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DRC - Three new Ebola cases confirmed in eastern Congo - October 18, 2021

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  • sharon sanders
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  • Pathfinder
    replied

    WEEKLY BULLETIN ON OUTBREAKS
    AND OTHER EMERGENCIES

    Week 51: 13 – 19 December 2021
    Data as reported by: 17:00; 19 December 2021

    ...

    Ebola virus disease Democratic Republic of the Congo

    11 Cases
    9 Death
    81.8% CFR


    EVENT DESCRIPTION

    On 16 December 2021, the Ministry of Health (MoH) of the
    Democratic Republic of Congo declared the end of the EVD
    outbreak that affected Beni Health Zone in North Kivu Province,
    DRC. This was following a 42-day countdown with no cases that
    started the day after the date of sampling of the second negative
    blood specimen taken from the last confirmed case.

    Between 8 October and 16 December 2021, a total of 11 cases
    (eight confirmed, three probable) including nine deaths and two
    survivors have been registered. The overall case fatality ratio
    (CFR) was 82% (9/11) among the probable and confirmed cases
    and 75% (6/8) among the confirmed cases.

    The first laboratory confirmed case was a 3-year-old male
    who developed symptoms in early October including physical
    weakness, loss of appetite, abdominal pain, breathing difficulty,
    dark stool and blood in his vomit. He died on 6 October. On
    7 October, samples from the child were tested for EVD at the
    National Institute of Biomedical Research (INRB), laboratory in
    Beni by reverse transcription polymerase chain reaction (RTPCR).
    On 8 October these were sent to the Rodolphe Mérieux
    INRB Laboratory in Goma and tested positive for EVD by RT-PCR
    on the same day. On the same day the Democratic Republic of
    Congo MoH announced a new laboratory confirmed case of EVD
    had been detected in Butsili Health Area, Beni Health Zone in
    North Kivu Province.

    The laboratory confirmed case followed a cluster of three
    deaths (two children and their father) who were neighbours of
    the 3-year-old boy. These three patients died on 14, 19 and 29
    September after developing symptoms consistent with Ebola,
    however, none were tested for the virus, so they are considered
    as probable cases.

    During the outbreak period, three (16%) out of the 19 health
    areas in Beni Health Zone reported EVD confirmed cases, namely,
    Butsili (6 cases), Bundji (1 case) and Ngilinga (1 case). Children
    under the age of five years accounted for 50% (4/8) of the cases.
    All the listed contacts completed the 21-day follow-up period and
    were discharged from active follow-up.

    PUBLIC HEALTH ACTIONS

    The declaration of the outbreak was made on 8 October 2021
    by the Minister of Health.

    Alert monitoring continued using both active case finding
    from health facilities visited during active case search,
    passive surveillance and to a lesser extent community-based
    surveillance. From 8 October to 14 December, a total of 21
    916 alerts were reported from nine health zones including
    15 642 from Beni, 21 558 (98%) of which were investigated,
    1709 were validated as suspected cases of EVD.

    Vaccination with ERVEBO started on 25 November. As of 14
    December 2021, a total of 1 193 frontline workers have been
    vaccinated with ERVEBO.

    Cumulatively, a total 1 827 samples including 834 swabs
    have been tested; of which eight were confirmed EVD cases
    at INRB field laboratories in Beni, Butembo, Mangina and
    Goma.

    Trainings and training boosters of the health workforce for
    early detection, isolation, and treatment of EVD cases as
    well as safe and dignified burials protocols and the infection
    prevention and control (IPC) were conducted.

    The MoH, along with the INRB and other partners supported
    the establishment of an Ebola Treatment Centre and other
    health facilities with capacities to care for suspected cases.

    WHO and partners supported the strengthening of infection
    prevention and control capacities at 83 priority health facilities
    through IPC kit donations, training, supportive supervision,
    evaluation and other activities.

    Full genome sequencing performed by the INRB in Kinshasa
    of the sample from the initial confirmed case indicates that
    this cluster was not the result of a new zoonosis from an
    animal reservoir but was linked to a persistent Ebola virus
    infection.

    14 points of entry and controls were set-up. From the
    declaration of the outbreak to 12 December, 4 745 892
    people were screened, 216 alerts were validated, none were
    confirmed.

    Different community groups have been reached to raise Ebola
    awareness and were engaged in response interventions.
    Risk communication and community sensitisation were
    conducted throughout the course of the outbreak using a
    wide range of channels of communications (community
    dialogues, community radio, social media, etc).

    In the community, 200 people participated in 23 psychosocial
    sessions on different aspects of the EVD response.

    Psychosocial support has been offered to five affected
    families in preparation for receiving their test results.

    SITUATION INTERPRETATION

    The EVD outbreak in Beni Health Zone, North Kivu of the
    Democratic Republic of Congo, has been declared over. The
    current re-emergence of EVD is the fifth outbreak in less than three
    years. Detection of EVD cases was not unexpected given that the
    virus is enzootic in some animal populations in the country. WHO
    continues to support the Ministry of Health in implementing the
    EVD survivor care programme. The two people who recovered
    will be entitled to an 18 month medical and psychological followup
    along with biological testing. WHO considers that ongoing
    challenges in terms of access and security, epidemiological
    surveillance, coupled with the emergence of COVID-19, as well
    as cholera and measles outbreaks might jeopardize the country’s
    ability to rapidly detect and respond to any re-emergence

    PROPOSED ACTIONS

    Reducing the risk of wildlife-to-human transmission from
    contact with infected fruit bats or monkeys/apes and the
    consumption of their raw meat. Animals should be handled
    with gloves and other appropriate protective clothing. Animal
    products (blood and meat) should be thoroughly cooked
    before consumption.

    To reduce the risk of possible transmission from virus
    persistence in some body fluids of survivors, WHO
    recommends providing medical care, psychological support
    and biological testing (until two consecutive negative tests)
    through an EVD survivors care programme. WHO does not
    recommend isolation of male or female convalescent patients
    whose blood has tested negative for Ebola virus.

    Training and training boosters of health workforce should
    continue for early detection, isolation, and treatment of EVD
    cases as well as re-training on safe and dignified burials and
    the IPC ring approach.

    https://apps.who.int/iris/bitstream/...1319122021.pdf

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  • Shiloh
    replied
    Source: https://www.who.int/emergencies/dise...em/2021-DON351


    Ebola virus disease – Democratic Republic of the Congo
    16 December 2021


    On 16 December 2021, the Ministry of Health (MoH) of the Democratic Republic of the Congo (DRC) declared the end of the Ebola virus disease (EVD) outbreak that affected Beni Health Zone (HZ) in North Kivu Province, DRC. The declaration was made in accordance with WHO recommendations , 42-days after the second negative test of the last confirmed case.

    Between 8 October to 16 December, a total of 11 cases (eight confirmed, three probable) including nine deaths and two survivors have been reported from Beni HZ. Of the nine deaths, seven were in the community and two occurred at the Ebola Treatment Centre (ETC). The overall case fatality ratio (CFR) is 82% (9/11) among total cases while 75% (6/8) among confirmed cases.
    This outbreak was declared on 8 October 2021 when the index case; a 3-year-old boy developed symptoms including physical weakness, loss of appetite, abdominal pain, breathing difficulty, dark stool and blood in their vomit and later died on 6 October (for more details, please see the Disease Outbreak News published on 10 October 2021).
    On 7 October, samples were tested using reverse transcription polymerase chain reaction (RT-PCR) at the National Institute of Biomedical Research (INRB) laboratory in Beni. These were later sent to the Rodolphe Mérieux INRB Laboratory, Goma on 8 October and EVD was confirmed by RT-PCR on the same day. This event followed a cluster of three deaths (two children and their father) who were neighbours of the index case. These three patients died on 14, 19 and 29 September after developing symptoms consistent with Ebola, however, none were tested for the virus. Full genome sequencing, performed by the INRB in Kinshasa city, from the initial confirmed case indicates that this outbreak was not the result of a new zoonosis from an animal reservoir but was linked to a persistent Ebola virus infection.
    During the outbreak period (8 October to 16 December 2021), three (16%) of the 19 health areas in Beni HZ reported confirmed cases, namely, Butsili (six cases), Bundji (one case) and Ngilinga (one case). Children under the age of five years accounted for 50% (4/8) of all confirmed cases. To date, all contacts completed their 21-day follow-up period and were discharged from active follow-up.
    Additionally, from 8 October to 13 December, a total of 21 916 alerts were reported from nine health zones including 15 642 from Beni, 21 558 (98%) of which were investigated and 1709 were validated as suspected cases of EVD.


    Public health response

    The Ministry of Health (MoH), together with WHO and other partners, initiated measures to control the outbreak and prevent its further spread. The MoH activated the national and district emergency management committees to coordinate the response. Multidisciplinary teams were deployed to the field to actively search and provide care for cases; identify, reach and follow-up contacts; and sensitize communities on the outbreak prevention and control interventions.
    In addition, the following public health measures were taken in response to the EVD outbreak;
    • Continued use of alert monitoring for active case finding in health facilities as well as during passive surveillance.
    • For the first time ever, licensed doses of ERVEBO vaccine (4,800) have been delivered in response to an EVD outbreak, through the International Coordinating Group (ICG) in vaccine provision mechanism. Vaccination with ERVEBO started on 25 November and as of 14 December, a total of 1193 frontline workers have been vaccinated with Ervebo.
    • Vaccination activities with investigational doses were initiated on 13 October. As of 22 November, 656 people have been vaccinated with investigational doses, including 98 high risk contacts, 300 contacts of contacts and 258 probable contacts; of these 81 are frontline workers.
    • As of 14 December, a total 1 827 samples including 834 swabs have been tested; of which eight were confirmed EVD cases at INRB field laboratories in Beni, Butembo, Mangina and Goma.
    • Establishment of an ETC and other health facilities with capacity to care for suspected cases. Three alive confirmed patients received approved monoclonal antibodies at Beni ETC, two of them have since recovered from EVD.
    • Strengthening of Infection Prevention and Control (IPC) capacities at 83 priority health facilities through IPC kit donations, training, supportive supervision, evaluation and other activities. Additional support was provided to 221 other health facilities through kit donations and briefing of health providers.
    • From the declaration of the outbreak on 8 October to 12 December, a total of 14 points of entry were set up which screened 4 745 892 people and validated 216 alerts. None were confirmed.
    • Training and re-training of the health workforce for early detection, isolation, and treatment of EVD cases as well as re-training on safe and dignified burials and IPC activities were conducted.
    • Multiple community groups conducted risk communication and community sensitisation activities, using a wide range of communication channels (community dialogues, community radio, social media etc), to raise awareness of Ebola throughout the course of this outbreak. The communities were also engaged in response interventions. Additionally, a joint feedback mechanism was set-up across eight partners to record rumours, questions, and comments from communities. This has allowed for targeted communication and timely dialogue with communities.
    • Psychosocial support has been offered to affected individuals and families including psychological support to confirmed and suspected patients, their close family and children as needed. In the communities, psychosocial sessions were regularly organized on different aspects of the EVD response.
    • An integrated outbreak analytics (IOA) cell was set up in Beni, under the MoH’s leadership and in collaboration with the Global Outbreak Alert and Response Network (GOARN) partners. The IOA cell provided five ad hoc surveys and analyses to answer operational and strategic questions (lessons learned from Beni 2018-2020; EVD risks in children; alert performance evaluation; perception and behaviours among health workers; health seeking behaviours) and contributed to the co-development of evidence-based strategic and operational recommendations.
    • The International Federation of the Red Cross and Red Crescent supported the national Congolese Red Cross in delivering safe and dignified burials throughout the outbreak.
    • WHO continued to support the DRC MOH in implementing the EVD survivor care programme. The two people who recovered are entitled to an 18-month medical and psychological follow-up along with biological testing.



    WHO risk assessment

    The current re-emergence of EVD is the fifth outbreak in less than three years. The last EVD outbreak was reported in North Kivu Province earlier this year in February and was declared over on 3 May 2021 (for more details please see the Disease Outbreak News published on 4 May 2021)
    All probable and confirmed EVD cases were identified in three health areas of Beni HZ, within the densely populated city of Beni. WHO continues to monitor the situation and the risk assessment will be updated as more information is available.
    WHO has noted that although the current resurgence is undesirable, it is not unexpected given the fact that EVD is enzootic in the DRC and the Ebola virus is present in animal reservoirs in the region; it means that the risk of re-emergence through exposure to an animal host cannot be excluded. In addition, it is not unusual for sporadic cases to occur following a major outbreak. The Ebola virus can persist in certain body fluids of EVD survivors. In a limited number of cases, secondary transmissions resulting from exposure to survivors' body fluids have occurred. Therefore, maintaining collaborative relationships with survivor associations while monitoring survivors is a priority to mitigate any potential risk.
    Re-emergence of EVD is a major public health issue in the DRC and there are gaps in the country’s capacity to prepare for and respond to outbreaks. A confluence of environmental and socioeconomic factors including poverty, community mistrust, weak health systems, and political instability is accelerating the rate of the emergence of EVD in the DRC.
    WHO considers that ongoing challenges in terms of access and security, epidemiological surveillance, coupled with the emergence of COVID-19, as well as ongoing outbreaks such as cholera and measles might jeopardize the country’s ability to rapidly detect and respond to the re-emergence...




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  • Pathfinder
    replied
    WEEKLY BULLETIN ON OUTBREAKS
    AND OTHER EMERGENCIES


    Week 50: 6 – 12 December 2021
    Data as reported by: 17:00; 12 December 2021
    ...

    Ebola virus disease Democratic Republic of the Congo

    11 Cases
    9 Death
    81.8% CFR


    EVENT DESCRIPTION

    No new Ebola virus disease (EVD) case was reported in Beni Health Zone
    (HZ) in North Kivu Province of the Democratic Republic of the Congo in
    past 39 days; making six days before the end of outbreak declaration.
    The total number of EVD cases remains 11 as of 11 December 2021,
    including eight confirmed cases (with four community deaths) and three
    probable cases in Beni HZ.

    The overall case fatality rate (CFR) is 81.8% (9/11) and 75.0% (6/8)
    among confirmed cases.

    Two EVD survivors have been registered. Thus far, three (17.0%) out of
    the 18 health areas in Beni HZ have reported confirmed cases, namely,
    Butsili (6 cases), Bundji (1 case) and Ngilinga (1 case). Children under
    the age of five years account for 50.0% (4/8) of the cases.

    There are currently no contacts being actively followed. All the listed
    contacts competed the 21-day follow-up period and were discharged
    from active follow-up and seven contacts remain un seen.

    In Beni HZ, 295 new alerts including 9 deaths were notified on 10
    December 2021, 182 (61.7%) were notified through active case search
    and 33 (11.2%) through community alerts. A total of 378 alerts were
    notified form six HZ, out of which 376 (99.5%) were investigated, 31
    were validated as suspected cases of EVD and were all sampled for
    laboratory testing.

    On 10 December 2021, 166 frontline healthcare workers were vaccinated
    from five operational vaccination sites (1 Butsili, 11 in Ngongolio, 29 in
    Mandrandele, 51 in Paida and 74 in Mabakanga) with ERVEBO vaccine.
    A total 1 508 persons have been vaccinated since the beginning of the
    vaccination activities including 656 (98 high risk contacts, 300 contacts
    of contacts and 258 probable contacts) with the rVSV-ZEBOV-GP vaccine
    and 295 frontline healthcare workers with ERVEBO vaccine.

    The laboratory received and analysed 34 samples including 24 swabs on
    10 December 2021 from two HZ (Beni HZ and Butembo), none tested
    positive for EVD. Cumulatively, a total 1 470 samples including 575
    swabs have been collected of which eight were confirmed EVD cases.

    PUBLIC HEALTH ACTIONS

    Alert monitoring continues using both active cases finding from
    health facilities visited during active case search and passive
    surveillance.

    Three newsletters in three languages were broadcasted on the
    potential risk of EVD resurgence from consumption of meat from
    wild animals through 3 local radio stations of Beni HZ.

    Alert monitoring continues using both active and passive
    surveillance in health facilities and communities.

    A total of 10 suspected cases are being treated from four isolation
    facilities (three in Bundji, one in Butsili, two in Malepe and four in
    Kanzulinzuli).

    Nine community deaths were notified on 10 December 2021. All
    the bodies were secured and two full dignified and safe burials
    conducted.

    A total of 21 910 home visits were conducted and 58 137 persons
    were sensitized on EVD prevention on 10 December 2021; 326
    alerts were notified including nine deaths.

    At the points of entry 90 319 (97.7%) travellers were screened out
    of the 92 442 persons who went through the different points of
    control. Six alerts were notified from travellers at the points of entry
    and one was validated as suspected cases of EVD and was isolated.
    Psychosocial support has been offered to five affected families
    in preparation for announcement of any negative results. In the
    community, 200 persons participated in 23 psychosocial sessions
    on different aspects of the EVD response.

    SITUATION INTERPRETATION

    With six days left to the declaration of the end of the EVD outbreak in
    Beni HZ, North Kivu of the Democratic Republic of Congo, the country is
    on course to have successfully controlled its 13 EVD outbreak. There are
    currently no contacts under active follow-up. Contact follow-up remains
    of concern with many contacts lost to follow-up. In addition, response
    activities against EVD in Beni are currently affected by inadequate
    resources for the response.

    PROPOSED ACTIONS

    The response teams need to strengthen community engagement to
    increase uptake of EVD preventive measures, especially vaccination.
    Challenges around community surveillance, contact follow-up and
    other response measures need urgent action.

    ...
    https://apps.who.int/iris/bitstream/...0612122021.pdf

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  • sharon sanders
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    bump this

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  • Pathfinder
    replied
    Translation Google

    Beni: the declaration of the end of the Ebola epidemic announced for December 15

    Posted on Tue, 14/12/2021 - 05:33 | Modified on Tue, 14/12/2021 - 05:33

    The declaration of the end of the 13th Ebola epidemic currently raging in the Beni health zone (North Kivu) will be declared by December 15, if no new case is notified. The communicator of the Butembo branch of the provincial health division declared this to the press on Monday, December 13.

    For his part, Dr Bernardin Siviholya, head of the expanded vaccination program in the greater North Kivu, indicates that the vaccination of a large part of the population of Beni and Butembo during the 10th Ebola epidemic made it possible to better control illness this time around.

    “For the 10th epidemic, we had vaccinated a lot in Beni. Thus, during this 13th epidemic, among the contacts and contacts of the contacts, there were many people who had already been vaccinated. Those who contracted the disease are people who were not vaccinated before. Out of 100 contacts, for example, there were easily ninety people already vaccinated. This is what made it possible to quickly contain this epidemic in the community. But for the providers, we decided to give a booster dose, to strengthen their immunities, ” said Dr Bernardin Siviholya.

    The Minister of Health, Jean Jacques Mbungani, declared on October 8 a new epidemic of Ebola in the health zone of Beni in the province of North Kivu.

    https://www.radiookapi.net/2021/12/1...cee-pour-le-15

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  • sharon sanders
    replied
    bump this

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  • Pathfinder
    replied
    WEEKLY BULLETIN ON OUTBREAKS
    AND OTHER EMERGENCIES

    Week 48: 22 – 28 November 2021
    Data as reported by: 17:00; 28 November 2021

    ...

    Ebola virus disease Democratic Republic of the Congo

    11 Cases
    9 Death
    81.8% CFR


    EVENT DESCRIPTION

    The last known confirmed case of Ebola virus disease (EVD) outbreak in
    Beni Health Zone (HZ) in North Kivu Province of the Democratic Republic
    of the Congo was reported on the 30 October 2021. Therefore, 29 days
    have elapsed with no positive EVD case reported.

    The total number of EVD cases remains 11 as of 28 November 2021,
    including eight confirmed cases (with four community deaths) and three
    probable cases in Beni HZ. Two EVD survivors have been registered.
    The overall case fatality rate (CFR) is 81.8% (9/11) and 75.0% (6/8)
    among confirmed cases.

    Thus far, three (17.0%) out of the 18 health areas in Beni HZ have
    reported confirmed cases, namely, Butsili (6 cases), Bundji (1 case) and
    Ngilinga (1 case). Children under the age of five years account for 50.0%
    (4/8) of the cases.

    As of 27 November 2021, all the listed contacts had completed their 21
    days of follow-up period and were discharged from active monitoring.
    One of the contacts lost to follow up was found on day 35 in Butsili HA.
    A total 30 contacts remain unseen since day 1 of their follow-up period.
    A total of 266 new alerts were notified including three deaths from three
    health zones, of which 216 (81.0%) were investigated and 25 (8.2%)
    validated as EVD suspected cases. Blood samples were collected from
    all suspected cases.

    On 27 November 2021, 14 frontline healthcare workers were vaccinated
    from three sites (10 in Ngongolio, 3 in Mandrandele and 1 in Mabakanga).
    The total number of people vaccinated since the beginning of the
    vaccination activities is 696, including 98 high risk contacts, 300 contacts
    of contacts and 258 probable contacts with rVSV-ZEBOV-GP vaccine
    and 40 frontline health care workers with ERVEBO vaccine. Furthermore,
    121 frontline health care workers were vaccinated, including 11 high risk
    contacts, 37 contacts of contacts and 73 probable contacts.

    Since the declaration of the EVD outbreak in Beni HZ, a total 1 163
    samples including 439 swabs have been collected, of which eight were
    confirmed EVD cases.

    PUBLIC HEALTH ACTIONS

    The Chief Health Officer of Beni presided over a zonal coordination
    committee meeting, during which the official delivery of a nursery
    at Beni EVD treatment centre was made.

    Community sensitization was conducted at a school for the deaf
    where 42 persons participated from Ndindi area of Kanzulinzuli HA.

    Two interactive radio talk shows were conducted with a focus on
    the importance of community-based surveillance as a strategy to
    control EVD.

    In Butsili HA, 24 individuals were counselled on adherence to
    the 21-day follow-up period. More so, four exit counselling were
    conducted for the non-cases discharged from the Beni EVD
    treatment Centre.

    A total of 14 243 home visits were conducted and 43 004 persons
    were sensitized on EVD prevention on 27 November 2021; 263
    alerts were notified.

    Alert monitoring continues using both active and passive
    surveillance in health facilities and communities. The response
    team visited 228 health facilities for active case finding and 216
    alerts were listed. A total of 210 (97.2%) alerts were investigated
    and of these, nine (4.2%) were validated as suspected cases of EVD
    and samples were collected.

    Three suspected cases are currently under medical care at the
    isolation facilities in Boikene (1) and Kanzulinzuli (2).

    A total of 100 473 travellers were screened out of 102 555 persons
    that went through the different points of control. Six alerts were
    notified from travellers at the points of entry, and none was validated
    as a suspected case of EVD.

    The three suspected cases in isolation centres are being offered
    psychological support services, including 12 care takers. In the
    community, 209 persons participated in 25 psychosocial sessions
    on different aspects of the EVD response.

    SITUATION INTERPRETATION

    In the past 29 days, no new confirmed case of EVD has been notified
    in the Democratic Republic of Congo. Contact follow-up remains of
    particular concern with many contacts lost to follow-up. Furthermore,
    the response activities against EVD in Beni is currently affected by
    inadequate resources for the response, and lack of efficient standardized
    isolation centres in some areas.

    ...
    https://apps.who.int/iris/bitstream/...2228112021.pdf

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  • Pathfinder
    replied
    Translation google

    Beni: no case of Ebola recorded for a month

    Published on Tue, 11/30/2021 - 16:08 | Modified on Tue, 30/11/2021 - 16:08


    No case of Ebola virus disease has been recorded in the areas of the Beni health zone since October 30.

    The coordinator of the response in this region congratulates the health providers for their bravery but especially the population who have taken ownership of the fight against Ebola virus disease in the Beni health zone.

    Dr Michel Tosalisana, response coordinator, let it be known on Monday in Beni, when the campaign was launched to receive the booster dose of the vaccine against Ebola virus disease in Beni.

    For him, it is the result of the awareness of the population who voluntarily agreed to be vaccinated in order to curb the spread of the virus in the community.

    Dr Michel Tosalisana also talks about insurance with the current licensed vaccine which is already available.

    “It is since October 30 that we have no longer registered new cases. So hats off to you, the service providers, and to the community we work for. Last times we were using the experimental vaccine. And this time, the approved vaccine is there, we must be happy because, there are not many protocols, we can no longer sign a consent, because the vaccine is already approved ”.

    He added that the hundreds of contact cases scattered around the community have been found and have voluntarily agreed to be vaccinated.

    As a result, the health zone of Beni currently has no case of Ebola virus disease, said Dr Michel Tosalisana.

    He calls on the population to continue with the observation of the health measures indicated by health professionals to block the road to this disease in the region.

    https://www.radiookapi.net/2021/11/3...depuis-un-mois

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  • Pathfinder
    replied
    WEEKLY BULLETIN ON OUTBREAKS
    AND OTHER EMERGENCIES

    Week 46: 08 – 14 November 2021
    Data as reported by: 17:00; 14 November 2021

    ...

    Ebola virus disease Democratic Republic of the Congo

    11 Cases
    9 Death
    81.80% CFR


    EVENT DESCRIPTION

    There has been no new confirmed Ebola virus disease (EVD) case in Beni
    Health Zone (HZ) in North Kivu Province of the Democratic Republic
    of the Congo in the past 14 days.
    The last known confirmed case
    was reported on the 30 October 2021, with the case discharged on 4
    November 2021.

    The total number of EVD cases remains 11 as of 13 November 2021,
    including eight confirmed cases (with four community deaths) and three
    probable cases in Beni HZ.

    The overall case fatality rate (CFR) is 81.8% (9/11) and 75.0% (6/8)
    among confirmed cases.

    At the moment, three (17.0%) out of the 18 health areas in Beni HZ have
    reported confirmed cases, namely, Butsili (6 cases), Bundji (1 case) and
    Ngilinga (1 case) Children under the age of five years account for 50.0%
    (4/8) of the cases.

    In Beni HZ, a total of 227 contacts are listed and 205 (890.3%) are under
    active follow-up in 11 health areas. Of the total contacts, 13 (5.7%)
    contacts had never been seen in the past 21 days, and three contact are
    lost to follow-up.

    On 13 November 2021, a total of 183 new alerts were notified including
    9 deaths from Beni HZ. Of these, 127 (67.5%) were identified through
    active case search, 43 (22.8%) from health facilities, 15 (7.9%) from
    community and two from points of entry. In total 222 contacts were
    listed from seven HZs, of these 219 (98.6%) were investigated, 31
    (14.2%) were validated as suspected cases of EVD and samples were
    collected from 30 (96.8%) suspected cases.

    On 13 November 2021, two vaccination sites were operational and 18
    probable cases were vaccinated from Mabakanga (11) and Paida (7). A
    total of 608 persons have been vaccinated against EVD since the start of
    vaccination activities. These include 98 high risk contacts, 274 contacts
    of contacts and 236 probable contacts. Furthermore, 71 frontline health
    care workers were vaccinated including 11 high risk contacts, 9 contacts
    of contacts and 51 probable contacts.

    On 13 November 2021, 40 samples including 22 swabs from three HZ
    (Beni 27, Butembo 10 and Mabalako 3) were received and analysed at
    the laboratory, and none tested positive for EVD. Cumulatively, a total
    804 samples including 293 swabs have been collected, of which eight
    were confirmed EVD cases.

    PUBLIC HEALTH ACTIONS

    The head of the Provincial Health division of North Kivu conducted
    a press briefing highlighting EVD outbreak response and prevention
    measures with emphasis on vaccination.

    Community sensitization was conducted at a school for the deaf
    where 42 persons participated from Ndindi area of Kanzulinzuli HA.

    In Butsili HA, 24 individuals were counselled on adherence to
    the 21days follow-up period. More so, four exit counselling were
    conducted for the non-cases discharged from the Beni EVD
    treatment Centre.

    A total of 12 740 home visits were conducted and 30 703 persons
    were sensitized on EVD prevention on 13 November 2021; 284
    alerts including 4 deaths were notified.

    Re-orientation of the health workforce for early detection, isolation,
    treatment of EVD cases as well as safe and dignified burials and the
    infection prevention and control ring approach continues. Infection
    prevention and control monitoring and education continues. A total
    of 163 health care workers from 15 HAs were sensitized on IPC
    standard practices. Thermo-scanners and hand wash kits were
    distributed in health facilities.

    Alert monitoring continues using both active and passive
    surveillance in health facilities and communities.

    Vaccination efforts continue around all confirmed cases.

    Laboratory analysis of samples from suspected EVD cases is also
    ongoing

    A total of 86 606 (97.8%) travellers were screened among the 88
    486 people who went through the different points of control; four
    alerts were investigated and one validated as suspect case and was
    isolated.

    Psychosocial care is being offered to the eight suspected cases
    including one at Beni EVD treatment Centre, and seven admitted at
    Butsili, Malepe and Kanzulinzuli isolation facilities and 15 caretakers
    and visitors. Psychosocial follow-up is also being conducted on
    the two recovered persons, two separated children, 15 affected
    families, 14 discharged persons and two orphans. In the community
    307 persons participated in 29 psychosocial sessions on different
    aspects of the EVD response.

    SITUATION INTERPRETATION

    The EVD outbreak in Beni HZ, North Kivu of the Democratic Republic
    of the Congo continues in the three affected health areas and no new
    confirmed case has been recorded in the past 14 days. However,
    inadequate EVD surveillance in communities poses risk for further
    spread.
    The response activities against EVD in Beni is currently affected by
    inadequate resources to mount a robust response, health care workers
    strike, lack of functional standardized isolation centres in some areas and
    challenges of optimal water supply at the points of entry.
    ...
    http://apps.who.int/iris/bitstream/h...0814112021.pdf

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  • Pathfinder
    replied
    WEEKLY BULLETIN ON OUTBREAKS
    AND OTHER EMERGENCIES

    Week 45: 1 – 7 November 2021
    Data as reported by: 17:00; 7 November 2021

    ...

    Ebola virus disease Democratic Republic of the Congo

    11 Cases
    9 Death
    81.80% CFR


    EVENT DESCRIPTION

    The Ebola virus disease (EVD) outbreak continues in Beni Health Zone
    (HZ) in North Kivu Province of the Democratic Republic of the Congo
    with no new confirmed case reported in the past seven days. The latest
    known confirmed case was reported on the 30 October 2021.

    As of 6 November 2021, a total of 11 EVD cases including eight confirmed
    cases (with four community deaths) and three probable cases have been
    reported in Beni HZ. Additional three deaths were notified as probable
    cases after in-depth investigations established epidemiological links to
    confirmed cases on the 13, 16 and 22 October 2021, respectively.
    The overall case fatality rate (CFR) is 81.8% (9/11) and 75.0% (6/8)
    among confirmed cases.

    To date, three (17.0%) out of the 18 health areas in Beni HZ have reported
    confirmed cases, namely, Butsili HA (6 cases), Bundji (one case) and
    Ngilinga HA (one case). Children under the age of five years account for
    50.0% (4/8) of the cases.

    In Beni HZ 510 contacts are listed and 443 (86.9%) are under active
    follow-up in 11 HAs.

    Of the total contacts, 44 (8.6%) had never been seen and nine contact
    are lost to follow-up.

    On 6 November 2021, a total of 669 alerts were notified including 17
    deaths from three HZs, of these 664 (99.3%) were investigated, 28
    (4.2%) were validated as suspected cases of EVD and samples were
    collected from eight suspected cases. Samples were not collected from
    the other suspected cases who declined.

    A total of 485 persons have been vaccinated against EVD from the
    inception of the vaccination activities. These include 97 high risk
    contacts, 256 contacts of contacts and 132 probable contacts. Seventy
    frontline health care workers were vaccinated including 10 high risk
    contacts, nine contacts of contacts and 51 probable contacts.
    On 6 November 2021, 33 samples including 21 swabs from three HZ
    (Beni 17, Butembo 14 and Mabalako 2) were received and analysed at
    the laboratory. Non tested positive for EVD. Cumulatively, a total 696
    samples including 246 swabs have been collected and 694 (99.7%)
    analysed, of which eight were confirmed EVD cases.

    PUBLIC HEALTH ACTIONS

    The coordination sub-pillar continues to over-see and give direction
    towards the outbreak response activities. A zonal coordination
    meeting chaired by the Chief Health Officer of Beni was held.

    Twenty local leaders of the Kansaga HA were engaged, and 14 531
    home visits were conducted, during which 44 094 persons were
    sensitized on EVD prevention.

    On 6 November 2021, 296 alerts including four deaths were
    notified.

    As of 6 November 2021, six EVD suspected cases were being
    treated at Beni (2), Kanzulinzuli (1), Butsili (1) and Malepe (2)
    health treatment and isolation facilities. The bed occupancy at the
    isolation facilities is 13.3%.

    Alert monitoring continues using both active and passive
    surveillance in health facilities and communities.

    Vaccination efforts continue around all confirmed cases.

    A total of 100 858 (98.3%) travellers were screened among the 102
    520 people who went through the different points of control; eight
    alerts were investigated and two validated as suspect cases and
    these were isolated.

    Psychosocial care is being offered to the seven suspected cases
    including two at Beni EVD treatment centre and five admitted at
    Butsili, Malepe and Kanzulinzuli isolation facilities, and 24 caretakers
    and visitors. Psychosocial follow-up is also being conducted on the
    two recovered persons, two separated children, 10 affected families,
    nine discharged persons and two orphans. In the community 292
    persons participated in 33 psychosocial sessions on different
    aspects of the EVD response.

    Laboratory analysis of samples from suspected EVD cases is also
    ongoing.

    SITUATION INTERPRETATION

    The EVD outbreak in the Democratic Republic of the Congo
    continues in the three affected health areas in Beni with no spread
    to further areas in the past week. However, the high number of
    contacts lost to follow-up remains a concern as this poses risk
    of silent transmission and increased spread of the virus in the
    community. The response efforts against EVD in Beni is currently
    being affected by inadequate resources, health care workers strike,
    lack of functional standardized isolation Centres in some areas, and
    low water supply at the points of entry.

    ...
    https://apps.who.int/iris/bitstream/...0107112021.pdf

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  • sharon sanders
    replied
    bump this

    Leave a comment:


  • Pathfinder
    replied
    Translation Google


    DEMOCRATIC REPUBLIC OF CONGO

    Briefing Note - Ebola virus disease outbreak in North Kivu
    November 2, 2021, report # 4


    This report was produced by OCHA in collaboration with humanitarian partners. It covers the period from
    October 29 to November 1, 2021.

    KEY FIGURES AND FACTS
    • Bundji, third health area affected by the Ebola virus in Beni
    • Children strongly affected by the epidemic

    STATISTICS SINCE THE BEGINNING OF THE EPIDEMIC1

    8 confirmed cases
    6 death
    3 Affected Health Areas in the Health Zone of Beni
    552 contacts listed
    404 vaccinated people


    OVERVIEW OF THE SITUATION

    A new death was confirmed on October 30
    in the Bundji Health Area in the
    Health of Beni, bringing to 3 the number of
    health affected by the epidemic after those of
    Butsili and Ngilinga. To date, six of the eight
    people affected by the disease have died,
    i.e. a case fatality rate of 75%, higher than the
    average lethality which is about 50%. Account
    given that children constitute half of the cases
    confirmed, the health authorities have launched
    extensive research on the contamination and
    hospitalization of children.


    All children affected by the disease are
    deceased.


    Despite the continuation of engagement activities
    community, particularly through the Cells
    Community Animation (CAC), a weak
    adherence of the population to vaccination and
    contact follow-up. As of November 1, 22 of the 38
    suspected patients refused to be sampled and 53 contacts
    were never seen.


    ...
    https://www.humanitarianresponse.inf..._nord-kivu.pdf


    https://www.humanitarianresponse.inf...ord-kivu-ebola

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  • tetano
    replied
    DR Congo announces new Ebola cases



    Health officials in the Democratic Republic of Congo have confirmed eight new Ebola virus cases in North Kivu province, the World Health Organisation (WHO) said on Wednesday.

    This marks a new outbreak in the country.

    Of the eight cases, there have been six fatalities, the WHO’s regional office for Africa said on its Twitter account.

    Some 573 people who had been exposed to the virus have been identified.


    https://www.myjoyonline.com/dr-congo...-cases/?param=

    Leave a comment:


  • Pathfinder
    replied

    WEEKLY BULLETIN ON OUTBREAKS
    AND OTHER EMERGENCIES


    Week 44: 25 - 31 October 2021
    Data as reported by: 17:00; 31 October 2021

    ...

    Ebola virus disease Democratic Republic of the
    Congo


    8 Cases
    6 Death
    75.0% CFR


    EVENT DESCRIPTION

    Two new cases of Ebola virus disease (EVD) were confirmed in new
    Health Areas (HA) of Ngilinga and Bundji (one each) in Beni Health Zone
    (HZ) in North Kivu Province. To date, three HAs have reported confirmed
    cases, namely, Butsili HA (6 cases), Bundji (one case) and Ngilinga HA
    (one case).

    As of 30 October 2021, total of eight confirmed cases of EVD have been
    reported in Beni HZ in the Democratic Republic of the Congo, with six
    deaths (including four community deaths) (case fatality ratio (CFR)
    75.0%). Children below the age of five years accounts for 50.0% (4/8)
    of the cases.

    A total of 551 contacts are under follow up, of which 448 (81.3%) are
    being actively followed up, 70 (12.7%) contacts had never been seen, 11
    contacts have not been seen in the past 48 hours and 9 (1.6%) contact
    are lost to follow-up.

    On 30 October 2021, Beni Health Zone reported 198 new alerts including
    nine deaths. An additional 445 alerts including 21 deaths were notified
    from other seven HZs, of these, 436 (98.0%) were investigated, 45
    (10.0%) were validated as suspected cases. Only 18 (40.0%) samples
    were collected from the suspected cases who accepted to be tested.
    A total of 394 people (67 primary care providers including nine high risk
    contacts, nine contacts of contacts and 49 probable contacts) have been
    vaccinated including 182 contacts of contacts, 125 probable contacts
    and 87 high risk contacts.

    On 30 October 2021, 37 laboratory samples were analysed among which
    one returned positive for EVD. Since the start of the response, a total of
    444 samples have been collected and analysed, of which eight returned
    positive for the EVD.

    PUBLIC HEALTH ACTIONS

    The Ministry of Health, with support from partners, continues
    to investigate the most recent cases and building capacity of
    laboratory technicians, contact tracers, and vaccination teams.
    Vaccination efforts continue around all confirmed cases. Vaccinators
    are using the “ring vaccination” approach, where contacts and
    contacts of contacts are vaccinated.

    On 29 October, a total of 37 576 individuals were sensitized
    including 11 505 home visits.

    Decontamination was conducted at the households of the last
    confirmed cases and two health facilities where the last cases were
    treated.

    Hand washing kits were provided to Mabolio, Mabakanga and
    Kanzunzuli communities.

    On 30 October 2021, fourteen suspected cases were admitted
    including one at Beni treatment centre, two at Kanzulinzuli health
    centre, four at Malepe health centre, five at Bundji and two at Butsili
    Health Centre.

    Re-orientation of the health workforce for early detection, isolation,
    treatment of EVD cases as well as safe and dignified burials and the
    infection prevention and control ring approach is underway.

    Alert monitoring continues using both active case finding from
    health facilities visited during active case search and passive
    surveillance.

    Broadcasting of six programmes on EVD preventive measures
    and community engagement in the fight against EVD is underway
    through six local radio stations.

    A total of 75 989 (98.5%) travellers were screened among the
    77 166 people who went through the different points of control
    (PoCs); 12 alerts including one death were notified. All the alerts
    were investigated and eight validated as suspected cases and were
    isolated.

    Laboratory analysis of samples from suspected EVD cases is also
    ongoing

    Psychosocial care is being offered to the affected families and
    suspected cases

    Prevention against sexual exploitation and abuse planning and
    orientation activities are underway with various commissions
    including signing of the code of conduct by service providers from
    various commissions.

    SITUATION INTERPRETATION

    The EVD outbreak initially reported in the Butsili health area in
    Beni HZ has spread to other health areas, which is of concern. The
    detection of a new community deaths is also of concern as it poses
    risk for increased spread of the virus. There remain challenges
    around weak reporting of alerts by health zones, limited human
    resources for contact follow-up, insufficient tools for surveillance
    including personal protective equipment in health facilities in the
    health zone.
    ...
    https://apps.who.int/iris/bitstream/...2531102021.pdf

    Leave a comment:

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