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DRC - Ebola outbreak in North Kivu and Ituri: July 30, 2018+
EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI
Monday, May 13, 2019
The epidemiological situation of the Ebola Virus Disease dated May 12, 2019 :
Since the beginning of the epidemic, the cumulative number of cases is 1,705, of which 1,617 are confirmed and 88 are probable. In total, there were 1,124 deaths (1,036 confirmed and 88 probable) and 456 people healed.
251 suspected cases under investigation;
25 new confirmed cases, including 10 in Kalunguta, 7 in Mabalako, 3 in Katwa, 2 in Butembo, 1 in Mangurujipa, 1 in Musienene and 1 in Kyondo;
7 new confirmed case deaths, including
5 community deaths, 2 in Mabalako, 2 in Butembo and 1 in Kalunguta;
2 deaths at CTE, including 1 in Butembo and 1 in Mabalako;
6 new healings from ETCs, including 5 in Mabalako and 1 in Katwa;
Two unvaccinated health workers (one in Mabalako and one in Kalunguta) are among the new confirmed cases.
The cumulative number of confirmed / probable cases among health workers is 101 (5.9% of all confirmed / probable cases), including 34 deaths.
...
One person died during a militia assault on the Ebola Treatment Center in Katwa on Monday, May 13, 2019 around one in the morning. Butembo Mayor Sylvain Mbusa Kanyamanda says he is an assailant who was killed by the defense and security forces. The urban authority reassured that no material damage was recorded.
"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
The triage of the Kayna general reference hospital was vandalized by strangers on Tuesday, May 14, 2019 at about 2:00 a.m. The individuals started throwing pebbles at the yard before setting fire to some tarpaulins.
"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
EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI
Tuesday, May 14, 2019
The epidemiological situation of the Ebola Virus Disease dated May 13, 2019 :
Since the beginning of the epidemic, the cumulative number of cases is 1,720, of which 1,632 are confirmed and 88 are probable. In total, there were 1,136 deaths (1,048 confirmed and 88 probable) and 459 people cured.
293 suspected cases under investigation;
15 new confirmed cases, including 4 in Beni, 3 in Katwa, 2 in Butembo, 2 in Mandima, 2 in Musienene, 1 in Lubero and 1 in Alimbongo;
A new health zone affected: Alimbongo. Extensive investigation in progress to identify the health area where the person was contaminated.
12 new deaths of confirmed cases, including
4 community deaths, 2 in Musienene, 1 in Butembo and 1 in Mandima;
8 deaths at CTE, including 3 in Butembo, 3 in Mabalako and 2 in Katwa;
3 new healings from the Katwa CTE;
1 health worker, vaccinated less than 10 days ago, in Beni is among the new confirmed cases. The cumulative number of confirmed / probable cases among health workers is 102 (5.9% of all confirmed / probable cases), including 34 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.
Distribution of Ebola Virus Disease (EVD) Cases by Health Zone in the Provinces of Ituri and North Kivu as of May 13, 2019
Epidemiological curve since January 2019
WEEKLY SUMMARY OF EPIDEMIOLOGICAL DATA
Week 19 (May 6-12, 2019)
For the week from May 6 to 12, 2019, we recorded:
1,936 suspected cases investigated and tested in the laboratory
111 new confirmed cases
57 deaths of confirmed cases
Of the 57 deaths, 40 were community deaths, or 70.1%, and 17 occurred in an ETC.
22 new probable cases
17 new healed people came out of ETCs
Due to the security situation, the response activities in Butembo and neighboring areas were partially suspended between 4 and 9 May 2019. Thus, the figures presented above are underestimated in relation to the reality of the situation. ground.
"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
EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI
Wednesday, May 15, 2019
The epidemiological situation of the Ebola Virus Disease dated 14 May 2019 :
Since the beginning of the epidemic, the cumulative number of cases is 1,739, of which 1,651 are confirmed and 88 are probable. In total, there were 1,147 deaths (1,059 confirmed and 88 probable) and 459 people cured.
332 suspected cases under investigation;
19 new confirmed cases, including 7 in Mabalako, 4 in Musienene, 3 in Katwa, 2 in Beni, 1 in Mandima, 1 in Lubero and 1 in Butembo;
11 new confirmed case deaths, including
6 community deaths, 2 in Mabalako, 2 in Katwa, 1 in Musienene and 1 in Butembo;
5 deaths at CTE, 2 in Butembo, 2 in Beni and 1 in 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
Ebola in DRC: "Yes, we have lost control of the epidemic"
By Astrid Landon - May 16, 2019 at 06:23
M?decins Sans Fronti?res Emergency Coordinator John Johnson explains the difficulties the organization faces in caring for patients.
...
In the Democratic Republic of Congo, an Ebola treatment center was again attacked in the night from Sunday to Monday. For two months, the epidemic is at its peak. On the spot, organizations are trying to cope with the growing number of people infected with the virus while fighting against the mistrust of the population. John Johnson is emergency coordinator of Doctors Without Borders (MSF). He explains the difficulties the organization faces in taking care of patients.
What is the atmosphere in the Democratic Republic of Congo after the attacks that targeted this weekend an Ebola treatment center in the east of the country?
It depends on where you are. The last two months have been the worst since the beginning of the epidemic. More than 12 areas were infected. 1,029 people died. In some places, the atmosphere is more or less calm, in others it is very tense because the local community does not accept the presence of foreigners. It is sometimes difficult or impossible to work in certain areas. But we are in contact with members of the local population to see if we can help them in any way. The real heroes are the local health workers who continue to work there despite the insecurity.
What measures have been taken to protect health care workers from physical violence?
The attacks targeted some Ebola treatment centers. Doctors Without Borders was present in two of them. We evacuated our teams from a center in North Kivu in February. Every week practically there are incidents that slow down our action. It is unclear whether we can move safely and continue to open the center. There is a lot of discussion about this. One wonders if increasing the security forces is the right way to respond to these attacks. I do not think it is. The problems we face are related to the fact that the population does not accept our presence. These measures would be counterproductive. The best security we can have is to gain the trust of people by caring for them.
How do you explain the reluctance of the population to be vaccinated?
Many rumors are circulating: that Ebola is an imported virus, that it is we who give it to people, that we are here to do business and accumulate profits, that we steal bodies, organs. This is understandable. This disease is not well known. We must put ourselves in their place, they have seen many foreigners arrive overnight. To gain the trust of the population, we work with local groups, we discuss with some people who influence public opinion: priests, pastors, village leaders, politicians. We organize focus groups. It is essential to reintegrate our response to this health crisis into their own health system to decentralize and allow them to be treated as close to home as possible. We know that the sooner these people are diagnosed and treated, the more likely they are to heal. The vaccine greatly increases the chances of survival, but it takes twenty-one days for it to work.
Why has the given dose of vaccine been halved for those who are not in direct contact with the virus?
There are a limited number of vaccines available for two reasons: the vaccine has not yet been approved by the health authorities (this is an experimental vaccine) so it can not be produced in large quantities. In addition, it is a long-acting vaccine that we have already administered to 110,000 people and there are only 300,000 available.
A new vaccine produced by Janssen Pharmaceutica has been proposed. But, it requires two injections in order to be fully effective. Is it possible to give two injections per person?
It's going to be a big logistical concern. We plan to use both vaccines in parallel as they are in limited supply. This is the second time we've treated Ebola this way. I am not pessimistic because I think a broad pro-vaccination campaign can really be effective. This was the case for cholera for example.
The virus is also transmitted via contacts with corpses. How do you make it possible for families to bury their loved ones without falling ill themselves?
The Red Cross is doing a great job. They have teams that supervise funerals by putting in place protective equipment, etc. But often these practices do not correspond to local beliefs. For example, it is very important for loved ones to touch the body before it is buried. The problem is that once dead, the person who has contracted the virus becomes even more contagious.
David Miliband, chairman of the International Rescue Committee, told the Guardian on Wednesday that the epidemic was out of control. Do you agree ?
Coordinateur d’urgence de Médecins sans frontières, John Johnson explique les difficultés que rencontre l’organisation pour prendre en charge les patients.
"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
Ebola virus disease – Democratic Republic of the Congo
Disease outbreak news: Update
16 May 2019
Although the security situation has subsided mildly into an unpredictable calm, the transmission of Ebola virus disease (EVD) continues to intensify in North Kivu and Ituri provinces with more than 100 confirmed cases reported this week.
The main drivers behind the continued rise in cases stems from insecurity hampering access to critical hotspot areas, persistent pockets of poor community acceptance and hesitation to participate in response activities, and delayed detection and late presentation of EVD cases to Ebola Treatment Centres (ETCs)/Transit Centres (TCs).
Of particular concern are the community deaths resulting from the culmination of these factors. Community deaths denote all EVD (confirmed and probable) cases who died outside of an ETC/TC. This includes cases who die at home, as well as those who die within public/private hospitals and other health centres. On average, community deaths comprise approximately 40% of cases reported each week. This proportion fluctuates on a weekly basis, ranging from 28% to 43% of cases since the beginning of April after peaking as high as 71% in February. Of the total deaths (1147) currently listed in surveillance systems, approximately two thirds (68%) occurred outside of ETCs. Many of the patients who arrive at ETCs, often do so in a severe condition with a poor prognosis, and subsequently die shortly after admission. Community deaths also pose a major transmission risk as these cases have spent more time in the community while symptomatic and remain highly infectious at the time of their death and thereafter; propagating EVD to other members of the community such as family members and healthcare workers.
Despite the continued increase in EVD cases, it should be noted that transmission remains most intense in seven main hotspot areas: Katwa, Mabalako, Mandima, Butembo, Musienene, Kalunguta, and Beni. Collectively, these health zones account for the vast majority (93%) of the 350 cases reported in the last 21 days between 24 April – 14 May 2019 (Figure 1 and Table 1). A new case was also reported in the health zone of Alimbongo this week with links to cases deriving from Katwa. Current transmission patterns also illustrate the challenges resulting from cases originating from hotpot health zones and re-introducing the virus to areas where transmissions have previously been successfully halted. During this period, new cases were reported from 91 health areas within 18 of the 22 health zones affected to date (Figure 2).
As of 14 May, a total of 1739 confirmed and probable EVD cases have been reported, of which 1147 died (case fatality ratio 66%). Of the total cases with recorded sex and age, 56% (974) were female and 30% (514) were children aged less than 18 years. The number of healthcare workers affected has risen to 102 (6% of total cases). Of the EVD patients who received care at ETCs, 459 have been successfully discharged.
Risk communication and community engagement teams continue to spread messages about the importance of seeking care early at healthcare facilities for an increased chance of survival. These messages have been particularly effective in Beni, where affected individuals have been reporting to the ETCs more frequently and more rapidly after onset of symptoms. The risk communication and community engagement actors have been instrumental in mediating instances of reluctance and resistance at the community level to ensure peaceful agreements are reached and that other pillars of the response such as vaccination, infection prevention and control (IPC), and safe and dignified burials (SDB) are able to carry out their respective response activities.
It is anticipated that the rising case figures will continue within the hotspot areas in the coming weeks given the resumption of most major response activities, which will lead to the detection of more cases. The increased transmission rates witnessed recently continue to demonstrate a heightened risk of EVD spreading to other neighbouring provinces in the Democratic Republic of the Congo, and to surrounding countries.
Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 14 May 2019*
Enlarge image *Data in recent weeks are subject to delays in case confirmation and reporting, as well as ongoing data cleaning. Other health zones include: Alimbongo, Biena, Bunia, Kalunguta, Kayna, Komanda, Kyondo, Lubero, Mangurujipa, Masereka, Mutwanga, Nyankunde, Oicha, Rwampara, and Tchomia. Figure 2: Confirmed and probable Ebola virus disease cases by health area, North Kivu and Ituri provinces, Democratic Republic of the Congo, data as of 14 May 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 14 May 2019**
Enlarge image **Total cases and areas affected based during the last 21 days are based on the initial date of case alert and may differ from date of confirmation and daily reporting by the Ministry of Health.
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 continuously monitors changes to the epidemiological situation and context of the outbreak to ensure that support to the response is adapted to the evolving circumstances. The last assessment concluded that the national and regional risk levels remain very high, while global risk levels remain low. Weekly increases in the number of new cases has been ongoing since late February 2019. A general deterioration of the security situation, and the persistence of pockets of community mistrust exacerbated by political tensions and insecurity, especially over the past four weeks, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions. However, recent community dialogue, outreach initiatives, and restoration of access to certain hotspot areas have resulted in some improvements in community acceptance of response activities and case investigation efforts. Renewed efforts and honing of security mitigation measures, addressing procedural, operational and physical security means to ensure staff safety and security are undertaken. The high proportion of community deaths reported among confirmed cases, relatively low proportion of new cases who were known contacts under surveillance, existence of transmission chains linked to nosocomial infection, persistent delays in detection and isolation in ETCs, and challenges in the timely reporting and response to probable cases, are all factors increasing the likelihood of further chains of transmission in affected communities and increasing the risk of geographical spread both within the Democratic Republic of the Congo and to neighbouring countries. The high rates of population movement occurring from outbreak affected areas to other areas of the Democratic Republic of the Congo and across porous borders to neighbouring countries during periods of heightened insecurity further compounds these risks. Additional risks are posed by the long duration of the current outbreak, fatigue amongst response staff, and ongoing strain on limited resources. Conversely, substantive operational readiness and preparedness activities in a number of neighbouring countries have likely increased capacity to rapidly detect cases and mitigate local spread. These efforts must continue to be scaled-up at this time.
WHO advice
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.
"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
EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI
Thursday, May 16, 2019
The epidemiological situation of the Ebola Virus Disease dated May 15, 2019 :
Since the beginning of the epidemic, the cumulative number of cases is 1,760, of which 1,672 are confirmed and 88 are probable. In total, there were 1,161 deaths (1,073 confirmed and 88 probable) and 461 people cured.
310 suspected cases under investigation;
21 new confirmed cases, including 7 in Mabalako, 4 in Katwa, 3 in Musienene, 2 in Beni, 2 in Butembo, 1 in Mandima, 1 in Vuhovi, and 1 in Kalunguta;
14 new confirmed case deaths, including
7 community deaths, 3 in Mabalako, 2 in Katwa, 1 in Beni and 1 in Vuhovi;
7 deaths at CTE, 2 in Butembo, 2 in Beni, 2 in Mabalako and 1 in Kayna;
"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
EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI
Friday 17 May 2019
The epidemiological situation of the Ebola Virus Disease dated May 16, 2019 :
Since the beginning of the epidemic, the cumulative number of cases is 1,777, of which 1,689 are confirmed and 88 are probable. In total, there were 1,177 deaths (1,089 confirmed and 88 probable) and 463 people healed.
333 suspected cases under investigation;
17 new confirmed cases, including 5 in Butembo, 4 in Mabalako, 2 in Katwa, 2 in Beni, 1 in Vuhovi, 1 in Musienene, 1 in Biena and 1 in Kalunguta;
16 new deaths of confirmed cases, including
9 community deaths, including 3 in Butembo, 2 in Beni, 1 in Kalunguta, 1 in Musienene, 1 in Biena and 1 in Katwa;
7 deaths at CTE, including 3 in Butembo, 2 in Katwa and 2 in 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
EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI
Saturday, May 18, 2019
The epidemiological situation of the Ebola Virus Disease dated May 17, 2019 :
Since the beginning of the epidemic, the cumulative number of cases is 1,801, 1,713 confirmed and 88 probable. In total, there were 1,198 deaths (1,110 confirmed and 88 probable) and 466 people healed.
285 suspected cases under investigation;
24 new confirmed cases, including 5 in Butembo, 5 in Mabalako, 4 in Katwa, 3 in Beni, 2 in Musienene, 2 in Mandima, 1 in Kalunguta, 1 in Lubero and 1 in Mangurujipa;
21 new deaths of confirmed cases, including
13 community deaths, including 4 in Butembo, 2 in Beni, 2 in Mandima, 1 in Katwa, 1 in Kalunguta, 1 in Musienene, 1 in Mangurujipa and 1 in Mabalako;
8 deaths at CTE, including 3 in Beni, 2 in Butembo, 2 in Mabalako and 1 in Katwa;
3 new healings from the CTE, 2 in Beni and 1 in Katwa.
...
The Chief of the Deceptive and Safe Burial (EDS) team of the Civil Protection was assaulted by the family members of a person who died in Rwampara / Bunia who refused that the EDS team should take a sample from the body .
A Butembo EDS team was also assaulted on Friday, May 17, 2019 during the burial of four people who died at the CTE in Butembo. To facilitate their work, the EDS teams dig the graves beforehand. But, sometimes, some people cover the graves during the night to mark their opposition to burials. When the team arrived at the cemetery on Friday, the graves were covered and people threw stones at them, injuring an EDS officer.
"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
Haut-U?l?: a person with signs of fever and hemorrhage died in Niangara, Ebola suspected
Posted on Sun, 19/05/2019 - 11:22 | Edited on Sun, 19/05/2019 - 11:22
A driver from Bunia for the locality of Ariwara died Thursday, May 16, in a health center 21 km from the city of Niangara (Haut-Uele). He died after a short fever, says Acting Chief Medical Officer of the Niangara Health Zone Dr. Michel Sayo.
According to him, the deceased passed in transit through the cities of Mambasa and Isiro.
"He succumbed in a picture of fever and hemorrhage. What is worrying, he came from a red zone where this Ebola virus disease is rife. We suspected the Ebola virus, "said Dr. Michel Sayo.
He stated that this case is of concern to the general public as well as health personnel, particularly in Niangara territory.
"It worries us. The virus is a disease for which it is enough to declare a case, and the epidemic spreads, "he added
However he called the population to calm while waiting for the results of the laboratory.
"We took all the safety precautions. We ask people to wash their hands to avoid any possible contamination, "said Dr. Michel Sayo.
Un chauffeur, en provenance de Bunia pour la localité de Ariwara est décédé jeudi 16 mai dernier, dans un centre de santé à 21 km de la cité de Niangara (Haut-Uélé). Il est mort après une courte fièvre, explique le médecin chef de zone intérimaire de la Zone de santé de Niangara, Dr Michel Sayo. Selon lui, la personne décédée est passée en transit dans les villes de Mambasa et Isiro. « Il a succombé dans un tableau de fièvre et hémorragie. Ce qui est inquiétant, il venait d’une zone rouge où sévit cette maladie de virus Ebola. Nous avons suspecté le virus Ebola », a indiqué Dr Michel Sayo.
"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
Fighting Ebola When Mourners Fight the Responders
...
By Joseph GoldsteinPhotographs by Finbarr O?Reilly
May 19, 2019
...
Many of the symptoms of Ebola resemble those of more common maladies, such as malaria. At one quarantine facility in Beni, fewer than 2 percent of patients tested positive for Ebola, according to interviews with health officials and an epidemiological report provided by a medical organization.
Mistrust settled in, affecting even those who have seen Ebola up close.
?The way my wife died, it is not Ebola that killed her that day,? said H?ritier Bedico Zawadi, an engineer, one sleepless month after the death of his wife, Suzanne Kahindo Kitseghe, a 29-year-old doctor.
She had been exposed to the disease when a patient at her hospital wouldn?t stop bleeding, a classic Ebola symptom, after an IV line had been inserted, according to Dr. Michel Kalongo, an official in the local doctors union who knew Dr. Kahindo.
Dr. Kahindo had not been vaccinated, probably because she was pregnant and pregnant women were initially discouraged from receiving the vaccine. When she began to feel ill, she believed she had malaria and continued to see patients, even helping deliver a patient?s baby.
...
Dr. Kahindo was barely conscious on April 10 when colleagues sent her to an Ebola treatment center, where she died the next day. Her husband said that when other doctors expressed condolences, they often said, ?Your wife didn?t die of Ebola.?
Gazing up at the night sky, Mr. Zawadi said that even though his wife had tested positive for Ebola, he was having trouble making up his mind about what to believe. ?Emotionally, I?m broken.?
...
Full text:
"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
EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI
Sunday 19 May 2019
The epidemiological situation of the Ebola Virus Disease dated May 18, 2019 :
Since the beginning of the epidemic, the cumulative number of cases is 1,816, of which 1,728 are confirmed and 88 are probable. In total, there were 1,209 deaths (1,121 confirmed and 88 probable) and 482 people healed.
291 suspected cases under investigation;
15 new confirmed cases, including 4 in Butembo, 4 in Mabalako, 2 in Katwa, 2 in Beni, 1 in Musienene, 1 in Kalunguta and 1 in Mandima;
11 new deaths of confirmed cases, including
6 community deaths, 2 in Butembo, 2 in Mabalako, 1 in Katwa and 1 in Beni;
5 deaths at CTE, including 4 in Butembo and 1 in Mabalako;
16 new healers came out of CTE, including 12 in Butembo and 4 in Katwa.
... Epidemiological surveillance
Investigations continue around the first confirmed patient in the Alimbongo Health Zone. According to the initial results, the patient was contaminated after participating in an unsecured burial of a family member who died in Katwa.
"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
EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI
Monday, May 20, 2019
The epidemiological situation of the Ebola Virus Disease dated 19 May 2019 :
Since the beginning of the epidemic, the cumulative number of cases is 1,826, 1,738 confirmed and 88 probable. In total, there were 1,218 deaths (1,130 confirmed and 88 probable) and 484 people healed.
245 suspected cases under investigation;
10 new confirmed cases, including 3 in Mabalako, 3 in Kalunguta, 2 in Beni 1 in Katwa and 1 in Butembo;
9 new deaths of confirmed cases, including
4 community deaths, 2 in Kalunguta, 1 in Mabalako and 1 in Beni;
5 deaths at CTE, including 3 in Butembo, 1 in Mabalako and 1 in Katwa;
2 new healed from the CTE of Butembo.
...
A vehicle of the riposte was slightly damaged and three policemen were slightly injured after a stone attack of a convoy of a dignified and secure burial team (EDS) occurred at the Kanzunza cemetery in Butembo town on Sunday. May 19, 2019. In recent times, people living near certain public cemeteries are hostile to the EDS teams that are burying those who died of Ebola. The urban authorities and the coordination of the response organized a meeting on this subject on Monday, May 20, 2019.
...
103 Contaminated health workers
The cumulative number of confirmed / probable cases among health workers is 103 (5.6% of all confirmed / probable cases), including 34 deaths.
One health worker in Mabalako, vaccinated less than 10 days ago, is among the new confirmed cases. The cumulative number of confirmed / probable cases among health workers is 103 (5.6% of all confirmed / probable cases), including 34 deaths.
"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
The fight against the Ebola epidemic, in the provinces of North Kivu and Ituri, faces the resistance of the population who remains uninformed about the dangerousness of the disease.
His Majesty Mfumu Difima is leading a large delegation of customary chiefs from different provinces of the Democratic Republic of the Congo. The leader of the DRC customary chiefs visiting Beni deplores that the current mistrust of the population is also the consequence of political manipulation.
Ebola and the elections
Indeed, after the postponement of the elections in the region of Beni and Butembo, the inhabitants accused the former power to have taken Ebola as an excuse to deprive them of their right to vote.
According to him, this suspicion had a first consequence: traditional healers, traditional doctors, had to take over patients who no longer wanted to go to Ebola treatment centers.
"To bring back the collaboration between the population, the leaders and the teams of the response and also, to make that this collaboration can lead the inhabitants to come declare themselves when they are sick, so that this disease is very quickly neutralized, like this was the case just a month or two ago when we actually did not have these kinds of problems, "says Mfumu Difima, emphasizing the role of traditional leaders in the fight against the disease.
The contribution of religious leaders
Already, the work of these customary chiefs is felt in the town of Butembo. They exchange with different social strata of the city today considered a center of resistance against medical teams.
Traditional chiefs were, for example, with Butembo youth gathered in the Urban Youth Council.
Mwami Chiefs spokesperson Viringa Mayani Ajani also wants to use traditional rites to fight Ebola, though he remains discreet:
"The custom has its secrets and its talents, we can not unveil what we are going to do customarily, but I guarantee you that we are working hard to eradicate the disease. once and for all."
The young people of Butembo seem in any case already to be more sensitive. They have just set up a commission to follow the recommendations made by the customary chiefs.
"We have traditionally known that traditional chiefs are the authorities that are more accepted, they enjoy a certain legitimacy of the population.At the end of the discussions there were recommendations that were given and that even to accompany these recommendations there we have instituted a commission to follow up on these recommendations, "said Edulphose Bwakanakazi, vice president of Butembo's Urban Youth Council.
Some observers believe that things are now going in the right direction in Butembo. A note of hope as the city was previously the symbol of resistance against Ebola.
To further improve the situation, some expatriates are being replaced by Congolese in the various strategic positions of the struggle. One more element to reduce the resistance in the population.
"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
EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI
Tuesday, May 21, 2019
The epidemiological situation of the Ebola Virus Disease dated May 20, 2019 :
Since the beginning of the epidemic, the cumulative number of cases is 1,847, of which 1,759 are confirmed and 88 are probable. In total, there were 1,223 deaths (1,135 confirmed and 88 probable) and 487 people healed.
292 suspected cases under investigation;
21 new confirmed cases, including 5 in Beni, 5 in Kalunguta, 4 in Butembo, 4 in Musienene, 2 in Mabalako and 1 in Masereka:
5 new deaths of confirmed cases, including
3 community deaths, 2 in Butembo and 1 in Musienene;
2 deaths at the CTE of Beni;
3 new healed CTE patients, 2 in Butembo and 1 in Katwa;
One health worker in Masereka, vaccinated, is among the new confirmed cases. The cumulative number of confirmed / probable cases among health workers is 104 (5.6% of all confirmed / probable cases), including 34 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.
Distribution of Ebola Virus Disease (EVD) Cases by Health Zone in the Provinces of Ituri and North Kivu as of May 20, 2019
Epidemiological curve since January 2019
NEWS
On the sidelines of the 72 nd World Health Assembly (WHA) in Geneva, Dr. Oly Ilunga, Minister of Health, WHO Director General Dr. Tedros Adhanom Ghebreyesus, and Director of the WHO Regional Office in Africa (AFRO), Dr Matshidiso Moeti, reported on the evolution of the Ebola outbreak and regional preparedness activities at a meeting of AMS Committee A on Tuesday 21 May 2019.
All stakeholders recognized that the main barrier to ending this epidemic is the security context and violence against the response teams. The Minister of Health recalled that, from the point of view of public health, Ebola virus disease is not a particularly difficult disease to contain, especially since the country currently has a diagnostic, therapeutic medical arsenal and comprehensive preventive for the first time in the history of the virus. He recalled that to break the chain of transmission, it is enough to do a series of important activities around the confirmed cases, dead or alive, in particular the sensitization, the epidemiological investigations, the disinfection of the household, the vaccination and the follow-up of the contacts, and funerals worthy and secure. All these activities are available but teams are sometimes prevented from doing them because of insecurity or mistrust of the population. The Director of WHO emphasized that the Ebola epidemic in the DRC is still ongoing, not because the teams do not have the means or the skills but because they can not get regular access to the sick in the communities. If the security environment improves and access to communities is guaranteed, the response teams will be able to put an end to this epidemic. not because the teams do not have the means or the skills but because they can not get regular access to the sick in the communities. If the security environment improves and access to communities is guaranteed, the response teams will be able to put an end to this epidemic. not because the teams do not have the means or the skills but because they can not get regular access to the sick in the communities. If the security environment improves and access to communities is guaranteed, the response teams will be able to put an end to this epidemic.
While welcoming the work of the Congolese Government in containing the Ebola outbreak, the Director of WHO-AFRO presented the progress of regional preparedness in case the Ebola outbreak spreads outside the DRC. To date, no cases of Ebola have been detected in DRC's neighboring countries thanks to the efforts of the Government and partners, who have examined more than 50 million travelers at the various health checkpoints located east of the DRC. country. As part of the regional preparedness plan, the nine countries bordering the DRC now have an emergency plan, 16 Ebola treatment centers have been built in neighboring countries, 270 technical experts have been deployed to support the efforts of border countries,
"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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