DR Congo - Ebola outbreak confirmed May 2018 (May - July 25, 2018)

Pathfinder · May 24, 2018

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

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Translation Google

NEWS

DRC: False alert on a suspected case of Ebola in Kinshasa

Dated
May 23, 2018

The health ministry denies rumors circulating in the opinion about the presence of an alleged suspected case of Ebola virus in the Kinshasa General Hospital.

"After clinical and epidemiological investigations at the Kinshasa Reference General Hospital (formerly Mama Yemo), the patient from Brazzaville, intercepted at Ngobila Beach, had jaundice unrelated to the Ebola virus disease," a statement from ministry released this Wednesday, May 23, 2018.

The epidemic remains circumscribed in the province of Equateur where two patients who escaped on Monday from Wangata General Hospital in Mbandaka were found dead yesterday. The secure burial was provided by the Red Cross in the presence of MSF. Another who escaped Saturday was found the day before yesterday at the market.

Patrick Maki

https://actualite.cd/2018/05/23/rdc-fausse-alerte-sur-un-cas-suspect-debola-a-kinshasa/

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DRC-Ebola: WHO reassures about the effectiveness of surveillance measures in Kinshasa

Dated
May 24, 2018

The National Representative of the World Health Organization (WHO), Dr. Allangar Yokouind?, said that the arrangements made for the prevention of Ebola haemorrhagic virus in Kinshasa are effective.

He recalled that the teams were deployed to the port of Kinshasa to ensure the health control of people arriving by boat from Bikoro and Mbandaka (Ecuador), areas affected by the epidemic. Dr. Allangar Yokouind? also reported that steps have been taken to train the heads of all Kinshasa hospitals and health centers for the necessary investigations.

"Since the epidemic began in Equateur province, arrangements have been made in Kinshasa. Between Mbandaka and Kinshasa, between Bikoro and Kinshasa, there are waterways. Provisions have been made since then to ensure that people who arrive by boat, teams are at the level of ports to be able to carry out health checks systematically. The second measure that has been taken is at the level of health facilities here in Kinshasa. The heads of all Kinshasa hospitals and health centers have been grouped together to be sensitized so that there is some kind of alert, "said Dr. Allangar Yokouind?, WHO Country Representative on the sidelines of the meeting. MONUSCO press conference on Wednesday.

Regarding allegations of a case of the Ebola outbreak reported to the Kinshasa Reference General Hospital, Ex-Mama Yemo, Dr. Allangar Yokouind? reassured that this is an alert.

"The case of Mama Yemo is not a suspicious case, it is an alert. That's what to say. And when there are alerts like that, there are teams set up and as soon as the alert reaches them, the team deploys directly to the place to do the investigation, "he reassured.

On Wednesday, the health ministry called "false alarm" rumors circulating in the opinion of the presence of an alleged suspected case of Ebola virus in Kinshasa General Hospital.

Auguy Mudiayi

https://actualite.cd/2018/05/24/rdc...acite-des-mesures-de-surveillance-a-kinshasa/

Pathfinder · May 24, 2018

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[TD="class: mcnTextContent"]ECHOS EBOLA RDC 2018[/TD]
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[TD="class: mcnTextContent"]EPIDEMIOLOGICAL SITUATION
Thursday, May 24, 2018

The epidemiological situation of the Ebola Virus Disease dated May 23, 2018 :

A total of 52 cases of haemorrhagic fever were reported in the region, of which 31 confirmed, 13 probable and 8 suspected .
3 new suspected cases, including 2 in Bikoro, 1 in Iboko.
1 new case confirmed to Iboko.
1 confirmed case death in Bikoro.
7 negative tests, including 5 in Wangata and 2 in Bikoro.
Samples were finally collected on the community death in Bikoro reported in our bulletin of Wednesday, May 23, 2018. The laboratory tests were negative. The case was thus removed from the table.

Remarks

Negative tests are systematically removed from the summary table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation.

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Red Cross volunteers in Bikoro

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Shiloh · May 24, 2018

Source: http://www.who.int/csr/don/23-may-2018-ebola-drc/en/
[h=1]Ebola virus disease ? Democratic Republic of the Congo[/h] Disease outbreak news
23 May 2018

On 8 May 2018, the Ministry of Health (MoH) of the Democratic Republic of the Congo declared an outbreak of Ebola virus disease (EVD). This is the ninth outbreak of Ebola virus disease over the last four decades in the country, with the most recent outbreak occurring in May 2017 (Figure 1). Additional information on this outbreak is available from situation reports in the links below.
Since the last Disease Outbreak News on 17 May 2018, an additional fourteen cases with four deaths have been reported. On 21 May 2018, eight new suspected cases were reported, including six cases in Iboko Health Zone and two cases in Wangata Health Zone. On 20 May, seven cases (reported previously) in Iboko Health Zone have been confirmed. Recently available information has enabled the classification of some cases to be updated[SUP]1[/SUP].
As of 21 May 2018, a cumulative total of 58 Ebola virus disease (EVD) cases, including 27 deaths (case fatality rate = 47%), have been reported from three health zones in Equateur Province. The total includes 28 confirmed, 21 probable and 9 suspected cases from the three health zones: Bikoro (n=29; ten confirmed and 19 probable), Iboko (n=22; fourteen confirmed, two probable and six suspected cases) and Wangata (n=7; four confirmed and three suspected case). Of the four confirmed cases in Wangata, two have an epidemiological link with a probable case in Bikoro from April 2018. As of 21 May, over 600 contacts have been identified and are being followed-up and monitored field investigations are ongoing to determine the index case. Three health care workers were among the 58 cases reported. Figure 2 shows the geographic location of cases by health zone, as of 21 May 2018.
Figure 1: Past Ebola virus disease outbreaks in the Democratic Republic of the Congo, 1976 through 2018.

Figure 2: Geographical distribution of Ebola virus disease cases by health zone, Equateur Province, Democratic Republic of the Congo, 21 May 2018.

[h=3]Public health response[/h] The Ministry of Health is leading the response in affected health zones with the support of WHO and partners. Priorities include the strengthening of surveillance and contract tracing, laboratory capacity, infection prevention and control, case management, community engagement, safe and dignified burials, response coordination, and vaccination.

WHO is working with the Ministry of Health, Gavi, the Vaccine Alliance, M?decins Sans Fronti?res (MSF), UNICEF and other partners, including the Ministry of Health of Guinea, to conduct vaccination against Ebola for people at high risk of infection in affected health zones.
On 21 May 2018, ring vaccination started along with vaccination of health workers in Mbandaka (WHO) and Bikoro (MSF). Merck has provided WHO with 8 640 doses of the rVSVΔG-ZEBOV vaccine of which 7 540 doses are available in the Democratic Republic of the Congo (approximately enough for 50 rings of 150 people). An additional 8 000 doses will be available in the coming days.
WHO continues to strengthen surveillance and contract tracing activities. The Early Warning Alert and Response (EWAR) System was deployed to Wangata to improve the collection and management of information cases and contacts.
Staff in health facilities in Wangata and Bikoro continue to be trained to use EWARS and enhance surveillance activities. A hotline was re-established to assist the detection of new cases, and an alert system was setup with MSF in Wangata. Rapid Response Teams (RRT) and ?relais communautaires? have been trained and activated to investigate new cases and conduct contract tracing.
WHO continues to coordinate with the UN Humanitarian Air Service (UNHAS) for daily air transport between Mbandaka and Bikoro. In Iboko, an airstrip has been cleared for helicopters to land.
Case management and infection, prevention and control activities continue to be scaled up with the establishment, stocking and staffing of Ebola Treatment Units (ETUs) within affected areas. MSF-Belgium continues support case management within the Bikoro Reference Hospital. WHO is coordinating with clinical teams (EMTs) to be on standby should further ETUs be required, and to mobilize four teams to support triage, IPC and maintenance of essential health services for the population at the major health facilities in Mbandaka, as well as a team to support a safe ambulance referral system for patients.
WHO, UNICEF and partners are supporting the Ministry of Health to raise awareness and engage affected communities to promote the early identification of signs and symptoms of EVD, seek prompt treatment, and practice safe and dignified burials. Risk communication activities are continuing in the affected areas and Kinshasa.
As of 21 May, WHO has deploymed 123 personnel. WHO is working with the Global Outbreak Alert and Response Network (GOARN) partners and technical networks, including the Emerging Diseases Clinical Assessment and Response Network (EDCARN) and the WHO Emerging and Dangerous Pathogen Laboratory Network (EDPLN) to coordinate response planning and technical support, and to deploy additional technical support. As of 21 May, 15 exerts from GOARN partners are being deployments to strengthen field teams.
Preparation Support Teams (PST) missions are underway in several priority countries in the region to enhance preparedness and readiness in the event of further spread.

[h=3]WHO risk assessment[/h] Information about the extent of the outbreak is still limited and investigations are ongoing. The confirmed case in Mbandaka, a large urban centre located on major national and international rivers, roads and domestic air routes, increases the risk of spread within the Democratic Republic of the Congo and to neighbouring countries. WHO has, therefore, revised the assessment of public health risk to very high at the national level and high at the regional level. Nine neighbouring countries, including Congo-Brazzaville and Central African Republic, have been advised that they are at high risk of spread, and preparedness activities are being undertaken. At the global level the risk currently remains low. This risk assessment is continuously being review as further information becomes available.
Based on the current situation and information available, the WHO Director-General convened an Emergency Committee under the International Health Regulations (IHR) (2005) on Friday 18 May to provide advice on whether the current outbreak constitutes a public heath event of international concern[SUP]2[/SUP]. It was the view of the Committee that the conditions for a Public Health Emergency of International Concern have not currently been met.
[h=3]WHO advice[/h] In light of the advice of the Emergency Committee, WHO continues to advise against the application of any travel or trade restrictions. WHO continues to monitor travel and trade measures in relation to this event, and currently there are no restrictions on international traffic in place.
The Emergency Committee while noting that the conditions for a PHEIC are not currently met, issued the following Public Health Advice:

Government of the Democratic Republic of the Congo, WHO, and partners remain engaged in a vigorous response ? without this, the situation is likely to deteriorate significantly. This response should be supported by the entire international community.
Global solidarity among the scientific community is critical and international data should be shared freely and regularly.
It is particularly important there should be no international travel or trade restrictions.
Neighbouring countries should strengthen preparedness and surveillance.
During the response, safety and security of staff should be ensured, and protection of responders and national and international staff should prioritised.
Exit screening, including at airports and ports on the Congo river, is considered to be of great importance; however entry screening, particularly in distant airports, is not considered to be of any public health or cost-benefit value.
Robust risk communication (with real-time data), social mobilisation, and community engagement are needed for a well-coordinated response and so that those affected understand what protection measures are being recommended.
If the outbreak expands significantly, or if there is international spread, the Emergency Committee will be reconvened.

For more information on Ebola virus disease, please see the link below:

[SUP]1[/SUP] The total number of cases is subject to change due to ongoing reclassification, retrospective investigation, and availability of laboratory results. Data reported in the Disease Outbreak News are official information reported by the Ministry of Health.
[SUP]2[/SUP] ?Public health emergency of international concern? means an extraordinary event which is determined, as provided in these Regulations: (i) to constitute a public health risk to other States through the international spread of disease and (ii) to potentially require a coordinated international response?. International Health Regulations (2005).

blacknail · May 24, 2018

Last week, there was a suspected case of Ebola in Esesenge, Haut-Uele province, near Faradje. There have been no updates so is it safe to assume this was negative?

Pathfinder · May 25, 2018

blacknail said:
Last week, there was a suspected case of Ebola in Esesenge, Haut-Uele province, near Faradje. There have been no updates so is it safe to assume this was negative?

Negative according to this media report:

Translation Google

Watsa / Health: KGM sensitizes community against Ebola, strengthens surveillance devices and preaches handwashing

Ebola / Kibali
Social strata of Watsa and KGM raising awareness of Ebola on Friday 25 May 2018 in Durba ? Orientalinfo.net, Heir MUNGUMIYO

The Kibali Community Center in Durba served Friday, May 25, 2018 framework for an awareness campaign against Ebola haemorrhagic fever organized by the territorial administration in collaboration with Kibali Gold Mine. The different social strata were represented, including associations of taximotos, schools, economic operators to name just a few. Some iconic figures from the area such as Felly Ututu and others also took part in this session.

The director of the Kibali Hospital Center, in his presentation in the presence of Gustave Dutoit, acting director of this company, indicated that the initiative aims to inform the public about the danger of this disease and the preventive measures to be observed during this period. this epidemic remains declared in the country precisely in Bikoro in Ecuador at about 1300 km from Watsa in Haut-Uele. It is also part of the general policy of Rand Gold Resources, which generally develops a proactive plan to ensure that these workers and communities living near its activities remain safe. Dr. Herman Luhovu focused on the mode of transmission of Ebola and its symptoms before inviting the population of the Watsa Health Zone to become accustomed to the good practice of hand washing and to observe other preventive measures against Ebola in particular: avoid the manipulation or consumption of bushmeat, forbid the washing of hands in common, wash fruits and vegetables well, avoid contact with infected persons and others.

Kibali has also equipped the Watsa sanitary zone with two laser thermometers alongside five chlorinated water tanks at the bus stops and at the entrance and exit of the Durba and Watsa cities to reinforce this prevention.

This initiative is greeted by the chief medical officer of Watsa Health Zone. Dr Crispin Lokutu says the country remains on alert. He invited the participants in this awareness session to share the news in the community and to respect new monitoring devices put in place.

Note that the session closed with questions and answers and a video projection on the effects of this epidemic in a region of the DRC and on cholera.

Meanwhile, it should be pointed out that the results of the samples taken from the recent suspect case of Faradje sent to the National Institute of Biomedical Research in Kinshasa turned out negative specify the doctors.

http://orientalinfo.net/05/25/watsa...e-surveillance-et-preche-le-lavage-des-mains/

Gert van der Hoek · May 26, 2018

Press Release MOH

EPIDEMIOLOGICAL SITUATION

Friday, May 25, 2018

The Epidemiological Status of Ebola Virus Disease, 24 May 2018:

* A total of 54 cases of haemorrhagic fever were reported in the region, including 35 confirmed, 13 probable and 6 suspected.
* 4 new suspected cases, including 2 in Bikoro, 1 in Iboko, 1 in Wangata.
* 4 new confirmed cases in Iboko, 1 of which died a few hours after collection.
* 2 negative test: 1 Wangata, 1 Bikoro.

Remarks

* Negative tests are systematically removed from the summary table.
* The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation.

sharon sanders · May 26, 2018

From the WHO report in post 64:

"As of 21 May 2018, a cumulative total of 58 Ebola virus disease (EVD) cases, including 27 deaths.."

Add one more death on the Friday report from the Ministry of Health from post 67, then the death count climbs to 28.

Pathfinder · May 26, 2018

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[TD="class: mcnTextContent"]ECHOS EBOLA RDC 2018[/TD]
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[TD="class: mcnTextContent"]EPIDEMIOLOGICAL SITUATION
Saturday, May 26, 2018

The epidemiological situation of the Ebola Virus Disease dated May 25, 2018 :

A total of 54 cases of haemorrhagic fever were reported in the region, including 35 confirmed, 13 probable and 6 suspected .
4 new suspicious cases (1 Ntondo, 1 Wangata, 2 Bikoro)
1 death of a confirmed case from Iboko.
4 Negatives: 3 in Bikoro, 1 in Wangata
Epidemiological analyzes have identified contacts living in nearby health areas in Bikoro and Iboko. These contacts are followed and advised to limit their movements during the entire follow-up period of 21 days.

Remarks

Negative tests are systematically removed from the summary table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation.

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News from the Ebola response

Descent of the Minister of Health in Bikoro and Iboko

Accompanied by a strong delegation composed of partners such as the representatives of WHO, UNICEF, IOM, the Minister of Health went this Saturday, May 26 in the territories of Bikoro and Iboko aboard a helicopter to be aware of the on-the-ground deployment of the entire Ebola response.

The Minister of Health also chaired a meeting with the local Ebola Committee and was able to meet one of three former confirmed cases of Ebola that recovered after treatment.

From Monday, May 28, 2018, vaccination in Bikoro will begin. The next steps will be to launch the immunization activities in Iboko after ensuring all the logistics but also to carry out the precise targeting of the beneficiaries of the vaccine, namely the front-line health personnel, the people who have been in contact with the cases. confirmed Ebola and contacts of these contacts.

Outreach officers continue their field work and remind the public that vaccination is effective only if other hygiene measures, all monitoring components, follow-up contacts are well respected.

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blacknail · May 26, 2018

Pathfinder said:
[*]4 new suspicious cases (1 Ntondo, 1 Wangata, 2 Bikoro)

Ntondo appears to be the health region directly to the South of Bikoro and Iboko. It is a remote area that likely has links to Bikoro. Suspect cases in a new zone are unnerving but the detection of the suspect case shows that the response is working.

Pathfinder · May 27, 2018

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[TD="class: mcnTextContent"]ECHOS EBOLA RDC 2018[/TD]
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[TD="class: mcnTextContent"]EPIDEMIOLOGICAL SITUATION
Sunday, May 27, 2018

The Epidemiological Status of Ebola Virus Disease on May 26, 2018 :

A total of 56 cases of haemorrhagic fever were reported in the region, including 35 confirmed, 13 probable and 8 suspected .
4 new suspected cases: 3 in Iboko and 1 in Bikoro
2 negative tests in Bikoro
No new positive case
No new deaths

Epidemiological analyzes have identified contacts living in nearby health areas in Bikoro and Iboko. These contacts are followed and advised to limit their movements during the entire follow-up period of 21 days.

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Negative tests are systematically removed from the summary table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation.

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News from the Ebola response

ASSORBIKO: Intercession Mass for Ebola Victims in Equateur Province

The Association of Bikoro Nationals, in acronym ASSORBIKO organized a Mass for the victims of Ebola, this Saturday, May 5, 2018, in the conference room of the Free University of Kinshasa.
On this occasion, the faithful and believers have implored God's mercy for a prompt healing of their brothers and sisters who are currently suffering from the Ebola epidemic in the areas of Mbandaka, Bikoro, Iboko and Itipo. They prayed the good God to welcome in his eternal bliss the dead whom the present Epidemic has occasioned.
The Secretary General of the Ministry of Health, representing the Minister of Health Oly Ilunga, invited ASSORBIKO to encourage their relatives in Ecuador to respect the hygiene measures and avoid picking up dead animals to stop the spread of the virus. He also recalled the messages on vaccination, projected in the room by the Director of National Program of Communication and Health Promotion, Raoul Kamanda.
Finally, the ceremony attended by honorable deputies, senators, the Secretary General for Health, religious and members of ASSORBIKO ended with the reading of messages of thanks and grievances from the ASSORBIKO, on the Ebola epidemic in Ecuador in Bikoro territory.

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The Provincial Minister of Gender, Women and Family, Mrs. Odile Bofua Lotafe, regularly visits the markets of Mbandaka to sensitize the salesgirls.

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Treyfish · May 28, 2018

The Expanded Program of Immunization launched this Monday, May 28 vaccination against Ebola virus disease in Bikoro in the province of Ecuador. According to Dr. Bate Ndjoloko, general director of the fight against this epidemic, the target of this vaccination remains the front-line health staff as well as the people who have been in contact with confirmed Ebola patients... "Saturday's data shows 25 deaths including 16 in Bikoro and 56 cases and we have 1034 contacts in total. All the chances are on our side so that the vaccination starts today Monday in Bikoro. :tiphat:https://www.radiookapi.net/2018/05/...a-campagne-de-vaccination-contre-ebola-bikoro

Treyfish · May 28, 2018

blacknail said:
Ntondo appears to be the health region directly to the South of Bikoro and Iboko. It is a remote area that likely has links to Bikoro. Suspect cases in a new zone are unnerving but the detection of the suspect case shows that the response is working.

Schools Close Following the Ebola Epidemic
Posted on May 27, 2018

Several schools in the locality of Iboko in Ecuador have stopped functioning as a result of the Ebola haemorrhagic fever epidemic in the region.

Several residents of this locality located about 180 kilometers southeast of Mbandaka on the border of the province of Mai-Ndombe live since Friday in psychosis following the death the same day in Bobala, 12 kilometers away, of a woman suspected of suffering from Ebola.
Since then, prevention measures recommended by the experts are scrupulously followed, report local sources: the regular washing of the hands and the prohibition of shaking hands of the thirds became fashionable in the locality.

Many residents say they are insecure and prefer to stay home to avoid being affected by this virus. In addition, the heads of several schools have preferred to suspend school activities to protect children, Radio Okapi told sources on the spot. :tiphat:https://www.lecongolais.cd/des-ecoles-fermees-a-la-suite-de-lepidemie-debola/

Treyfish · May 28, 2018

.. A doctor and a nursing sister were threatened by locals after they were accused of bringing the disease to their communities, while people in one town prevented medics from testing the body of someone suspected to have died from Ebola, officials said, as Reuters reported... In one of the more alarming developments in the outbreak to date, family members of two Ebola patients removed them from an isolation ward in Mbandaka on Monday night, walking them out of the hospital before putting them on the back of motorcycles.One was taken to a nearby evangelical church, according to health officials and a source at the church, where she ? by now vomiting and unable to walk ? joined 19 other people for prayers in a cramped tin-roofed building.
She returned to a hospital before succumbing to the illness the next night. The other patient was taken home, where he died hours later, leaving health officials scrambling to locate their contacts across the city of 1.5 million people.
A witness at the church, who declined to be named, said the woman came to testify that God had cured her of her illness.
?We prayed for her,? he said.
:tiphat:https://www.theepochtimes.com/fatal...sickened-officials-issue-warning_2540291.html

tetano · May 29, 2018

Health officials 'cautiously optimistic' on Ebola response

The World Health Organization says it is "cautiously optimistic" about efforts to curb the spread of Ebola in an urban area in Congo, although the lethal virus is still reported in at least two remote areas.
There have been 35 confirmed cases, including 25 deaths. The U.N. health agency and partners have vaccinated more than 400 people with an experimental Ebola vaccine, the first time it has been used in an emerging outbreak.
WHO emergencies chief Peter Salama told reporters in Geneva that the response has gone "quite smoothly" and called it encouraging that there has not been an explosive increase in cases in Mbandaka city.
He says officials are also planning to test five unlicensed drugs for Ebola, pending Congo's approval.

http://www.sacbee.com/news/article212098339.html

tetano · May 30, 2018

[h=1]Stopping Ebola before the virus goes viral[/h] The Ebola outbreak in the Democratic Republic of the Congo (DRC) remains relatively small. The World Health Organization (WHO) reports 56 people with confirmed, probable or suspected infections, including 25 deaths.
But despite the modest numbers, other countries shouldn?t be complacent. It?s in everyone?s interest to help WHO and DRC bring this outbreak under control quickly.
Ebola virus disease is not as contagious as influenza or measles. But it can still spread exponentially fast.

...

https://www.news24.com/Africa/News/stopping-ebola-before-the-virus-goes-viral-20180530

Pathfinder · May 30, 2018

[h=1]Ebola virus disease ? Democratic Republic of the Congo[/h] Disease outbreak news
30 May 2018

Since the last Disease Outbreak News on 23 May 2018, six additional cases have been laboratory confirmed for Ebola virus disease in the Democratic Republic of the Congo. Recently available information has enabled the classification of some cases to be updated1 .
From 4 April through 27 May 2018, a cumulative total of 54 Ebola virus disease (EVD) cases including 25 deaths (case fatality ratio for confirmed and probable cases = 52%) have been reported from three health zones in Equateur Province. The total includes 35 confirmed, 13 probable and six suspected cases from the three health zones, Bikoro (n=22; 10 confirmed, 11 probable and 1 suspected cases), Iboko (n=27; 21 confirmed, two probable and four suspected cases) and Wangata (n=5; four confirmed, and one suspected cases) (Figure 3). Of the four cases reported in Wangata, two have an epidemiological link with a probable case in Bikoro from April 2018. The suspected Ebola virus disease case reported in Ntondo health zone on 25 May has tested negative and has been ruled out. Five health care workers were among the 54 cases reported. As of 28 May, 74% of the 992 registered contacts have been traced. Figure 1 shows the date of illness onset for 46 confirmed and probable cases from 5 May through 25 May 2018.
The age range of all cases is from 8 to 80 years old and the median age is 41 years old. 60% of the cases are male (Figure 2). Figure 2 shows the age and sex distribution for 47 confirmed and probable cases. Figure 3 shows the location of confirmed, probable, and suspected cases by health zone.
[h=4]Figure 1: Confirmed and probable Ebola virus disease cases by date of illness onset from 4 April through 25 May 2018 (n=46)[/h]

Date of illness onset is unknown for two cases.
[h=4]Figure 2: Confirmed and probable Ebola virus disease cases by age and sex from 4 April through 25 May 2018 (n=47)[/h]

Age is unknown for one case.
[h=4]Figure 3: Democratic Republic of the Congo, Ebola cases per Health Zone in Equateur province from 4 April through 27 May 20182[/h]

[h=3]Public health response[/h] The Ministry of Health is leading the response in affected health zones with the support of WHO and partners. Priorities include the strengthening of surveillance and contract tracing, laboratory capacity, infection prevention and control, case management, community engagement, safe and dignified burials, response coordination, and vaccination.

Since the launch of the vaccination intervention on 21 May, a total of 462 people have been vaccinated. Populations eligible for ring vaccination are front-line health professionals, people who have been exposed to confirmed Ebola virus disease cases and contacts of these contacts.
WHO continues to strengthen surveillance and contract tracing activities. On 23 May 2018, a total of 40 staff in health facilities were trained in Mbandaka on the use of the field data collection tool (Early Warning, Alert and Response (EWAR) System) for the early notification of alerts and suspected Ebola virus disease cases and the follow up of contacts.
Case management and infection, prevention and control activities continue to be scaled up with the establishment, stocking and staffing of Ebola Treatment Units (ETUs) within affected areas. WHO is coordinating the deployment of multiple medical teams to support the Ebola treatment centres (ETCs), case referral system, and to support health facilities to remain open for non-Ebola care. The care of suspected and confirmed Ebola virus disease patients is currently being provided by M?decins Sans Fronti?res in Bikoro, Wangata where ETCs have been set up.
WHO, UNICEF and partners are supporting the Ministry of Health to raise awareness and engage affected communities to promote the early identification of signs and symptoms of Ebola virus disease, seek prompt treatment, and practice safe and dignified burials. Communication of key messages in churches, schools, market places and door-to-door house visits is the main approach used to raise awareness on Ebola virus disease in Mbandaka, Wangata, Bikoro and Itipo.
As of 29 May, WHO has deployed 156 technical experts to support response efforts in the three hotspots of Bikoro, Iboko, and Wangata (Mbandaka city). WHO is working with the Global Outbreak Alert and Response Network (GOARN) partners and technical networks, including the Emerging Diseases Clinical Assessment and Response Network (EDCARN) and the WHO Emerging and Dangerous Pathogen Laboratory Network (EDPLN) to coordinate response planning and to deploy additional technical support. As of 28 May, 15 experts from GOARN partner institutions are deployed through WHO to support response activities in the field.
WHO together with partners (International Organization for Migration (IOM) and Centers for Disease Control and Prevention (CDC)) are assessing key strategic points of entry/exit in Mbandaka, Bikoro, Iboko, and Kinshasa, including international airports and major ports. Exit screening measures are in place and will be further strengthened with the aim to prevent the international spread of the disease.
WHO is enhancing preparedness and readiness activities in nine neighbouring countries: Angola, Burundi, Central African Republic, Republic of Congo, Rwanda, South Sudan, Tanzania, Uganda and Zambia. The activities undertaken include the deployment of Preparation Support Teams (PST) to eight out of nine countries to assess Ebola virus disease readiness using a standardized tool and support development of contingency plans, with partners.

[h=3]WHO risk assessment[/h] The confirmed case in Mbandaka, a large urban centre located on major national and international rivers, roads and domestic air routes, increases the risk of spread within the Democratic Republic of the Congo and to neighbouring countries. WHO has, therefore, assessed the public health risk to very high at the national level and high at the regional level. Nine neighbouring countries, including Congo-Brazzaville and Central African Republic, have been advised that they are at high risk of spread, and preparedness activities are being undertaken. At the global level the risk currently remains low. This risk assessment is continuously being review as further information becomes available.
Based on the current situation and information available, the WHO Director-General convened an Emergency Committee under the International Health Regulations (IHR) (2005) on 18 May to provide advice on whether the current outbreak constitutes a public heath event of international concern3 . It was the view of the Committee that the conditions for a Public Health Emergency of International Concern have not currently been met.
[h=3]WHO advice[/h] In light of the advice of the Emergency Committee, convened by the WHO Director-General on 18 May 2018, WHO continues to advise against the application of any travel or trade restrictions. WHO continues to monitor travel and trade measures in relation to this event, and currently there are no restrictions on international traffic in place. The Emergency Committee while noting that the conditions for a Public Health Emergency of International Concern (PHEIC) are not currently met, issued comprehensive Public Health Advice.

Statement of the 1st meeting of the IHR Emergency Committee

WHO has issued travel advice for international travellers in relation to the current Ebola outbreak.

WHO recommendations for international travellers related to the Ebola Virus Disease outbreak in the Democratic Republic of the Congo

For more information on Ebola virus disease, please see the links below:

1The total number of cases is subject to change due to ongoing reclassification, retrospective investigation, and availability of laboratory results. Data reported in the Disease Outbreak News are official information reported by the Ministry of Health.
2The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement.
3?Public health emergency of international concern? means an extraordinary event which is determined, as provided in these Regulations: (i) to constitute a public health risk to other States through the international spread of disease and (ii) to potentially require a coordinated international response?. International Health Regulations (2005).

http://www.who.int/csr/don/30-may-2018-ebola-drc/en/

Pathfinder · May 30, 2018

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[TD="class: mcnTextContent"]EPIDEMIOLOGICAL SITUATION
Wednesday, May 30, 2018

The epidemiological situation of the Ebola Virus Disease dated May 29, 2018 :

A total of 53 cases of haemorrhagic fever were reported in the region, including 36 confirmed, 13 probable and 4 suspected .
3 new suspicious cases in Iboko
1 negative test in Bikoro
1 new case confirmed in Iboko
No new deaths

Epidemiological analyzes have identified contacts living in nearby health areas in Bikoro and Iboko. These contacts are followed and advised to limit their movements during the entire follow-up period of 21 days.

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Negative tests are systematically removed from the summary table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation.

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News from the Ebola response

Minister of Health enlightening the National Assembly on the situation of the Ebola epidemic

Following the topical question of the Honorable National Deputy Bavon N'sa Mputu Elima on the Ebola outbreak, the Minister of Health, Dr. Oly Ilunga Kalenga, went to the National Assembly, this Wednesday, May 30, 2018, in order to enlighten the deputies on the evolution of the situation.
The questions addressed to the Minister focused on: the decision of the WHO Emergency Committee not to declare the epidemic a public health emergency of international concern; the concrete steps taken by the Government to effectively combat the disease; the epidemic, the nature and scope of the interventions of traditional multilateral partners in the health sector, the epidemiological situation to date, the nature and effectiveness of therapeutic treatments and vaccines administered to patients and caregivers .

Raising awareness of Mbandaka cyclists and motorcyclists

This Wednesday, May 30, 2018, the communication team of the Ministry of Health has sensitized more than 200 tolekists (cyclists) and motorcycle taxi drivers of the city on the precautionary measures to take to protect against the Ebola virus disease.
This is a priority target because bicycles and motorcycle taxis are the most popular means of transport used by the population in Mbandaka. When a person is sick, she is often transported by these tolekists or motorcycle taxis to the nearest health center. This is a real danger for the drivers themselves but also for their future passengers.
In addition, patients who had left the treatment center had been transported with their families by these motorcycle taxis. Through this awareness session, the Ministry of Health team was able to identify five drivers who had been in contact with confirmed cases of Ebola. They are now monitored by the monitoring team.

Vaccination

Following the sensitization of tolekists and motorcycle taxis, all drivers who have been in contact with confirmed cases of Ebola have voluntarily registered to benefit from vaccination.
Since the launch of the vaccination on May 21, 561 people have been vaccinated, including 444 in Mbandaka, 74 in Bikoro and 43 in Iboko.

Psycho-social monitoring of students in Iboko

Following the Ebola outbreak, several schools in the Iboko Health Zone have decided to suspend school activities to protect children. The teams of the Ministry of Health in charge of psycho-social monitoring organized psycho-educational sessions in local primary schools as well as meetings with teachers and parents of pupils.

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The awareness session was held at the Ekanga cafeteria where cyclists and bikers usually have breakfast.

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https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=6c2a8df0f2

Pathfinder · May 31, 2018

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[TD="class: mcnTextContent"]EPIDEMIOLOGICAL SITUATION
Thursday, May 31, 2018

The epidemiological situation of the Ebola Virus Disease dated May 30, 2018 :

A total of 50 cases of haemorrhagic fever have been reported in the region, of which 37 confirmed, 13 probable and 0 suspect .
3 negative tests, including 1 in Wangata and 2 in Iboko
1 new positive case in Iboko
No new suspicious cases
No new deaths reported this day. However, at the close of the database, deaths from confirmed cases increased from 5 to 6 for Bikoro and from 4 to 3 for Iboko.

Epidemiological analyzes have identified contacts living in nearby health areas in Bikoro and Iboko. These contacts are followed and advised to limit their movements during the entire follow-up period of 21 days.

Remarks

Negative tests are systematically removed from the summary table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation.

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News from the Ebola response

Vaccination

Since the launch of the vaccination on May 21, 682 people have been vaccinated, including 499 in Mbandaka, 113 in Bikoro and 70 in Iboko.

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The 'Makila' market in Mbandaka on the banks of the Congo River

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https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=7bf4510a98

Pathfinder · Jun 4, 2018

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[TD="class: mcnTextContent"]EPIDEMIOLOGICAL SITUATION
Monday 04 June 2018

The epidemiological situation of the Ebola Virus Disease dated 03 June 2018 :

A total of 56 cases of haemorrhagic fever were reported in the region, including 37 confirmed, 13 probable and 6 suspected .
6 new suspected cases, including 5 in Bikoro and 1 in Wangata. These are all known contacts.
The 3 samples of June 2 were negative
No new cases confirmed today
No new deaths reported today

Epidemiological analyzes have identified contacts living in nearby health areas in Bikoro and Iboko. These contacts are followed and advised to limit their movements during the entire follow-up period of 21 days.

Remarks

Negative tests are systematically removed from the summary table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation.

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News from the Ebola response

Vaccination

Since the launch of the vaccination on May 21, 1,199 people have been vaccinated, including 577 in Mbandaka, 299 in Bikoro and 323 in Iboko.

Supported

In an epidemic situation, the financial barrier can not in any way constitute a barrier to access to health care. Thus, the Government of the Democratic Republic of Congo had decreed free healthcare in all affected health areas on May 16.
This Monday, June 04, 2018, free care is effective in all 40 public health facilities in Mbandaka. The Minister of Health, Dr. Oly Ilunga Kalenga, will preside over an official ceremony to hand over 65 tons of medicine to these health facilities during his trip to Mbandaka this week.

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Disinfection of motorcycles and bicycles at the Mbandaka 3 market in the Wangata health zone by Red Cross volunteers

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Pathfinder · Jun 5, 2018

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[TD="class: mcnTextContent"]EPIDEMIOLOGICAL SITUATION
Tuesday 05 June 2018

The epidemiological situation of the Ebola Virus Disease dated 04 June 2018 :

A total of 58 cases of haemorrhagic fever were reported in the region, including 37 confirmed, 14 probable and 7 suspected .
5 new suspected cases, including 2 in Bikoro and 3 in Iboko. These are all known contacts.
4 samples were negative
Death of a confirmed case in Bikoro
Death of a suspected case in Iboko whose family refused to take samples
No new cases confirmed today

Epidemiological analyzes have identified contacts living in nearby health areas in Bikoro and Iboko. These contacts are followed and advised to limit their movements during the entire follow-up period of 21 days.

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The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation.

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News from the Ebola response

Vaccination

Since the launch of the vaccination on May 21, 1,369 people have been vaccinated, including 597 in Mbandaka, 299 in Bikoro and 473 in Iboko.

Supported

All trials of experimental treatments in the Democratic Republic of Congo must follow strict procedures of validation and administration, under the supervision of the National Institute of Biomedical Research.
A joint scientific committee has been established at the national level to evaluate existing experimental treatments for Ebola. This committee is composed of experts from the National Institute of Biomedical Research, the University of Kinshasa and partners such as WHO, MSF, UNICEF, the National Institutes of Health (NIH) and UCLA. After validation of 5 treatments whose results were promising during the first phases of research, the scientific committee then submitted an application for approval to the ethics committee.
On Friday, June 1, 2018, the National Ethics Committee gave a favorable opinion to the request made by the Scientific Committee.
A group of Congolese and international clinicians was deployed in the field to evaluate, on a case-by-case basis, the criteria for administering one or other of these treatments to patients hospitalized at Ebola treatment centers.
To date, no experimental treatment has been given to hospitalized patients. Discussions on how to administer treatment in the context of the current epidemic are still ongoing between the different stakeholders.
Given the evolution of the epidemiological curve, it is very likely that very few patients are eligible to receive either of these molecules.

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The Minister of Health, Dr. Oly Ilunga Kalenga, in discussion with one of the traditional chiefs of Bikoro territory

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https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=6936da5ae9

DR Congo - Ebola outbreak confirmed May 2018 (May - July 25, 2018)

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