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  • DRC - Ebola outbreak in North Kivu, Ituri - 46 confirmed cases, 43 suspected deaths


    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/
    "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

  • #2
    Translation Google

    North Kivu: an unknown disease kills 15 people in two weeks in Mangina


    Posted on Mon, 30/07/2018 - 13:01 | Edited Mon, 30/07/2018 - 13:01

    An unknown disease characterized by diarrhea, fever, and vomiting has been observed for two months in the rural district of Mangina, about 30 km southwest of the city of Beni (North Kivu).
    According to the chief medical officer of the Mabalako / Mangina health zone, Dr Germain Kamaliro, in the last two weeks, fifteen deaths have been recorded in the twenty-six identified cases.

    "For two months, there has been a phenomenon that is affecting the population, which is characterized by the emission of liquid stools and vomiting and then death either by epitaxy or by fever. It's been at least two weeks since we found that there is really a surge of cases, Until then we have 15 deaths out of the 26 cases identified since May, " said Dr. Germain Kamaliro.

    He announced the sending to Goma and Kinshasa samples of the samples for analysis.

    "As the samples are being sent to the laboratory at Goma and Kinshasa by tomorrow, it is the results that can confirm that there is a problem," continued Dr. Germain Kamaliro.

    He said, however, that it is not a haemorrhagic fever, "because for haemorrhagic fever there is bleeding in all the orifices. "

    "At the moment this disease is first located in the rural commune of Mangina and all patients are treated in the reference center of Mangina and we have also noted some sporadic cases in other structures such as the health area of Linzo who referred to Mangodomu, " added Dr Germain Kamaliro.

    He urged the population to remain calm and to observe hygiene measures, including systematic handwashing, and to reserve for greetings by hand.

    https://www.radiookapi.net/2018/07/3...maines-mangina
    "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


    • #3
      Translation Google

      DRC: Emergence of a new disease in Beni

      - This disease has already killed about twenty people since last April.

      Home > Africa 30.07.2018 Lassaad Ben Ahmed Congo, The Democratic Republic of the

      AA / Kinshasa / Pascal Mulegwa

      An unknown disease with symptoms of the Ebola virus has been killing lives for several weeks in Beni, eastern Democratic Republic of Congo (DRC), Anadolu learned Monday from a medical source.

      "Since April, the unknown disease has already occurred on about thirty people in the locality of Mangina near the city of Beni and has already made twenty deaths," said Anadolu Alain Musondolya, director Mangina hospital located about thirty kilometers from the city of Beni in the province of North Kivu.

      Since the beginning of July, she has killed 14 people in Mangina, according to this source, saying that the local population equates this patient with "witchcraft".

      The victims manifest "a high fever, a continuous nasal hemorrhage and a haemorrhagic vomiting", told Anadolu Michel Tosalisana, director of the public hospital of the city of Beni, where three deaths have been recorded since the beginning of July.

      "We asked the authorities to launch a campaign to urge people not to touch people with these signs, it could be Ebola or some other contagious and highly deadly disease," he said. added.

      "This disease is scary, we are afraid that there is an Ebola outbreak," said a local official on the phone.

      "The samples are being sent to the INRB (National Institute of Biomedical Research) in Kinshasa to determine this disease," said Anadolu the communication officer of the Congolese Ministry of Health, Jessica Ilunga.
      ...

      https://www.aa.com.tr/fr/afrique/rdc...0-beni/1217813
      "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


      • #4
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        MIN OF HEALTH - PRESS RELEASE - JULY 30, 2018

        Reported fever cases in Mabalako Health Zone, North Kivu Province


        Kinshasa, July 30, 2018 - This Saturday, July 28, 2018, the Provincial Health Division of North Kivu has notified 25 cases of fever in the health area of ​​Mangina, located about 30 km southwest of the city of Beni.

        Samples have been collected and are being sent to Kinshasa for analysis by the National Institute for Biomedical Research (INRB).

        An investigative team from the General Directorate for the Fight Against Disease (DGLM) composed of three experts, including two epidemiologists and a biologist, will arrive in Beni as early as Tuesday, July 31, 2018 to support the provincial team.

        The Ministry of Health instructed health professionals in the province to respect individual protection measures. In addition, the Ministry invites the population in the areas concerned to remain calm, vigilant and to respect the hygiene measures, in particular the regular washing of the hands.




        via e-mail.
        “Addressing chronic disease is an issue of human rights – that must be our call to arms"
        Richard Horton, Editor-in-Chief The Lancet

        ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

        Comment


        • #5
          Translation Google

          BENI: Unknown disease in Mangina, fear and worry are gaining ground!

          By Editing Published in Congo DR Company Published on 31/07/2018

          An unknown and mysterious disease rages in the entity of Beni and its surroundings, causing anxiety and panic in the population.

          Sixteen people have already died of the disease in the last two weeks in the city of Mangina, as Edgard Katembo Mateso, president of the North Kivu Civil Society Coordination, says: "This disease is manifested by fever, diarrhea, vomiting and blood coming out of the nostrils. There have already been 16 deaths, the most recent of which occurred on Sunday, a woman who died in Mangina. We are considering that this is serious and that the authorities should tell the population what disease it is and what can be done in terms of precautionary mechanisms. "

          This apparently contagious disease is manifested in the patient by vomiting and bloody diarrhea causing death in a few hours. Reason for warning the provincial health authorities about this unidentified disease so that appropriate measures can be taken urgently.

          The African Association for the Defense of Human Rights, ASADHO, puts forward the figure of 24 people affected by this epidemic. Two of these victims are cured of this unknown disease, while 5 are continuing treatment in a health facility in Mangina, the source said.

          Urgent pastoral measures

          Following the outbreak of this disease, the whole parish of Mangina is on alert. The priest of this entity describes that the faithful live in fear. Father Emmanuel Ruhuvi joined the phone yesterday Monday, July 30, 2018 evokes "some pastoral precautions" already taken to protect himself from this epidemic still unknown: "There are twenty cases of disease under observation in health facilities. Samples were sent to specialized laboratories in Kinshasa. We are waiting for the results. But we found that the disease is contagious. There are already some precautionary mechanisms taken including not touching each other. The rest is for specialists to tell us, "says the Cure of Mangina.

          Do not greet each other

          Even in the Church, the parish has recommended the faithful not to come into physical contact and to observe hygiene: "When we must wish each other peace at Mass, we no longer greet each other because we do not know where does the visitor come from? It's not a rumor, the cases are there, "said the priest Ruhuvi.

          Jack Katson Maliro

          http://www.afriwave.com/2018/07/31/b...nt-du-terrain/
          "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


          • #6
            DIRECTORATE GENERAL FOR DISEASE CONTROL
            MIN SANTE - PRESS RELEASE - AUGUST 1, 2018

            Special Communication from His Excellency the Minister of Health regarding the epidemiological situation in the Province of North Kivu on August 1, 2018

            Dear Compatriots,
            Ladies and Gentlemen,


            On Saturday, July 28, 2018, the Provincial Health Division of North Kivu notified to the Ministry of Health twenty-six cases (26) of Fever with haemorrhagic signs, including twenty (20) deaths. in the health zone of Mangina located in the health zone of Mabalako, territory of Beni, in the Province of North Kivu.

            Six (6) samples taken from hospitalized patients arrived in Kinshasa this Tuesday, July 31, 2018 and were analyzed by the National Institute of Biomedical Research (INRB). Of the six (6) samples analyzed, four (4) were positive for Ebola Virus Disease. Sequencing is in progress at INRB to identify the strain of the virus.

            Dear compatriots,
            ladies and gentlemen,


            Just a week after announcing the end of the ninth epidemic of Ebola Virus Disease in the Equator Province, the Democratic Republic of Congo is facing a new epidemic. At this stage, there is no indication that these two epidemics, separated by more than 2,500 km, are related.

            As Ebola Virus Disease is endemic in several parts of the country due to the Equatorial Forest ecosystem, the Ministry of Health has already strengthened its epidemiological surveillance system in all risk areas, including North Kivu.

            Although we did not expect to face a tenth epidemic so early, the detection of the virus is an indicator of the proper functioning of the surveillance system put in place by the General Directorate for Disease Control.

            A team of twelve (12) experts from the Ministry of Health based in Kinshasa will arrive in Beni this Thursday, August 2, 2018 to set up the various components of the response. This team of laboratory technicians, epidemiologists, clinical psychologists and doctors for medical care will carry a mobile laboratory of the INRB and personal protective equipment.

            Dear compatriots,
            Ladies and Gentlemen
            ,

            The Ministry of Health is taking all necessary steps to quickly and effectively contain this new outbreak of Ebola Virus Disease.

            All the usual components of the epidemic response are activated, namely: laboratory, medical care, epidemiological surveillance, social mobilization, and logistics.

            In addition, due to the security situation in the affected areas, a new security component has been put in place to ensure the protection of the deployed health care providers and the population.

            Therapeutic molecules are already available in the country. The ethics and scientific committees will determine the most appropriate curative and preventive treatments for this tenth epidemic.

            We invite people, especially those in the Beni territory and neighboring areas, to remain calm and stay in their health zone in order to benefit from adequate care and treatment during transport.

            Further information will be communicated in a transparent manner as the situation on the ground progresses.

            Thank you.


            https://mailchi.mp/49b37201b847/decl...u?e=82de4e5d05
            "May the long time sun
            Shine upon you,
            All love surround you,
            And the pure light within you
            Guide your way on."

            "Where your talents and the needs of the world cross, lies your calling."
            Aristotle

            “In a gentle way, you can shake the world.”
            Mohandas Gandhi

            Be the light that is within.

            Comment


            • #7
              Translation Google

              Ebola confirmed in Beni after 20 deaths

              In SocietyAugust 1, 2018
              By Esther Nsapu, Correspondent in Eastern DRC

              The Ebola outbreak has just been confirmed in the health zone of Mabalako, Mangina locality by the Ministry of Health. This information falls after analysis of six samples taken in Beni and sent to Kinshasa a few days ago by the National Institute for Biomedical Research (INRB). Of the six samples, four were positive for the Ebola virus. Mangina is located 30 kilometers northwest of the city of Beni in North Kivu province.

              The news comes just a week after the Ministry of Health announced the end of the ninth Ebola outbreak in Equateur Province.

              "We have just heard the news from the National Institute for Biomedical Research (INRB). The eleven patients who are undergoing care here at the Mangina Reference Health Center have just been isolated. The sick guards and all the people who have been in contact with the sick here in the hospital have also been isolated. All the arrangements have just been made for the sick, " says Dr. Alain Musondolya, a doctor at the Mangina Reference Health Center.

              This outbreak caused 20 deaths during the month of July out of a total of 26 suspected cases in the Mangina health area. Among the victims, there were pregnant women and children. In addition, the Mangina Reference Health Center recorded 11 new cases and three deaths this week related to this newly diagnosed Ebola outbreak. All the sick people currently receiving care at the Mangina Reference Health Center have exactly the same symptoms as the deceased victims in the previous weeks.

              A team of 12 experts from the Ministry of Health in Kinshasa will be this Thursday in Beni to put in place the various components of the response. "We invite the people of Beni and the surrounding area to remain calm and stay in their respective health zones in order to benefit from adequate care and treatments that are currently being transported," said the communiqué of the Ministry of Health. the health.

              https://afrique.lalibre.be/22458/ebo...pres-20-deces/
              "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


              • #8
                Cluster of presumptive Ebola cases in North Kivu in the Democratic Republic of the Congo

                1 August 2018 News Release

                Kinshasa/Geneva


                The Government of the Democratic Republic of the Congo announced today that preliminary laboratory results indicate a cluster of cases of Ebola virus in North Kivu province. The announcement was issued little more than a week after the Ministry of Health declared the end of an outbreak in Equateur Province in the far western part of the country, some 2500 km from North Kivu.

                The Ministry of Health of the Democratic of the Congo (DRC) informed WHO that four out of six samples tested positive for Ebola virus at the Institut National de Recherche Biomédicale (INRB) in Kinshasa. Further testing is on-going.

                “Ebola is a constant threat in the DRC,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “What adds to our confidence in the country’s ability to respond is the transparency they have displayed once again. Working closely with the Ministry of Health and partners, we will fight this one as we did the last.”

                The Government was quick to provide public updates, with press releases on 30 July and 1 August.

                “Since we are coming out of another Ebola outbreak, we have kept staff and equipment in place,” said Dr Matshidiso Moeti, WHO Regional Director for Africa. “This allows us to have a head start in response to this cluster.”

                The majority of the cases are in the Mangina health area which is 30 kilometres from the city of Beni. “This new cluster is occurring in an environment which is very different from where we were operating in the northwest,” said Dr Peter Salama, WHO Deputy Director-General, Emergency Preparedness and Response. “This is an active conflict zone. The major barrier will be safely accessing the affected population.”

                North Kivu hosts over 1 million displaced people. The province shares borders with Rwanda and Uganda with a great deal of cross border movement due to the trade activities. WHO will continue to work with neighbouring countries to ensure health authorities are alerted and prepared to respond.

                http://www.who.int/news-room/detail/...c-of-the-congo



                "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                -Nelson Mandela

                Comment


                • #9
                  Translation Google

                  DRC faces new Ebola outbreak in North Kivu

                  By RFI Published on 01-08-2018 Updated on 01-08-2018 at 21:28

                  Four Ebola cases have been identified in the North Kivu region of eastern Democratic Republic of Congo. This announcement comes after several haemorrhagic fevers causing twenty deaths. Research is underway to define the strain of the virus.

                  The four new Ebola cases were detected in the health area of ​​Mangina, Beni territory. They are part of a set of six samples taken from inpatients who were sent for analysis in Kinshasa earlier this week. This discovery comes after several cases of haemorrhagic fever in this region of North Kivu province, causing 20 deaths last week.

                  The National Institute for Biomedical Research (INRB) is currently conducting research to identify the strain of the virus. Twelve experts from the Ministry of Health are sent to Beni to implement the appropriate measures. In particular, a mobile laboratory must provide on-site expertise.

                  The Ministry of Health invites the populations of the territories concerned and neighbors to remain in their health zone to be able to benefit from an adequate care and treatments currently being transported. "I call for calm and caution," tweeted the governor of North Kivu province, Julien Paluku.
                  ...
                  At this stage, there is nothing to indicate that this epidemic is related to that which occurred in the province of Equateur, 2,500 km away and which was officially announced as completed a week ago.

                  Analyzes are in progress. In the next 48 hours, we will be able to say whether or not there is a link between the two strains.


                  The explanations of Dr. Dominique Baabo, former medical inspector of the province of North Kivu
                  ...
                  01-08-2018 - By Clémentine Pawlotsky

                  http://www.rfi.fr/afrique/20180801-r...bola-nord-kivu
                  "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


                  • #10
                    Translation Google

                    Ebola reappears in eastern Democratic Republic of Congo

                    A week after the end of the epidemic that affected the Equateur province, Kinshasa announced the death of twenty people in North Kivu.

                    By Joan Tilouine

                    THE WORLD 01.08.2018 at 18h29 • Updated 01.08.2018 at 18h30

                    What Ebola specialists feared happened. The end of the ninth epidemic that hit the Democratic Republic of the Congo (DRC) - officially declared on May 8 in Equateur province (north-west), July 24 - does not mean that the virus has disappeared. country where it was discovered in 1976. The tenth epidemic has already begun.

                    This time, the identified outbreak is more than 2,500 km from the previous one, in the province of North Kivu (eastern DRC), not far from the border with Uganda. According to the ministry of health, which sent a dozen experts on site, "twenty-six cases of fever with bleeding signs" were reported Saturday, July 28, by local authorities. Of these patients, twenty died, including a nurse.

                    Two decades of conflict

                    Six samples taken from these patients were transferred on July 31 to Kinshasa, where they were analyzed at the National Institute for Biomedical Research. Four of the six samples were positive for Ebola. The virus is officially present in this province shaken by two decades of conflict and abuse committed by the army and dozens of armed groups present in the area.

                    For the moment, all these cases of Ebola are concentrated in the health area of ​​Mangina, located in the territory of Beni, where many massacres attributed to an Islamist group, but rather spared political violence.

                    "Patients come with vomiting, loose stools, nasal bleeding and vomiting of blood. We have no inputs to treat them and the staff is exposed to contamination, "said Dr. Alain Musondolya, stationed in this locality.

                    According to concordant sources, the "zero patient" could be a farmer based in Masimbembe, near Mangina. He would have died in May. His field was a little further north, in the neighboring province of Ituri where, as experts fear, cases could be identified.

                    Medical staff on strike

                    The Minister of Health, Oly Ilunga, however, is reassuring: "Although we do not expect to face a tenth outbreak as early, the detection of the virus is an indicator of the proper functioning of the surveillance system. The detection of the epidemic was late, however, because part of the medical staff went on strike in the North Kivu province to protest against his working conditions and demand the payment of unpaid premiums.

                    Local authorities set up crisis committees in both areas affected by Ebola. In both Mangina and Béni, Médecins sans Frontières' logisticians have already set up tents in the compound of the health centers, and equipment is being transported by the World Health Organization and the Congolese Ministry of Health.

                    Provincial governor Julien Paluku called for "calm and prudence". The ninth epidemic killed thirty-three people in the north-west of the country. In North Kivu, the most densely populated province of the DRC, the tenth epidemic has already killed twenty people.

                    https://www.lemonde.fr/afrique/artic...8420_3212.html
                    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                    -Nelson Mandela

                    Comment


                    • #11
                      MOH DRC
                      “Addressing chronic disease is an issue of human rights – that must be our call to arms"
                      Richard Horton, Editor-in-Chief The Lancet

                      ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

                      Comment


                      • #12

                        WORLD NEWSAUGUST 2, 2018 / 11:05 AM / UPDATED 28 MINUTES AGO

                        WHO warns there may be no vaccine option for new Ebola outbreak

                        Reuters Staff

                        GENEVA (Reuters) - It may be impossible to use a vaccine to tackle Democratic Republic of Congo’s new Ebola outbreak, which has spread over 10s of kilometers and may have begun in May, a senior World Health Organization official said on Thursday.

                        Officials have not yet confirmed the strain of Ebola that has killed 20 people and sickened four more, including two health workers, and it could be the Zaire, Sudan or Bundibugyo strain, WHO’s emergency response chief Peter Salama said.
                        ...
                        https://www.reuters.com/article/us-h...ame=healthNews
                        "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


                        • #13
                          Translation Google
                          DIRECTORATE GENERAL FOR DISEASE CONTROL
                          News of the riposte
                          Thursday 2 August 2018


                          On August 2, 2018, the Minister of Health, Dr. Oly Ilunga Kalenga, visited Beni and Mangina, North Kivu province, accompanied by a team of 12 experts from the Ministry of Health and officials. different partner agencies, including WHO, UNICEF, the World Bank, and MONUSCO, to assess the situation and needs in the field.

                          The delegation from Kinshasa was welcomed in Beni by the Governor of North Kivu Province, the Provincial Minister of Health, the Mayor of the city and the General who coordinates the military operations in the region. They held a first meeting at which the National Minister explained the principles and components of the response to be put in place. It was decided to set up the coordination headquarters in Beni, where the INRB laboratory technicians from the delegation remained to set up the mobile laboratory. The mobile laboratory has been operational since Thursday afternoon.

                          Then, a safe convoy accompanied the delegation to Mangina, the probable epicenter of this tenth epidemic. Mangina is about 30 km from Beni and 400 meters from the neighboring health area of ​​Makeke, in Ituri province. They were warmly welcomed by the population of this health zone who was happy to see that, less than 24 hours after the declaration of the epidemic, the national authorities were already at their side to start the response.

                          They visited the Mangina Reference Health Center (CSR) where some active cases are hospitalized in an isolated area of ​​the center. The epidemiological surveillance, care and coordination teams of the Ministry of Health remained in Mangina to assist local health workers and install the various components of the response.

                          As a reminder, of the 6 samples tested by the INRB on the night of Tuesday, July 31, 2018, 4 were found to be positive for Ebola virus serotype Zaire.
                          ...
                          https://us13.campaign-archive.com/?u...&id=d581169d5f
                          "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


                          • #14
                            Media briefing on the ongoing Ebola response in eastern DRC - 3rd August 2018

                            "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


                            • #15
                              Conflict in new Ebola zone of DR Congo exacerbates complexity of response: WHO emergency response chief



                              WHO
                              WHO team with the help of local residents hack their way through the Equatorial forest to bring Ebola vaccine to remote communities in the Democratic Republic of Congo.

                              3 August 2018

                              Protecting vulnerable people in eastern Democratic Republic of the Congo (DRC) from the latest Ebola Virus outbreak is going to be “very, very complex”, given the huge logistical challenges and ongoing conflict there, the World Health Organization (WHO) said on Friday.

                              “We know for example that there have been around 20 deaths,” Dr. Peter Salama, Deputy Director General of Emergency Preparedness and Response, told journalists in Geneva.

                              “We can’t at this stage confirm whether they are all confirmed or probable Ebola cases,” he added. “We expect however that the overall case count will rise in coming days to weeks, based on the trajectory of epidemics at this stage in their development.”

                              Speaking just over a week after the UN agency declared the last Ebola episode over, some 2,500 miles away to the west in DRC’s Equateur province, Dr. Salama said that WHO was unaware of the public health emergency in North Kivu province at that point.

                              The outbreak on the western side of the country in June, infected dozens, and led to 33 deaths, but despite several cases appearing in a major city on the Congo River, it was fully contained after a massive international and national response.

                              The top WHO official said that there was “no evidence” to suggest a link between the two outbreaks, although it appears “very likely” that they share the same deadly Zaire strain.

                              The death toll from the current Kivu episode is likely to rise, the WHO official said, adding that the alert was raised on 25 July after a woman and many members of her immediate family died after exhibiting symptoms consistent with Ebola.

                              “That event appears to have been a woman who was admitted to hospital around Beni, and on discharge had recovered from the original complaint”, he said. After leaving however, “she came down with a fever and other symptoms that were clinically consistent with Ebola, and later on, seven of her direct relatives also contracted the disease.”

                              Dr. Salama explained how longstanding conflict in Eastern DRC – involving more than 100 armed groups in the Kivu area and elsewhere – created an additional level of difficulty in trying to contain the deadly disease.

                              In the first week of February this year alone around Beni, attacks displaced more than 2,200, in addition to 1,500 displaced at the end of January. In the Djugu Territory to the south of North Kivu, inter-ethnic violence led nearly 30,000 to flee their homes to the provincial capital Bunia, at the beginning of the year.

                              “It’s going to be a very, very complex operation,” he said, noting that the vast country is home to the UN’s largest peacekeeping operation, the UN Stabilization Mission in the DR Congo (MONUSCO).

                              One million of the province’s eight million inhabitants are displaced and getting access to some of those in danger of coming into contact with Ebola, will require an armed escort in some cases, the WHO official explained.

                              There is also the additional threat that those fleeing violence may also head into nearby Uganda, Tanzania and Burundi, taking the infection with them, Dr. Salama said, noting that additional surveillance measures are being implemented at crossing points.

                              “On the scale of difficulty, trying to extinguish a deadly outbreak pathogen in a war zone” is as the top of the scale, he added.

                              In the most recent Ebola outbreak a key part of the emergency response involved tracing anyone who had come into contact with suspected carriers of the disease. WHO staff could travel hundreds of miles on a motorbike to do this vital work, but this is likely to be much more difficult in view of the high level of insecurity in the Kivus.

                              One immediate priority is to confirm whether the latest outbreak involves the Zaire strain, since this can be treated with the same vaccine that was employed in Equateur province.

                              “It’s good news and it’s very bad news,” Dr. Salama said. “The bad news is that this strain of Ebola carries with it the highest case-fatality-rate of any of the strains of Ebola, anywhere above 50 per cent and higher, according to previous outbreaks. So, it’s the most-deadly variant of the Ebola virus strains that we have, that’s the bad news. The good news is that we do have – although it’s still an investigational product – a safe and effective vaccine, that we were able to deploy last time around.”

                              https://news.un.org/en/story/2018/08/1016262

                              "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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