu and Ituri provinces, Democratic Republic of the Congo (n=101)*




              *Map based on the latest available detailed line lists (data as of 11 February 2019), and excludes cases reported after this date, as well as cases with delayed/missing village or health area details. Categorization of cases by health zone may differ from the reported place of residence.
              Public health response

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

              WHO continuously monitors changes to the epidemiological situation and context of the outbreak to ensure that support to the response is adapted to the evolving circumstances. The last review conducted on 7 February 2019, outlines the high risk the EVD outbreak poses at the national and regional levels, though global risk levels remain low. This EVD outbreak is affecting primarily the north-eastern provinces of the Democratic Republic of the Congo bordering Uganda, Rwanda, and South Sudan. There is a potential risk for transmission of EVD 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 fragile security situation in North Kivu and Ituri, further 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:


              1 Excludes newly probable cases from Katwa (7) and Komanda (5), who died in November and December 2018 and were reported during the period of 21 January to 10 February following a retrospective re-classification of cases.
              2 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.

              Comment


              • Haut-Uele Province

                Translation Google

                Watsa: Two people dead the night of February 13 in the Ebola table

                2 days ago Tropical Climate

                Concordant sources tell us that in Moku, a mining agglomeration located about fifty kilometers from Watsa, chief town of the territory of the same name; a 33-year-old man vomited blood and died. The other similar case was recorded in Durba the same night of February 13, 2019.

                Samples taken will be sent to the National Institute for Biological Research (INRB) of Beni during the day, an official source informs.

                On January 29, National Minister of Public Health Dr. Oly Ilunga led a delegation of health professionals to "respond to the Ebola alert" when a suspected case of this viral disease was observed in Moku from where a trader tested positive for Ebola in Butembo.

                However, if the epidemic has not been confirmed in Watsa territory as a result of the bioclinical analyzes and the context in which the patient tested positive has been contaminated, the fact remains that Watsa must remain in a state of alert. and full vigilance when we know that the DRC is facing the Ebola virus especially in the province of North Kivu where it was declared. North Kivu, home to the epidemic, maintains important trade with Haut-Uele.

                Editor

                http://leclimat-tropical.net/watsa-d...ableau-debola/

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

                DRC: Kibali Gold bars agents from visiting Ebola-affected areas

                By Desk Eco February 15, 2019 in News, Sustainable Development, Enterprises, Mining

                The Kibali Gold Mine Mining Company has limited the movement of its agents to prevent the spread of the Ebola epidemic in the Democratic Republic of Congo.

                "Following a more sustained fight against the spread of the ebola epidemic in our professional environment, it is advisable for any Kibali agent not to go to the affected areas including Beni, Butembo, and their surroundings during his annual leave. where for any other reason. Thus, the agent who would risk it, will be deprived of access to the mine and this, for a period of 21 days, which days will be considered justified absences but not paid, "says the memo of the director of Human Resources, Lucie Kikadi, today arrived at DESKECO.COM.
                ...
                https://deskeco.com/rdc-kibali-gold-...ees-par-ebola/


                "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

                  Friday, February 15, 2019


                  The epidemiological situation of the Ebola Virus Disease dated February 14, 2019 :
                  • Since the beginning of the epidemic, the cumulative number of cases is 835, of which 770 are confirmed and 65 are probable. In total, there were 530 deaths (465 confirmed and 65 probable) and 287 people cured.
                  • 221 suspected cases under investigation;
                  • 2 new confirmed cases in Katwa;
                  • 5 new confirmed case deaths:
                    • 1 community death in Katwa;
                    • 4 deaths in CTEs, including 3 in Katwa and 1 in Bunia;
                      * Correction : The 6 month old baby from Bunia could not be transferred to the Komanda CTE due to its critical condition. He remained at the Bunia Transit Center (CT) where he died.
                  • 4 new probable cases (historical deaths) validated in Komanda;
                  • 1 new person healed out of 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


                  Vaccination
                  • Since the start of vaccination on 8 August 2018, 79,774 persons have been vaccinated , including 20,547 in Beni, 20,185 in Katwa, 9,351 in Butembo, 6,076 in Mabalako, 2,746 in Kalunguta, 2,441 in Goma, 2,200 in Komanda, 2,007 in Oicha. , 1,663 in Mandima, 1,325 in Kyondo, 1,283 in Kayina, 1,157 in Karisimbi, 1,094 in Bunia, 1,064 in Vuhovi, 920 in Masereka, 772 in Mutwanga, 700 in Lubero, 590 in Rutshuru, 567 in Biena, 546 in Musienene, 527 in Nyankunde, 496 in Mangurujipa, 355 in Tchomia, 346 in Rwampara (Ituri), 254 in Alimbongo, 207 in Kirotshe, 125 in Nyiragongo, 120 in Mambasa, 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=9435b229d5
                  "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

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