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​​​​​​​In the DRC, a silent epidemic of anthrax has reportedly broken out (media report)

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  • ​​​​​​​In the DRC, a silent epidemic of anthrax has reportedly broken out (media report)

    Translation Google

    In the DRC, a silent epidemic of anthrax has reportedly broken out

    January 2, 2024

    In the DRC, photos of an unknown disease have been circulating on social networks for several days. These are people who have a skin disease mainly on the arms or feet which manifests itself as ringworm, mycosis or scales. “It would be cutaneous anthrax,” explains a veterinary doctor who requested anonymity .

    In December 2023, the World Health Organization warned that 5 countries in southern Africa are experiencing an anthrax epidemic with more than 1,100 suspected cases and around twenty deaths reported since the start of the year. 2023.

    These are Kenya, Malawi, Uganda, Zambia and Zimbabwe. Some of these countries, like Zambia, have been experiencing this epidemic for more than 10 years.

    Please be aware that “ anthrax is a disease that is often fatal in animals and transmitted to humans through contact with infected animals or their products. In humans, the infection is usually acquired through the skin. Pulmonary infections are less common; meningeal and gastrointestinal infections are rare ,” notes the MSD manual

    The people present in the photos circulating on social networks are presented as butchers and farmers from the rural commune of Kasindi, on the border between the DRC and Uganda which serves as a transit for everything that is imported.

    Since the Kivu region is not self-sufficient in beef, a large part of the meat consumed in Kivu is imported from these countries where fever is already reported. It is obvious that this is cutaneous anthrax,” explains our source, veterinary doctor, epidemiology researcher.

    Anthrax is a bacterial disease that commonly affects domestic and wild herbivores. Humans contract the disease through contact with infected animal carcasses or exposure to contaminated animal products, explains the World Health Organization.

    This disease is caused by Bacillus anthracis , a gram-positive bacillus that is an encapsulated, facultative anaerobic microorganism that produces toxins.

    “ It can remain dormant in the ground, even for a period of a hundred years. Then when he comes to the surface, he is inhaled by a beast. And in the region, we only see it after the death of the animal. In the present cases, it can be assumed that those who contract it do so after an injury caused by an animal carcass. Because if it was after eating meat, there would be many suspicious cases. », Explains the veterinary doctor.

    During the last month of 2023, an illness like this was reported among some butchers and their dependents or butcher's assistants called "tshaheurs" at the public slaughterhouse in Butembo.

    Contacted, Doctor Kawa, urban inspector of agriculture, fishing and livestock in the city of Butembo had reserved speaking to the press and promised to return to the press after the results carried out in the laboratory and by the veterinary services and by the Provincial Division of Health, Butembo branch.

    In this case, WHO, through Dr Matshidiso Moeti, WHO Regional Director for Africa suggests:

    “ To end these outbreaks, we must break the cycle of infection, starting with preventing disease in animals. We support countries' efforts to combat epidemics by providing our expertise and strengthening collaboration with partner agencies as part of a common approach aimed at preserving human and animal health .*

    We must therefore quickly organize the response and above all equip all those who work with an adequate combination and modernize our slaughterhouses and waste management, suggests our source. Because biosecurity in slaughterhouses must be increased.

    Which calls into question the state of slaughterhouses and animal treatment in Kivu.

    This is why some organizations advocate for health to be treated as a whole from a “One Health” perspective because humans, animals and the earth are interdependent.

    More and more, with epidemics we are refocusing it. However, from the first alerts, measures should be taken at the border, laments the epidemiology researcher.

    Hervé Mukulu

    En RDC, des photos d’une maladie inconnue circulent sur les réseaux sociaux depuis quelques jours. Il s’agit des personnes qui présentent une maladie cutanée principalement sur les bras ou les pieds qui se manifestent comme de la teigne, mycose ou des écailles. « Il s’agirait de l’anthrax cutané », explique un docteur vétérinaire qui a requis l’anonymat.


    ---------------------------
    The WHO report mentioned in the article:

    Five African countries report anthrax outbreaks, over 1100 cases recorded 11 December 2023 Brazzaville – Five countries in East and southern Africa are experiencing anthrax outbreaks, with more than 1100 suspected cases and 20 related deaths reported since the start of the year. A total of 1166 suspected and 37 confirmed

  • #2
    Translation Google

    North Kivu: an unknown disease, cause of ban on meat imported from Uganda

    January 8, 2024

    Kasindi, January 8. 2024 (ACP).- All imports of meat and animals from Uganda are temporarily prohibited throughout the territory of Beni in the province of North Kivu in the east of the Democratic Republic of Congo, we learned ACP from official source. “It is prohibited to import meat and animals (cows, pigs and goats) from Uganda to the DRC because there is a disease which has not yet been clearly identified which also started here in Lume and which is spreading. is already extending towards Kasindi. It kills people in Beni territory precisely in Kasindi while also leaving sick people who are hospitalized,” indicated Isse Mighambo, mayor of Lume.

    He made this known shortly before formally announcing the ban on the sale and consumption of meat throughout the territory of Beni following the press release from the military administrator of this entity. The Mayor of the rural commune of Lume in the Ruwenzori sector on Saturday formally prohibited the importation of all kinds of animals from Uganda to the DRC and their consumption by the population. “The consumption of all kinds of meat is today prohibited subject to other provisions. We call on the entire population not to transgress this decision of the territorial administrator in order to protect human lives against this danger which has not yet given its name. We must apply the instructions given by the hierarchy.

    May the population and the butchers be patient, because when the time comes, we will lift this decision after the disease is clearly identified and all the animals are treated by specialists,” insisted the municipal authority. She announced that all the services concerned are already hard at work to first properly identify this disease and then eradicate it definitively. The head doctors of the Mutwanga health zone and director of the Lume reference health center in the Ruwenzori sector say they are on maximum alert and teams of specialists are already deployed on the ground to definitively diagnose this disease which is similar to Anthrax disease.

    Forty people attacked by it died in the border town of Kasindi, while others affected are already isolated and subjected to preventive treatment while curative doses are administered to them.

    ACP/

    Kasindi, 08 janvier. 2024 (ACP).-Toute importation de la viande et animaux en provenance d’Ouganda est momentanément interdite sur toute l'étendue du territoire de Beni en province du Nord-Kivu dans l'est de la République Démocratique du Congo, a appris l’ACP de source officielle. «Il est interdit d'importer de l'Ouganda de la…

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    • #3
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      • #4
        Translation Google

        In Butembo, animal slaughterers called to vigilance after the discovery of an 'unknown' disease which attacks people via animals in Kasindi and Lume

        23 minutes ago RMBB2

        The president of the butchers and slaughterers of Butembo (North Kivu) calls on his guests to be vigilant. This, while awaiting the results of research into the disease which attacks people via animals in Kasindi and Lume in Beni territory.

        In an interview given to RADIOMOTO.NET this Thursday, January 11, 2024, Kamala Mwenge Katabeyi asks veterinarians to follow and take this health issue with great interest while waiting for clear details on this disease which has already claimed victims.

        " I know. This disease had started abroad. Finally, it is coming to us. I think alerting our veterinarians since they have studied for that is better. I think they will do something to warn us. Slaughterers, veterinarians and suppliers or all those who handle the cow, we must be careful,” he said.

        For more than a week, health sources in the Mutwanga health zone have been warning of the appearance of a disease which attacks people via animals at the Kasindi border post and in the commune of Lume, in the territory. from Beni.

        A human rights organization in Mangina had also just warned of the presence of this unknown disease. Health specialists have reassured that the first samples are already being sent to Goma for diagnosis.

        Ngunza Mapasa

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        • #5
          RECRUISE OF SUSPECTED CASES OF ANTHRAX IN NORTH KIVU


          TOP CONGO FM
          Premiered 4 hours ago

          Google translated from transcript:

          ...our magazine on Top Congo FM thank you thank you for following us in the country throughout the world on FM and on Youtube in the today's issue we are talking about anthrax or anthrax, a disease which affects the both animals and humans currently cases of anthrax are suspected in the province of North Kivu more precisely in Butembo and Béni concretely what is must be done to preserve animal health and human health uh the answer we are therefore going to answer with our guest today, it is Professor Justin Massoumou who is expert in integrated disease control but he is also a professor at the Faculty of veterinary medicine at Lupen and the school of public health at the University of Kinshasa...

          Anthrax in the province of North Kivu we are talking precisely in Butembo uh uh in Béni what is the origin well the origin as we have just said it is the environment in most cases but it can also be animals so the cases uh of the Far North... we must see it on the epidemiological level where are these cases observed since it is from there that we can reflect on the origin of the cases that we have or that we see in the far North it is much more at the level of the slaughterhouses so we understand that it is the animals that we bring to the slaughterhouse which are the basis of uh all these contaminations and these animals you know the situation in the east now there are many farms which are almost no longer functional, not accessible and most of the animals that we bring to the different slaughterhouses it comes from foreign countries uh Butembo Beni there we see directly uh Angola and uh Uganda and in Uganda we know very well that the disease was declared not long ago so we can suspect that these animals which come from Uganda are the ones which must be the basis of the introduction of these germs into this part of the country I insist on the part of the country because we know a few years ago here when we had the uh eruption of the volcano uh Virunga we also already had cases of anthrax uh next to the provincial park...

          as we are still at the level of suspicions so we cannot declare and say that there is an anthrax epidemic which is there there will first have to be confirmation as soon as there is confirmation it is while the authorities can manage to declare for example but have samples been taken from animals and from humans for in-depth analyzes in order to deny or confirm that it is anthrax or not actually as usual as soon as there is suspicion there are samples taken and uh at the public health level uh there are samples because the people who had the illness were treated in the hospital hey there in Butembo well it must be the same thing and samples were taken there are analyzes uh quimont also taken I don't have all the results but surely there are samples which were sent to the laboratory level who had to do all these analyzes and how many cases how presents the epidemiological situation how many people have been affected how many animals about as good uh the information available to me is around twenty cases at the level of the city of Butembo and at the level of the territory of Béni so there is Beni OCHA and certain other villages which are there there are some cases of mortality also as I said at the beginning of the show there is not a report official whose figures we can put forward like that officially but it's around twenty cases uh among humans among humans and also it is disseminated as if to say that it's not only the Butembo slaughterhouse but there are also other places there including the mindi border post there too there are a few cases that we have it is where uh it's always in the North which you uh in the territory of Beni and there are cases so far it is in humans we have not yet had cases mortality a bit like what we experienced a few years ago among hippos, buffaloes...so far it is in humans that we have observed all these cases but is it that these humans represent a danger to the community those who are reached as we have said,inter-human contamination is not very common it's not like covid it's not like the flu eh human-to-human contamination is not very very frequent, it is much more uh contact with the animal a bit all these people who work on farms in slaughterhouses which will be contaminated and contact with the environment...



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            • #7
              WEEKLY BULLETIN ON OUTBREAKS
              AND OTHER EMERGENCIES

              Week 2: 08- 14 January 2024
              Data as reported by: 17:00; 14 January 2024

              ...
              All events currently being monitored by WHO AFRO
              ...
              Democratic Republic of the Congo

              Anthrax


              Grade 2
              Date notified to WCO 1/17/2024
              Start of reporting period 11/15/2023
              End of reporting period 11/15/2023

              Total cases 5
              Cases Confirmed 1
              Deaths 2
              CFR 40.00%

              A human case of anthrax was confirmed on 15 November 2023 in Lume health area, Mutwanga health district, Beni territory, North Kivu Province. At that time, 5 suspected cases including 2 deaths were reported. In December 2023, suspected anthrax cases were reported in another health district of Beni, Mangina. Investigations are ongoing.

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              • #8
                Congo (Dem. Rep. of the) - Anthrax - Immediate notification

                GENERAL INFORMATION
                COUNTRY/TERRITORY OR ZONE
                ZONE

                ANIMAL TYPE
                TERRESTRIAL

                DISEASE CATEGORY
                Listed disease

                EVENT ID
                5671

                DISEASE
                Anthrax

                CAUSAL AGENT
                Bacillus anthracis

                GENOTYPE / SEROTYPE / SUBTYPE
                -

                START DATE
                2023/10/03

                REASON FOR NOTIFICATION
                Recurrence of an eradicated disease

                DATE OF LAST OCCURRENCE
                2022/06/17

                CONFIRMATION DATE
                2024/03/01

                EVENT STATUS
                On-going

                END DATE
                -

                SELF-DECLARATION
                NO

                REPORT INFORMATION
                REPORT NUMBER
                Immediate notification

                REPORT ID
                IN_167341

                REPORT REFERENCE
                rapport 012024

                REPORT DATE
                2024/06/03

                REPORT STATUS
                Validated

                NO EVOLUTION REPORT
                -

                EPIDEMIOLOGY
                SOURCE OF EVENT OR ORIGIN OF INFECTION
                Introduction of new live animals

                EPIDEMIOLOGICAL COMMENTS
                Following occurrence of rash in around ten people, most of whom were slaughterers in the abattoirs of Béni and Butembo in North Kivu, two missions were carried out to investigate cases of anthrax. The first, in November 2023, was supported by WHO and revealed a positive human case of anthrax following testing of samples taken from sick slaughterers. The second took place in January 2024 with support from FAO/ECTAD. On this occasion, 161 samples (smears, blood, swabs) were taken from cattle at the Butembo abattoir. After examination of the blood smears at the Goma Veterinary Laboratory, one sample was found to be positive for anthrax. While some samples were examined in Goma, others were taken to the Central Veterinary Laboratory in Kinshasa. On 1 March 2024, the Central Veterinary Laboratory in Kinshasa confirmed a case of anthrax in a cow using real-time PCR.

                QUANTITATIVE DATA SUMMARY
                MEASURING UNIT
                Animal

                SpeciesSusceptibleCasesDeathsKilled and Disposed ofSlaughtered/ Killed for commercial useVaccinated

                Cattle (DOMESTIC)
                NEW 150 1 0 0 0 0
                TOTAL 150 1 0 0 0 0
                ...
                NEW OUTBREAKS

                OB_135045 - 012024 - BUTEMBO

                OUTBREAK REFERENCE
                012024

                START DATE
                2023/10/03

                END DATE
                -

                DETAILED CHARACTERISATION
                -

                FIRST ADMINISTRATIVE DIVISION
                Nord-Kivu

                SECOND ADMINISTRATIVE DIVISION
                Butembo

                THIRD ADMINISTRATIVE DIVISION
                -

                EPIDEMIOLOGICAL UNIT
                Slaughterhouse

                LOCATION
                Butembo

                Latitude, Longitude
                0.18188 , 29.26676

                (Approximate location)
                OUTBREAKS IN CLUSTER
                -

                MEASURING UNIT
                Animal

                AFFECTED POPULATION DESCRIPTION
                A suspected case of anthrax in a cow at the Butembo public abattoir following a rash, then confirmed by the Goma Veterinary Laboratory. More than 10 people were contaminated, two of whom died. Affected people meeting the case definition were slaughterers from the Béni and Butembo abattoirs. Slaughterers are not protected by PPE during slaughter. They do not respect biosafety measures. Ulcerative lesions (sores) on the arm, neck and jaw, with swelling, had been observed in some slaughterers at the public abattoir in Butembo, Beni, Mangina and Kasindi. The occurrence of these painless skin sores with a black center was worrying, and prompted sick people to rush to various health centers for treatment.

                SpeciesSusceptibleCasesDeathsKilled and Disposed ofSlaughtered/ Killed for commercial useVaccinated
                Cattle (DOMESTIC)
                NEW 150
                1 0 0 0 0
                TOTAL 150 1 0 0 0 0

                ...
                https://wahis.woah.org/#/in-review/5671​

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