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

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  • Source: https://www.who.int/csr/don/14-march-2019-ebola-drc/en/
    Ebola virus disease – Democratic Republic of the Congo

    Disease outbreak news: Update
    14 March 2019

    The public health response to the Ebola virus disease (EVD) outbreak continues to make gains. During the last 21 days (20 February – 12 March 2019), no new cases have been detected in 10 of the 20 health zones that have been affected during the outbreak (Figure 1). There has also been fewer new cases observed over the past five weeks compared to January 2019 and earlier in the outbreak (Figure 2).
    Currently, the greatest concern centres on the neighbouring urban areas of Katwa and Butembo, which continue to contribute about three-quarters of recent cases. Clusters in other areas of North Kivu and Ituri provinces have been linked to chains of transmission in Katwa and Butembo, and have thus far been contained to limited local transmissions with relatively small numbers of cases. A total of 74 confirmed cases were reported during the last 21 days from 32 of the 125 health areas affected to date (Table 1). Risk of further chains of transmission and spread remain high, as highlighted by the recent spread to Lubero Health Zone, and reintroduction to Biena Health Zone following a prolonged period without new cases.
    Response teams are fully operational in all outbreak affected areas and there are encouraging improvements in community acceptance of the response, despite the challenges of ongoing insecurity caused by armed groups. For example, during the last 21 days in Katwa and Butembo, 88% of the 256 families with a family member who died and was suspected to have EVD, accepted the support from response teams to conduct a safe and dignified burial. Seventy-four new vaccination rings were launched, with over 90% of people eligible for vaccination accepting to do so, and over 90% of these participated in follow-up visits. A total of 5974 people (including 2159 health and frontline workers) consented and were vaccinated this period; overall 87,632 people have been vaccinated to date. Vaccination teams are continuing to follow-up on 12 rings wherein the families have not yet accepted the intervention, and two other rings that are in the process of being defined. Seven field laboratories have remained fully operational, sustaining similar testing rates as previous weeks. During the past week, 1213 samples from new suspected cases, community deaths and previously confirmed cases were tested within 48 hours. Outreach teams made up mostly of local volunteers also met with 6000 households during the past week, building local knowledge of Ebola, and referring sick individuals to either Ebola Treatment Centres (ETCs) or other health facilities as appropriate. In the last two weeks, community dialogues were held in several villages in Katwa and Vuhovi to find ways in engaging community members to build trust and ownership in the Ebola response.
    Efforts to strengthen case finding and investigation, and contact tracing activities are also bearing fruit. Of 74 confirmed cases reported in the last 21 days, 83% (62 cases) have been epidemiologically linked to active chains of transmission; either listed as contacts at illness onset (47 cases) or linked retrospectively to other cases or health centre where they were likely exposed (15 cases). Investigations are ongoing to identify links for the remaining cases.
    Challenges include further attacks by armed groups on affected communities and ETCs, elements of community mistrust, and persistent delays in getting people into care in ETCs for various reasons. The Ministry of Health, WHO and partners continue to work actively to build community trust and participation in the response, while reinforcing security measures to protect patients and response teams. The ETC in Butembo has been rebuilt following two attacks and is treating patients again, and the Katwa Transit Centre remains operational.
    Since the beginning of the outbreak to 12 March 2019, 927 EVD cases1 (862 confirmed and 65 probable) have been reported, of which 57% (525) were female and 30% (280) were children aged less than 18 years. Cumulatively, cases have been reported from 125 of 319 health areas across 20 health zones of the North Kivu and Ituri provinces (Table 1). Overall, 584 deaths (case fatality ratio: 63%) have been reported, and 308 patients have been discharged from ETCs.
    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 10 March 2019




    Enlarge image
    Table 1: Confirmed and probable Ebola virus disease cases, and number of health areas affected, by health zone, North Kivu and Ituri provinces, Democratic Republic of the Congo, data as of 12 March 2019




    Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset, data as of 12 March 2019*




    *Data in recent weeks are subject to delays in case confirmation and reporting, as well as ongoing data cleaning.
    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. The latest assessment on 6 March 2019 concluded that the national and regional risk levels remain very high, while global risk levels remain low. The outbreak has continued with a similar epidemiological profile to the last assessment. Attacks on ETCs in Katwa and Butembo represented the first large-scale and organized attacks targeted directly at the Ebola response, and were of a different order of magnitude to episodes of mistrust in communities or dangers of being caught in crossfire between fighting parties. In addition, the persistence of pockets of community resistance and mistrust, exacerbated by political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas; reducing the overall effectiveness of interventions. These events occur amidst declining trends in case incidence; however, the high proportion of community deaths reported among confirmed cases, persistent delays in detection and isolation in ETCs, challenges in the timely reporting and response to probable cases, collectively increase the likelihood of further chains of transmission in affected communities and increased risk of geographical spread within the Democratic Republic of the Congo and to neighbouring countries. As do the risk of increased population movement anticipated during periods of heightened insecurity.
    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.

    Comment


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

      Thursday, March 14, 2019


      The epidemiological situation of the Ebola Virus Disease dated March 13, 2019 :
      • Since the beginning of the epidemic, the cumulative number of cases is 932, of which 867 are confirmed and 65 are probable. In total, there were 587 deaths (522 confirmed and 65 probable) and 309 people cured.
      • 210 suspected cases under investigation;
      • 5 new confirmed cases, including 3 in Mandima, 1 in Kalunguta and 1 in Lubero;
      • 3 new deaths of confirmed cases, including
        • 1 community death in Mandima;
        • 2 deaths at Butembo CTE;
      • 1 new patient cured out of CTE Butembo.
      /! \ 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

      Incident at Biena
      • The Mambowa Transit Center, in the Biena Health Zone, was ransacked by the mob following the refusal of the population to allow a team to retake a sample from the body of a man suspected of having died. Ebola in a local health center. The crowd also attacked Biena's General Reference Hospital, including a newly rehabilitated building.
      • The police intervened to disperse the crowd. Unfortunately, one young man died after being hit by a stray bullet and another was injured. All riposte activities were suspended for the day.
      • A delegation consisting of the administrator of the territory and several notables of the region will go to Biena from Friday, March 15, 2019 to discuss with the population to appease the situation. The Ministry of Health has asked the Ministry of the Interior to open an investigation into the incidents that occurred during the day.



      ...
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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

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

        Friday, March 15, 2019


        The epidemiological situation of the Ebola Virus Disease dated 14 March 2019 :
        • Since the beginning of the epidemic, the cumulative number of cases is 936, 871 confirmed and 65 probable. In total, there were 591 deaths (526 confirmed and 65 probable) and 310 people cured.
        • 240 suspected cases under investigation;
        • 4 new confirmed cases, including 1 in Mandima, 1 in Katwa, 1 in Butembo and 1 in Kayina;
        • 4 new confirmed case deaths, including
          • 2 community deaths, including 1 in Mandima and 1 in Butembo;
          • 2 deaths at CTE, including 1 Mabalako and 1 in Beni (these are 2 cases notified to Mandima reported in the bulletin of Thursday, March 14, 2019);
        • 1 new patient cured out of CTE Butembo.
        /! \ 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 .


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

          Saturday, March 16, 2019


          The epidemiological situation of the Ebola Virus Disease dated March 15, 2019 :
          • Since the beginning of the epidemic, the cumulative number of cases is 943, of which 878 are confirmed and 65 are probable. In total, there were 594 deaths (529 confirmed and 65 probable) and 311 people healed.
          • 237 suspected cases under investigation;
          • 7 new confirmed cases, including 2 in Kyondo, 2 in Katwa, 1 in Butembo, 1 in Masereka and 1 in Vuhovi;
          • 3 new deaths of confirmed cases, including
            • 2 community deaths, including 1 in Masereka and 1 in Katwa;
            • 1 death at CTE Mabalako (this is a patient from Mandima);
          • 1 new patient cured out of CTE Butembo.
          /! \ 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 .


          ...
          https://us13.campaign-archive.com/?u...&id=647b6e91ea
          "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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          • Translation Google
            DIRECTORATE GENERAL FOR DISEASE CONTROL
            EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

            Sunday, March 17, 2019


            The epidemiological situation of the Ebola Virus Disease dated March 16, 2019 :
            • Since the beginning of the epidemic, the cumulative number of cases is 951, 886 confirmed and 65 probable. In total, there were 598 deaths (533 confirmed and 65 probable) and 312 people cured.
            • 231 suspected cases under investigation;
            • 8 new confirmed cases, including 3 in Katwa, 3 in Vuhovi, and 2 in Masereka;
            • 4 new confirmed case deaths, including
              • 2 community deaths, including 1 in Vuhovi and 1 in Katwa;
              • 2 deaths at the CTE, including 1 in Butembo and 1 in Beni (identification of the origin of the patient in progress);
            • 1 new patient cured out of CTE Butembo.
            /! \ 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 .


            ...
            News of the response

            Case clusters in Vuhovi and Masereka
            • The case cluster in Vuhovi is made up of family members who were reluctant to respond. After several days of refusing to vaccinate and follow up contacts, several members of this family became ill at the same time. Following the last community death in this family, several neighbors and other villagers moved and asked to be vaccinated. After discussions with the community engagement and psycho-social care teams, the family leaders themselves undertook, in a letter addressed to the coordination of the response, not to oppose to their activities. They asked that their sick relatives be transferred to the CTE and that the rest of the family be vaccinated.
            • Masereka's cases are family members of another confirmed patient who died on March 4, 2019.

            ...

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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


            • (From a blog)

              MAR 17

              A death of ebola again in Beni

              A case of death of ebola at the CME Nyakunde in Beni a case from Biakato

              Posted 42 minutes ago by la question de Chebeya

              https://congoaujourlejour.blogspot.c...core-beni.html
              "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 18, 2019


                The epidemiological situation of the Ebola Virus Disease dated March 17, 2019 :
                • Since the beginning of the epidemic, the cumulative number of cases is 960, 895 confirmed and 65 probable. In total, there were 603 deaths (538 confirmed and 65 probable) and 314 people cured.
                • 172 suspected cases under investigation;
                • 9 new confirmed cases, including 3 in Katwa, 2 in Vuhovi, 2 in Masereka, 1 in Butembo and 1 in Kalunguta;
                • 5 new deaths of confirmed cases, including
                  • 4 community deaths, including 3 in Katwa and 1 in Kalunguta;
                  • 1 death at the CTE of Butembo;
                • 2 new patients recovered from CTE Butembo.
                /! \ 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 .



                ...
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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

                  Ituri-ebola: SOS from Pacific Keta on the risk of large-scale contamination in Mandima

                  According to the interim governor of Ituri, 2 deaths and 13 new contaminations to the outbreak of ebola virus disease have just been registered again in the localities of Biakato and Lwemba in Mandima health zone in Mambasa territory located about 200 km southwest of Bunia in Ituri.

                  During a press briefing Saturday, March 16, 2019 in Bunia, Pacific Keta Upar lamented the weak collaboration of the local population with the response teams, which he said could increase the risk of contamination in this part of his province .

                  "We regret to announce the outbreak of ebola in Biakato and Lwemba in the Mandima health zone, we describe the poor collaboration of the population of these two entities that could promote the large-scale contamination of our population" did he declare.
                  ...

                  Buniaactualite.com via orientalinfo.net

                  17/03/2019 / BY WRITING

                  https://www.orientalinfo.net/03/17/i...lle-a-mandima/
                  "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

                    A new approach against the Ebola epidemic in the DRC

                    By Simon Rozé Published on 19-03-2019 Last modified 19-03-2019 at 14:30

                    More than seven months after its start, the Ebola epidemic in the north-east of the Democratic Republic of Congo (DRC) has just exceeded 600 deaths. The World Health Organization (WHO) however considers the epidemic contained, and even plans to see the end in six months. An achievable goal, but one that requires a change of approach.

                    Every day, new cases of Ebola in the DRC are counted on the fingers of one hand. Clearly, a peak has passed, prompting WHO to declare the epidemic "contained". For many observers, the use of this term is probably a bit premature. "The epidemic is not under control," says Dr. Natalie Roberts. The emergency director of Médecins sans Frontières Paris has just returned from North Kivu. It parallels the epidemic that has hit West Africa: "There is a risk today of seeing an outbreak and many more cases. Our goal is to understand what are the risk factors and avoid what we saw in West Africa. The epidemic seemed then contained, but it preceded such an outbreak. In the DRC, we still do not understand why and how people catch Ebola. "

                    During her stay, however, Natalie Roberts was able to observe the situation, which led her to formulate several hypotheses. Nosocomial transmissions at the hospital are thus at the top of its list, as is the so-called chain of contamination: the contacts of a sick person with those around him. It must be possible to trace this thread. "When a case is identified in a family, our teams arrive to identify contacts," explains Jean-Christophe Shako. The coordinator of the disease response does this work every day in Butembo. "All contacts are listed, vaccinated. Then we decontaminate the structure, clean it up. We mostly follow all contacts for twenty-one days. "Long-term work and the doctor regularly observes the reluctance of the population, which complicates the task even more, with potentially serious consequences. "If these operations are not carried out, contacts will develop the disease. That's what's causing us problems now. "

                    Go faster in the care

                    Ebola is indeed a scary disease, and the first reflex is not to go to an Ebola center as soon as the first symptoms appear. The sick simply go to the nearest hospital. This has two perverse effects: the increase in nosocomial infections mentioned by Natalie Roberts, but also a crucial loss of time. The doctor estimates that, on average, patients go to three different health centers before going to an Ebola facility.

                    To remedy this, the idea is to change the approach and move towards greater integration of the Ebola treatment chain into already existing structures. In Lubero, for example, "there is no Ebola center, we only have the general reference hospital," says Dr. Grégoire Tshilongo of MSF. "All the patients go through there, there is only one sorting. We have an isolation room for all suspected cases. We can keep them there and take the samples. If the test is positive, the patient is referred to an Ebola specific course. If he is negative, he is treated in the hospital.

                    For MSF, this approach has several advantages. Firstly, there is no longer a waste of time in the management of the disease: the patient has access to screening as soon as he or she enters the treatment pathway. The establishment of isolation rooms in a general hospital also limits the risks of nosocomial infections.

                    However, this system should be generalized in order to equip each health center in the region with personnel and infrastructures that can be in contact with the disease. The World Health Organization seems to be moving in this direction. "Our priority must be working with communities by building their capacity to cope with the epidemic," said Tedros Ghebreyesus Adhanom, WHO's Director General. "I fully agree with MSF on this, it's now part of our strategy. "

                    An unstable security context

                    The end of the epidemic is therefore possible. However, it will be necessary to override the security risk: "In this region, there are armed conflicts since many decades and the communities are always cautious", continues the boss of WHO, which warns against the risk that the epidemic is on the rise "if the security situation continues to deteriorate. "

                    http://www.rfi.fr/afrique/20190319-r...oms-insecurite
                    "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, March 19, 2019


                      The epidemiological situation of the Ebola Virus Disease dated March 18, 2019 :
                      • Since the beginning of the epidemic, the cumulative number of cases is 968, 903 confirmed and 65 probable. In total, there were 606 deaths (541 confirmed and 65 probable) and 315 people cured.
                      • 234 suspected cases under investigation;
                      • 8 new confirmed cases, including 4 in Masereka, 2 in Katwa, 1 in Kayina and 1 in Mandima;
                      • 3 new deaths of confirmed cases, including
                        • 2 community deaths: 1 in Katwa and 1 in Mandima;
                        • 1 death at the CTE of Butembo;
                      • 1 new patient cured out of CTE Butembo.
                      /! \ 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 .


                      ...
                      https://us13.campaign-archive.com/?u...&id=5317c06d25
                      "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, March 20, 2019


                        The epidemiological situation of the Ebola Virus Disease dated 19 March 2019 :
                        • Since the beginning of the epidemic, the cumulative number of cases is 980, of which 915 are confirmed and 65 are probable. In total, there were 610 deaths (545 confirmed and 65 probable) and 317 people cured.
                        • 236 suspected cases under investigation;
                        • 12 new confirmed cases, including 4 in Masereka, 3 in Mandima, 2 in Katwa, 1 in Kayina, 1 in Butembo and 1 in Bunia;
                          • The new confirmed case of Bunia is a 6-month-old infant whose parents are in apparent good health. In-depth investigations are underway and will include, among other things, the analysis of breast milk to identify the source of contamination.
                        • 4 new confirmed case deaths, including
                          • 2 community deaths: 1 in Katwa and 1 in Bunia;
                          • 2 deaths at Butembo CTE;
                        • 2 new patients recovered from CTE Butembo.
                        /! \ 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
                        • In the last 21 days, 97 new cases have been reported. The three main households for this period are Katwa (33 cases or 34%), Masereka (18 cases or 18.6%) and Mandima (15 cases or 15.5%).
                        • This increase in cases was expected given the paralysis of the response in the town of Butembo after the armed attacks against the two CTE. In addition, the community dialogue is starting to bear fruit. We are seeing an increase in alerts reported by the community which makes it possible to detect patients more quickly.

                        International delegation
                        • An international delegation visited the response teams with the Minister of Health on Tuesday 19 and Wednesday 20 March 2019. The delegation was composed of Henrietta Ford, Executive Director of UNICEF, Mark Lowcock, Under-Secretary-General for Humanitarian Affairs. of the United Nations, and Elhadj As Sy, Secretary-General of the International Federation of Red Cross Societies (IFRC).
                        • Upon arrival in Goma, they visited Heal Africa Hospital. The Minister of Health and the Executive Director of UNICEF continued their journey to Bunia where they were to see an IDP camp located within the premises of the Higher Pedagogical Institute (PSI) of Bunia. They visited the clinic built in the camp to provide first aid to the many displaced families from Djugu in Ituri province. Finally, in Beni and Butembo, they visited the Ebola Treatment Centers (ETCs) and the CTE centers supported by UNICEF. Being immune to the virus, Ebola survivors are recruited from these crèches to care for children whose parents are hospitalized in the CTE.

                        Vaccination
                        • Since the start of vaccination on 8 August 2018, 89,855 people have been vaccinated , including 22,470 in Katwa, 20,986 in Beni, 11,012 in Butembo, 6,109 in Mabalako, 2,985 in Kalunguta, 2,831 in Goma, 2,780 in Mandima, 2,317 in Komanda, 2,147 to Oicha, 1,500 to Kayina, 1,389 to Kyondo, 1,364 to Bunia, 1,357 to Karisimbi, 1,349 to Masereka, 1,214 to Vuhovi, 1,021 to Lubero, 921 to Biena, 846 to Musienene, 772 to Mutwanga, 690 to Rutshuru, 557 in Rwampara (Ituri), 527 in Nyankunde, 496 in Mangurujipa, 355 in Tchomia, 333 in Lolwa, 280 in Mambasa, 254 in Alimbongo, 250 in Mweso, 245 in Kibirizi, 227 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.



                        ...
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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

                          Ituri: MSF / Switzerland withdraws from Bwikato locality due to probable attack on facilities

                          Bunia, March 20, 2019 (ACP) .- The leaflets collected in the locality Bwikato located in the territory of Mambasa 165km south of the city of Bunia, whose authors remain unknown, announcing a probable attack on the facilities of Doctors Without Borders (MSF / Switzerland) would be the main cause of the withdrawal of this international NGO in this locality where the Ebola virus disease currently exists, reports the local civil society.

                          According to the source, MSF / Switzerland, which fears for its safety in this part of the DRC, has already recalled all its agents who worked in this region as part of the Ebola response activities.

                          Addressed, MPP Omer Kamabale, elected from Mambasa, expressed concern over the withdrawal of MSF / Switzerland during this period when the population is under threat of Ebola. He called on the provincial government to make the necessary arrangements to facilitate the return of this international NGO.

                          ACP / KAYU / DNM / AWA / CFM

                          https://acpcongo.com/ituri-msf-suiss...installations/

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

                          DRC-Ebola: MSF suspends activities in Biakato (Ituri)

                          Thursday 21st March 2019 - 10:05

                          The NGO Doctors Without Borders (MSF) announced Wednesday the suspension of its activities against the Ebola outbreak in the Biakato group in the territory of Mambasa (Ituri) for security reasons.

                          "The only community in Ituri where the activities Ebola has been suspended for security reasons is Biakato since March 15," said Alex Wade, MSF project manager, without giving more details about the security situation. in the zone.

                          The organization specifies, however, that it normally continues its interventions in other regions of Ituri, particularly in Djugu.

                          "Ebola's activities continue in Djugu, in Mambasa. We still have a transit center of activity in Bunia, in Bwanasura and then we still have our activities that are not related to Ebola in Ituri, "MSF adds.

                          Last February, MSF also announced the suspension of its Ebola response activities in the health zones of Butembo and Katwa (North Kivu) after attacks by unidentified gunmen on both sides. Ebola Treatment Centers (ETCs).

                          Auguy Mudiayi

                          https://actualite.cd/2019/03/21/rdc-...-biakato-ituri
                          "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: An infant died in Ituri


                            Posted the game, 21/03/2019 - 13:16 | Changed the game, 21/03/2019 - 13:20

                            A little girl who was barely six months old died of Ebola at the Soleniama Health Center, about ten kilometers north of Bunia. The interim governor of Ituri, Pacific Ketha, confirmed the news delivered by medical sources.

                            The victim was buried on Tuesday under conditions required, said for its part the chief medical officer of Bunia Health Zone, Dr. Prosper Ukurfwa.

                            The health center and the home of the victim family have been decontaminated, contacts have been identified and their vaccination is underway, the source said.


                            https://www.radiookapi.net/2019/03/2...-mort-en-ituri
                            "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 21, 2019


                              The epidemiological situation of the Ebola Virus Disease dated March 20, 2019 :
                              • Since the beginning of the epidemic, the cumulative number of cases is 991, of which 926 are confirmed and 65 are probable. In total, there were 614 deaths (549 confirmed and 65 probable) and 318 people healed.
                              • 230 suspected cases under investigation;
                              • 11 new confirmed cases, including 3 in Vuhovi, 2 in Beni, 2 in Mandima, 2 in Butembo, 1 in Katwa and 1 in Masereka;
                              • 4 new confirmed case deaths, including
                                • 3 community deaths: 1 in Katwa, 1 in Beni and 1 in Mandima;
                                • 1 death at the CTE of Butembo;
                              • 1 new healed patient released from Butembo CTE;
                              • The cumulative number of confirmed / probable cases among health workers is 77 (7.7% of all confirmed / probable cases), including 26 deaths.
                              /! \ 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


                              Establishment of local response committees in the most reluctant health areas
                              • After the community incidents against the Butembo and Katwa response teams, the communication commission, with the support of the coordination, organized a brainstorming session on community involvement in the two health zones. In the Congolese health system, each health zone is divided into health areas.
                              • Weaknesses in community engagement led to the decision to establish local Ebola Virus Disease (EVD) committees in each of the health areas that reported the highest number of community incidents. This approach had already borne fruit in the difficult health areas of Beni, especially the Ndindi district.
                              • The process of setting up committees is under way in 3 health zones: Katwa, Butembo and Vuhovi. Two criteria were chosen for choosing the health areas to be targeted, namely the existence of pockets of resistance and reluctance as well as the presence of confirmed cases of Ebola. Based on these two criteria, 21 areas were selected, including 8 in Butembo, 7 in Katwa, and 6 in Vuhovi.
                              • The local committee is responsible for strengthening community engagement by resolving reluctance and carrying out response interventions in the health area. In order to ensure unbiased and unbiased selection of members of this local committee, members are elected by community leaders and influencers at the cell or village assembly. The committee members will then be trained to carry out all response interventions in their health area (household decontamination, community-based surveillance, investigation, dignified and secure burials, etc.).


                              ...
                              https://us13.campaign-archive.com/?u...&id=7f86cc77a2
                              "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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