Central African Republic - Monkeypox outbreak 2018

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Central African Republic: Monkeypox threatens Ouaka and Haute-Kotto regions

BY RJDH MARCH 13, 2018 NEWS, HUMANITARIAN-HEALTH, HEALTH

BANGUI, March 13, 2018 (RJDH) - Monkeypox or monkey pox is becoming a public health threat in the Central African Republic. Two cases are confirmed at Ippy in Ouaka by the Pasteur Institute of Bangui.

For the third consecutive year, cases of infection with the monkeypox virus have just been confirmed during the first trimester of the current year in southeastern CAR by the Pasteur Institute of Bangui (IPB) in a context in which the country is exposed to several public health problems.

"The Pasteur Institute of Bangui has confirmed two cases of infection with the Monkeypox virus on blood samples and sent by the WHO focal point, Dr. Ars?ne Dominique Konzelo, in the sub-prefecture of Ippy. in Ouaka in the South-East of the Central African Republic, "says IPB.

For the Pasteur Institute in Bangui, the first case, a 29-year-old fisherman living in Djama Ngoundji village, presented rashes all over his body. All he knows is that he was in contact with fish infected with Aphanomy cesinvadans that had ulcerations on the body, unrelated to the monkeypox infection.

The second case, according to the Institut Pasteur in Bangui, is a 50-year-old woman living in Kopia village, on the site of the displaced, who also presented rashes all over her body, with the exception of the palm of the hands.

This reference laboratory indicates that investigations are underway to try to understand the source of the contamination.

Humanitarian sources have learned that another case of Monkeypox virus was discovered at a displaced people's site in Bria near Ippy last week. All three cases are still under medical supervision at the Bria hospital.

The "Monkeypox" virus is a highly contagious disease characterized by large skin rashes. This disease was detected for the first time in humans in 1970 in the Democratic Republic of Congo. This is the fifth time she appears in the Central African Republic. The first time was in Mbomou in 2001, the second time in Haute Kotto in 2014, in 2016, and in 2017 and this time in 2018 in Ouaka and Haute-Kotto.

http://rjdh.org/centrafrique-la-var...e-la-region-de-la-ouaka-et-de-la-haute-kotto/

 

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[FONT=&quot]OMS Centrafrique‏Verified account @OMSCentrafrique Mar 17 More


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[FONT=&quot] RCA Health Minister Dr SOMSE today declared an outbreak of Monkeypox. In total, 08 cases all from the sub-prefecture of Ippy: 3 cases quarantined at the hospital in Bria, 5 suspected cases in Ippy, 2 cases would still be on the IDP site of the Catholic Church
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[FONT=&quot] WHO African Region, OMS WHO NIGER, WHO Sierra Leone and 4 others

https://twitter.com/omscentrafrique?lang=en
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RCA / IPPY: Health Minister Dr. Pierre SOMSE confirms 8 cases recorded in 15 days of a case of an outbreak of monkey pox "MONKEY-POX"

By Patrick - March 21, 20180181
Bangui, March 21, 2018

It was last Saturday, March 17, 2018, that Dr. Pierre SOMSE, Minister of Public Health and Population, made a statement to the press in the Conference Room of the World Health Organization (WHO) about of the monkey pox epidemic called "MONKEY-POX" which is currently rife in the city of IPPY located about 500 km from Bangui the Central African capital.

During this meeting with media professionals, the N ? 1 Health Officer confirmed an outbreak of monkey pox "Monkey-Pox" which is particularly prevalent at IPPY. Thus, Dr. Pierre SOMSE, located the audience in these terms: "I have the honor to bring to your attention that the Ministry of Health and Population has just confirmed an epidemic of monkeypox commonly called Monkey-Pox in the health district of Bambari and more precisely in the sub-prefecture of IPPY. Monkey pox is characterized by rashes containing pus and disseminated all over the body including the hands and mouth. All accompanied by fever and ganglia.

The transmission of the disease is done by contact with sick animals (monkeys, rodents such as Gambia rats and squirrels, the disease is usually spread by direct contact between the patient and relatives and by the respiratory tract. Sick pregnant mother can also transmit to her child that incubation time ie the period between infection and manifestation of the disease is usually 5 to 21 days.

To date, 8 cases have been recorded in 15 days since 02 March. Fortunately, no deaths have been reported. Of 8 cases, 3 were screened in Bria among patients coming from Ippy in search of care, five were detected among the displaced at the Ippy health center and all of these patients come from different locations in the Sub-Prefecture. of Ippy ". Continuing his remarks Minister SOMSE affirmed that: "Confirmation at the Laboratory is necessary for the diagnosis of monkey pox. In CAR this confirmation is made by the Pasteur Institute of Bangui. The Minister of Health and Population in collaboration with technical partners (WHO), COHEB, MSF, IMS, OCHA) has set up a response mechanism to control the epidemic.

The measures taken include active case monitoring, case management and sensitization of local communities. It should be recalled that this epidemic is not the first of its kind, the previous epidemic episodes were recorded in Basse-Kotto, Mbomou, Haute Kotto and Lobaye. Therefore, I send a strong call to all, to be vigilant and to direct without delay towards the nearest health facility, any person presenting a brutal fever with appearance of rashes on the skin or to announce the case agents health of your locality. In addition, I ask you to avoid handling dead animals found in the bush and practice routine handwashing. "

It should be noted in passing that the Minister of Health, Dr Pierre SOMSE, made this statement in the presence of his closest collaborators, among others, the Communication Adviser Augustin DIBERT and the Interim Representative of WHO Dr ITAMA and Dr Thomas D ' AQUIN KOYAZEGBE.

Herv? Binah,

http://lepotentielcentrafricain.com/?p=2356


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CENTRAL AFRICAN REPUBLIC: Humanitarian Overview (as of March 19)

HUMANITARIAN SUMMARY from March 12 to 18, 2018
...
zoned.
Center Area
Eastern Zone

Prefecture of Ouaka and Haute-Kotto / sub-prefectures of Ippy and Bria / Ippy and Bria

Health: On March 17, the Ministry of Health and Population declared an outbreak of Monkey Pox in the sub-prefecture of Ippy. Six suspected cases of smallpox were notified at the health center of Ippy (about 110 km north-east of Bambari). These cases complement the 3 others reported last week in Bria, of which 2 were confirmed after sample analysis in Bangui. The 3 cases of Bria have already been placed in isolation and supported with the support of humanitarian actors.

In Ippy, however, although the management of suspected cases is ensured with the support of a humanitarian partner, the implementation of isolation of these is not yet effective due to lack of space in the health facility. On March 16, the health prefecture went to Ippy to take samples for analysis in Bangui. In addition to the ongoing care by health actors, a humanitarian partner is deploying in the area for a health risk assessment and exploring opportunities for strengthening the response.
...
https://www.humanitarianresponse.in...iles/rca_ocha_19032018_apercu_humanitaire.pdf

 

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Outbreaks and Emergencies Bulletin, Week 13: 24 - 30 March 2018

Monkeypox Central African Republic
8
Cases
0
Deaths
0%
CFR

EVENT DESCRIPTION

On 17 March 2018, the Ministry of Health officially declared an outbreak of
monkeypox in Bambari district, more specifically in the sub-district of Ippy. The
index case devloped symptoms on 2 March 2018. The last suspected case was
notified on 16 March 2018. As of 25 March 2018, a total of eight cases with zero
deaths (case fatality rate 0%) have been reported since the start of the outbreak.
Four of the eight cases (50%) were male; all cases were over 5 years of age. As
of 25 March 2018, three patients were hospitalized.

Laboratory samples were collected from all patients and have been tested by
Institut Pasteur in Bangui. Six of the eight suspected cases have tested positive
for monkeypox virus. One contact of a case developed suspicious lesions and
laboratory confirmation is pending.

PUBLIC HEALTH ACTIONS

The Ministry of Health is responding to the outbreak with the support
of partners including WHO, COHEB, MSF, IMC and OCHA; regular crisis
meetings have been conducted by the Coordinating Committee at the
central level (MOH, WHO, UNICEF, MSF, OCHA).

The response plan to monkeypox is being updated.

MSF-Spain has established an isolation site with a ten-bed capacity for
case management.

Free healthcare is being offered to affected patients.

Regular follow-up of contacts of confirmed cases is ongoing.

The case definition has been distributed in health facilities to facilitate notification of suspected cases.

Social mobilization and awareness campaigns are ongoing and include radio broadcasts and press releases in daily newspapers.

SITUATION INTERPRETATION

The Central African Republic has experienced outbreaks of monkeypox in the past, notably in the areas of Basse Kotto, Haute Kotto, Mbomou, and Lobaye. The current
outbreak should therefore be closely monitored. Risk communication and community mobilization are essential in order to prevent further spread of the outbreak.
However, the security situation has deteriorated since 20 March 2018, thus reducing access to the affected areas and causing MSF to cease its activities in the city of
Ippy


http://apps.who.int/iris/bitstream/handle/10665/272281/OEW13-2430032018.pdf

http://www.afro.who.int/publications/outbreaks-and-emergencies-bulletin-week-13-24-30-march-2018

 

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Translation Google

April 13, 2018 - Could the Mbomou and Lobaye prefectures be the epicenter of monkeypox in the Central African Republic

The Pasteur Institute of Bangui has once again confirmed a case of monkeypox on samples of crust and serum from a patient sent by the NGO A?M based in Rafa? hospital.

After the emergence of cases of monkeypox confirmed less than a month ago in 6 patients in the Ippy Sub-Prefecture, another case has just been confirmed in the Rafa? sub-prefecture in the Mbomou and border with the DRC.

The confirmed case, a 31-year-old trader from Dembia village, Rafa? sub-prefecture, said he became ill two weeks after buying, transporting and consuming a rodent of the genus Thryonomys swinderianus, locally known as Sibissi with lesions on the skin.

According to Dr. Emmanuel Nakoun?, Scientific Director of the IPB: Given the many factors that can affect the transmission of monkeypox, it is essential to enrich the current knowledge of the disease and strengthen the preparation efforts.

By admin | April 16th, 2018 |

http://pasteur-bangui.org/13-avril-2...-centrafrique/

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Central African Republic: outbreak of monkeypox in the extreme south-east

French.xinhuanet.com 2018-04-27 05:07:48

BANGUI, April 26 (Xinhua) - Eight cases of monkey pox have been reported in the Central African city of Rafa? (far southeast), killing one person, local representative Benjamin Zanga-B?rou told Xinhua Thursday. .

The first proven cases, according to Mr. B?rou, appeared at the end of March in the locality. Some samples examined at the Institut Pasteur laboratory in the Central African capital Bangui confirmed the existence of the pathology.

To help the population, a small team has been dispatched from the Central African city of Bangassou to Rafa?, to raise awareness of the population to avoid new infections, and deals with cases proved the epidemic.

Monkey pox is a viral disease with symptoms similar to those of smallpox, manifesting itself in men with rashes and high fever, and causing many deadly ravages among young children.

http://french.xinhuanet.com/2018-04/27/c_137139815.htm

 

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wikipedia

Monkey Pox Central African Republic

EVENT DESCRIPTION

Since 2013, the Central African Republic has been experiencing at least
one monkeypox outbreak every year, especially in its eastern region.

Since the beginning of 2018, outbreaks have been reported in three
health districts, namely Bambari in the centre, Bangassou in the eastern
part of the country and more recently Mba?ki in the south-west.
In Bambari district the outbreak was declared on 17 March 2018 in the
Ippy sub-district after the index case developed symptoms on 2 March
2018.

From week 9 (week ending 4 March 2018) to week 11 (week
ending 18 March 2018), a total of nine suspected cases with no deaths,
were reported from Ippy sub-district. Of the seven samples tested, six
were laboratory confirmed for monkeypox by reverse transcription
polymerase chain reaction (RT-PCR) at Institut Pasteur de Bangui.

On 5 April 2018, the Ministry of Health was informed of a suspected case
in Bangassou District, close to Bambari District where the index case
was reported. The index case is a merchant who developed symptoms
on 29 March 2018 in Dembia village, sub-district Rafai, who was
hospitalized in Bangassou district hospital. From 5 April 2018 to week
20 (week ending 20 May 2018), 15 suspected cases including one death
(case fatality ratio 6.7%) were reported in Bangassou. Three cases were
confirmed by RT-PCR from the 11 samples tested. The death was of
a 33-year-old woman who died in a health facility three days after she
developed a rash. Since 16 May 2018, no cases have been reported from
Bambari and Bangassou districts.

In week 26 (week ending 1 July 2018), a 27-year-old female developed symptoms in Bangandou sub-district, Mba?ki district, and test results released on 30 June 2018
were positive for orthopoxvirus by RT-PCR. No epidemiological link has been established with cases from Bambari and Bangassou. Since 30 June 2018, a total of five
suspected cases with no deaths have been reported from Bangandou. Among the five cases, two tested positive for monkeypox (RT-PCR).

Cumulatively, 29 cases of monkeypox with one death (case fatality ratio 3.4%) have been reported since 2 March 2018 in the Central African Republic. Eleven cases have been laboratory confirmed out of 23 samples tested.

Among the confirmed cases, 63% (n=7) are female and 45% (5) are aged between 20 and 30 years. Two confirmed cases are age five and below.

 

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

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Lobaye: The outbreak of monkey pox declared in Zoum?a-Koka village

Wednesday, October 3, 2018 15:09

The monkey pox virus outbreak or monkey pox is resurfacing in the Central African Republic. The prefecture of Lobaye is the new reservoir of this disease.

The monkey pox was identified on three people in the village Zoum?a-Kaka located 32 km from Mba?ki, capital of the Lobaye. The announcement was made Tuesday, September 2 in Bangui by the Minister of Health and Population, Dr. Pierre Soms?.

"The CAR is once faced with an epidemic of monkey pox commonly referred to as monkey pox in the health district of Mba?ki, specifically in the village of Zoum?a-Kaka, 32 km from Mba?ki, and on September 26, 2018, the private health center. Zoumea-Kaka has notified three (3) suspected cases of monkey pox, "said the government member.

The three people with this disease were "a 25-year-old breastfeeding mother, her 4-month-old infant and a 4-year-old girl," he said. Dr. Pierre Soms? however reassured that "the Ministry of Health and Population has already in collaboration with technical partners set up a response mechanism to control the epidemic."

The Minister of Health has also asked the population to ensure any suspicious case and inform the health staff. "I urge all of you to be vigilant and direct without delay to the nearest health facility, anyone with a sudden fever with rash on the skin and report the case to the agents. health of your locality, "insisted Dr Soms?. According to the doctor, hygiene measures remain and remain the first way to avoid contagion.

"I ask everyone to practice washing hands with soap and to avoid handling dead animals in the bush."

In March 2018, the Pasteur Institute of Bangui confirmed two cases of infection with the monkey pox virus in the sub-prefecture of Ippy (Ouaka prefecture) in the central-eastern Central African Republic.

The epidemic killed at least 10 people out of 19 patients registered in September 2016 in the sub-prefectures of Alindao and Mingala in Lower Kotto (east of the country).

Already at the end of December 2015, samples from the Institut Pasteur in Bangui confirmed the monkey pox epidemic in the health district of Bangassou. 12 people were declared carriers of the virus.


https://www.radiondekeluka.org/actu...nkey-pox-declaree-au-village-zoumea-koka.html

 

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In Central Africa, "monkey pox" continues to spread buboes

OCT 2018
Updated 25.10.2018 at 09:00
By Charles BOUESSEL
AFP
? 2018 AFP

"Monkeypox may be endemic in this area," said Dr. Patrick Karume, removing his muddy boots from the temporary base that Doctors Without Borders (MSF) has set up in Zomea Kaka, a village in the south-west of the Central African Republic.

He prefers to speak conditional: this disease, also called "monkey pox" and identified for the first time in the Democratic Republic of Congo in 1970, remains largely unknown by science.

With his team, the doctor has just returned from Bagandou, accessible from Zomea Kaka after thirty kilometers of rough track in the region of Lobaye.

There, dozens of children have rashes, characteristics of this disease still without remedy.

In May, the monkeypox virus, which spreads in tropical Africa, has become a "public health threat" in CAR, according to the Pasteur Institute of Bangui.

Several outbreaks have been discovered in different parts of the country since 2013, and the World Health Organization (WHO) recognizes "a slight increase in cases," according to Augustin Diebert, a WHO advisor.

So, after three cases of monkey pox were discovered in the Zomea Kaka area, the MSF NGO decided to send an emergency team that has already identified and isolated two families of nine people.

Eight of them live in the rooms of the city's health center, around which a quarantine area has been set up.

- "Red zone" -

This "red zone" includes a four-bedroom building and latrines surrounded by a construction site fence and is entered with caution: rubber boots, disposable coverall, latex gloves, charlotte, mask and goggles are donned by Dr. Karume and his assistants.

A few meters away, the patients, sitting on benches, finish their breakfast. Others have already returned to their homes, like Marie, 5, and her face still marked by infection. She and her family occupy a room in the red zone.

The disease spreads primarily in the family home.

On their damaged bodies, the constellation of small translucent bubo has turned into a myriad of crusts that show, by detaching, the depigmented skin. A sign of healing.

"Are you still hurting?" Asks the doctor to Marie. She shakes her head from left to right. She and the others will be able to go out soon.

"It's a self-limiting illness (it's self-curing), it's just treating the symptoms," says Dr. Karume. Before, we thought that it was transmitted by the monkeys, but finally it is rather the rodents. Secondary transmission is by contact with an affected person or by manipulation of his body fluids, including saliva.

- "Stop the transmission" -

Graduate in epidemiology, the doctor does not just treat his patients.

As a detective, he tries to trace their path, in the weeks that preceded their care, to know with whom they were in contact, to identify other suspicious cases, to stop the transmission, and why not, to learn more on this virus little studied in the scientific literature.

"It's my champion, my miraculously," he says with a smile overflowing with his medical mask, in front of a silent boy, who has no symptoms, unlike the rest of his family, placed in quarantine with him .

"If he is positive to monkeypox, it is that he enjoys a kind of immunity," he explains, fascinated, by taking a little blood he intends to send to the Institut Pasteur from the capital for analysis.

Not far from the health center, Victor Manjon, assistant coordinator of the team, completes the final preparations before the expedition of the day: a round trip to Bagandou to try to take samples among the dozens of suspected cases detected the day before.

"It's going to dance," warns the driver, throwing his 4x4 on a seeming track devoured by the abundant vegetation.

"When we arrive in a village, if the inhabitants have not been warned, they think seeing the MSF vehicles that come to respond to Ebola," the hemorrhagic fever that rages in neighboring DRC, he says, to emphasize the importance of sensitization carried out upstream.

Arriving in Bagandou, adults seem to welcome the team: only a few children go away, frightened by the memory of the bites of a vaccination campaign.

Back in Bangui, Bagandou's blood samples will prove negative, including that of the "miracle": if the disease seems circumscribed in these villages, it is not today that it will reveal its secrets to Dr. Karume.

By Charles BOUESSEL
AFP
? 2018 AFP
Updated 25.10.2018 at 09:00

https://information.tv5monde.com/in...-singe-continue-de-propager-ses-bubons-267520