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  • Translation Google

    BUTEMBO: Fire two CTE in the space of 4 days, complicity or negligence?

    Posted on: 28/02/2019 at 17h08min19s
    By Radio Moto Butembo-Beni
    ...
    MBUSA KANYAMANDA Sylvain talks about terrorist actions by attackers who targeted this site while the city was calm. The mayor of Butembo indicates that the perpetrators of the fire have links with militiamen. However, the mayor of Butembo welcomes the fact that the police have displayed resistance that has allowed some patients to escape.

    "It's not a small question that will have to be overlooked. There was still resistance. Our elements did something. They protected the generators, they also protected the sites of care of the patients. The patients escaped from this center there to avoid bullets. There are those who are beginning to identify themselves, they are beginning to call coordination. They are civilians supervised with May-May. Because if they were civilians, they would not have guns. There are even those who have bulletproof vests, "said the mayor.

    According to him, the attackers, some of whom will be arrested soon, are high-risk people, since they would have reached dangerous sites in CTE Butembo. About the fate of the sick, the latter were transferred to the transit center of Katwa pending the reconstruction work that begins this Friday, promises the mayor.

    No organization has yet made official mention of its withdrawal

    With regard to the announced withdrawal of Médecins Sans Frontières experts who co-managed the Ebola treatment centers in Butembo, the mayor replied that no organization has yet made any official mention of its withdrawal.

    "The partners are here. There are some who have done 1 month, 2 months, 6 months. There are some who can not handle stress related to these attacks. For them, you can not deny them the right to rest, to be able to reconstitute themselves. But no one has yet declared the departure, because those who are gone, it is surely for a small leave pending that they reconstitute themselves and return. On site, their office remains functional, "he said.

    As a reminder, CTE Butembo was attacked on Wednesday night at ITAV Butembo. The mayor deplores the death of a police officer during the exchange of fire that took place between law enforcement officials and attackers.

    Posted on: 28/02/2019 at 17h08min19s
    By Radio Moto Butembo-Beni


    http://radiomotofm.info/lirearticle.php?billet=5487

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

    2019-02-28 18:10:20

    BENI: the inter-medical staff of Vuhovi health zone raises its dry strike

    The intersyndical of the health care staff of the Vuhovi health zone has just ended its dry strike that began on February 19, 2019. The option was lifted this Thursday, February 28, 2019 during the evaluative meeting that health professionals of said health zone held in a premises of the Vuhovi Reference General Hospital.

    All participants agreed to provide a minimum service in all health facilities in this region. However, they decided that the service will be stopped at 15 hours each day in health facilities located in corners of insecurity.

    "In case of emergency, the patients will be transferred directly to VUHOVI at the reference general hospital," says Pascal KASKOTI aka PAO, member of the inter-union VUHOVI.

    It should be recalled that the dry strike of the health personnel was decided on February 19 following the murder of the nurse holding the health center of ISONGA and attacks on health facilities in this health zone. Health professionals continue to call for improved safety conditions in their work environment.

    http://radiomotofm.info/lireactualit...e%20s%C3%A8che

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

    Ebola in DRC: Reasons for attacking two transit centers in Butembo

    By RFI Published on 01-03-2019 Updated on 01-03-2019 at 11:59
    ...
    For the Butembo civil society, part of the population is still struggling to accept the existence of this epidemic, particularly because it served as a pretext for the cancellation of the elections in Butembo, but also in Beni.

    It is probably not a coincidence, according to her, if these attacks took place just after the passage of the president of the Independent National Electoral Commission (CENI). But it is not the only reason. "The swarming armed groups have only benefited from this crisis of confidence that already exists because, from the outset, the coordination of the response did not integrate the local community into the participation of the actions that it does" says Ely Karuvusa, vice president of Butembo's civil society.
    ...
    http://www.rfi.fr/afrique/20190301-e...transit?ref=tw
    "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


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

      Friday, March 1, 2019


      The epidemiological situation of the Ebola Virus Disease dated February 28, 2019 :
      • Since the beginning of the epidemic, the cumulative number of cases is 888, 823 confirmed and 65 probable. In total, there were 557 deaths (492 confirmed and 65 probable) and 302 people cured.
      • 174 suspected cases under investigation;
      • 3 new confirmed cases, 2 in Katwa and 1 in Mandima;
      • 2 new confirmed cases deaths:
        • 1 community death in Katwa;
        • 1 death of confirmed cases at Katwa CT.
      /! \ The data presented in this table are subject to change later, after extensive investigations 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 probable case category includes all deaths for which it was not possible to obtain biological samples for laboratory confirmation but where the investigations revealed an epidemiological link with a confirmed or probable case.
      • A community death is any death occurring outside of an Ebola Treatment Center.
      News of the response

      Continuation of medical care in Butembo
      • Following security incidents in recent days, the international NGOs Médecins Sans Frontières and Alima have decided to withdraw their teams deployed in the town of Butembo while continuing their activities in the other areas affected by the epidemic. After the destruction of the two Ebola Treatment Centers (ETCs), the only functioning patient care facility in the city is the Transit Center (CT) located within the compound of the Katwa Reference General Hospital.
      • Initially intended to support suspicious patients waiting for the results of their laboratory tests, the TC has been slightly reorganized to accommodate confirmed patients from the two CTEs destroyed. TB management was immediately taken over by the Ministry of Health, in collaboration with WHO and UNICEF, to ensure continuity of patient care.
      • The doctors, nurses and hygienists working in the ETCs and the TC are all local health workers living in the area. Despite the shock of recent events, many have returned to their jobs to continue to advance the Ebola response.
      • The CT has a capacity of 35 beds. Following the transfer of all patients who were at the Butembo CTE, the CT currently hosts 31 patients, including 12 confirmed cases and 19 suspected cases. All of the confirmed cases that escaped during the Butembo CTE attack were found and are admitted to the CT. As of tomorrow, 10 extra beds will be added to increase the capacity of the TC. The logistic teams began their work of evaluating the material damages in the two attacked CTEs in order to start the rehabilitation work of these structures as quickly as possible.



      ...
      https://us13.campaign-archive.com/?u...&id=690a335d96
      "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: Following the suspension of its activities in North Kivu, MSF notes that there are still "worrying signs of the epidemic"


        Saturday, March 2, 2019 - 15:26

        Dr. Joanne Lui, the international president of the NGO Médecins Sans Frontières (MSF), expressed this Saturday, March 2, 2019, her concern about the continuation of the operation of response against the 10th Ebola epidemic after a series of attacks by armed men against the centers for the treatment of the disease in the city of Butembo.

        During an exchange with five media in Kinshasa including ACTUALITE.CD, Dr. Joanne Lui indicates that after these attacks, about 40% of cases of the epidemic identified remain in the community.

        For her, MSF does not follow the logic of the use of force to fight against Ebola. The NGO instead seeks to create a balance between the protection of facilities and the trust that must be created in the community.

        "There are still worrying signs regarding the evolution of the epidemic. Around 40% of deaths are in the community so it is "they are people who did not come to the treatment centers before the attacks, we also know that 40% of the confirmed cases do not belong to the chain of transmission. both of these are extremely alarming, and we need community confidence in the response to the Ebola outbreak, "she said.

        It has been seven months since Ebola was declared in the city of Magina, in the territory of Beni. MSF is one of the government's main partners fighting back the epidemic that has already claimed more than 557 deaths in North Kivu and Ituri.

        "MSF will not support an approach that advocates the use of force to stem the epidemic. You can not force people to be tested or treated against their will. Ebola is the common enemy. We must not blame the communities for our difficulties in stemming the epidemic at the moment, " added the MSF President.

        MSF announced Friday the suspension of its Ebola activities in health zones of Katwa and Butembo but continues the fight against Ebola Kayna and Lubero still in North Kivu following two attacks against Ebola treatment centers (CTE) by armed men in Katwa and ITAV in Butembo town.

        Auguy Mudiayi

        https://actualite.cd/2019/03/02/rdc-...l-y-encore-des
        "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

          EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

          Saturday, March 2, 2019

          The epidemiological situation of the Ebola Virus Disease dated 1 March 2019 :

          Since the beginning of the epidemic, the cumulative number of cases is 890, of which 825 are confirmed and 65 are probable. In total, there were 559 deaths (494 confirmed and 65 probable) and 302 people cured.
          172 suspected cases under investigation;
          2 new confirmed cases, including 1 in Katwa and 1 in Mandima;
          2 new deaths of confirmed cases:
          1 community death in Katwa;
          1 death of case confirmed at Katwa CT.
          ...
          https://us13.campaign-archive.com/?u...&id=0451c17382
          ---------------------------------

          EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

          Sunday March 3, 2019

          The epidemiological situation of the Ebola Virus Disease dated March 2, 2019 :

          Since the beginning of the epidemic, the cumulative number of cases is 894, of which 829 are confirmed and 65 are probable. In total, there were 561 deaths (496 confirmed and 65 probable) and 302 people cured.
          182 suspected cases under investigation;
          4 new confirmed cases, 2 in Katwa, 1 in Butembo and 1 in Mandima;
          2 new deaths of confirmed cases (community deaths), 1 in Katwa and 1 in Butembo.
          ...
          News of the response

          Reopening of Butembo Ebola Treatment Center

          The Butembo Ebola Treatment Center, which was attacked by armed men on Wednesday, February 27, 2019, reopened this Saturday, March 2, 2019. To date, 12 confirmed patients, temporarily hospitalized at the Katwa Transit Center, have already been admitted. transferred to the Butembo CTE.

          The logistics teams have rehabilitated in a few days the main parts of the CTE to allow the proper and dignified care of confirmed patients. The Butembo CTE is now managed by the Ministry of Health, in collaboration with WHO and UNICEF. All the caregivers and support staff who were already working at the ETC went back to work with a smile. This Monday, March 4, 2019, reconstruction work of the Katwa CTE set on fire on the night of Sunday 24 to Monday 25 February will be launched.

          Ebola Hackathon in Kinshasa

          This weekend, the Ministry of Health, in partnership with Kinshasa Digital, Path and Internews, organized an Ebola hackathon for students in Kinshasa. The theme for the hackathon was: " How can Ebola response agents better utilize new technologies to achieve their communication goals locally, nationally and internationally? ". The objective of the event was to raise awareness among young people in Kinshasa, living several thousand kilometers from the epicenter of the epidemic, on the problem of Ebola.

          For 24 hours, about fifty students worked as a team to develop innovative solutions that can help the response teams in their work. The thematic touching several areas, the students had been instructed to form multidisciplinary teams mixing students in computer science, communication / journalism and medicine.

          The Minister of Health, Dr. Oly Ilunga Kalenga, as well as Ministry of Health partners spent the hackathon in the afternoon of Saturday. They met with students who briefed them on the projects they were working on. All guests were particularly impressed by the quality and relevance of some projects designed by students who have never worked in an Ebola response.

          This Sunday, March 3, 2019, the ten teams presented their project to a jury composed of representatives of the Ministry of Health, Path, Kinshasa Digital, Internews, Congolia, TMB, Viamo, and BlueSquare. The competition was tight and several projects stood out. Creativity and innovation were at the rendezvous. We were able to discover the idea of ​​a mobile app to help healthcare providers identify suspicious patients or a connected bracelet that monitors the temperature of contacts during the follow-up period.

          The winning team will be announced at Kinshasa Digital Week from April 12 to 13, 2019. She will receive three months of coaching and coaching at Congolia Incubator as well as a financial contribution from a bank. In addition, during the competition, the Ministry of Health identified some talents who could work part-time in the Ebola response, particularly at the level of the new information management system. A second Ebola hackathon will be organized by Internews in Goma in April.
          ,,,
          https://us13.campaign-archive.com/?u...&id=5785bf0ac0
          "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


          • AFRICATECHMARCH 4, 2019 / 10:12 AM / UPDATED 10 MINUTES AGO

            Unknown attackers threaten to worsen Ebola epidemic in Congo

            Inna Lazareva, Thomson Reuters Foundation

            YAOUNDE, March 4 (Thomson Reuters Foundation) -
            ...
            While two Medecins Sans Frontieres (MSF) facilities treating Ebola patients in North Kivu province were attacked last week, aid workers said they are only the latest in a series of incidents.
            ...
            “We had at least 10 cars that were broken into in Katwa,” said Michel Yao, incident manager for the World Health Organization referring to an attack last month in an area in the eastern trading hub of Butembo, a city with strong links to neighbouring Uganda.

            “There are increasing attacks on different teams,” Yao told the Thomson Reuters Foundation by telephone from Butembo.

            He cited the difficult conditions faced by aid staff working on disinfection, safe burials, support of health facilities, those providing vaccinations to treat Ebola and others.
            ...
            It is unclear who exactly is behind the attacks, said Jean-Philippe Marcoux, country director for the Mercy Corps charity in Congo.
            ...
            “To a certain extent, Ebola has been politicised during the run up to (December’s presidential) elections,” said Marcoux.
            ...
            "The teams and staff are very scared,” WHO’s Yao said. “When our team enters (certain areas), they are suddenly surrounded by hostile people who are even armed.”
            ...
            https://af.reuters.com/article/ugandaNews/idAFL5N20O3WY
            "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, March 4, 2019


              The epidemiological situation of the Ebola Virus Disease dated 3 March 2019 :
              • Since the beginning of the epidemic, the cumulative number of cases is 897, of which 832 * confirmed and 65 probable. In total, there were 563 deaths (498 confirmed and 65 probable) and 304 people healed.
              * A confirmed non-classified case has been added to Butembo
              • 171 suspected cases under investigation;
              • 2 new confirmed cases in Butembo;
              • 2 new deaths from confirmed cases of Butembo:
                • 1 community death in Butembo;
                • 1 death of confirmed cases at Katwa TC;
              • 2 people healed out of Butembo CTE.

              /! \ The data presented in this table are subject to change later, after extensive investigations 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.
              • Deaths occurring at the level of the CTEs are provisionally recorded in the health zones of CTE implantation pending reclassification in the health zone of case notification.
              • The probable case category includes all deaths for which it was not possible to obtain biological samples for laboratory confirmation but where the investigations revealed an epidemiological link with a confirmed or probable case.
              • A community death is any death occurring outside of an Ebola Treatment Center.
              News of the response

              Evolution of the epidemiological situation
              • Considerable progress has been made in recent weeks. To date, 19 health zoneshave reported at least one case of Ebola during the epidemic. Of these 19 areas, 11 did not register new confirmed cases for more than 21 days . They are Biena, Kayna, Komanda, Mabalako, Manguredjipa, Masereka, Musienene, Mutwanga, Nyakunde, Oicha and Tchomia. In addition, 6 other health zones reported only 1 to 4 new cases , namely Beni, Kalunguta, Kyondo, Mandima, Rwampara, Vuhovi.
              • These data demonstrate that the epidemic is relatively controlled in the majority of affected health areas. The two health zones that continue to fuel this epidemic remain Butembo and Katwa, which reported more than 86% of new confirmed cases in the last 21 days. In the last 21 days, 80 new cases have been reported, including 48 in Katwa (60%) and 21 in Butembo (26.25%).

              Epidemiological situation as of February 26, 2019


              Epidemiological situation as of March 3, 2019


              Community engagement in Butembo
              • Following targeted attacks on Ebola treatment centers in Katwa and Butembo last week, the Ebola response team in Butembo and surrounding areas launched an action plan to end community incidents that disrupted its activities to defeat this epidemic. During his last visit, the Minister of Health, Dr. Oly Ilunga Kalenga, asked the coordinator of the on-site response to launch a community dialogue to better understand the expectations of the population.
              • This plan was elaborated by Butembo's communication subcommittee on February 27, 2019. After its validation by Dr Jean-Christophe SHAKO, coordinator of the response in this city, this action plan is being implemented by the leaders of the sub-committee. -commission communication supported by UNICEF and WHO since 1 March 2019. On the one hand, they hold consultation sessions with community leaders in Butembo to discuss the issue of resistance and violence against the work of the response. On the other hand, the communication sub-committee would like, through these consultation sessions, to obtain the contribution of the Butembo and Katwa forces in order to define ways and means to put an end to the community incidents. Note that religious leaders, politicians, women's associations and cell chiefs from Butembo and Katwa health areas, where more resistance has been recorded, have already been heard. They gave some way out of this community crisis, which is due to the fact that most members of the community tend to associate Ebola with death, the political problems of insecurity and postponement of elections in the community. region.
              • When the response teams arrived in Butembo in September 2018, they had already met with political and administrative authorities, economic operators, religious and political leaders, opinion leaders, lobbyists and social groups. civil. However, despite the involvement of several influential groups in society, part of the population did not feel that their concerns were sufficiently taken into account. Thus, all these community consultation sessions scheduled for a dozen days will lead to the establishment of a permanent consultation framework between the response team and the community in order to


              Vaccination
              • Since the start of vaccination on 8 August 2018, 85,375 people have been vaccinated , including 21,892 in Katwa, 20,740 in Beni, 10,628 in Butembo, 6,109 in Mabalako, 2,869 in Kalunguta, 2,633 in Goma, 2,317 in Komanda, 2,084 in Oicha, 2,013 to Mandima, 1,357 to Karisimbi, 1,340 to Kayina, 1,340 to Kyondo, 1,254 to Bunia, 1,064 to Vuhovi, 920 to Masereka, 772 to Mutwanga, 769 to Lubero, 767 to Biena, 690 to Rutshuru, 625 to Musienene, 527 in Nyankunde, 496 in Mangurujipa, 469 in Rwampara (Ituri), 355 in Tchomia, 333 in Lolwa, 280 in Mambasa, 254 in Alimbongo, 207 in Kirotshe, 161 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=a5811e9610
              "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


              • Democratic Republic of Congo

                Ebola response failing to gain the upper hand on the epidemic


                Press Release 7 March 2019
                ...
                Seven months into the largest ever Ebola outbreak in the Democratic Republic of the Congo (DRC), the Ebola response is failing to bring the epidemic under control in a climate of deepening community mistrust, Médecins Sans Frontières (MSF) said at a press conference in Geneva today.

                Since the beginning of the year, more than 40 per cent of new cases are people who died of Ebola in the communities. At the epicentre of the epidemic, in Katwa and Butembo, 43 per cent of patients in the last three weeks were still being infected without known links to other cases.

                “We have a striking contradiction: on the one hand a rapid and large outbreak response with new medical tools such as vaccines and treatments that show promising outcomes when people come early – and on the other hand, people with Ebola are dying in their communities, and do not trust the Ebola response enough to come forward,” said International President of MSF, Dr Joanne Liu.
                ...
                https://www.msf.org/ebola-response-f...republic-congo
                "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, March 7, 2019


                  The epidemiological situation of the Ebola Virus Disease dated March 6, 2019 :
                  • Since the beginning of the epidemic, the cumulative number of cases is 913, of which 848 are confirmed and 65 are probable. In total, there were 574 deaths (509 confirmed and 65 probable) and 306 people healed.
                  * The probable new case of Masereka has been removed from the caseload pending validation by the Supervisory Committee.
                  • 181 suspected cases under investigation;
                  • 7 new confirmed cases, including 5 in Katwa, 1 in Butembo and 1 Kyondo;
                  • 6 new confirmed case deaths:
                    • 3 community deaths, including 1 in Katwa, 1 in Kyondo and 1 in Butembo;
                    • 3 deaths at CTE, including 2 deaths in Butembo and 1 in Mabalako;
                  • 2 people healed out of Butembo CTE.
                  /! \ The data presented in this table are subject to change later, after extensive investigations 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.
                  • Deaths occurring at the level of the CTEs are provisionally recorded in the health zones of CTE implantation pending reclassification in the health zone of case notification.
                  • The probable case category includes all deaths for which it was not possible to obtain biological samples for laboratory confirmation but where the investigations revealed an epidemiological link with a confirmed or probable case.
                  • A community death is any death occurring outside of an Ebola Treatment Center.
                  News of the response

                  Role of security in the areas affected by the Ebola outbreak
                  • There appears to be a lack of understanding of the role of law enforcement in Ebola-affected areas. Police and the military are not involved in Ebola response activities and their role has never been to force compliance with sanitary measures.
                  • Given the numerous security incidents against the agents of the response but also against the families and members of the community who adhere to the response, the Ministry of Health asked the Ministry of the Interior to ensure the security of the goods and services. people in the area. It is unacceptable for health workers to be threatened and assaulted in the course of their work. Likewise, it is unacceptable that families are prevented from burying their relative in a dignified and secure manner because of groups of unseemly people.
                  • As local health workers do not have the privilege of being exfiltrated when security conditions deteriorate, there is a need to increase security to ensure a successful response. In addition, since the arrival of the response teams in North Kivu in August 2018, the improvement of the security situation in the region is a permanent demand of the population. The return of security is, moreover, one of the conditions issued by MSF to return to Butembo and Katwa.

                  Arrival of the Director General of WHO in Kinshasa
                  • The Director General of WHO, Dr. Tedros Adhanom Ghebreyesus, arrived this Thursday, March 7, 2019 in Kinshasa. He is accompanied by Dr. Matshidiso Moeti, Regional Director, WHO Office for Africa, Dr. lbrahima Soce Fall, WHO Regional Director for Emergencies, Stewart Simonson, Assistant Director-General for the WHO. Administration, and Pierre Formenty, WHO expert on dangerous pathogens.
                  • The Minister of Health, Dr Oly Ilunga Kalenga, received the delegation to his Cabinet and thanked the WHO for its field work alongside the Congolese teams. He particularly emphasized the contribution of WHO to the rapid rehabilitation of Ebola Treatment Centers in Butembo and Katwa. The reopening of the Butembo CTE, just days after the attack by gunmen, sends a strong message to those trying to disrupt the Ebola response, which is that the agents will remain in office until the end of the war. epidemic.
                  • The Director General of WHO congratulated the Minister and the Government of the Republic for their strong leadership. Although the epidemic is not yet fully under control, the efforts made have made it possible to contain the epidemic geographically in two provinces of the country. This result is remarkable considering the mobility of the population and the security context. However, the risk of spread in other provinces and neighboring countries remains present as long as the epidemic remains active.
                  • During the exchanges, particular emphasis was placed on community engagement strategies. Community dialogue has shown that the public wants the Government and the partners not only to fight Ebola alone, but also to help them improve their general living conditions. The Ministry of Health initiated the design of a community development and recovery program to ensure economic and social recovery in the affected provinces after the end of the Ebola outbreak.



                  ...
                  https://us13.campaign-archive.com/?u...&id=51ef21b1ce
                  "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, March 8, 2019


                    The epidemiological situation of the Ebola Virus Disease dated March 7, 2019 :
                    • Since the beginning of the epidemic, the cumulative number of cases is 918, 853 confirmed and 65 probable. In total, there were 578 deaths (513 confirmed and 65 probable) and 306 people healed.
                    • 190 suspected cases under investigation;
                    • 5 new confirmed cases, including 2 in Katwa, 1 Kalunguta, 1 in Lubero and 1 in Mandima;
                    • 4 new confirmed cases deaths:
                      • 2 community deaths, including 1 in Kalunguta and 1 in Lubero;
                      • 2 deaths from confirmed cases at Butembo CTE.
                    /! \ The data presented in this table are subject to change later, after extensive investigations 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.
                    • Deaths occurring at the level of the CTEs are provisionally recorded in the health zones of CTE implantation pending reclassification in the health zone of case notification.
                    • The probable case category includes all deaths for which it was not possible to obtain biological samples for confirmation in the laboratory but where the investigations revealed an epidemiological link with a confirmed or probable case.
                    • A community death is any death occurring outside of an Ebola Treatment Center.
                    News of the response

                    New health zone affected: Lubero
                    • A confirmed case has been notified to Lubero. This is the twentieth health zone that has recorded at least one case of Ebola during the epidemic. This is a young woman who is the known contact of a confirmed patient who died on February 21, 2019 in Butembo. She categorically refused to be vaccinated and to follow 21-day contacts. When she became ill, she consulted a tradipractician before taking home treatment. She died at home. The response team installed in Lubero for several months has ensured the completion of his burial dignified and secure as well as the listing of his contacts.



                    Vaccination
                    • Immunization of front-line health workers in the health zones of Mweso and Kibirizi began on Thursday, March 7, 2019. These two health zones are neighboring areas in Katwa that currently have the highest number of confirmed cases. Visitors from Katwa regularly visit these areas. Thus, in order to protect health workers, the coordination decided to vaccinate all providers in the surrounding health zones in order to limit the spread of the disease.
                    • Since the start of vaccination on 8 August 2018, 86,346 people have been vaccinated , including 22,017 in Katwa, 20,796 in Beni, 10,875 in Butembo, 6,109 in Mabalako, 2,889 in Kalunguta, 2,633 in Goma, 2,317 in Komanda, 2,084 in Oicha, 2.303 to Mandima, 1.357 to Karisimbi, 1.340 to Kayina, 1.340 to Kyondo, 1.254 to Bunia, 1.064 to Vuhovi, 990 to Masereka, 772 to Mutwanga, 769 to Lubero, 767 to Biena, 690 to Rutshuru, 663 to Musienene, 527 in Nyankunde, 519 in Rwampara (Ituri), 496 in Mangurujipa, 355 in Tchomia, 333 in Lolwa, 280 in Mambasa, 254 in Alimbongo, 207 in Kirotshe, 161 in Nyiragongo, 97 in Watsa (Haut-Uélé), 50 in Mweso and 25 in Kibirizi 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.



                    ...
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                    • Source: https://www.who.int/csr/don/7-march-2019-ebola-drc/en/
                      Ebola virus disease – Democratic Republic of the Congo

                      Disease outbreak news: Update
                      7 March 2019

                      The Ebola virus disease (EVD) outbreak is continuing with moderate intensity. Katwa and Butembo remain the major health zones of concern, while small clusters continue simultaneously in some geographically dispersed locations. During the last 21 days (13 February – 5 March 2019), 76 new confirmed and probable cases have been reported from 31 health areas within nine health zones (Figure 1), including: Katwa (44), Butembo (17), Mandima (6), Masereka (3), Kalunguta (2), Beni (1), Vuhovi (1), Kyondo (1), and Rwampara (1). The emerging cluster in Mandima health zone is occurring in a previously unaffected village, with five of the recent cases epidemiologically linked and the sixth case likely exposed in Butembo; nonetheless, there remains a high risk of further spread. Similarly, recent cases (two confirmed and one probable) in Masereka stem from a Butembo chain of transmission. These events highlight the importance for response teams to remain active across all areas, including those with lower case incidence, to rapidly detect new cases and prevent onward transmission.
                      As of 5 March, 907 EVD cases1 (841 confirmed and 66 probable) have been reported, of which 57% (514) were female and 30% (273) were children aged less than 18 years. Cumulatively, cases have been reported from 121 of 301 health areas across 19 health zones of the North Kivu and Ituri provinces. Overall, 569 deaths (case fatality ratio: 63%) have been reported, and 304 patients have been discharged from Ebola Treatment Centres (ETCs). Although declining trends in case incidence are currently being observed, the high proportion of community deaths reported among confirmed cases, relatively low proportion of new cases who were known contacts under surveillance, persistent delays in detection and isolation in ETCs (related as well to recent violent incidents), and challenges in the timely reporting and response to probable cases, all increase the likelihood of further chains of transmission in affected communities and continued spread.
                      Following the attacks on two ETCs in Katwa and Butembo, patients were temporarily transferred to the Katwa Transit Centre. On 2 March, the Butembo ETC was rehabilitated and resumed treatment of EVD patients. Response teams are progressively resuming activities in all affected areas with the exception of two health areas where security and community resistance remain a challenge.
                      Figure 1: Confirmed and probable Ebola virus disease cases by health area, North Kivu and Ituri provinces, Democratic Republic of the Congo, data as of 03 March 2019




                      Enlarge image
                      Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset, data as of 5 March 2019*




                      *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.
                      Public health response

                      For further detailed 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. National and regional risk levels remain very high, though global risk levels remain low. This EVD outbreak is primarily affecting 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, measles) 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:


                      1The number of cases is subject to change due to ongoing reclassification, retrospective investigation and the availability of laboratory results.


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                      • Translation Google

                        Police officer killed in attack at Ebola treatment center in DRC

                        Paris Match | Posted on the 09/03/2019 at 12h24

                        Writing, by AFP

                        A policeman was killed in Butembo, Democratic Republic of Congo, in the attack on an Ebola treatment center.

                        A new attack of an Ebola treatment center (ETC) on Saturday killed one policeman in Butembo, one of the main outbreaks of this epidemic, just hours before the arrival of the Director General of the WHO. in this eastern city of the Democratic Republic of Congo, we learned from his mayor.

                        The Director General of WHO, Dr. Tedros Adhanom Ghebreyesus and his delegation, came to take stock of the situation of the Ebola epidemic in the DRC, arrived Saturday at 11:30 (9:30 GMT) in Butembo, a major commercial center. million inhabitants and one of the main foci of Ebola.

                        "The Butembo CTE suffered an attack, firing began around 6 am (4 am GMT) and then resumed 30 minutes later with the resistance of the army and the police," Timothée Muissa Kiesse told AFP. , Mayor of Butembo.

                        "The army and the police have been able to catch one of the attackers, a Mai-Mai militia, which will reveal the motives for the CTE attack," said Muissa Kiesse.

                        "A health staff has also been shot (gunshot), taken care of at the hospital, and we hope his case will improve," he said. "This is the third attack on a CTE," said Muissa Kiesse.

                        ..
                        https://www.parismatch.com/Actu/Inte...en-RDC-1611582
                        "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, March 11, 2019


                          The epidemiological situation of the Ebola Virus Disease dated March 10, 2019 :
                          • Since the beginning of the epidemic, the cumulative number of cases is 923, of which 858 are confirmed and 65 are probable. In total, there were 582 deaths (517 confirmed and 65 probable) and 308 people cured.
                          • 150 suspected cases under investigation;
                          • 2 new confirmed cases, including 1 in Butembo and 1 in Biena;
                          • No new case deaths confirmed.
                          /! \ The data presented in this table are subject to change later, after extensive investigations 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.
                          • Deaths occurring at the level of the CTEs are provisionally recorded in the health zones of CTE implantation pending reclassification in the health zone of case notification.
                          • The probable case category includes all deaths for which it was not possible to obtain biological samples for laboratory confirmation but where the investigations revealed an epidemiological link with a confirmed or probable case.
                          • A community death is any death occurring outside of an Ebola Treatment Center.
                          News of the response
                          Mission to Kighali village (health zone of Lubero)
                          • The coordinator of the Butembo sub-coordination, Dr. Jean-Christophe Shako, made a mission to Kighali, a village located 45 km from Lubero-center, on Monday, March 11, 2019. The mission in this village was risky because it is surrounded by hills from which armed groups monitor any movement of vehicles and people.
                          • The aim of the response team was to remove community reluctance against vaccination and household decontamination following the detection of a confirmed case and possible probable cases in the village. The confirmed case is a woman, a known but reluctant contact, who fled Butembo to seek refuge in Kighali. In order to limit the risk of spread of the virus in this village, it was important to carry out all the response activities around the case, namely the listing of contacts, vaccination, the decontamination of households and health facilities, the establishment of the 21-day tracking system, as well as food distribution for all contacts.
                          • The day before, a team of three epidemiologists had entered the village to investigate. On site, they had met with fierce reluctance from the community and were seriously injured by the angry mob. On Monday, Dr. Shako managed to remove this reluctance thanks to the involvement of local leaders including the mwami, the group leader, the priest, the territory administrator and the zone chief medical officer.
                          • A large crowd gathered to listen to the speeches of all the speakers. They spoke in turn about the importance of hosting response teams, not attacking them, being vaccinated and respecting all other preventive measures. These words seem to have convinced the population, in particular about sixty contacts who have quickly registered to benefit from the vaccination and start the 21-day follow-up program. A call has been made to other contacts who are still hidden.



                          ...
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                          "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

                            LUBERO / Territory: BIENA records new Ebola case after 30 days without reported case

                            Posted on: 12/03/2019 at 17h14min29s
                            By Radio Moto Butembo-Beni

                            The BIENA health zone has registered a new case. This, after 30 days passed without any case notified in this area. The case was recorded Sunday, March 10 at MAMBOWA hospital.

                            It is a 2-year-old child who has been in contact with his father who died of Ebola in Butembo two weeks ago. On the morning of Monday, March 11th, the coordination of the Ebola response team in the Biena Health Zone confirms the transfer of this case to the CTE Butembo. The district medical officer indicates that efforts are being made in terms of vaccination of contacts of the confirmed case.

                            Note that the week before March 10, in the awareness mission against Ebola, the sensitization team was invaded by residents from Katanga to Vuyinga. One of the sensitizers was heavily beaten and remains interned in a health facility of the place.


                            Posted on: 12/03/2019 at 17h14min29s
                            By Radio Moto Butembo-Beni

                            http://radiomotofm.info/lirearticle.php?billet=5540
                            "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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                            • (From a blog)

                              Translation Google

                              TUE14

                              The ebola riposte burned in Mambowa / Lubero

                              Another CTE of Medecins Sans Frontieres was burned in Mambowa in the sector of Bapere / Lubero. According to local sources, a boy was shot and wounded on his legs, which caused the population to chase even the vehicles of response teams, which were destroyed. The group also ransacked the Mambowa referral general hospital, a CBCA hospital, and destroyed in addition the response team vehicles, the CBCA Jeep carrying the delegation of the Health Department of the CBCA. CBCA. It all started with the death of a father in Ngazimoya, still in the same area, which would be a suspected case of ebola. The teams of the riposte arrived at the place to take care of this body but the population did not accept to yield this body. For now the population of Njiapanda is in the streets of Bapere area singing hostile songs against the team of responses.

                              https://congoaujourlejour.blogspot.c...rontieres.html

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

                              DRC: Another Ebola Treatment Center burned in Mambowa (Lubero)

                              Thursday, March 14, 2019 - 10:56

                              Another Ebola treatment center (ETC) was ransacked and burned on Thursday 14 March in Mambowa, near Nziapanda-Mangurejipa, in the health zone of Biena, in Lubero territory (North Kivu).

                              An administrative officer at the Manguredjipa Reference General Hospital tells ACTUALITÉ.CD that it was local youth who took to the CTE to express their resistance to the attempt to take samples from the body of one of their children. died in a health facility in Mambowa.

                              The protesters then set fire to the home of the province governor's deputy delegate in the area, whom they accused of alerting Ebola counter-agents for the removal, the source said.

                              The Burning Isolation Center is managed by the World Health Organization (WHO) after the withdrawal of MSF and hosted 17 patients before being burned.

                              The police and the DRC armed forces intervened to protect the patients and to disperse the protesters with warning shots. For the moment, witnesses on the spot report clashes between the police and the demonstrators.

                              ...
                              https://actualite.cd/2019/03/14/rdc-...mambowa-lubero

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

                              DRC-Ebola: A shot dead following clashes between police and perpetrators of the Mambowa CTE fire

                              Thursday, March 14, 2019 - 13:47

                              A young man was killed and the other shot after the fire of an Ebola treatment center (ETC) on Thursday, March 14 in Mambowa, on the Nziapanda-Mangurejipa road, health zone of Biena, in Lubero territory (North Kivu).

                              According to Bwanamudogo Jackson, an agent in an agricultural cooperative based in Njiapanda (80 km west of Butembo), the dead young man was returning from the field when he encountered loyalist forces chasing after him, with warning shots, the authors of the CTE fire erected in Mambowa by Doctors Without Borders (MSF), but currently managed by the World Health Organization (WHO).

                              "The young man who was carrying firewood was hit by one of a stray bullet. He is dead. For now, the protesters have just dropped off her body at the Nziapanda Police Office. Apart from him, there is also another protester shot by wounds, and angry health professionals would refuse to treat for the moment, "he says.

                              In addition to the Burning Ebola Treatment Center and the recorded human injuries, a driver from the Biena Health Zone told ACTUALITE.CD that five vehicles, including two from MSF kept on site after the organization's withdrawal, been stoned by protesters.

                              Until 13:00, sources on the spot reported clashes between demonstrators and police. Socio-economic activities are suspended in Nziapanda.

                              "Protesters throw projectiles at police and soldiers, and they respond with warning shots. Which causes tension. Since 10am, all socio-economic activities are at stops. Shops have closed, "adds Bwanamudogo.

                              An administrative officer at Manguredjipa General Reference Hospital indicates that it was local youth who learned at CTE to express their resistance to an attempt to take samples from the body of one of their deceased in a health facility. Mambowa. The protesters also set fire to the home of the provincial governor deputy delegate in the area, whom they accused of alerting the Ebola counterparts to take samples from the body of their dead comrade.

                              ...
                              https://actualite.cd/2019/03/14/rdc-...-et-auteurs-de
                              "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


                              • WHO says Ebola area contained but Congo needs long-term support

                                by Reuters
                                Thursday, 14 March 2019 16:01 GMT

                                GENEVA, March 14 (Reuters) - The Ebola outbreak in Democratic Republic of Congo is now concentrated in two areas and could be stopped by September, but the world must tackle Congo's broader crisis to make it count, the head of the World Health Organization said on Thursday.
                                ...
                                "We have averted a much larger outbreak," WHO chief Tedros Ghebreyesus Adhanom told a news conference, adding that the affected area was contained and shrinking within a certain geographic area.

                                "Our target now is to finish it within the next six months."
                                ...
                                http://news.trust.org//item/20190314155004-g137v/
                                "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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