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  • #196
    Source: https://www.who.int/csr/don/17-janua...-ebola-drc/en/
    Ebola virus disease ? Democratic Republic of the Congo

    Disease outbreak news: Update
    17 January 2019

    The Ministry of Health (MoH), WHO and partners continue to respond to the ongoing Ebola virus disease (EVD) outbreak in one of the most complex settings possible. A high number of cases are still being reported, most notably from the metropolitan areas of Katwa Health Zone during the past week. The decline in case incidence has continued in Beni; a positive indication of how effective the response can be despite multiple challenges.
    Trends in the number of new cases occurring (Figure 1) reflect the continuation of the outbreak across a number of geographically dispersed areas. During the last 21 days (26 December 2018 through 15 January 2019), 79 new cases have been reported from 11 health zones (Figure 2), including: Katwa (36), Oicha (14), Butembo (11), Beni (4), Mabalako (4), Kalungata (3), Kyondo (3), Komanda (1), Musienene (1), Biena (1) and Manguredjipa (1). The latter is a newly affected health zone, although the case likely acquired the infection in Mabalako Health Zone.
    As of 15 January 2019, there have been a total of 663 EVD cases 1(614 confirmed and 49 probable), including 407 deaths (overall case fatality ratio: 61%). Thus far, 237 people have been discharged from Ebola Treatment Centres (ETCs) and enrolled in a dedicated program for monitoring and supporting survivors. Among confirmed and probable cases with age and sex reported, 59% (391/661) were female and 30% (200/658) were children less than 18 years. This includes a high number of cases in infants aged less than one year (43) and 1-4 years (61).
    All alerts in affected areas, in other provinces, and in neighbouring countries continue to be monitored and investigated. Since the last report was published, alerts were investigated in several provinces of the Democratic Republic of the Congo, Uganda and Rwanda. To date, EVD has been ruled out in all alerts outside the outbreak affected areas.
    Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset, data as of 15 January 2019 (n=663)*


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


    Figure 2: Confirmed and probable Ebola virus disease cases by health zone in North Kivu and Ituri provinces, Democratic Republic of the Congo, data as of 15 January 2019 (n=663)




    Public health response

    The MoH continues to strengthen response measures, with support from WHO and partners. Priorities include coordination, surveillance, contact tracing, laboratory capacity, infection prevention and control, clinical management of patients, vaccination, risk communication and community engagement, psychosocial support, safe and dignified burials, cross-border surveillance, and preparedness activities in neighbouring provinces and countries.
    For detailed information about the public health response actions by WHO and partners, please refer to the latest situation reports published by the WHO Regional Office for Africa:
    WHO risk assessment

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

    International traffic: WHO advises against any restriction of travel to, and trade with, the Democratic Republic of the Congo based on the currently available information. There is currently no licensed vaccine to protect people from the Ebola virus. Therefore, any requirements for certificates of Ebola vaccination are not a reasonable basis for restricting movement across borders or the issuance of visas for passengers leaving the Democratic Republic of the Congo. WHO continues to closely monitor and, if necessary, verify travel and trade measures in relation to this event. Currently, no country has implemented travel measures that significantly interfere with international traffic to and from the Democratic Republic of the Congo. Travellers should seek medical advice before travel and should practice good hygiene.
    For more information, see:


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


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    • #197
      Translation Google

      North Kivu: Lubero population refuses to collaborate with Ebola response teams

      Posted on Mon, 21/01/2019 - 08:49 | Edited Mon, 21/01/2019 - 08:49

      The populations of health zones Biena and Magurejipa in the territory of Lubero (North Kivu) refuse to collaborate with Ebola response teams, points out the local civil society. Its president, Nassoon Paluku Luvatsi invited them Sunday, January 20 to follow the advice of specialists "to avoid the worst. "

      It has been more than a week since the health zones of Mangurejipa and Biena are hit by the Ebola virus disease.

      According to Nassoon Paluku, the Ebola response teams are victims of acts of violence by the population, "exploited by some community leaders. "

      "Some ill-intentioned people have only told the public that this disease does not exist and that it is spiritualism. And after the uprising, they even broke the door of the enclosure of the convent of the priests where the team of the riposte was lodged. In Kambau, an ambulance was damaged by resistance against the presence of this team who wanted to identify the people contacted for them to be vaccinated, "said the president of the local civil society.

      Nassoon Paluku Luvatsi still calls on the population to confide in health experts to prevent widespread spread of the epidemic.

      In the latest epidemiological table presented by the Ministry of Public Health, there are already two deaths among confirmed cases in these two health zones.


      Nord-Kivu : la population de Lubero refuse de collaborer avec les équipes de riposte contre Ebola
      https://www.radiookapi.net/2019/01/21/actualite/sante/nord-kivu-la-population-de-lubero-refuse-de-collaborer-avec-les-equipes
      Les populations des zones santé de Biena et Magurejipa dans le territoire de Lubero (Nord-Kivu) refusent de collaborer avec les équipes de riposte contre Ebola, s’indigne la société civile locale. Son président, Nassoon Paluku Luvatsi les a invitées dimanche 20 janvier à suivre les conseils des spécialistes « pour éviter le pire. » C’est depuis plus d’une semaine que la zone de santé de Mangurejipa et celle de Biena sont frappées par la maladie à virus Ebola.
      "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
      -Nelson Mandela

      Comment

      • #198
        Translation Google
        DIRECTORATE GENERAL FOR DISEASE CONTROL
        EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

        Monday, January 21, 2019

        The epidemiological situation of the Ebola Virus Disease dated January 20, 2019 :
        • Since the beginning of the epidemic, the cumulative number of cases is 689, of which 640 are confirmed and 49 are probable. In total, there were 422 deaths (373 confirmed and 49 probable) and 245 people cured.
        • 141 suspected cases under investigation.
        • 4 new confirmed cases, including 3 in Katwa and 1 in Mabalako.
        • 3 new deaths of confirmed cases, including
          • 2 community deaths: 1 in Mabalako and 1 in Katwa
          • 1 at the CTE of Beni.
        ...
        EBOLA RDC - Evolution de la riposte contre l'épidémie d'Ebola dans les provinces du Nord Kivu et de l'Ituri au Lundi 21 janvier 2019
        https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=57927ed665
        "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

        • #199
          Translation Google
          DIRECTORATE GENERAL FOR DISEASE CONTROL
          EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

          Tuesday, January 22, 2019

          The epidemiological situation of the Ebola Virus Disease dated 21 January 2019 :
          • Since the beginning of the epidemic, the cumulative number of cases is 699, of which 650 confirmed and 49 probable. In total, there were 433 deaths (384 confirmed and 49 probable) and 246 people healed.
          • 252 suspected cases under investigation.
          • 10 new confirmed cases, including 7 in Katwa, 2 in Vuhovi and 1 in Oicha.
          • 11 new confirmed case deaths, including
            • 4 community deaths in Katwa
            • 7 deaths in CTEs: 3 in Katwa, 3 in Butembo and 1 in Beni
          • 1 new person healed out of Butembo CTE.



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

          Remarks:
          • In order to prevent the total number of cases from going up or down daily, the suspect cases have been placed in a separate category. For example, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
          • The category of probable cases includes all reported deaths for which it has not been possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.
          • A community death is a death in the community, outside of a licensed health center.
          News of the response
          Dignified and secure burials
          • Further strengthening the commitment of the Catholic Church in the response to the Ebola epidemic, Bishop Melchizedek Sikuli Paluku, the Bishop of the Diocese of Butembo-Beni, asked the priests, religious, pastoral agents and faithful of his diocese to strictly adhere to a series of measures in relation to the celebration of Christian funerals.
          • Henceforth, the celebration of funerals in parish churches is subject to the presentation of a certificate of medical examination, also called "SWAB". This involves taking a saliva sample from the deceased person who is then tested in the laboratory to determine if the person was contaminated with the Ebola virus.
          • The accompaniers of patients who carry the Blessed Sacrament to their homes or health facilities must ensure the condition of the sick and take all necessary measures to prevent the administration of the Blessed Sacrament from being a source of contamination or propagation of the epidemic.
          • If there is resistance from a family or a neighborhood to these new measures, the pastoral service will be temporarily suspended, as has already happened in some parishes.
          • As a reminder, Monsignor Melchizedek Sikuli Paluku launched last December the campaign "Family Without Ebola", a project that is part of the citizen campaign "Ebola Pas Chez Moi".

          Safety incident in Komanda
          • On Sunday, January 20, 2019, an altercation broke out between a motorcyclist and health workers placed at a health checkpoint in the Komanda Health Zone. After refusing to wash his hands and submit to temperature control, the rider tried to attack the health workers. The police officers present at the scene then arrested the biker. In protest, a group of bikers decided to attack the health checkpoint, the home base of the response agents and the Komanda response coordination office. Fortunately, thanks to the rapid intervention of the police, the property damage is minimal with a few broken chairs at the coordination office. In total, two agents of the response were slightly injured.
          ...
          EBOLA RDC - Evolution de la riposte contre l'épidémie d'Ebola dans les provinces du Nord Kivu et de l'Ituri au Mardi 22 janvier 2019
          https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=e384bfc2c7
          "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

          • #200
            Translation Google
            DIRECTORATE GENERAL FOR DISEASE CONTROL
            EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

            Wednesday 23 January 2019

            The epidemiological situation of the Ebola Virus Disease dated January 22, 2019 :
            • Since the beginning of the epidemic, the cumulative number of cases is 713, of which 664 are confirmed and 49 are probable. In total, there were 439 deaths (390 confirmed and 49 probable) and 247 people cured.
            • 203 suspected cases under investigation.
            • 14 new confirmed cases, including 9 in Katwa, 2 in Mangurujipa, 1 in Biena, 1 in Butembo and 1 in Kayina.
            • 6 new deaths of confirmed cases, including
              • 4 community deaths: 2 in Katwa and 2 in Mangurujipa
              • 2 deaths in CTEs: 1 in Butembo and 1 in Beni
            • 1 new person healed out of Butembo CTE.
            ...
            EBOLA RDC - Evolution de la riposte contre l'épidémie d'Ebola dans les provinces du Nord Kivu et de l'Ituri au Mercredi 23 janvier 2019
            https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=b5f62169e3
            "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

            • #201
              Ebola virus disease – Democratic Republic of the Congo

              Disease outbreak news: Update
              24 January 2019

              The Ministry of Health (MoH), WHO and partners have continued to face challenges in the containment and control of the Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo. The number of reported cases increased during recent weeks, most notably from the Katwa health zone where response teams have faced pockets of community mistrust. The outbreak has also extended southwards to Kayina health zone, a high security risk area. Teams are working actively to build community trust and scale up response activities around these new clusters.

              Figure 1 shows that as of 22 January 2019, there have been a total of 713 EVD cases1 (664 confirmed and 49 probable), including 439 deaths (overall case fatality ratio: 62%). Thus far, 247 people have been discharged from Ebola Treatment Centres (ETCs), with many having enrolled in a dedicated program for monitoring and supporting survivors. Among cases with a reported age and sex, 59% (420/710) of cases were female, and 30% (214/708) were aged less than 18 years; including 108 infants and children under 5 years. Sixty-one healthcare workers have been infected to date.

              During the last 21 days (2 January – 22 January 2019), 102 new cases have been reported from 13 health zones (Figure 2), including: Katwa (62), Butembo (12), Oicha (6), Kayina (5), Beni (2), Manguredjipa (3), Kyondo (3), Kalungata (2), Komanda (1), Musienene (2), Biena (2), Mabalako (1), and Vuhovi (1). The current outbreak hotspots of Butembo and Katwa encompass an urban area with a population of approximately one million people. Of the 148 cases reported in Katwa to date, less than half (55/148) were registered as contacts at the time of illness onset. Moreover, 10% (14/148) of these cases comprised of healthcare workers, and among those with available information, 42% (45/107) reported having attended a funeral in the weeks prior to illness onset. Collectively, these figures suggest that the observed increase in Katwa is being driven by a combination of both healthcare facility and community-based transmissions. Health protection and control measures such as infection prevention and control in health centers, vaccination for healthcare and other frontline workers, and safe and dignified burial practices, are being strengthened to interrupt the chains of transmission.

              Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset, data as of 22 January 2019 (n=713)*


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


              Figure 2: Confirmed and probable Ebola virus disease cases by health zone in North Kivu and Ituri provinces, Democratic Republic of the Congo, data as of 22 January 2019 (n=713)




              Public health response

              The MoH continues to strengthen response measures, with support from WHO and partners. Priorities include coordination, surveillance, contact tracing, laboratory capacity, infection prevention and control, clinical management of patients, vaccination, risk communication and community engagement, psychosocial support, safe and dignified burials, cross-border surveillance, and preparedness activities in neighbouring provinces and countries.
              For detailed information about the public health response actions by WHO and partners, please refer to the latest situation reports published by the WHO Regional Office for Africa:WHO risk assessment

              WHO reviewed its risk assessment for the outbreak and the risk remains very high at the national and regional levels; the global risk level remains low. This outbreak of EVD is affecting north-eastern provinces of the Democratic Republic of the Congo bordering Uganda, Rwanda and South Sudan. There is a potential risk for transmission of EVD at the national and regional levels due to extensive travel between the affected areas, the rest of the country, and neighbouring countries for economic and personal reasons as well as due to insecurity. The country is concurrently experiencing other epidemics (e.g. cholera, vaccine-derived poliomyelitis, malaria), and a long-term humanitarian crisis. Additionally, the security situation in North Kivu and Ituri at times limits the implementation of response activities.

              As the risk of national and regional spread is very high, it is important for neighbouring provinces and countries to enhance surveillance and preparedness activities. The International Health Regulations (IHR 2005) Emergency Committee has advised that failing to intensify these preparedness and surveillance activities would lead to worsening conditions and further spread. WHO will continue to work with neighbouring countries and partners to ensure that health authorities are alerted and are operationally prepared to respond.

              WHO advice

              International traffic: WHO advises against any restriction of travel to, and trade with, the Democratic Republic of the Congo based on the currently available information. There is currently no licensed vaccine to protect people from the Ebola virus. Therefore, any requirements for certificates of Ebola vaccination are not a reasonable basis for restricting movement across borders or the issuance of visas for passengers leaving the Democratic Republic of the Congo. WHO continues to closely monitor and, if necessary, verify travel and trade measures in relation to this event. Currently, no country has implemented travel measures that significantly interfere with international traffic to and from the Democratic Republic of the Congo. Travellers should seek medical advice before travel and should practice good hygiene.
              ...
              https://www.who.int/csr/don/24-janua...-ebola-drc/en/
              "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

              • #202
                Translation Google
                DIRECTORATE GENERAL FOR DISEASE CONTROL
                EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

                Thursday, January 24, 2019

                The epidemiological situation of the Ebola Virus Disease dated 23 January 2019 :
                • Since the beginning of the epidemic, the cumulative number of cases is 715, of which 666 * confirmed and 49 probable. In total, there were 443 deaths (394 confirmed and 49 probable) and 248 people cured.
                  * Removed a duplicate database from Mabalako.
                • 236 suspected cases under investigation.
                • 3 new confirmed cases, 2 in Katwa and 1 in Biena.
                • 4 new confirmed case deaths, including
                  • 1 community death in Biena
                  • 3 deaths in CTEs: 2 in Butembo and 1 in Katwa
                • 1 new person healed out of Butembo CTE.
                ...
                EBOLA RDC - Evolution de la riposte contre l'épidémie d'Ebola dans les provinces du Nord Kivu et de l'Ituri au Jeudi 24 janvier 2019
                https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=b5b467e2f7
                "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

                • #203
                  Translation Google
                  DIRECTORATE GENERAL FOR DISEASE CONTROL
                  EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

                  Friday 25 January 2019

                  The epidemiological situation of the Ebola Virus Disease dated January 24, 2019 :
                  • Since the beginning of the epidemic, the cumulative number of cases is 721, of which 672 are confirmed and 49 are probable. In total, there were 446 deaths (397 confirmed and 49 probable) and 253 people cured.
                  • 204 suspected cases under investigation.
                  • 6 new cases confirmed in Katwa.
                  • 3 new deaths of confirmed cases, including
                    • 2 community deaths in Katwa
                    • 1 death at Katwa CTE
                  • 5 new healed people, including 4 exits from the CTE of Beni and 1 from the CTE of Butembo.
                  ...
                  EBOLA RDC - Evolution de la riposte contre l'épidémie d'Ebola dans les provinces du Nord Kivu et de l'Ituri au Vendredi 25 janvier 2019
                  https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=05b9556113
                  "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

                  • #204
                    Translation Google
                    DIRECTORATE GENERAL FOR DISEASE CONTROL
                    EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

                    Saturday, January 26, 2019

                    The epidemiological situation of the Ebola Virus Disease dated January 25, 2019 :
                    • Since the beginning of the epidemic, the cumulative number of cases is 724, of which 675 are confirmed and 49 are probable. In total, there were 451 deaths (402 confirmed and 49 probable) and 255 people cured.
                    • 239 suspected cases under investigation.
                    • 3 new confirmed cases, 2 in Beni and 1 in Katwa.
                    • 5 new confirmed cases (all in CTEs), including 3 in Katwa, 1 in Mabalako and 1 in Butembo.
                    • 2 new people healed, including 1 exit from the CTE of Beni and 1 CTC of Butembo.



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

                    Remarks:
                    • In order to prevent the total number of cases from going up or down daily, the suspect cases have been placed in a separate category. For example, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
                    • The category of probable cases includes all reported deaths for which it has not been possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.
                    • A community death is a death in the community, outside of a licensed health center.
                    News of the response
                    Vaccination
                    • Since the start of vaccination on 8 August 2018, 67,654 people have been vaccinated , including 20,183 in Beni, 15,551 in Katwa, 7,700 in Butembo, 5,998 in Mabalako, 2,506 in Kalunguta, 2,080 in Komanda, 1,911 in Goma, 1,663 in Mandima, 1,623 to Oicha, 1,157 to Karisimbi, 877 to Vuhovi, 819 to Kyondo, 750 to Masereka, 700 to Lubero, 636 to Kayina, 599 to Mutwanga, 454 to Biena, 442 to Musienene, 434 to Bunia, 487 to Nyankunde, 355 to Tchomia, 167 to Kirotshe, 125 to Nyiragongo, 114 to Alimbongo, 210 to Rutshuru, 100 to Mangurujipa and 13 to 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.
                    IMPORTANT CLARIFICATION

                    An article titled " Ebola has gotten so bad, it's normal " published on Foreign Policy's website, dated January 15, 2019, contains several dubious and problematic allegations that are not based on any documented scientific or objective fact .
                    1. Health workers were not threatened by "soldiers, gangs, arms traffickers and rapists"
                      • The majority of assaults and physical threats by agents are perpetrated by Ebola-affected communities themselves.
                      • Several Ebola cases have already been detected in areas controlled by armed groups that have agreed to work with the response teams to contain the epidemic as quickly as possible in their areas of influence.
                    1. The article makes inappropriate links between the possible sexual transmission of the Ebola virus by survivors and the problem of the use of rape as a weapon of war.
                      • Since the beginning of the epidemic in North Kivu Province 1 th August 2018, the Armed Forces of the DRC (FARDC) work alongside the response teams to ensure the protection of health workers in so-called "red" zones. No cases of military rape or rape contamination have been reported in areas affected by the epidemic.
                      • The assumption that "rapist and robber soldiers" could spread the virus is inappropriate and based on no objective evidence.
                      • On the other hand, to claim that "rape is an integral part of the life of women in this region" is extremely degrading and insulting. Especially since all patients, survivors and their families are followed by clinical psychologists. In their reports, rape was not mentioned in any case as a cause of trauma in the populations affected by the Ebola epidemic.
                    --------------------


                    ...
                    EBOLA RDC - Evolution de la riposte contre l'épidémie d'Ebola dans les provinces du Nord Kivu et de l'Ituri au Samedi 26 janvier 2019
                    https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=1f5173c185
                    "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

                    • #205
                      Translation Google
                      DIRECTORATE GENERAL FOR DISEASE CONTROL
                      EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

                      Sunday, January 27, 2019

                      The epidemiological situation of the Ebola Virus Disease dated January 26, 2019 :
                      • Since the beginning of the epidemic, the cumulative number of cases is 733, of which 679 confirmed and 54 probable. In total, there were 459 deaths (405 confirmed and 54 probable) and 256 people cured.
                      • 165 suspected cases under investigation.
                      • 4 new confirmed cases, including 2 in Oicha, 1 in Beni and 1 in Katwa.
                      • 3 new confirmed cases deaths:
                        • 1 community death in Oicha
                        • 2 deaths at Butembo CTE.
                      • 5 new probable cases in Komanda
                        • The investigative teams validated 5 historic deaths that occurred between November and December 2018 in the Komanda Health Zone.
                      • 1 new person healed out of CTE de Beni.



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

                      Remarks:
                      • In order to prevent the total number of cases from going up or down daily, the suspect cases have been placed in a separate category. For example, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
                      • The category of probable cases includes all reported deaths for which it has not been possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.
                      • A community death is a death in the community, outside of a licensed health center.
                      ...
                      EBOLA RDC - Evolution de la riposte contre l'épidémie d'Ebola dans les provinces du Nord Kivu et de l'Ituri au Dimanche 27 janvier 2019
                      https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=cfa1f4d690
                      "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

                      • #206
                        Translation Google
                        DIRECTORATE GENERAL FOR DISEASE CONTROL
                        EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

                        Monday 28 January 2019

                        The epidemiological situation of the Ebola Virus Disease dated January 27, 2019 :
                        • Since the beginning of the epidemic, the cumulative number of cases is 736, of which 682 are confirmed and 54 are probable. In total, there were 459 deaths (405 confirmed and 54 probable) and 257 people cured.
                        • 161 suspected cases under investigation.
                        • 3 new confirmed cases, 2 in Katwa and 1 in Beni.
                        • No confirmed case deaths reported this day.
                        • 1 new person healed out of CTE de Beni.



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

                        Remarks:
                        • In order to prevent the total number of cases from going up or down daily, the suspect cases have been placed in a separate category. For example, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
                        • The category of probable cases includes all reported deaths for which it has not been possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.
                        • A community death is a death in the community, outside of a licensed health center.
                        News of the response
                        Vaccination
                        • Since the beginning of vaccination on 8 August 2018, 69,007 people have been vaccinated , including 20,221 in Beni, 16,171 in Katwa, 7,860 in Butembo, 6,008 in Mabalako, 2,506 in Kalunguta, 2,080 in Komanda, 1,911 in Goma, 1,669 in Oicha, 1,663 in Mandima, 1,157 in Karisimbi, 877 in Vuhovi, 819 in Kyondo, 766 in Kayina, 750 in Masereka, 700 in Lubero, 599 in Mutwanga, 527 in Nyankunde, 504 in Biena, 442 in Musienene, 434 in Bunia, 410 in Rutshuru, 355 to Tchomia, 167 to Kirotshe, 125 to Nyiragongo, 114 to Alimbongo, 159 to Mangurujipa and 13 to 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.

                        Location in Katwa
                        • Katwa continues to be the main focus of the Ebola outbreak, having recorded 65% (68/104) of confirmed new cases in the last 21 days.
                        • Several factors contributed to the significant increase in confirmed cases in Katwa this month:
                          • Urban Delinquency : Offender groups disrupt the response by preventing the performance of important activities such as immunization, household decontamination and dignified and safe burials.
                          • Community reluctance : Despite the involvement of customary, religious, politico-administrative and civil society authorities, many Katwa residents continue to deny the existence of the disease and refuse to follow contact and vaccination. However, significant progress in community involvement in Katwa has been achieved, in particular through greater involvement of women's associations.
                          • Demonstrations : The protests in Beni and Butembo on 27-28 December 2018 paralyzed the activities of the riposte for several days. The activities were not able to fully resume until January 2, 2019. The graph of the alerts below shows the significant decrease of the alerts received and investigated during this period. This prevents people infected with the virus from being quickly transferred to the Ebola Treatment Center for proper care and their contacts to protect themselves with the vaccination. In addition, since the beginning of the year, several days of dead city life in Butembo and Katwa have also slowed down the response in these areas.
                        • When the response is slow, the risk of geographical expansion of the epidemic increases due to uncontrolled displacement of patients and their contacts. Thus, after the paralysis of the response in late December 2018, contacts of confirmed cases moved, and brought the epidemic in two new health zones in January 2019: Mangurujipa and Kayina. The investigations revealed that Kayina's confirmed cases are members of a Katwa family who participated in the unsecured burial of one of their relatives. In this family, 21 people have already been infected.
                        ...
                        EBOLA RDC - Evolution de la riposte contre l'épidémie d'Ebola dans les provinces du Nord Kivu et de l'Ituri au Lundi 28 janvier 2019
                        https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=dfa097f9f7
                        "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

                        • #207
                          Translation Google
                          DIRECTORATE GENERAL FOR DISEASE CONTROL
                          EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

                          Tuesday, January 29, 2019

                          The epidemiological situation of the Ebola Virus Disease dated January 28, 2019 :
                          • Since the beginning of the epidemic, the cumulative number of cases is 743, of which 689 are confirmed and 54 are probable. In total, there were 461 deaths (407 confirmed and 54 probable) and 258 people cured.
                          • 174 suspected cases under investigation.
                          • 7 new confirmed cases, including 4 in Katwa, 2 in Beni and 1 in Butembo.
                          • 2 deaths of confirmed cases of which
                            • 1 community death in Katwa.
                            • 1 at the CTE of Butembo
                          • 1 new person healed out of Butembo CTE.
                          ...
                          EBOLA RDC - Evolution de la riposte contre l'épidémie d'Ebola dans les provinces du Nord Kivu et de l'Ituri au Mardi 29 janvier 2019
                          https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=79cea0b3f8
                          "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

                          • #208
                            Translation Google

                            DRC: 2 Congolese soldiers dead from Ebola

                            By Le Figaro.fr with AFP Updated on 29/01/2019 at 16:49 Published on 29/01/2019 at 16:46

                            Two Congolese soldiers died from Ebola haemorrhagic fever in eastern Democratic Republic of Congo where outbreak of the epidemic has moved north, AFP reported today from military and health sources .

                            "Two of our soldiers have died from the Ebola virus disease in Beni and three more are under observation," Major Mak Hazukay, an army spokesman for the region, told AFP. "All measures are being taken to stop the contamination of the men of the troops," he said.

                            "New cases of Ebola have been registered recently because of the resistance of the population, even men in uniform are affected, two soldiers have died and three are suspected cases under observation," he said. AFP Dr. Michel Tosalisa, Head of Beni Health Zone.
                            ...
                            Declared on August 1, 2018 in the region of Beni (North Kivu, east), the epidemic quickly spread to the neighboring province of Ituri (north-east). The health zone of Katwa in Butembo, North Kivu, "continues to be the main focus of the Ebola outbreak that has recorded 65% (68/104) of confirmed new cases in the last 21 days", according to the Ministry of Health. Urban crime, community resistance and public demonstrations have contributed "to the significant increase of confirmed cases in Katwa this month," said the source.

                            Offender groups are disrupting the response by preventing the performance of important activities such as vaccination, disinfection of homes and objects used by patients, and dignified and safe burials, health authorities say. The December 30 elections in the DRC were canceled in Beni officially because of insecurity and the Ebola epidemic. The DRC is facing the tenth epidemic of this haemorrhagic fever since its appearance in 1976 in Equateur province (north-west).

                            RDC: 2 militaires congolais morts d'Ebola
                            http://www.lefigaro.fr/flash-actu/2019/01/29/97001-20190129FILWWW00181-rdc-2-militaires-congolais-morts-d-ebola.php
                            Deux militaires congolais sont décédés des suites de la fièvre hémorragique Ebola dans l'est de la République démocratique du Congo où le foyer de l'épidémie s'est déplacé vers le nord, a appris l'AFP...
                            "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

                            • #209
                              Press release

                              Six months on, Ebola outbreak in eastern Democratic Republic of the Congo now second largest in history

                              With children accounting for 30% of the confirmed and probable Ebola cases, UNICEF scales up its response to halt spread of the disease

                              30 January 2019

                              KINSHASA/NEW YORK, 30 January 2019 ? Since the latest Ebola outbreak in the Democratic Republic of the Congo (DRC) was declared six months ago on 1st August 2018, more than 740 people ? 30 per cent of whom are children ? have been infected with the disease, including over 460 who have died, and 258 that have survived Ebola. Alongside the Government and partners, UNICEF is scaling up its response to assist victims, control the spread of the disease and ultimately end the deadly outbreak.

                              This is the 10th Ebola outbreak in the DRC and the country?s worst. It is also the world?s second largest Ebola outbreak in history after the one in West Africa in 2014-2016. The response to this latest outbreak continues to be hampered by insecurity, frequent movement of people in the affected areas, and resistance from some communities.

                              "While we have been able to largely control the disease in Mangina, Beni and Komanda, the virus continues to spread in the Butembo area, largely because of insecurity and population movement," said Dr. Gianfranco Rotigliano, UNICEF Representative in the DRC. "We are scaling up our response and deploying additional staff in the health zones of Butembo and Katwa, where 65 per cent of the new Ebola cases in the last three weeks have occurred."
                              ...

                              Six months on, Ebola outbreak in eastern Democratic Republic of the Congo now second largest in history
                              https://www.unicef.org/press-releases/six-months-ebola-outbreak-eastern-democratic-republic-congo-now-second-largest
                              With children accounting for 30% of the confirmed and probable Ebola cases, UNICEF scales up its response to halt spread of the disease
                              "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

                              • #210
                                Translation Google
                                DIRECTORATE GENERAL FOR DISEASE CONTROL
                                EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

                                Wednesday, January 30, 2019

                                The epidemiological situation of the Ebola Virus Disease dated January 29, 2019 :
                                • Since the beginning of the epidemic, the cumulative number of cases is 752, 698 confirmed and 54 probable. In total, there were 465 deaths (411 confirmed and 54 probable) and 259 people cured.
                                • 187 suspected cases under investigation.
                                • 9 new confirmed cases, including 8 in Katwa and 1 in Beni (report of 28 January 2019).
                                • 4 new confirmed case deaths, including
                                  • 3 community deaths in Katwa
                                  • 1 death at the CTE of Butembo
                                • 1 new person healed out of Butembo CTE.



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

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


                                Preventive measures in Watsa (Haut-U?l?)
                                • The Minister of Health, Dr. Oly Ilunga Kalenga, is in Watsa, Haut-U?l? province, since Tuesday, January 29, 2019 to supervise the prevention activities following the detection of a confirmed case in Katwa, from Watsa, Saturday, January 26, 2019.
                                • He is a young trader living in Watsa who is used to going back and forth between Watsa and Butembo. In-depth investigations revealed that the trader was contaminated during his stay in Katwa and not in Watsa. However, as a precautionary measure, a team of epidemiologists, vaccinators and infection prevention and control experts were dispatched to Watsa to vaccinate their relatives and front-line health workers, as well as to decontaminate their home and the center. in which he had been hospitalized.
                                ...
                                EBOLA RDC - Evolution de la riposte contre l'épidémie d'Ebola dans les provinces du Nord Kivu et de l'Ituri au Mercredi 30 janvier 2019
                                https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=0bb84dddaf
                                "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                                -Nelson Mandela

                                Comment

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