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

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


    https://en.wikipedia.org/wiki/North_Kivu

    -------------------------------------------
    Translation Google

    DRC: Unknown disease kills 17 in one month in Beni

    Date
    July 30, 2018

    At least 17 people died of an unknown disease within a month in the town of Mangina and in the city of Beni (North Kivu). Mangina is located 30 kilometers west of the city of Beni.

    According to health officials, the victims have nasal bleeding and haemorrhagic vomiting. 14 people died in July in Mangina and 3 others in the city of Beni.

    "Since April we have registered 26 suspected cases in the health air of Mangina. For this month of July, at least 14 people died of this unknown disease. At first we thought of a witchcraft but over time we did not understand that it is a disease that comes under two tables: the person has manifested nasal haemorrhage and haemorrhagic vomiting. We have issued alerts and forwarded the information to the area, we are waiting for the authorities of the provincial health directorate for other responses on this disease, " explained this Monday at ACTUALITE.CD, Dr. Alain Musondolya of the center Mangina reference health.

    The Ministry of Health says that the sample taken in Beni is sent to Kinshasa for examination.

    Last week, the DRC declared the end of the Ebola epidemic in the province of Ecuador, where it killed 33 of 54 confirmed cases. While hailing the end of this disease, the World Health Organization (WHO) has called on the authorities to work to defeat other major epidemics as well.

    "With this effective response to the Ebola virus, the government and partners should feel more confident in their ability to defeat other major epidemics affecting the country, such as cholera and polio," the WHO chief said.

    Yassin Kombi

    https://actualite.cd/2018/07/30/rdc-...n-mois-a-beni/

  • Pathfinder
    replied
    Translation Google
    EPIDEMIOLOGICAL SITUATION
    EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

    Thursday 23 May 2019


    The epidemiological situation of the Ebola Virus Disease dated 22 May 2019 :
    • Since the beginning of the epidemic, the cumulative number of cases is 1,877, of which 1,789 are confirmed and 88 are probable. In total, there were 1,248 deaths (1,160 confirmed and 88 probable) and 490 people healed.
    • 298 suspected cases under investigation;
    • 11 new confirmed cases, including 6 in Butembo, 1 in Katwa, 1 in Beni, 1 in Mabalako, 1 in Mandima and 1 in Kalunguta;
    • 7 new deaths of confirmed cases, including
      • 2 community deaths in Butembo;
      • 5 deaths at CTE, including 1 in Mabalako, 1 in Butembo and 3 in Beni.




    /! \ 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 varying (up or down) daily, 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 21 May 2019
    Epidemiological curve since January 2019
    NEWS

    • This Thursday, May 23, 2019, the United Nations has taken a series of measures to strengthen their support for the response to Ebola in the Democratic Republic of Congo. In particular, by strengthening its political commitment and operational support, the United Nations wants to help improve the environment in which the response teams work to facilitate access to affected communities.
    • Click here to read the full press release.

    • Nurses in the Musienene Health Zone have denounced the death threats and destruction of health facilities they have received in recent days because of their role in the Ebola response. The Musienene nurses held an extraordinary meeting on Thursday, May 23, 2019 to evaluate their working conditions. They asked the politico-administrative authorities to get involved in putting an end to this phenomenon of violence against health workers because, if the threats do not stop, they plan to go on a dry strike.
    • Because of this targeted violence, several doctors and nurses in the Beni and Lubero territories had to move or temporarily leave their homes, forcing some health facilities to close their doors. This is especially the case in the Kyondo Health Zone where activities have been suspended at the Kyakumba Reference Health Center since Tuesday, May 21, 2019, since the attending physician and the nursing staff left the feared zone for their safety. .
    • Between 1 th August 2018 and 20 May 2019, 132 attacks against medical units were recorded as part of the Ebola outbreak, causing four deaths and 38 injuries among health workers and patients. As the Minister of Health, Dr. Oly Ilunga Kalenga, recalled at the 72 nd World Health Assembly in Geneva, this violence against health workers must be condemned unreservedly and a clear distinction must be made between community involvement and targeted violence by armed militias. Linking the two is tantamount to stigmatizing the entire community of affected communities, portraying them as deeply violent communities, and blaming the health workers who are the first victims of this targeted violence.
    FIGURES OF THE RESPONSE
    122,695 Vaccinated
    persons
    • 827 people vaccinated on 22/05/2019.
    • Of those vaccinated, 33,718 are high-risk contacts (CHR), 60,094 are contacts of contacts (CC), and 28,883 are first-line providers (PPL).
    • Persons vaccinated by health zone: 32,281 in Katwa, 24,944 in Beni, 15,549 in Butembo, 9,596 in Mabalako, 6,033 in Mandima, 4,379 in Kalunguta, 3,070 in Goma, 3,048 in Komanda, 2,569 in Oicha, 1,998 in Lubero, 1,985 in Masereka , 1,980 to Kayna, 1,935 to Vuhovi, 1,817 to Kyondo, 1,647 to Musienene, 1,587 to Karisimbi, 1,487 to Bunia, 1,040 to Biena, 1,012 to Mutwanga, 690 to Rutshuru, 557 to Rwampara (Ituri), 527 to Nyankunde, 496 to Mangurujipa, 494 to Alimbongo, 420 to Mambasa, 355 to Tchomia, 342 to Kirotshe, 333 to Lolwa, 250 to Mweso, 245 to Kibirizi, 161 to Nyiragongo, 97 to Watsa (Haut-Uélé) 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.
    ...
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  • Shiloh
    replied
    Source: https://www.who.int/csr/don/23-may-2019-ebola-drc/en/
    Ebola virus disease – Democratic Republic of the Congo

    Disease outbreak news: Update
    23 May 2019

    Although this past week continues to bear witness to a steady rise in the number of Ebola virus disease (EVD) cases in the Democratic Republic of the Congo, the overall security situation has allowed for the resumption of most response activities. While no major insecurity incidents have occurred, outbreak response teams, local healthcare workers, and community members cooperating with response efforts, are increasingly subjected to threats made against them by armed groups present in hotspot areas such as Katwa and Butembo. These threats are often disseminated through leaflets or direct intimidation. Armed groups’ presence, activities and increasing direct threats against response teams continue to be reported in other EVD affected areas, in particular Lubero, Masereka, Mabalako, Kalunguta, and Vuhovi, resulting in some healthcare workers being unwilling to don personal protective equipment or perform critical Infection Prevention Control (IPC) measures out of fear of violence being levied against them or the healthcare facilities where they operate.
    During the past three weeks, reports indicate that transmission remains most intense in seven main hotspot areas: Beni, Butembo, Kalunguta, Katwa, Mabalako, Mandima, and Musienene. Collectively, these health zones account for the vast majority (93%) of the 349 cases reported in the last 21 days between 1 - 21 May 2019 (Figure 1 and Table 1). During this period, new cases were reported from 91 health areas within 15 of the 22 health zones affected to date (Figure 2).
    As of 21 May, a total of 1866 confirmed and probable EVD cases have been reported, of which 1241 died (case fatality ratio 67%). Of the total cases with recorded sex and age, 56% (1051) were female and 30% (545) were children aged less than 18 years. The number of healthcare workers affected has risen to 105 (6% of total cases). 490 EVD patients who received care at ETCs have been successfully discharged.
    Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 21 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 21 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 21 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 risk assessment

    WHO continuously monitors changes to the epidemiological situation and context of the outbreak to ensure that support to the response is adapted to the evolving circumstances. The last 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, 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. 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 mitigated local spread. However, 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.
    For more information, please see:

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  • Pathfinder
    replied
    Translation Google

    BENI: NZUKI SIKUMBILI at war against night buryers in Bashu Chiefdom

    POSTED BY: RMBB WRITING 22/05/2019

    NZUKI SIKUMBILI warns all those who will be guilty of clandestine nocturnal funerals of people in Bashu Chiefdom. In fact, this has been experienced since Ebola virus disease manifested its virulence in and around Butembo, especially in the Bashu chiefdom. Cluster leader Bunyuka issued a related alert on Monday, May 20, 2019 during the weekly parade held in Butungera, chiefdom of the Bashu chiefdom.

    The concern of MUHINDO SIVIHWA chief of Bunyuka is that these kinds of burials expose the inhabitants to the Ebola virus disease.

    To escape the vigilance of the authorities, families in mourning organize burial ceremonies at night. If the family members of the deceased must move to another area, they pack the body as a package. Conditions are sin against human dignity.

    In response to this, the administrative secretary of the Bashu chieftainship condemns the practitioners of this rite. NZUKI SIKUMBILI warns all those who will be guilty of it again for another time.

    "What is against the law and what is against our custom. And if I throw a warning against those people, if at least they can continue to do so, we'll get their hands on them. Not only because we are the agents of the state, but also because we are customary; because custom can not admit to treating the dead that way. So I warn this population there that will continue to bury the people who are nit, who will continue to transport the corpses in bags, "he said in a loud voice.

    Facilitating the response team to perform a dignified and secure funeral can now prevent members or relatives of the deceased from Ebola. But it must be recognized that an EDS is a practice that deserves to be lifeless, sensitizes caregivers.

    http://www.radiomoto.net/2019/05/22/...erie-de-bashu/

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

    LUBERO / Territory: targeted threats to nurses in the Musienene Health Zone

    POSTED BY: RMBB WRITING 23/05/2019

    Nurses in the Musienene Health Zone live under perpetual, accented and targeted threats these days. The perpetrators of these threats are arms carriers or not, who prohibit nurses in the area from getting involved in the fight against Ebola. Yet contributing to the response to this epidemic is imperative.

    The denunciation was communicated to Radio Moto Butembo-Beni, this Thursday, May 23, 2019. This, after the nurses of the Health Zone of Musienene met Monday, May 20, 2019, to assess the conditions of their work. It is a situation which destabilizes the health activities of the nursing staff and limits the movement and the freedom in our services, returns Bavon VUSOKE, rapporteur of the meeting of Sunday.

    Fearing loss of life and the displacement of health care workers and overflowing threats, Bavon VUSOKE communicates some recommendations from nurses in the Musienene Health Zone.

    "We have chosen some possible solutions: that each health facility is organized in a communication system: always have telephone units and always buy Motorola; that the Ministry of Health of the Interior and Defense and Security collaborate locally to protect us and that the politico-administrative authorities get involved to eradicate this phenomenon, to do what is possible and not impossible, to organize the minimum services , only the day when the risk is probably lower; consider a dry strike, if no improvement; to persuade all employees of sincere interpersonal and interprofessional collaboration, "said Bavon VUSOKE.

    As a reminder, the caregiver becomes more and more victim of several forms of threat. Several health facilities no longer operate in the territory of Beni and Lubero, or even in Butembo town as a result of the clandestine life chosen by doctors, nurses threatened or other stakeholders in the response. This, to the disadvantage of patients requiring care.

    http://www.radiomoto.net/2019/05/23/...-de-musienene/

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  • Pathfinder
    replied
    Translation Google

    Ebola, already 105 health workers contaminated: "We absolutely must stop transmission in health facilities" [Myke Ryan / WHO]

    Thursday, May 23, 2019 - 08:00

    A health worker in Katwa (North Kivu), unvaccinated, is among the new confirmed cases of Ebola virus disease, the Ministry of Health reported on Wednesday (May 22nd). This brings to 105 the number of health workers affected at 98 (5.6% of all confirmed / probable cases) including 35 deaths.

    "We must stop, absolutely stop transmission in health facilities. This is a disaster, it is a real tragedy to have transmissions in the very places where people go for care. It takes a big plan of action to speed up infection control at the health facility level, "Dr. Michael Ryan, Executive Director of the Program at the World Health Organization, told ACTUALITE.CD. ), specializing in the management of health emergencies.
    ...
    "We are in discussion with the Ministry of Health to extend the vaccination, to take a more aggressive approach with the vaccine. We must move the response, a very deep response in the community, not in Kinshasa, not in Goma, but in the community, " he added.

    https://actualite.cd/2019/05/23/ebol...nsmission-dans

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  • Pathfinder
    replied
    Translation Google
    EPIDEMIOLOGICAL SITUATION
    EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

    Wednesday, May 22, 2019


    The epidemiological situation of the Ebola Virus Disease dated 21 May 2019 :
    • Since the beginning of the epidemic, the cumulative number of cases is 1,866, of which 1,778 are confirmed and 88 are probable. In total, there were 1,241 deaths (1,153 confirmed and 88 probable) and 490 people healed.
    • 307 suspected cases under investigation;
    • 19 new confirmed cases, including 8 in Butembo, 5 in Katwa, 2 in Beni, 2 in Mabalako, 1 in Mandima and 1 in Kalunguta;
    • 18 new deaths of confirmed cases, including
      • 8 community deaths, including 4 in Butembo, 2 in Mabalako, 1 in Katwa and 1 in Kalunguta;
      • 10 deaths at CTE, including 5 in Mabalako, 2 in Butembo, 2 in Katwa and 1 in Beni;
    • 3 new healings from the CTE Mabalako.


    ...
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  • Pathfinder
    replied

    https://en.wikipedia.org/wiki/Tshopo

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

    Translation Google

    Bafwasende: Calm has returned after the brisk morning tension.

    May 21, 2019 Francois Okonda

    Calm returned in mid-day Tuesday, May 21, 2019 after the sharp tension observed in the morning in the city of Bafwasende, located more than 260 kilometers from Kisangani on the RN4. The angry population protests against the presence of a non-governmental organization that came to vaccinate against the current Ebola outbreak in the sister and neighboring provinces of North Kivu and Ituri learned depechesdelatshopo from local sources. All the news was paralyzed.

    For the inhabitants, there is no question of vaccinating in Bafwasende where there is still no case of Ebola.

    And to express their disagreement, they were in the street and strapped the vehicle of said NGO.

    The police quickly intervened to restore the order while proceeding to the interpellation of certain demonstrators.

    The provisional record of the clashes shows six wounded and a damaged vehicle.

    Reacting about this in social networks, an analyst who knows the area well writes:
    "The capital of the Bafwasende territory has hosted a strong community Yira (Nande) of Butembo, active in trade and agriculture. It is possible that the activities of the response suffer the same fate, resistance, in Bafwasende as what happens in the cities of Beni and Butembo. As there is also intense commercial exchange between Butembo and Bafwasende, any suspect case not properly supported, can unfortunately infiltrate to Kisangani. A strong need for awareness is urgent in Bafwasende. "
    Note that all our efforts to reach the administrator of the territory of Bafwasende have not succeeded.

    Frok.
    The dispatches of the tshopo

    https://depechesdelatshopo.com/2019/...sion-du-matin/

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  • Pathfinder
    replied
    Translation Google
    EPIDEMIOLOGICAL SITUATION
    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,
    ...
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  • Pathfinder
    replied
    Translation Google

    DRC: Ebola fight hindered by lack of public trust

    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.

    Date 20.05.2019

    https://www.dw.com/fr/rdc-la-lutte-c...ion/a-48801466

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  • Pathfinder
    replied
    Translation Google
    EPIDEMIOLOGICAL SITUATION
    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.

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  • Pathfinder
    replied
    Translation Google
    EPIDEMIOLOGICAL SITUATION
    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.
    ...
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  • Pathfinder
    replied
    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 Héritier 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:
    https://www.nytimes.com/2019/05/19/w...eak-congo.html

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  • Pathfinder
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    https://en.wikipedia.org/wiki/Haut-Uele

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

    Translation Google

    Haut-Uélé: 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.

    https://www.radiookapi.net/2019/05/1...hemorragie-est


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  • Pathfinder
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    Translation Google
    EPIDEMIOLOGICAL SITUATION
    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.
    ...
    https://us13.campaign-archive.com/?u...&id=1b98e9f532

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  • Pathfinder
    replied
    Translation Google
    EPIDEMIOLOGICAL SITUATION
    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;
    • 2 new healings from CTE Katwa.

    ...
    https://us13.campaign-archive.com/?u...&id=87626bb085

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