Democratic Republic of the Congo: Health Updates

[Ronan Kelly]

Democratic Republic of the Congo (the) Weekly Report - Preparation & Response to Emergencies, Edition: of 20 to 27 February 2012
Report- World Health Organization

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OVERVIEW OF THE SITUATION

● Extension of the major measles epidemic in the DRC since the beginning of 2012. According to figures provided by the Directorate for the Fight against Disease (MLD) of the Ministry of Public Health and WHO, 5,951 cases with 127 deaths (CFR 2.1%) were reported from week 1 to Week 7 in the 11 provinces of the DRC. East Kasai (2243 cases including 51 deaths), Katanga (965 cases with 17 deaths), Eastern Province (761 cases with 11 deaths), Ecuador (649 cases with 9 deaths) and Bandundu (591 cases with 27 deaths) were among the regions most affected by the epidemic. In 2011, the country had notified a total of 134,041 e cases with 1,652 deaths;

● Cholera: downward trend of cases in the area of ​​health Muanda (resort town of Bas-Congo): 18 cases with 1 death were notified during the eighth epidemiological week, bringing the cumulative total of 4 weeks at week 8 to 169 cases including 6 deaths (CFR 3.55%). City-Province of Kinshasa is still experiencing persistent cases, with a cumulative total of 233 cases and 8 deaths (CFR 3.43%) from week 1 to week 8.

● Polio: the beginning of this February 28, 2012 Local Immunization Days (JLV) response in 36 health zones targeted the four provinces of eastern DRC. These are among others: 19 health zones in Katanga (Kalemie antenna with 11 and ZS-Dianda Kabondo antenna with 8 ZS), ZS 9 Maniema (antenna Kasongo), 4 ZS Kasai Oriental (antenna Kabinda), 4 ZS South Kivu (Uvira antenna). The western part of the country will vaccinate 2 to 4 March 2012 the four targeted ZS Bas-Congo (antenna Mbanza Ngungu), in synchronization with Angola that takes his campaign to the above period. Total cases of wild poliovirus (WPV) from January to December 31, 2011: 93 cases of type 1. New cases this week: 0; new health zone affected: 0. Areas with PVS in 2011 in the DRC: 38 against 31 in 2010. Date of onset of paralysis of most recent case: 20 December 2011. Date of final passage of supplementary immunization activities (SIAs) in the area of ​​the latter: January 31, 2012. WHO, UNICEF and other partners provide technical support to these financial and AVS.

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http://reliefweb.int/node/479984

 

[Ronan Kelly]

Re: Democratic Republic of the Congo: Weekly Report

Re: Democratic Republic of the Congo: Weekly Report

HUMANITARIAN SITUATION REPORT ON THE DRC
March 23, 2012

EASTERN PROVINCE
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Health
• The situation of the cholera epidemic remains stagnant in the Health Zone (HZ) in Bunia, while the number
of cases is rising in the ZS Nizi (18 cases with no deaths between 12 and 18 March against the four cases
previous week).
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NORTH KIVU
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Water and sanitation / Health
�� According to the World Health Organization (WHO), 128 cholera cases, including two deaths, were reported in eight
health zones in the 10th week (March 5 to 11). Goma has registered 36 cases against 60 to
week 9 (February 27 to March 4). By cons, for areas of health Kirotshe in Masisi (46
cases against 19) and in Mutwanga Territory of Beni (31 cases against 17) the number is rising.
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SOUTH KIVU
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Health
• Cholera is decreasing in the province: a fifty in mid-March against more than 350 cases in early
year, however, ZS Uvira has reported 36 cases with no deaths during the week of March 5 to 11, figure audessus
the epidemic threshold. In addition, leaders of medical attention is
particular to the ZS Nundu where health area (SA) Nakunde reported cases of choleraic diarrhea.
The investigation of these cases presents problems because the AS is enclosed in trays Means Nundu
and transport of inputs is experiencing frequent breakdowns, according to medical authorities.
• Since the withdrawal of MSF hospital in the Territory of Lulingu Shabunda for over three months,
this structure is experiencing major difficulties in its operation. The NGO Agency Purchasing Performance
(AAP) with funding support from the NGO Catholic Organization for Relief and Development (Cordaid) and
Embassy of the Netherlands, has done work to facilitate access to medical care through
funding approach based on performance. MoUs were signed with the General Hospital
Reference and six health centers in the ZS Lulingu for the remainder of 2012. Nearly 150 000
people, including hundreds of displaced families are benefiting from this support that facilitates treatment with
the gradual integration of cost recovery.
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KATANGA
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Health
• As part of activities in the fight against cholera in areas of health Kalemie and Nyemba, the NGO
African physicians (MDA), with funding from the Common Fund (Pooled Fund), prepositioned
inputs for management of cholera in eight positions open oral rehydration in the town of Kalemie.
Since the opening of these positions oral rehydration at the end of February, MDA has provided the management
load .... Sick of cholera and other diarrheal diseases. In addition, teams of Doctors of
Africa has 10 245 people sensitized on prevention of cholera and other diseases
diarrhea.
...

 

[Ronan Kelly]

Re: Democratic Republic of the Congo: Weekly Report

Re: Democratic Republic of the Congo: Weekly Report

RAPPORT DE SITUATION HUMANITAIRE SUR LA REPUBLIQUE DEMOCRATIQUE DU CONGO
6 avril 2012
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PROVINCE ORIENTALE

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health
Alert: An MSF team, supports cases of bloody diarrhea in the area of health Basoko (territory of the same name, Tshopo district). Nine cases were reported active in the area of 19 to 25 March. In addition,
suspected meningitis and a surge in malaria cases are reported in the same area of health.
Warning: The cholera epidemic is still present in the city of Kisangani. Health District Tshopo / Lindi, a reported 23 cases including two deaths, from 26 March to 1 April, in the town of Lubunga. The management of cases is
assured thanks to inputs prepositioned by MSF when it withdrew from this area in 2011. The common Lubunga, on the Congo River, was the epicenter of the epidemic last year in Kisangani. In March 2011, more than 1000
cases, including some fifty deaths had been reported.
Warning: The project to support the NGO Medair in the General Hospital of Ango and five health centers in the area of health Ango ended in March 2012, but no player is ready for the time to resume these activities. Started in August 2011, this project gave support to six of 23 health facilities.
...

 

[Ronan Kelly]

Re: Democratic Republic of the Congo: Weekly Report

Re: Democratic Republic of the Congo: Weekly Report

Rapport Hebdomadaire I Préparation & Réponse aux Urgences Edition : du 02 au 08 avril 2012

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1. Cholera

Lower Congo: further increase in the number of cholera cases. During the 14th epidemiological week, 43 new cases were recorded in the health area (ZS) of Muanda and two other cases in the health area of ​​Boma-Bungu.
The cumulative total of the 4th to the 14th week of 454 cases including 8 deaths (CFR 1.76%);
▫ City-Province of Kinshasa: 50 new cases with 2 deaths were noti ed during the 14th week in several health zones including 15 in Kingabwa, 13 in Maluku I, 7 to 6 to N'sele and Limete. The rest of the recorded cases are from ZS
Gombe Kikimi, Kimbanseke Kingasani and Ngaba. The persistence of the epidemic occurs in older homes (Kingabwa Limete Nsele and Maluku), followed by expansion into new areas such as Biyela, Matete, Ngaba and Kikimi. The total cumulative from 1st to the 14th week is 460 cases with 14 deaths (CFR 3.04%);
▫ South Kivu: 64 cases were reported during week 14. The ZS Fizi is one that notification e most cases (29), followed those of Uvira (18), Minova (12) and Nundu (4). A downward trend is observed throughout the Province. Of
Week 1 to Week 14, South Kivu has a cumulative total of 2,480 cases with 14 deaths (CFR 0.56%);
▫ Eastern Province: 389 new cases with 19 deaths (CFR 4.88%) were reported during week 14, mainly in the health district of Ituri (north-eastern DRC). The ZS Nyarambe is most affected with 117 cases including 5 deaths. Other ZS Province are strongly affected: Banalia (59 cases with 1 death), Isangi (49 with 1 death), Angumu (42 cases with 5 deaths), Tchomia (41 cases), Mahagi (17 cases with 2 deaths), Nizi (15 cases), Logo (12 cases with 1 death) and Bunia (8 cases). From week 1 to week 14, the Eastern Province accused a cumulative total of 2,444 cases with 78 deaths (CFR: 3.19%).
▫ Since the beginning of 2012, the DRC has already recorded a cumulative total of 10,342 cases of cholera with 190 deaths (CFR: 1.83%) for the whole country (in epidemic areas and those experiencing endemic and epidemic). During the year last, the country totaled 21,700 cases of cholera with 584 deaths (CFR 2.69%). The answer to control this epidemic is supported by a grant from CERF managed by WHO and UNICEF.
...
2.Measles
Cases continue to be notifi ed in all provinces of the DRC since the beginning of 2012
From week 1 to week 12, the available data indicate that the DRC has already totaled 10,615 cases with 185 deaths reported throughout the country (CFR 2%). However, comparing the number of cases at the situation from 2011 to the same period shows that interventions during the last year had a real effect on improving immunity population.
During the first quarter of 2012, Kasai Oriental Province remains the most affected by the epidemic, with 3316 cases including 66 deaths (CFR 2%) as shown in the table above, particularly in the District of Sankuru.
WHO and other partners continue to provide support to the Ministry of Public Health to, among others: (i) strengthening the management of cases at health facilities, (ii) maintaining the immunization schedule
monitoring campaigns, (iii) the strengthening of routine immunization in the health zones of low coverage.

3. Bubonic Plague
Cases of bubonic plague are still reported in Ituri, in north-eastern DRC
During week 14, the following notification e ZS cases: Nyarambe: 9 cases with 1 death (CFR 11.11%) and Rimba:2 cases, making a total of 11 cases with 1 death. From week 1 to week 14, the health district of Aru, epicenter of the current disease, has already totaled 64 cases with 6 deaths (CFR 9.37%). WHO has provided technical support in the investigation cases and collecting samples for laboratory analysis of Bunia, the chief town of Ituri.
...

 

[Ronan Kelly]

Re: Democratic Republic of the Congo: Weekly Report

Re: Democratic Republic of the Congo: Weekly Report

Epidemics in DRC: More than 125 cases of measles and more than 100 new cholera cases recorded
every day in the DRC.
? Since the beginning of the year until the first week of May 2012, 15,841 cases of measles, 268
deaths were recorded in 28 health zones in the Democratic Republic of Congo (DRC), according
the World Health Organization (WHO). The UN agency and partners of the health sector
currently preparing an emergency response plan in the new areas of health and epidemic
call for increased support in health facilities. They also call for
participation of the Congolese Government to 50% financing operations. In 2011, measles
had reached over 134,000 people and caused over 1,650 deaths in all provinces.
? On May 11, 2012, the DRC had registered since the beginning of the year 13,994 cases of cholera with 313 deaths,
according to statistics compiled by the WHO and the Ministry of Health. This represents an average
106 new cases each day with 2.3 deaths. This figure also corresponds to 64.5% of all
cases reported in 2011. The District of Ituri, in Orientale Province, which had reported 205 cases in
2011 is now the area most affected with 2,864 cases including 90 deaths since the beginning of the year. the
South Kivu province ranks second with 2,705 cases including 16 deaths.
The trend of cholera is declining in areas where interventions are underway, but new
areas of health - so far unaffected - are beginning to report cases. What makes it difficult to fight
against disease.
...
http://reliefweb.int/sites/reliefwe... d'information à la presse FINAL - 120516.pdf

 

[Ronan Kelly]

Re: Democratic Republic of the Congo: Weekly Report

Re: Democratic Republic of the Congo: Weekly Report

RAPPORT DE SITUATION HUMANITAIRE SUR LA REPUBLIQUE DEMOCRATIQUE DU CONGO
27 juillet 2012
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SOUTH KIVU
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health
Warning: Households and recently returned to Nduma Nyambembe may not have access to health care because
their health facilities have neither medicines nor medical equipment and home. The centers
health, now rehabilitated, had been burned and looted, respectively, by suspected FARDC and Ra?a
Mutomboki in May when they travel.
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EASTERN PROVINCE
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health
Warning: The Provincial Health Inspectorate in Kisangani reports an expansion of the epidemic of measles in the area
Health Yahuma (District Tshopo) where 148 cases including nine deaths were reported during the week of July 16 to 22
In 2012. Other cases of measles were reported in areas of health and Basoko Yahisuli.
Answer: The Common Humanitarian Fund of the DRC (Pooled Fund) has allocated 375,000 dollars for
drug supply, particularly against malaria, the District of Lower Uele. the allowance
allow the international NGO Medair run a project to support eight health centers during the period
July 2012 to June 2013. Between August 2011 and June 2012, 24,867 malaria cases were treated in health facilities
supported by Medair which 14 162 cases of children under 5 years.
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KATANGA
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health
Warning: In Kolwezi (310 km from Lubumbashi), the Expanded Programme on Immunization (EPI) of the Health District
Kolwezi suspended the activities of routine vaccination against tuberculosis because of a shortage of
syringes. According MONUSCO, it's been six months since many infants are not vaccinated.

 

[Ronan Kelly]

Re: Democratic Republic of the Congo: Weekly Report

Re: Democratic Republic of the Congo: Weekly Report

HUMANITARIAN SITUATION REPORT ON THE DEMOCRATIC REPUBLIC OF CONGO
August 10, 2012

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North Kivu
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Health
Warning: Deputy Health and Nutrition cluster of Beni and Lubero reported 78 cases of rabies, including six deaths (
CFR: 7.7%) in the area of ​​health Mutwanga (southeast of Beni) and one case in Beni since May 2012.
These cases are increasing and health facilities do not have rabies vaccines or serums. A
advocacy with the World Health Organization (WHO) and the Provincial Health Division (DPS)
Goma for the implementation of preventive measures in Beni Territory, is essential.
...
Water and sanitation
Answer: After the intervention of the International Committee of the Red Cross (ICRC) from July 25 to August 1, Oxfam
GB provides water to the seven spontaneous sites for displaced Kanyaruchiniya using tankers. The
amount was increased from 135 m3/day to 150 m3/day). The NGO International Solidarity also provides water and
built latrines in collaboration with the Provincial Health (DPS). Moreover, according to clusters
health and water and sanitation, six cases of cholera including one death, have been recorded since August 1.
The NGO Doctors Without Borders (MSF) has set up a cholera treatment center (CTC) to support
cases.
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EASTERN PROVINCE
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Health
Alert: Two health zones of the DRC in the Eastern Province reported suspected cases of VHF. Zone
Health Isiro reported from June 25, 2012 to date six suspected cases and four deaths, case fatality of 66.6%. Personnel
health are not affected so far and contact information and followed up are not available.
The Health Zone Dungu reported three suspected cases and one death suspected VHF in the month of August. The
results of the investigation and charges are expected to improve learning of the situation. [Flutrackers thread on these outbreaks - http://www.flutrackers.com/forum/showthread.php?t=191192 - Ro]
Warning: Medair also reported cases of bloody diarrhea in the area of ​​Health Bokoyo (90 km north of
Banda) where 69 cases with 12 deaths (17.4%) were reported between June and July 2012. These cases have not yet been taken
supported for two reasons: difficult access to Bokoyo for security reasons and lack of medicines.
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EQUATEUR
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Health
Warning: As of July 28, 2012 (Week 30), 2,399 cholera cases including 133 deaths (CFR 5.5%)
been registered in the Province of Ecuador. Two new Health Zones (HZ), and Lolo Boende, notified two
cases including two deaths. Eight other ZS notified 36 cases with no deaths during the same period. Given
the arrival of the rainy season and the seasonal increase in cases, prevention is expected to increase
its activities.

 

[Ronan Kelly]

Re: Democratic Republic of the Congo: Weekly Report

Re: Democratic Republic of the Congo: Weekly Report

Bulletin d'Information Humanitaire

17 ao?t 2012 Province de l?Equateur N? 32/12

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Cholera Response
? From 30 July to 05 August (Epidemiological week 31), 44 new cholera cases with one death were reported in the Province of Equateur. This brings the number of cases in 2480, including 132 deaths since the beginning of 2012, in 28 health zones, with a mortality rate of 5.3%. The Health Zone Makanza alone has recorded 14 cases including one death, while the NGO Alima just disengage from the ZS, but continues to operate again until mid-September in the ZS Binga. The recent withdrawal of Alima Makanza is considered premature by the partners as the area of ​​health, which Alima left the management of cholera treatment unit (CTU), has not the ability to manage this structure. On the ground, the situation may worsen with'' the rainy season, expected in September and the concentration of the population in camps and islands, where access is almost impossible. The Sacred Life NGOs that received funding from FRA has not yet started activities on the ground. At present, the priority is to intensify prevention activities in the ZS and provide additional funding to Alima for business continuity. The side of the Sanitary District of Mbandaka, the population is struggling to supply drinking water, since almost all water wells have dried up in the dry season. The few remaining wells are too, polluted. Ideally, humanitarian think, would be to provide Regideso / Mbandaka water treatment products. Overall, I must say that the actions of humanitarian field helped stabilize and reduce cases and deaths from cholera in Ecuador. However, the needs in terms of support and community awareness are still enormous.

Health
Warning:
? The Bwamanda ZS (South Ubangi DS) has reported suspected cases of meningitis since the beginning of 2012 (149 cases, including 50 deaths from week 1 to 31). For its part, the ZS Bosobolo also continues to report cases. July 30, 26 cases including 3 deaths were recorded. According to M?decins Sans Fronti?res (MSF), the situation of the ZS Bosobolo must be closely monitored because it is in this that is concentrated near ZS 1800 CAR refugees since late May 2012. MSF plans to conduct a campaign response, hearing samples samples sent to the National Institute for Biological Research (IRNB), Kinshasa. Meanwhile, the World Health Organization (WHO) and the Provincial Health Division has taken steps to provide the province reagent kits for the first tests.

? The Province of Ecuador is currently facing a measles epidemic that is spreading on several health zones. Four Districts (Ecuador, Mongala South Ubangi and Tshuapa) of the five that the province has confirmed this epidemic. In ZS Yalifafu (DS of Tshuapa), five samples sent to the INRB are declared positive. An MSF team is part of an assessment mission
on site with some kits support measles, to initiate the response in
Pending the results of the assessment for a comprehensive response. The epidemic is also confirmed in many others such as ZS Bumba (58 cases), Ikela (13 cases) and Budjala (12 cases). Assessments humanitarian field are ongoing and may lead to response actions with the local support case. The WHO has recommended that local teams have just completed a epidemiological surveillance training to organize to strengthen routine immunization of functional committees to control and organize centers support cases and to the state needs care kits. Preparations for immunization response quality are course, according to WHO.

? 20 cases of Monkey Pox whose death was also reported in epidemiological week 31 in Equateur. Area Health Basankusu (DS Equateur) notified to herself eight cases including two deaths. This bringing the total to 727 cases including 15 deaths have occurred since the beginning of 2012. The ZS most affected are Ndage (107 cases / 1 death), Yambuku (106 cases / 0 deaths) Djolu (70 cases / 0 deaths) and Iboko (57 cases / 1 death).

...

 

[Ronan Kelly]

Re: Democratic Republic of the Congo: Weekly Report

Re: Democratic Republic of the Congo: Weekly Report

Bulletin d'Information Humanitaire

22 ao?t 2012 Province Orientale N? 31/12

Highlights
After 􀂃 Areas Health Isiro and Dungu (Haut-Uele), hemorrhagic fever and extends Viadana Pawa in Bas-Uele.
􀂃 More than 26 000 cases of malaria reported in a week in the Eastern Province.
􀂃 Resurgence of cholera cases in the area of ​​health Tchomia (Ituri), while awareness weakens.

General context
􀂃 The outbreak of Ebola haemorrhagic fever declared on August 17 by the Minister of Health Service extends gradually in both districts U?l?s. August 21, 16 cases with 10 deaths have accumulated been reported in U?l?s. Some patients are in isolation and other surveillance. The People are invited to meet hygiene measures individually and collectively. Community humanitarian recommended that the World Health Organization (WHO), as cluster lead, in
to regularly update data and to map the areas are reported cases to enable humanitarian actors to take precautions when moving. On the other hand, the Health Cluster intends to establish a Coordinating Committee Bunia local crisis to include monitoring the situation and cover the areas of intervention in terms of awareness.

Gaps / Early warnings
Epidemiological situation

Ebola haemorrhagic fever
􀂃 A total of 16 cases combined with signs of bleeding including 10 deaths were reported in the 21 August 2012 Isiro, according to the meeting of the Crisis Committee, held Tuesday, August 21 at Kisangani, under the chairmanship of Minister Provincial Health. Moreover, apart from the areas of health and Dungu Isiro (Haut-Uele District) the epidemic had reached those of Pawa and Viadana Territory Poko (Bas-Uele District), who respectively reported two cases and that many deaths. Alerts were also recorded in other areas of health.
􀂃 A delegation of seven experts in Ebola virus epidemic, from Kinshasa, visited the Wednesday, August 22 Isiro with 400 Kg protective equipment. It is planned to set up a committee scientific and technical coordination of international fight against Ebola, which will consist of all national and international partners.
􀂃 The outbreak of Ebola haemorrhagic fever was officially declared on 17 August, the Congolese Minister of Health. Since then, two emergency committees have been set up in Kinshasa and Kisangani to respond to the crisis with the support of the humanitarian community. Although occurring at the same time, it should be noted that the epidemic of Isiro has no connection with that of Uganda. They have different strains. Strain Budibudiyo Isiro and that called for Sudan to Uganda.

Cholera outbreak
􀂃 A meeting on cholera, held August 21 in Bunia by the actors in the health sector, has identified a upsurge in cases (although the mortality rate is low) in the region of Tchomia (Ituri District) while the situation had stabilized after many interventions of partners in medical care, education, as well as in the field of water and sanitation. The area of ​​health Koga (Health Zone Gety) has reported nine cases including one death. Based on the analysis of
health actors, the resurgence of cases was the consequence of a release in awareness. A this, it was recommended to cluster water and sanitation to raise awareness in Area Health Tchomia.

Malaria
􀂃 The epidemiological profile of Eastern Province is dominated by malaria: a total of 26 724 cases of malaria and 90 deaths were recorded by health authorities between 13 and 19 August, a lethality of 0.33%. The Health Zone Pawa in the Bas-Uele District alone has recorded 2092 cases of which
15 deaths or a mortality rate of 0.71%. On the other hand, the NGO M?decins Sans Fronti?res (MSF) has established the Last week, a site in the town of Nebongo (7 km Pawa) for the treatment of children suffering from this epidemic. Three doctors and 48 nurses are mobilized to care administration
patients.

Measles
􀂃 The Eastern Province has recorded 851 cases of measles, including 18 deaths between 13 and 19 August (week 33).
Health areas most affected are in the District Tshopo. This is among other areas
Health: Yahuma with 101 cases and five deaths, the ZS Yabaondo with 62 cases including two deaths, the ZS Isangi with 94 cases including one death), the ZS Yahisuli with 21 cases including two deaths, the ZS
Basoko with 75 cases including five deaths, the ZS Banalia with six cases with one death, ZS Likati with seven cases including one death, and finally, the ZS Bafwagbogbo with 31 cases including one death.

Bulletin d'Information Humanitaire

22 ao?t 2012 Province du Nord Kivu N? 29/12

Highlights
? More than 100,000 people returned while nearly 30,000 remain displaced in the other Rutshuru territory.
? Organization of recovery classes for displaced students in 22 schools in Walikale Territory.
? Alert health: a suspected case of Ebola reported by health authorities in the Territory of Beni.
...
Health Alert
? A suspected case of Ebola received August 18 General Hospital Reference O?cha in Beni Territory, is died Aug. 20. According to the medical director of the General Hospital and the Medical Officer of Health O?cha area,
The patient showed signs of diarrhea, nasal bleeding and anal. The Medical Officer of Health Zone O?cha of the information transmitted to the Provincial Division of Health so that preventive measures be implemented in the territory of Beni, bordering Uganda and the Eastern Province are already affected by this epidemic. Beni District Health has developed a first draft of the plan
contingency and a meeting with humanitarian partners is expected in the coming days to finalizing this document. Subject to the decisions and actions taken by the Task Force set up by the National Department of Public Health, a partner has already positioned to support the health district Beni and the Congolese Red Cross activities in outreach center professionals health and population.

 

[Ronan Kelly]

Re: Democratic Republic of the Congo: Weekly Report

Re: Democratic Republic of the Congo: Weekly Report

Bulletin d'Information Humanitaire

24 ao?t 2012 Province de l?Equateur N? 33/12
...

Health

Warning: As of 19 August, the number of cholera cases has declined slightly, from 44 with a death to 39 without death during week 33 (total: 2,555 cases and 132 deaths). This decline for several weeks is the result of humanitarian interventions on the ground.
Warning: From August 13 to 19, 245 cases including 15 deaths from measles were recorded, with a case fatality rate of 2.9%. The ZS most affected are: Yalifafu (71 cases, including eight deaths) and Bumba (68 cases with zero deaths). Bringing the number to 3,699 cases with 114 deaths from measles with a mortality rate of 3 1%. ZS 51 of the 69 that make up the province are affected b y the epidemic ZS 74% of Ecuador. ZS Yambuku alone records 1617 cases or 46% of all cases in the province. According to the World Health Organization (WHO), currently the measles outbreak is confirmed by the laboratory only 17 ZS. Preparations for the vaccination response quality are underway in six health zones, with funding from WHO and UNICEF. These are ZS Binga Budjala, Lisala, Makanza, and Ntondo Pimu. WHO recommends strengthening surveillance, case management, organizing committees of struggle and strengthen routine immunization.

Warning: ZS Budjala (8 cases with zero deaths) and Bwamanda (9 cases with one death) recorded the highest number of suspected cases of meningitis. In total, the province has reported 1,324 cases with 163 deaths with suspected meningitis case fatality of 12.3%. Confirmation of these cases is essential to better guide the management and control. WHO is in the process of equipping the province reagent kits for the first tests.

Nutrition
Warning: According to the Diocesan Office of medical works (BDOM) awareness campaign on nutrition from June 1 to July 31 2319 enumerated severely malnourished children in the Health Zone Basankusu. This figure is an underestimate because some parents prefer to bring their children in for pastoralists.
...

 

[Ronan Kelly]

Re: Democratic Republic of the Congo: Weekly Report

Re: Democratic Republic of the Congo: Weekly Report

Disaster Preparedness & Response Update Situation Report in the DR CONGO
Edition du 02 septembre 2012
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HEALTH STATUS
▫ Epidemic Fever Ebola (FHVE) Isiro, Sanitary District of Haut-Uele (570 km
north-east of Kisangani, Chief town of the Eastern Province). As of 1 September 2012, a total of 30 cases was
which recorded six probable 17 suspects, with 14 deaths (CFR: 46.6%), while 169 subjects contacts remain
under surveillance. It should be noted that seven cases were confi rmed positive Ebola Bundibugyo strain by the
laboratory;
▫ The data confi rm that the epicenter of the epidemic is Isiro, with a secondary focus in Viadana (75 km south-west
Isiro;
▫ WHO and other partners (MSF, CDC-Atlanta, UNICEF etc.). Provide technical support, logistics and fi nancial
the Government of the DRC in the management and control of the fi ?vre highly contagious viral haemorrhagic;
▫ WHO and UNICEF launched a joint appeal for $ 1.9 million dollars to support action
taken to control the epidemic;
▫ The Minister of Public Health and the WHO Representative visited from 23 to 27 August 2012 Isiro, Viadana and more
other areas of health Haut-Uele and Bas-Uele registered with alerts or suspicions of FHVE.

OTHER CURRENT EPIDEMIC IN THE COUNTRY

CHOLERA
From the 1st to the 34th epidemiological week, the DRC has already recorded a cumulative total of 22,792 cases with 512 deaths
(case fatality rate: 2%). distribution of cases by province is presented in the following manner: i) Bandundu: 1167 cases with 19
deaths (case fatality rate: 2%), ii) Bas-Congo: 1,210 cases with 19 deaths (case fatality rate: 2%), iii) Ecuador: 2454 cases with 122
deaths (case fatality rate: 5%), iv) Kinshasa (Province-City): 888 cases with 19 deaths (case fatality rate: 2%), v) Province Orientale
(Kisangani & Ituri): 5425 cases with 205 deaths (CFR: 3.7%) v) Katanga: 2954 cases with 66 deaths (CFR:
2%) vi) North Kivu: 5,144 cases with 42 deaths (CFR: 1%) vii) South-Kivu: 3,550 cases with 20 deaths (CFR: 1%).
▫ Since the beginning of the year, WHO is working closely with other partners to strengthen
epidemiological surveillance and emergency supplies needed (cholera kits, kits basics) for the sick;
▫ communities are constantly aware to protect themselves from cholera respecting the safety rules
food and individual and collective hygiene. However, it should be noted that the absence of large investments in
the drinking water supply and sanitation, the chances of controlling the cholera epidemic so
sustainable are required.

● MEASLES
From the 1st to the 34th epidemiological week, 34,192 cases including 905 deaths (CFR 2.6%) have been notified in 85 areas
health (ZS) epidemic across the country.

...

 

[Ronan Kelly]

Re: Democratic Republic of the Congo: Weekly Report

Re: Democratic Republic of the Congo: Weekly Report

Bulletin d'Information Humanitaire
Le 11/sept./2012 Province Orientale N° 34/12

...
general context
�� The International Coordinating Committee of Scientific and Technical fight against hemorrhagic fever virus
Ebola has reported a total of 28 cases (eight confirmed cases, six probable cases and 14 suspected cases of fever
Ebola), including 15 deaths (case fatality 53.6%), between 18 May and 9 September, Isiro and Viadana (District
Upper Uele).
�� The Provincial Health Division of Ituri has developed a plan to prevent the entry of Ebola in the
district from the epidemic outbreak declared in July 2012 in Uganda (Kibaale) and the Haut-Uele (Isiro)
DRC. This contingency plan, amounted to U.S. $ 621 000 environment is assigned as
overall objective to help control the spread of the virus in 36 health zones (HZ) in Ituri. A
as specific objectives it has set itself the task to coordinate the response to the threat
of fever in Ituri intensify hygiene measures and monitoring in the eight crossings
with Uganda (Aru, Mahagi, Tchomia and Kasenyi Ariwara, Mahagi Port, Bunia, Kengezi Base) and seven
adjacent areas of Haut-Uele (Niania, Mambasa, Damascus, Mongbwalu, Adi, and Laybo Biringi) educate
population health risk areas and travelers on the adoption of behaviors, attitudes and
safer practices against the factors favoring the occurrence and spread of the epidemic;
health facilities to supply areas of health risk sampling kits, kits basics
Ebola, and finally prepare posters in health facilities for the investigation and management
Medical all suspicious persons.

...

11 septembre 2012
Province du Nord Kivu
N° 32/12

...

Water and sanitation and health
 According to the cluster water and sanitation, 5701 cases of cholera have been reported from the S1 to S35 (1
January to September 2) in the province of North Kivu. The areas most affected are health Bujovu,
Kanyaruchinya, Kiziba and Majengo. Response to humanitarian partners continue Kanyaruchinya.
Solidarités International has completed construction of 211 latrines and showers, Oxfam has built-BG
200 latrines, NEC has built 48 latrines and World Vision International (WVI) built 300 latrines and 90 showers.
He needs a strong involvement Regideso, including the site of Kibati - Kanyaruchinya. doctors
Sans Frontières (MSF) cholera treatment continues at its processing center
cholera (CTC). This NGO has reported 1,007 cases with three deaths since July 30, the start date
intervention. The trend is down with seven to eight new cases per day.
 Estimated at approximately 1000 households, the population of the town of Kanyatsi / Masamo in Beni Territory,
consumes water unfit River Semuliki. This area has grown to a population following
the previous relocation of the inhabitants of Virunga National Park by the Congolese Institute for the
Conservation of Nature (ICCN). It was recommended to the NGO CEPROSSAN to an inventory of
this area.
...

 

[Ronan Kelly]

Re: Democratic Republic of the Congo: Weekly Report

Re: Democratic Republic of the Congo: Weekly Report

Bulletin d'Information Humanitaire
Province de l?Equateur 03 octobre 2012 N? 39/12
...
Health
? The province of Ecuador continues to report cases of cholera in the areas of health affected by the epidemic. Since the beginning of 2012 until the end of September, Ecuador has recorded 2869 cases including 162 deaths, a mortality rate of 5.7%. 27 Health Zones are affected by cholera among which the most affected by the epidemic are Makanza (845 cases, including 37 deaths) Wangata (405 cases, 11 deaths), Binga (242/20) Lilanga-Bobangi (237 / 10), Lukolela (162/5) and Lolanga Mampoko (136 cases, 4 deaths). Humanitarian activities on land that helped stabilize mortality require continuation with a focus towards quality. The World Health Organization (WHO) has put at the disposal of ZS tests rapid diagnosis of cholera in order to better manage the result of the current epidemic, while continuing to ensure the delivery samples in the lab INRB.
? At the end of September 2012, Ecuador has reported 5343 cases including 154 deaths from measles in 55 ZS, a lethality of 2.9%. The measles epidemic has now been confirmed in 20 health zones including only seven have received the vaccination response six areas (from 11 to 15 September 2012). This response funded by WHO and UNICEF helped immunize 485 443 children aged 6 months to 14 years against measles epidemic. The remaining 13 health zones benefit from a strengthening of epidemiological surveillance and support cases, donation to UNICEF.
...
Alert
? From 27 to 29 September 2012, heavy rains fell on the city of Gbadolite District North Ubangi, causing floods with several consequences on the ground. 300 homes collapsed, 327 households, and three people died. Add to this the destruction of several water wells and fields According to the Red Cross Gbadolite who shared information, these figures likely to increase in the coming days. The most affected areas are Gbayele and Taba Congo. The living conditions are deplorable lack of food and drinking water. The CR fears
the floods may have other health implications (resurgence of diseases
water). Humanitarians are being organized to provide, within a short time, a response urgent.

 

[Ronan Kelly]

Re: Democratic Republic of the Congo: Weekly Report

Re: Democratic Republic of the Congo: Weekly Report

RAPPORT DE SITUATION HUMANITAIRE SUR LA REPUBLIQUE DEMOCRATIQUE DU CONGO
9 novembre 2012
http://reliefweb.int/sites/reliefweb.int/files/resources/Rapport Complet_46.pdf
...


Eastern Province

Health
Warning: From 29 October to 4 November (week 43), 269 cases of measles and 17 deaths were recorded: 180 cases with 8 deaths in the area of ​​health Yahuma (CFR 10%), 64 cases with 4 deaths in Health Zone Basoko (CFR 6%) and 25 cases with 5 deaths (CFR 20%) in the area of ​​health Opienge (Bafwasende Territory). No stakeholder is positioned so far to support. MSF works in the Bas-Uele to assess the situation of the 250 cases and 8 deaths reported during the same period.
Warning: The suspected case of yellow fever - three cases and one death - have been reported in the area of ​​health Bafwagbobo in Bafwasende Territory (District Tshopo) during week 43. Other cases - 32 including one death - have been reported in the area of ​​health Buta, Bas-Uele in the 19 to 29 October. No levy or no support were made.
...
Katanga
...
Health and water and sanitation
Answer: For three months, REGIDESO Moba can not cover its drinking water supply to all areas of Moba, which contributed significantly to the propensity of the cholera epidemic in the area of ​​health. In addition to the lack of water REGIDESO also adds low awareness retissant consumption of chlorinated water. Epidemiological week of the 37th to the 43rd, the health zone of Moba to 92 reported cholera cases including 1 death. UNICEF and WHO have quickly established a humanitarian response. MONUSCO helped carry urgently first batch (120 liters) of Ringer Lactate from UNICEF on Moba. Amount that was quickly consumed. UNICEF has made available chlorine and 560 liters of Ringer's lactate and 25 cartons of ORS 1000 (ie a total of 25,000 bags). WHO has provided transportation of these inputs on Moba.
...

 

[Ronan Kelly]

Re: Democratic Republic of the Congo: Weekly Report

Re: Democratic Republic of the Congo: Weekly Report

machine translated;
Humanitarian situation in the Democratic Republic of Congo
Briefing to the press, Jan. 30, 2013

For a five-year fight against the cholera epidemic has killed more than 52 000 cases in two years

More than 52,400 cases of cholera 1293 deaths were reported in nine of the eleven provinces of
DRC past two years, according to experts in the fight against cholera, which met the
January 23 and 24 under the auspices of the World Health Organization (WHO) and the Ministry of Health. In
2012, 30 753 cases of cholera with 709 deaths have been registered against 21 700 in 2011, including 584 deaths.
According to experts, the cholera response has been more effective in epidemic areas of western
where there has been the decline in cases and mortality. In endemic areas the epidemic is
by cons, the number of cases has increased by more than 68%, from about 14,000 in 2011 to 23,578 in
, 2012. This increase is the result of the outbreak in Ituri - ranging from 639 to 5024 a
year to the next - and the deteriorating security conditions in endemic areas.
For better control of the epidemic and improve the response to cholera in the years come, the workshop recommended, among other things, strengthening the in-hospital hygiene, flexibility
funding, strengthening the epidemiological surveillance and communication system, the
creation of an emergency fund cholera and systematic funding contingency plans
provincial and standardization of cholera treatment centers.
Participants emphasized the importance of recognizing the cholera as a major health risk
public and the need to develop long-term solutions. And a five year plan 2013 -
2018 for the elimination of cholera is being developed to mobilize more funding
development, especially in endemic areas of the east, where insecurity is a major challenge in
battle.
Past two years, only the two Kasai provinces have been affected by the epidemic
cholera. Limited access to safe drinking water, especially in rural areas, gaps in practice
hygiene and dysfunction of the health system are among the major causes of
Persistence of cholera in the country.

Measles persists in Eastern Province with 400 cases including 10 deaths in a week
After a period of relative calm, the Bas-Uele districts and Tshopo recorded
outbreak of measles in the week of January 24 to 27 with about 400 cases reported in which
a dozen deaths. The Health Zone in Yahuma Tshopo is the most affected with 196 cases
including four deaths, followed by Health Zone Basoko with 83 cases including two deaths.
In 2012, the DRC has reported about 73,794 cases of measles with 2023 deaths. The disease occurs in
several Congolese provinces, particularly in the eastern part where insecurity linked to conflict
armed not allow the normal vaccination campaigns. In response to last
developments of the epidemic, vaccination campaigns for children aged six months to 14 years are
ongoing since November 2012 in a fifty health zones particularly affected.
WFP has distributed food to more than 100,000 people in Goma and its surroundings

...

 

[Ronan Kelly]

Re: Democratic Republic of the Congo: Weekly Report

Re: Democratic Republic of the Congo: Weekly Report

Humanitarian Action in the Democratic Republic of the Congo (DRC)
Weekly Bulletin, 14 June 2013
Produced with the support of the Humanitarian Information Group (HIG)
http://reliefweb.int/sites/reliefwe...Humanitarian Action in the DRC 14June2013.pdf
...
Health
Province Orientale: 60 deaths due to infant tetanus in five months
According to the World Health Organization (WHO), 60 new-borns have died of neonatal tetanus (NNT) out of 112
cases registered in the impoverished north-eastern DRC province between January and May 2013, a 53% death
rate. In some health zones such as Lowa, Niangara Niania, Poko and Yahisuli, all infected infants have died,
making NNT a worrying health issue. WHO believes poor delivery conditions in health facilities, especially in terms
of hygiene, are the cause of this calamity and calls for more humanitarian interventions to prevent future deaths.
Over 79,000 malaria cases in 3 weeks?
From 27 May to 2 June, the province recorded 22,151 malaria cases of which 46 deaths against 27,082 of which 55
deaths the previous week, and more than 30,000 of which 81 deaths the week before. Other cases of potentially
epidemic diseases such us meningitis and cholera continue to be reported throughout the province.

Health statistics in Province Orientale give cause for concern and are an indication of the decay of the health
system. Although humanitarian actors continue to provide support to health institutions, stronger and more
sustainable interventions are necessary to rebuild the entire health sector.
...

Yellow fever in the Democratic Republic of Congo

14 JUNE 2013 - The Ministry of Health of the Democratic Republic of Congo (DRC) is launching an emergency mass vaccination campaign against yellow fever from 20 June 2013, following laboratory confirmation of six cases in the country on 6 June 2013.

The six laboratory-confirmed cases were reported from 3 health zones: Lubao (4 cases), Kamana (1 case) and Ludimbi-Lukula (1 case). They were identified through the national surveillance programme for yellow fever. The laboratory confirmation was done by the Institute Pasteur in Dakar, Senegal, a WHO regional reference laboratory for yellow fever.

Preliminary outbreak investigation revealed that the index case is a 16-year-old boy from Kisengua village in the Lubao Health Zone who became ill on 1 March 2013. The outbreak investigation team has also identified 51 suspected cases including 19 deaths, in the three health zones. Serum samples have been taken from 13 patients and are being analyzed in the Institute National of Biomedical Research (INRB).

The mass vaccination campaign aims to cover at least 503,426 people in the three affected health zones.

The International Coordinating Group on Yellow Fever Vaccine Provision (YF-ICG11) will provide 559,000 doses of yellow fever vaccine for the mass vaccination campaign run by the Ministry of Health in DRC, with support from the GAVI Alliance, Medicins Sans Frontiers and other partners. WHO is closely supporting the management of the outbreak in monitoring, preventive and control activities in the field, and resource mobilization.

1 The YF-ICG is a partnership that manages the stockpile of yellow fever vaccines for emergency response on the basis of a rotation fund. It is represented by United Nations Children's Fund (UNICEF), M?decins Sans Fronti?res (MSF), the International Federation of Red Cross and Red Crescent Societies (IFRC) and WHO, which also serves as the Secretariat. The stockpile is supported by the GAVI Alliance.
http://www.who.int/csr/don/2013_06_14_yellowfever/en/index.html

 

[Ronan Kelly]

Re: Democratic Republic of the Congo: Weekly Report

Re: Democratic Republic of the Congo: Weekly Report

UNICEF Democratic Republic of the Congo ? MONTHLY SITUATION REPORT
20 May- 20 June 2013
http://reliefweb.int/sites/reliefwe...CEF DRC Monthly Sitrep 20 May-20 Jun 2013.pdf
...
 The government has declared a yellow fever epidemic based on outbreaks in three health zones in Kasa? Oriental province after laboratory confirmation of six cases. Since the start of the epidemic, 54 suspected cases have been reported with a mortality rate of 31.4% (17 deaths); vaccines have been received in country for a UNICEF-supported campaign to target over 500,000 people in the three affected health zones of Lubao, Kamana, and Ludimbi-Lukula. UNICEF and WHO also received a 4MUS$ CERF contribution to fight measles epidemics through measles follow up campaigns in Equateur, Province Orientale, North and South Kivu.
...

Health
North Kivu
 Merlin continues to use RRMP mobile clinics to treat IDPs, returnees and the most vulnerable. From May 13th to June 12th, it gave care to 2856
patients in various locations in the Upper North and 2,029 patients were treated in the Rutshuru axis.
 From January 1st to June 8th, 2,477 cholera cases and 351 measles cases were treated by cholera and measles kits provided by UNICEF to the Provincial Health authorities.

Maniema
 From April 8th to May 31st, Merlin mobile clinic treated 7,463 patients including 1,814 displaced and 2,012 returnees. The project also gave care to 355 cases of severe acute malnutrition.
 The provincial health division with UNICEF support is in preparation for the universal LLIN campaign in 18 health zones.

South Kivu
 From week 1 to week 22, 494 cases and 13 deaths from measles were recorded. UNICEF has provided treatment kits while WHO continues to support surveillance. DRC institute of biological research (INRB) confirmed Kalole was in epidemic, and response is being prepared.
 A Unicef assessment mission is currently ongoing in South Kivu to expand the RRMP/health project to the province.

Province Orientale
? 19,793 measles cases were recorded across the province including 268 deaths from week 1 to week 22. UNICEF continues to supply the provincial health division (DPS) and local partners with treatment kits. An immunization campaign against measles targeting children aged 6 months-10 years is being prepared for September 2013.
? Cholera: From week 1 to week 22, the province reported 795 cases and 32 deaths a mortality rate of 4% mainly in the district of Ituri. Unicef prepositioned 4000 liters of Ringer lactate and ORS for response.

Katanga
 2 cholera kits were provided to partner Hope in Action to ensure treatment of cholera cases in 6 health zones of Pweto Center and the Kilwa health zone.
 500 litres of Ringer Lactate and ORS sachets were provided to the Tanganyika health district.
 6 solar refrigerators were installed in Tanganyika district (2 in Kabalo, 3 in Ankoro, and 1 in Kalemie) to strengthen the cold chain.

Equateur
 An emergency cholera response is being prepared for the Makanza health zone.

Bandundu
 200 liters of Ringer Lactate were provided to the Mushie and Kwamouth health zones.

Kasai Occidental
 UNICEF provided 2 measles kits to MDM Belgique for treatment of Congolese returnees from Angola in Kamako, Lubami, Tshitambeji et Kabungu, and provided 600 liters of petrol to ensure cold chain functioning in the Kamonia health zone.
 Since 17 June the routine vaccination coverage has been enlarged to cover measles vaccincations for children 6-23 months in the health zones receiving Congolese returnees from Angola (Nsumbula, Kamako I and II, Mayanda, Lubami, Kabuakala and Kabungu).
...

 

[Ronan Kelly]

Re: Democratic Republic of the Congo: Weekly Report

Re: Democratic Republic of the Congo: Weekly Report

Bulletin d'Information Humanitaire
Le 10/7/13 Province Orientale N? 27/13
http://reliefweb.int/sites/reliefweb.int/files/resources/Weekly PO 07 du 02 au 08 VF.pdf
...
Gaps / early Alerts
epidemiological situation
􀂃 The epidemiological situation of June 24 to 30 is still worrying. It was noted outbreaks
cases of epidemic-prone diseases with several deaths in the province. The Ministry of
Public Health and its partners plan to provide answers to these pathologies. the
province is frequently face stock-outs of medicines and health inputs as well as
insufficient funding. Health facilities are very advanced state of disrepair, sous?quip?es
and compared to the deficit of skilled health personnel. In short, the health indicators
Eastern Province are alarming and there are still humanitarian needs to be covered in the sector
health.
􀂃 Malaria caused 62 deaths over 25 458 registered cases, a fatality of 0.24%. The Health Zone
(ZS) Pawa Isiro (Haut-Uele) recorded the largest number of cases (1123 cases, including two deaths).
􀂃 Two hundred sixty-two cases of measles, including three deaths (a mortality rate of 1.14%) were reported. the
areas of health and Nizi Isiro (Ituri) reported more cases, 52 cases with one death for the first and 54
cases with one death for the second.
􀂃 90 cases of meningitis reported in the province, including six deaths, a mortality rate of 6.7%. ZS Buta (Lower
Uele) reported 60 cases, including two deaths.
􀂃 Neonatal tetanus: 13 cases, including eight deaths were reported, representing a case fatality of 68%. The peak was observed
ZS in Adi and Opala who reported two cases and two deaths each. Since the beginning of the year
until 26 May, 60 [sic] cases were reported, including 112[sic] deaths, a mortality rate of 53%.
...

 

[Ronan Kelly]

Re: Democratic Republic of the Congo: Weekly Report

Re: Democratic Republic of the Congo: Weekly Report

Bulletin d'Information Humanitaire
Le 16/7/13 Province Orientale N? 28/13
http://reliefweb.int/sites/reliefweb.int/files/resources/OCHARDC - PO - Rapport Hebdo - 130716.pdf

Health
? According to the committee report epidemiological surveillance of 1 to 7 July 2013 (Week 27) of 435
patients seen in consultation by Medecins Sans Frontieres (MSF) in the area of health Lobolo in
Territory Yahuma, 420 tested positive for malaria, three died from
anemia and 12 cases complicated. The lack of environmental sanitation and malaria products
is the main cause. A team of emergency MSF from Kinshasa is on
land for a period of four weeks to organize the care of patients. actors
expressed the need for increased sensitization on hygiene measures and refuel
antimalarial products.

? A case of suspected viral haemorrhagic fever Ebola was reported in week 26 (24 to 30
June) in the area of health Watsa, Haut Uele District. Another suspect was killed in the area
Health Dilolo (40 Km Watsa) at the end of June. People who have been in contact with the
deceased patient are monitored for two weeks without any signs of disease. The exercise will
continue for 21 days before the interested are discharged. The results of
sampling conducted by MSF and sent to the National Institute of Biochemical Research (INRB) to
Kinshasa are expected. No cases of Ebola had never been reported. As against an epidemic
similar Marburg guy had 67 fatalities in 2001 in the same area.
...

 

[Ronan Kelly]

Re: Democratic Republic of the Congo: Health Updates - suspected ebola outbreak

Re: Democratic Republic of the Congo: Health Updates - suspected ebola outbreak

Bulletin d'Information Humanitaire
Le 23/7/13 Province Orientale N? 29/13
...
Health
? 23,646 malaria cases with 101 deaths have been reported through the medical facilities in the
Eastern Province July 8 to 14. According to the World Health Organization (WHO), the peak was
observed in the area of ​​health Yahuma which reported 1047 cases with 67 deaths a lethality of 5.7%.
Children less than 12 months are the main victims with the added complication of anemia
dehydration. A team of Doctors Without Borders (MSF) is on the scene to support
cases.
? From January 2013 to date, 700,273 malaria cases with 1,665 deaths were recorded, according to WHO.
The picture remains bleak for other diseases in the same period. 22 067 cases of
measles with 302 deaths, 1,563 cases of meningitis with 101 deaths, 853 cases of cholera with 32 deaths and
157 cases of neonatal tetanus with 81 deaths were reported through the medical facilities in the
Eastern Province. For neonatal tetanus, WHO recommends awareness for a good grip
case management of pregnancy and childbirth quality conditions in addition to vaccination
in areas where cases have been registered.
...
http://reliefweb.int/sites/reliefweb.int/files/resources/OCHARDC - PO - Rapport Hebdo - 130723.pdf