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  • Yellow fever outbreak reported in southern Congo

    Source: https://www.journalducameroun.com/en...outhern-congo/

    Yellow fever outbreak reported in southern Congo
    Published on 27.08.2018 at 13h21 by APA News


    As many as 70 suspected cases of yellow fever have been reported in southern Congo, the Congolese ministry of Health and Population announced Monday in a statement.Among the prevention measures is vaccination against yellow fever for all travellers entering or leaving the country, the statement added.

    ?These 70 cases of yellow fever were reported in the health districts of Mongo-Pokou, Lumumba, Mvou-Mvou, Ngoyo and Tsama-Dzassi, a border district with the Republic of Angola in the departments of Kouilou and Pointe-Noire,? according to the statement signed by the Minister of Health and Population, Jacqueline Lydia Mikolo...

  • #2
    Translation Google

    Congo: outbreak of yellow fever reported in Pointe-Noire and Kouilou

    Posted on 31.08.2018 at 11:23 by Serge Nkepseu

    The official announcement was made this August 30 via a press release. The measures were taken by the ministry in charge of health to fight the epidemic.

    Since 24 August, an epidemic of yellow fever threatens Pointe Noire and its surroundings, the alert was given by the Ministry of Health. According to the published statement that did not give details on the statistics in the current state, the epidemic spreads on a large scale. The concern is all the greater because Pointe Noire is a commercial city, populations are in perpetual migration.

    As the main measure to limit contagion, the Ministry of Health in partnership with other agencies has planned to organize a national vaccination campaign in fixed centers and additional vaccination posts. The free campaign is for children ages 9 months and up. The measure does not concern children under 9 months and pregnant women.

    In addition, the ministry is encouraging the destruction of breeding sites and adult mosquitoes in homes and public places. Remember that yellow fever is a disease transmitted by the bite of a mosquito. It is mainly for signs, high fever and yellow eyes. The patient also develops jaundice that is characterized by dark yellow urine.

    L'annonce officielle a été faite ce 30 août via un communiqué à la presse. Les mesures ont été prises par le ministère en charge de la santé pour combattre l'épidémie. Depuis le 24 août, une épidémie de fièvre jaune menace Pointe Noire et ses environs, l'alerte a été donnée par le ministère de la s
    "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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    • #3
      Source: https://in.reuters.com/article/healt...-idINKCN1LG24Z

      August 31, 2018 / 11:57 AM / Updated 4 hours ago
      Congo Republic says to launch vaccination drive after yellow fever outbreak
      Roch Bouka

      BRAZZAVILLE (Reuters) - Congo Republic will launch a country-wide vaccination campaign to control an outbreak of yellow fever near the border with the Angolan enclave of Cabinda, the health ministry said on Friday.

      Earlier this week, the authorities said over 180 suspected cases and one confirmed case of the sometimes deadly mosquito-borne virus had been identified this year, many in the western commercial hub of Pointe Noire...

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      • #4
        Source: http://www.who.int/csr/don/7-septemb...ever-congo/en/
        Yellow fever ? Republic of the Congo

        Disease outbreak news
        7 September 2018

        Event Description

        On 5 July 2018, a 20-year-old male living in Bissongo, Republic of the Congo, visited Bissongo health centre in the Loandjili District of Pointe-Noire City, with a fever he had developed the previous day. On 9 July, due to the onset of jaundice and persistent fever, he returned to the same health facility. The patient did not have a history of yellow fever vaccination or haemorrhagic symptoms. The patient had previously travelled to Ngoyo and Tchiamba Nzassi districts two weeks prior to symptom onset; Tchiamba Nzassi is a rural district in Pointe-Noire located along the border with Angola.
        He was admitted to the health facility and received antimalarial and antibiotic treatments. As yellow fever was also suspected as a differential diagnosis, a blood sample was collected on 10 July and sent to Institut National de Recherche Biom?dicale (INRB) in Kinshasa, Democratic Republic of the Congo, for testing; on 26 July, the sample tested positive for yellow fever by serology. On 30 July, INRB sent a sample to Institut Pasteur de Dakar for confirmation; on 21 August, the sample tested positive for yellow fever by seroneutralization with a high titre.
        Following the confirmation of yellow fever, an investigation was conducted in the affected area. A retrospective search in 16 health centre registers in Pointe-Noire found 69 additional suspected cases during 2018 which meet the clinical case definition for yellow fever; 56 of the suspected cases were already recorded in the national surveillance system. Two of the suspected cases reported staying in Angola. Samples were collected from 43 of these cases and sent to INRB; all samples tested negative for yellow fever. Entomological surveys in the affected area have revealed high densities of mosquito vectors (Aedes aegypti) responsible for urban yellow fever transmission, signalling the potential for human-to-human transmission and rapid amplification. Larval sites have been found around the homes of suspected cases, and this situation could worsen with the arrival of the rainy season.
        Public health response

        The Ministry of Health and Population (MoHP) declared a yellow fever outbreak in Pointe-Noire on 22 August 2018 and the national committee for outbreak management was promptly activated. WHO was notified on 23 August 2018 in line with the International Health Regulations (IHR 2005).
        WHO is supporting the country in the preparation of an emergency response plan and an International Coordinating Group (ICG) request for supplies for a reactive mass vaccination campaign targeting the Pointe-Noire area, which has a population of approximately one million people. WHO is also supporting resource mobilization activities, as the country is not eligible for Gavi support.
        WHO is supporting the MoHP in implementing targeted vector control activities for adult mosquitoes and larvae within a 200-metre perimeter of areas where the confirmed case-patient lives and works. WHO is also providing technical support to strengthen surveillance at points of entry, case management, and public awareness, as well as recommending the use of mosquito nets during the day time.
        WHO risk assessment

        The overall public health risk at the national level is high due to the confirmation of a yellow fever case in a densely populated urban city of Pointe-Noire (‎1.2 million inhabitants), with suboptimal immunization coverage in the affected community and the potential risk of spread within the Congo, especially to the capital city of Brazzaville. Entomological surveys in the affected area revealed high densities of Aedes aegypti, responsible for urban transmission of yellow fever, signalling the potential for rapid amplification. The approaching rainy season may potentially increase this risk. Thus, the risk of an urban epidemic needs to be mitigated urgently, although there is no indication of active urban transmission according to the information available.
        The risk at the regional level is considered to be moderate due to the lack of information to describe the scope and the dynamics of the outbreak, as well as because of cross-border movements, particularly between to and from Gabon and Cabinda in Angola. Pointe-Noire is a port city and oil industry hub with an international airport and links to other large cities. Angola and the Democratic Republic of the Congo have recently conducted mass preventive and reactive yellow fever vaccination campaigns, respectively. However, population immunity levels in the Democratic Republic of the Congo are low in the zones not targeted by the 2016 reactive campaigns, such as the areas neighbouring Pointe-Noire. No other yellow fever cases related to the outbreak in Pointe-Noire have been reported outside the country at this stage.
        The risk at the global level is considered low. Risks need to be closely monitored and regularly reassessed.
        WHO Recommendations

        Vaccination is the primary means for prevention and control of yellow fever. In urban centres, targeted vector control measures are also helpful to interrupt transmission. WHO and partners will continue to support local authorities to implement these interventions to control the current outbreak.
        WHO recommends vaccination against yellow fever for all international travellers above nine months of age going to the Republic of the Congo, as there is evidence of yellow fever virus transmission. The Republic of the Congo also requires a yellow fever vaccination certificate for all travellers aged 9 months or older . Yellow fever vaccination is safe, highly effective and provides life-long protection. In accordance with the IHR (2005), the validity of the international certificate of vaccination against yellow fever extends to the life of the person vaccinated. A booster dose of yellow fever vaccine cannot be required of international travellers as a condition of entry.
        WHO encourages its Member States to take all actions necessary to keep travellers well informed of risks and preventive measures including vaccination. Travellers should also be made aware of yellow fever symptoms and signs and instructed to rapidly seek medical advice when presenting with these. Viraemic returning travellers may pose a risk for the establishment of local cycles of yellow fever transmission in areas where the competent vector is present.
        WHO advises against the application of any restrictions on travel or trade to the Republic of the Congo in relation to this outbreak, based on the information currently available.

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