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

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[TD="class: mcnTextContent"]ECHOS EBOLA RDC 2018[/TD]
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[TD="class: mcnTextContent"]EPIDEMIOLOGICAL SITUATION
Wednesday 06 June 2018
The epidemiological situation of the Ebola Virus Disease dated 05 June 2018 :​
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  • A total of 60 cases of haemorrhagic fever were reported in the region, including 37 confirmed, 14 probable and 9 suspected .
  • 6 new suspected cases, including 2 in Bikoro, 3 in Iboko and 1 in Wangata. Three of these cases are known contacts.
  • 4 samples were negative
  • No deaths reported so far
  • 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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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, 1,579 people have been vaccinated, including 622 in Mbandaka, 372 in Bikoro, 555 in Iboko and 30 in Ingende.
Sensitization
  • This Wednesday, June 6, 2018, teams of communicators from the Ministry of Health, WHO and UNICEF organized an awareness session for 50 traditional healers (traditional doctors) of the city of Mbandaka. During this session, they discussed the generalities of Ebola Virus Disease as well as the prevention methods and the hygiene measures to respect in order to stop the transmission of the virus.
  • These traditional doctors or healers are an important target for awareness because they are the first resort of the inhabitants when they are sick. It is therefore essential for the Ministry of Health to work with these healers so that they can spread the good messages to the people and invite them to adopt more responsible behaviors.
  • At the beginning of the session, the healers were invited to share their opinion on the Ebola virus disease. Many of them said that it was not a real disease but rather a curse of ancestors that could be broken through traditional remedies.
  • However, the session was successful and the traditional healers were convinced by the messages of health communicators. They are committed to the recommended hygiene measures, such as the use of gloves during consultations.
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The Minister of Health, Dr. Oly Ilunga Kalenga, hands over new motorcycles and safety vests to the president of Mbandaka motorcycle taxis association​
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https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=8e6ccd9518
 
[h=1]DR Congo reports first post-vaccination Ebola case[/h] Democratic Republic of Congo has recorded its first confirmed case of Ebola in over a week, the health ministry said on Thursday, although medics say they have made significant progress in their efforts to contain the disease.
The patient, a known contact of someone who is believed to have died from Ebola on May 20, was confirmed positive on Wednesday for the haemorrhagic fever in the rural community of Iboko, the ministry said in a daily report.
Health officials have moved aggressively to contain the epidemic in a bid to head off a repeat of the 2013-16 outbreak in West Africa that killed more than 11,300 people.

http://www.africanews.com/2018/06/08/dr-congo-reports-first-post-vaccination-ebola-case/
 
From: WorldHealthOrganizationNews@who.int
To: undisclosed-recipients:;
Subject: Webcast of Ebola outbreak briefing
Date: Jun 8, 2018 3:40 AM
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[TD]Dear journalists,

On the one month anniversary of the declaration of the Ebola outbreak in the Democratic Republic of the Congo, Dr Peter Salama, WHO Deputy Director-General of Emergency Preparedness and Response, who has returned today from his second visit to affected areas, will provide an overview of the response.

WHEN: Friday, June 8 at 16h Geneva time

The briefing will be webcast live on the WHO Twitter account: https://twitter.com/WHO

Best regards
WHO Media Team

Media contact:
Tarik Jašarević
Mobile: +41 793 676 214
Tel: +41 22 791 5099
E-mail: jasarevict@who.int[/TD]
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hat tip Pathfinder


EPIDEMIOLOGICAL SITUATION
Thursday, June 07, 2018
(ERRATUM)

The epidemiological situation of the Ebola Virus Disease dated 06 June 2018:

A total of 62 cases of haemorrhagic fever were reported in the region, including 38 confirmed, 14 probable and 10 suspected.
1 new case confirmed to Iboko. This is a known contact of a probable case who died on May 20, 2018.
5 new suspected cases, including 2 in Bikoro and 3 in Wangata.
4 samples were negative
No deaths reported so far
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.
News from the Ebola response


Vaccination
Since the launch of the vaccination on May 21, 1,826 people have been vaccinated, including 673 in Mbandaka, 398 in Bikoro, 725 in Iboko and 30 in Ingende.

Partnership
This Friday, June 8, 2018, a team of Chinese experts will arrive in Kinshasa to assist the Congolese health authorities in the response to Ebola Virus Disease. Like other international experts who come to support the Congolese experts, they will participate in the various commissions set up to manage the response.
It is also worth mentioning that under Congolese legislation, any use of experimental vaccines must be authorized by the Scientific Committee and the Ethics Committee. To date, only the rVSV-ZEBOV vaccine has been authorized by these committees as part of the current Ebola outbreak.

https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=4b39c93ac3
 
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[TD="class: mcnTextContent"]ECHOS EBOLA RDC 2018[/TD]
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[TD="class: mcnTextContent"]EPIDEMIOLOGICAL SITUATION
Friday, June 08, 2018
The epidemiological situation of the Ebola Virus Disease dated 07 June 2018 :​
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  • A total of 59 cases of haemorrhagic fever were reported in the region, including 38 confirmed, 14 probable and 7 suspected .
  • 6 new suspicious cases in Iboko
  • 9 samples were negative
  • No deaths reported so far
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.
​
44c1a232-0b50-4cff-ae39-218df5991ce7.png


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
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Vaccination
  • Since the launch of the vaccination on May 21, 2,064 people have been vaccinated, including 698 in Mbandaka, 498 in Bikoro, 838 in Iboko and 30 in Ingende.
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Ministry of Health communicator in discussion with traditional medicine and researcher Dr. Mbondo Bololo after Mbandaka sensitization session​
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https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=5ab44e93e8
 
Press release MOH, machine translated
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EPIDEMIOLOGICAL SITUATION

Saturday, June 09, 2018

The epidemiological situation of the Ebola Virus Disease dated 08 June 2018:


* A total of 59 cases of haemorrhagic fever were reported in the region, including 38 confirmed, 14 probable and 7 suspected.

* 5 new suspected cases, including 3 in Bikoro and 2 in Iboko

* 5 samples were negative

* No deaths reported so far


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.


DfRrT2eW0AEQyXf.jpg

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.
​
News from the Ebola response


Vaccination
Since the launch of the vaccination on 21 May, 2,145 people have been vaccinated, including 713 in Mbandaka, 498 in Bikoro, 904 in Iboko and 30 in Ingende.

Ebola, a month later
This Saturday, June 9, 2018, the Minister of Health, Dr. Oly Ilunga Kalenga, held a press conference to present the results of the first month of the government response to the ninth epidemic of Ebola in the Democratic Republic of Congo .

In his presentation, the Minister of Health returned to the events leading up to the declaration of 8 May before presenting in more detail the specific challenges related to this ninth epidemic and the actions taken by the Government to deal with them.

Beyond the management of the current epidemic, the Government's priority is to improve the country's epidemiological surveillance system and the resilience of its health system. Since the Ebola virus has a natural reservoir located in the equatorial forest, the country must expect to face a tenth epidemic and prepare for it. Thus, all the activities supported by the Government in the context of this epidemic 'follow this logic. This includes the establishment of an emergency operations center in Mbandaka and the expansion and strengthening of the Kinshasa emergency operations center.

In addition, free healthcare, which is now effective in seven health zones, is part of the Government's vision to achieve universal health coverage in the DRC. According to the Minister of Health, if the DRC manages to make universal health coverage a reality for millions of Congolese in a context as difficult as that of an Ebola epidemic, it means that the country has the means to extend it all over the country.

Although the chain of transmission is identified and controlled, the Minister of Health remains cautious because the risk of spread remains high due to the mobility of the population in the affected areas. All efforts are now focused on Itipo, in the health zone of Iboko, where the last confirmed case was postponed on June 7th.
Finally, the Minister of Health emphasized the importance of dialogue and inclusion of communities in the response. Interventions by the Ministry of Health and partners have created interference in affected communities. We are therefore responsible for helping communities to find a social balance that is necessary for sustainable development. To this end, the Ministry of Health facilitated job creation among the young local population in Bikoro and Ikoko-Impenge by initiating community-based work, such as road rehabilitation and transport of national experts. A dialogue with mothers has also been established to identify income-generating activities to increase women's empowerment in affected areas.



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[TD="class: mcnTextContent"]EPIDEMIOLOGICAL SITUATION
Sunday, June 10, 2018
The epidemiological situation of the Ebola Virus Disease dated 09 June 2018 :​
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  • A total of 66 cases of haemorrhagic fever were reported in the region, including 38 confirmed, 14 probable and 14 suspected .
  • 3 new suspected cases, including 1 in Wangata and 2 in Iboko
  • In Itipo, in the health zone of Iboko, 8 suspected cases dating from June 8 were reported only this Sunday, June 10 because of communication problems in the area. Samples are being analyzed.
  • 4 samples were negative
  • Death of a confirmed case in 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.
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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
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Vaccination
  • Since the launch of the vaccination on May 21, 2,221 people have been vaccinated, including 713 in Mbandaka, 498 in Bikoro, 980 in Iboko and 30 in Ingende.
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Training on dignified and secure burial by the Red Cross DRC in Itipo, in the health zone of Iboko​
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https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=295edda0a4
 
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[TD="class: mcnTextContent"]ECHOS EBOLA RDC 2018[/TD]
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[TD="class: mcnTextContent"]EPIDEMIOLOGICAL SITUATION
Monday 11 June 2018
The epidemiological situation of the Ebola Virus Disease dated June 10, 2018 :​
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  • A total of 55 cases of haemorrhagic fever were reported in the region, including 38 confirmed, 14 probable and 3 suspected .
  • 2 new suspicious cases in Iboko
  • 13 samples were negative
  • No deaths reported so far
  • No new cases confirmed
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.
​
59aaea0e-5258-4c0a-a8b9-5d44c3c53cce.png


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
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Vaccination
  • Since the launch of the vaccination on May 21, 2,295 people have been vaccinated, including 713 in Mbandaka, 498 in Bikoro, 1,054 in Iboko and 30 in Ingende.
Travel of the Minister of Health and the Director General of WHO to Itipo
  • On Monday, June 11, 2018, the Minister of Health, Dr. Oly Ilunga Kalenga, went to Itipo, in the health zone of Iboko, accompanied by the Director General of WHO, Dr. Tedros Adhanom. The village of Itipo is now the center of attention because it is the only health area that continues to report confirmed cases of Ebola just over a month after launching the response.
  • Upon arrival, Dr. Oly Ilunga Kalenga congratulated the Ministry of Health experts deployed to Itipo for the work accomplished. In about ten days, they were able to put in place all the components of the response and effective coordination despite difficult logistical conditions. The Minister of Health was particularly impressed by the functioning of the local commissions and the mechanism for monitoring alerts and contacts through rapid response teams that go from village to village on a motorcycle. They also succeeded in establishing a genuine dialogue with the indigenous Pygmy communities, which enabled them to accept several public health measures, including safe burial.
  • The Minister of Health also thanked ALIMA who realized the wish of the population by installing an Ebola treatment center in Itipo in about ten days. Until now, patients were temporarily taken care of in a transit center in Itipo before being transferred to the Bikoro Reference General Hospital, thus finding themselves away from their families. From now on, all patients can be treated near their homes.
  • The visit of the Minister of Health and the Director General of WHO ended with a meeting with the National Association of Ebola Winners (ANVE). The ANVE brings together people who have been cured of Ebola as well as the relatives of the victims. During the exchange session with their hosts, they shared poignant testimonies. Despite the fact that the victors lost all their material possessions, which were destroyed in order to avoid any contamination, they shared messages filled with hope for the future and were grateful for this second chance they were given . The Minister of Health is committed to supporting them through the ANVE to help them start a new life.
Transmission chain at Itipo
  • The last confirmed case of Ebola to date in the Itipo health area, reported on June 3, was a 7-year-old girl whose mother was a probable case who died on May 20. The entire chain of transmission around the family (contacts, contacts of contacts) has been identified. A dialogue was initiated with the family that was receptive and agreed to collaborate with the health authorities. Vaccination within this circle is underway.
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Minister of Health and WHO Director General surrounded by members of the National Association of Ebola Winners​
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https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=0c6c51db5f
 
[h=2]WHO chief says Ebola outbreak in DR Congo 'not over[/h] WHO chief Tedros Adhanom on Tuesday called for tighter monitoring as he wrapped up a visit to Ebola-hit DR Congo, saying the outbreak was far from over despite the number of cases stabilising in recent weeks.
The outbreak ? the ninth in the Democratic Republic of Congo since 1976 ? was declared on May 8 and has claimed 27 lives.
"On the basis of statistics, we can say that the situation has stabilised but the war is not over, we must reinforce vigilance and surveillance," he said at the end of a three-day assessment visit.
"One case in an urban setting can set off an outbreak," he warned.
His comments come after the WHO and NGOs since May 21 began helping DRC immunise front-line workers with a vaccine that has shown to be highly effective in trials, though it still awaits regulatory approval.

https://www.nation.co.ke/news/afric...ongo-not-over/1066-4609372-3vct8hz/index.html
 
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[TD="class: mcnTextContent"]ECHOS EBOLA RDC 2018[/TD]
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[TD="class: mcnTextContent"]EPIDEMIOLOGICAL SITUATION
Tuesday, June 12, 2018
The epidemiological situation of the Ebola Virus Disease dated June 11, 2018 :​
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  • A total of 59 cases of haemorrhagic fever were reported in the region, including 38 confirmed, 14 probable and 7 suspected .
  • 4 new suspected cases, including 1 in Bikoro, 2 in Iboko and 1 Wangata
  • No deaths reported so far
  • No new cases confirmed
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
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Vaccination
  • Since the launch of the vaccination on 21 May, 2,507 people have been vaccinated, including 753 in Mbandaka, 561 in Bikoro, 1,163 in Iboko and 30 in Ingende.
Pan-African collaboration
  • On Tuesday, June 12, 2018, the Minister of Health, Dr. Oly Ilunga Kalenga, met with his counterparts from the Republic of Congo and the Central African Republic during a teleconference from Kinshasa Emergency Operations Center.
  • The teleconference aimed to take stock of the Ebola response in the Democratic Republic of Congo, share the country's experience in managing Ebola outbreaks and address the concerns of health authorities in neighboring countries. In addition, the three ministers of health also discussed the issue of cross-border collaboration and agreed that it was important to hold meetings between their respective technical teams more regularly.
  • Health ministers plan to hold regional workshop on cross-border contingency plan to be complemented by full-scale simulation exercise of cross-border response

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The Minister of Health visits the mobile laboratory of the National Institute of Biomedical Research installed in Itipo ​
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https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=119ed0ab72
 
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[TD="class: mcnTextContent"]EPIDEMIOLOGICAL SITUATION
Wednesday 13 June 2018
The epidemiological situation of the Ebola Virus Disease dated June 12, 2018 :​
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  • A total of 66 cases of haemorrhagic fever were reported in the region, including 38 confirmed, 14 probable and 14 suspected .
  • 10 new suspected cases, including 4 in Bikoro, 2 in Iboko and 4 Wangata
  • No deaths reported so far
  • No new cases confirmed
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
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Vaccination
  • Since the launch of the vaccination on May 21, 2,633 people have been vaccinated, including 793 in Mbandaka, 583 in Bikoro, 1,222 in Iboko, 30 in Ingende and 5 in Kinshasa.
  • The 5 people vaccinated in Kinshasa are caregivers of the emergency response team of the Ministry of Health who will soon be deployed in Ebola-affected areas to replace one of the on-site teams.
International collaboration
  • The Association of Chinese Enterprises wanted to contribute to the government's response to Ebola by offering the Ministry of Health a lot of medical equipment for the surveillance teams. This lot of equipment includes laser thermometers and protective equipment.
  • The Japanese Ambassador to the Democratic Republic of Congo, HE Hiroshi Karube, presented this Wednesday, May 13, 2018, the Japanese team of experts who will collaborate with the General Directorate of Fight against Disease as part of the government response against Ebola. This team will intervene in the areas of epidemiological surveillance at points of entry and the strengthening of mobile laboratories.
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A clinical psychologist from the Ministry of Health's National Mental Health Program trains Red Cross volunteers in Itipo on the psycho-social support of the community during an Ebola outbreak​
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https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=d9c0cf45ba
 
Source: http://www.who.int/csr/don/13-june-2018-ebola-drc/en/
[h=1]Ebola virus disease ? Democratic Republic of the Congo[/h] Disease outbreak news
13 June 2018

Since the first Disease Outbreak News on 10 May 2018 through 12 June, the primary focus of the response to Ebola virus disease (EVD) in the Democratic Republic of the Congo has shifted from the urban areas of Equateur Province to remote and difficult to reach places. This shift has come after a series of concerted actions and effective measures implemented by the Ministry of Health, WHO and partners.
The first stage of the EVD response focused on protecting the populated town of Bikoro and the city of Mbandaka from increases in cases, which could potentially threaten major cities in the country as well as its neighbours along the river. The next stage is focused on implementing expeditionary surveillance, tracking the contacts and engaging communities in remote areas, including indigenous populations in and around the villages of Itipo and Iboko in the Democratic Republic of the Congo.
Since 17 May 2018, no new confirmed EVD cases have been reported in Bikoro and Wangata health zones, while the last confirmed case-patient in Iboko developed symptoms on 2 June 2018 (Figure 1).
From 1 April through 10 June 2018, a total of 55 EVD cases[SUP]1[/SUP], including 28 deaths, have been reported from three health zones in Equateur Province. The total includes 38 confirmed, 14 probable and three suspected cases from the three health zones: Bikoro (n=22; 10 confirmed, 11 probable and one suspected cases), Iboko (n=29; 24 confirmed, three probable and two suspected cases) and Wangata (n=4; four confirmed) (Figure 2). The median age of cases was 41 years (range: 8 years?80 years) and 31 (60%) were male (Figure 3). Five cases among health care workers have been reported. As of 10 June 2018, a total of 634 contacts remain under active follow up.
[h=4]Figure 1: Confirmed and probable Ebola virus disease cases by date of illness onset from 4 April through 10 June 2018 (n=52)[/h]
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[h=4]Figure 2: Democratic Republic of the Congo, Ebola cases per Health Zone in Equateur province from 4 April through 10 June 2018[/h]
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[h=4]Figure 3: Confirmed and probable Ebola virus disease cases by age and sex from 4 April through 10 June 2018 (n=51)[/h]
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Age is unknown for one case.
[h=3]Public health response[/h] The Ministry of Health (MoH) is leading the response in the affected health zones with support from WHO and partners. Priorities include the strengthening of surveillance and contract tracing, laboratory capacity, infection prevention and control (IPC), case management, community engagement, safe and dignified burials, response coordination and vaccination. Additionally, to avoid the spread of the disease from affected provinces to non-affected provinces and to other countries, the Democratic Republic of the Congo has put into place cross-border surveillance at points of entry (neighbouring, at-risk zones, provinces, countries, and at important travellers? congregation points). WHO continues to work closely with the Ministries of Health from nine neighbouring countries to strengthen preparedness in order to mitigate the risk of international spread.
  • On 11 June 2018, the Director-General (DG) of WHO and the Minister of Health visited Itipo health area in Iboko Health Zone to support response operations.
  • Since the launch of the vaccination intervention on 21 May through 10 June, a total of 2295 people have been vaccinated in Wangata (713), Iboko (1054) and Bikoro (498). Populations eligible for ring vaccination are front-line health professionals, people who have been exposed to confirmed EVD cases (contacts) and contacts of contacts.
  • Early Warning, Alert and Response (EWAR) Systems and supporting electronic field data collection tools have been deployed at strategic sites to support these activities.
  • In the past week, the Ministry of Health, UNICEF and WHO have trained more than 60 Congolese army personnel, 65 female leaders, 50 provincial and Pygmy leaders and 100 youth leaders in Mbandaka, Bikoro and Iboko on EVD prevention.
  • Anthropological assessments and knowledge, attitudes and practices (KAP) surveys are being conducted in 11 villages in Itipo. Social mobilization and community dialogue activities are ongoing in villages in Itipo, Besefe and Loondo.
  • Medicines Sans Frontiers (MSF) has established isolation facilities in Mbandaka?s main hospital (20 beds) and Bikoro hospital (15 beds). Two Ebola treatment centres (ETC) are being set up in Iboko and Itipo.
  • Case management and IPC activities continue to be scaled up with the establishment, stocking and staffing of ETCs within affected areas. WHO is coordinating the deployment of multiple medical teams to support the ETCs, case referral systems and to support health facilities to remain open for non-Ebola care.
  • As of 12 June 2018, WHO has deployed a total of 271 technical experts in various critical functions of the Incident Management System (IMS) to support response to the EVD outbreak, including 37 experts from the Global Outbreak Alert and Response Network (GOARN) partner institutions. A WHO anthropologist and risk communication experts have trained Ebola responders on community engagement, including safe burial and contact tracing.
  • As of 12 June 2018, 26 countries have implemented entry screening for international travellers coming from the Democratic Republic of the Congo. However, there are currently no restrictions of international travel in place. WHO continues to monitor travel and trade measures in relation to this event.
  • In collaboration with WHO, the International Organization for Migration (IOM), Africa Centre for Disease Control and other partners, the Government of the Democratic Republic of the Congo has developed a comprehensive strategic response plan for points of entry (PoEs). The goal is to avoid the spread of the disease to other provinces and at the international level. A total of 30 points of entry (port and airports)and sites of congregations (markets, schools, churches and parking lot) were identified along three cordon sanitaires, including Mbandaka, Bikoro, Iboko, Ntonde, Igende, Equateur Province, Kinshasa and Kisangani areas[SUP]2[/SUP].
  • Since 6 June 2018, the Democratic Republic of the Congo`s sub-commission on surveillance of POEs, continues to meet daily in order to review and strengthen screening and sensitization of EVD in the key 30 prioritized sites, including ports on the Congo river, Kinshasa international and Mbandaka airports.
  • The WHO Regional Strategic Plan for EVD Operational Readiness and Preparedness has been developed by WHO with Member States and partners. Phase I of the plan aims to be implemented in the next three months to enhance the capacities of the countries to respond should there be any importation of EVD cases. Phase II aims to scale up the preparedness actions to ensure sustainability of the operational readiness capacities linking to the ongoing longer term emergency preparedness and implementation of IHR core capacities.
[h=3]WHO risk assessment[/h] WHO considers the public health risk to be very high at the national level due to the serious nature of the disease, insufficient epidemiological information and the delay in the detection of initial cases, which makes it difficult to assess the magnitude and geographical extent of the outbreak.
WHO has assessed the public health risk to be high at the regional level. Nine neighbouring countries, including the Republic of Congo and the 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 reviewed as further information becomes available.
[h=3]WHO advice[/h] The International Health Regulations Emergency Committee was convened by the WHO Director-General on 18 May 2018, and advised against the application of any travel or trade restrictions to the Democratic Republic of the Congo in relation to the current Ebola outbreak. Flight cancellations and other travel restrictions may hinder the international public health response and may cause significant economic damage to the affected country. The Emergency Committee also advised that 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. Although the Emergency Committee stated that the conditions for a PHEIC are not currently met, the Committee issued comprehensive public health advice[SUP]3[/SUP].
WHO travel advice was issued on 29 May 2018[SUP]4[/SUP], aiming to sensitize travellers on how to reduce the risk of exposure and where to obtain appropriate medical assistance in case of EVD like symptoms after possible exposure , considering the risk of an international traveller becoming infected with Ebola virus during a visit to the affected areas and developing disease after returning is low, even if the visit included travel to areas where primary cases have been reported. In addition WHO in collaboration with transport and travel partners (ICAO, IATA) are working together to increase travellers? awareness, vigilance on board of conveyances and points of entry and stress on the importance of establishing and maintaining a public health emergency contingency plan at POE in a multisectoral approach, pursuant to the IHR requirement.
[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]Measures implemented at these strategic points include 1) raising awareness of travellers/ population on how to avoid exposure to Ebola virus and what to do in case of EVD like symptoms, 2) detecting and managing possible EVD cases (temperature checks, health declaration form, alert, investigation and referral procedures, 3) any person with an illness consistent with EVD should not be allowed to travel unless the travel is part of an appropriate medical evacuation, 4) provision of hand hygiene and sanitation materials.
[SUP]3[/SUP]http://www.who.int/news-room/detail/18-05-2018-statement-on-the-1st-meeting-of-the-ihr-emergency-committee-regarding-the-ebola-outbreak-in-2018
[SUP]4[/SUP]http://www.who.int/ith/evd-travel-advice-final-29-05-2018-final.pdf?ua=1
 
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Thursday, June 14, 2018
The epidemiological situation of the Ebola Virus Disease dated June 13, 2018 :​
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  • A total of 66 cases of haemorrhagic fever were reported in the region, including 38 confirmed, 14 probable and 14 suspected .
  • 11 new suspected cases, including 1 in Bikoro, 4 in Iboko, 1 Wangata and 5 in Ingende
  • 11 samples were negative
  • 24 people have been cured of Ebola Virus Disease since the beginning of the epidemic
  • No deaths reported so far
  • No new cases confirmed
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
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Vaccination
  • Since the launch of the vaccination on May 21, 2,730 people have been vaccinated, including 813 in Mbandaka, 660 in Bikoro, 1,222 in Iboko, 30 in Ingende and 5 in Kinshasa.
Follow-up of contacts
  • Since the beginning of the epidemic, 1,706 contacts of confirmed Ebola cases have been identified in the 4 health zones of Bikoro, Iboko, Wangata and Ntondo.
  • The 21-day observation period, corresponding to the incubation period of the virus, of the 791 contacts registered at Bikoro is over. However, fieldwork continues to detect and locate new suspicious alerts and cases.
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Release of the first Ebola cure from the transit center in Itipo. He is the only infected patient who was cured before being transferred to the Bikoro Ebola Treatment Center.​
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[TD="class: mcnTextContent"]ECHOS EBOLA RDC 2018[/TD]
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[TD="class: mcnTextContent"]EPIDEMIOLOGICAL SITUATION
Monday 18 June 2018
The epidemiological situation of the Ebola Virus Disease dated June 17, 2018 :​
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  • A total of 62 cases of haemorrhagic fever were reported in the region, including 38 confirmed, 14 probable and 10 suspected .
  • 1 new suspicious case in Iboko
  • 3 samples were negative
  • 24 people have been cured of Ebola Virus Disease since the beginning of the epidemic
  • No deaths reported so far
  • No new cases confirmed
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
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Vaccination
  • No vaccination activity this Sunday, June 17th, 2018.
  • Since the launch of the vaccination on May 21, 3,017 people have been vaccinated, including 829 in Mbandaka, 726 in Bikoro, 1,374 in Iboko, 77 in Ingende and 11 in Kinshasa.
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Source: http://www.who.int/csr/don/20-june-2018-ebola-drc/en/
[h=1]Ebola virus disease ? Democratic Republic of the Congo[/h] Disease outbreak news
20 June 2018

The Ministry of Health and WHO continue to closely monitor the outbreak of Ebola virus disease (EVD) in the Democratic Republic of the Congo. There is cautious optimism. Slightly over a month into the response, further spread of EVD has largely been contained. However, in spite of progress, there should be no room for laxity and complacency until the outbreak is controlled. The focus of operations remains on intensive surveillance and active case finding.
Since 17 May 2018, no new confirmed EVD cases have been reported in Bikoro and Wangata health zones, while the last confirmed case-patient in Iboko developed symptoms on 2 June 2018 and died on 9 June (Figure 1).
From 1 April through 18 June 2018, a total of 60 EVD cases[SUP]1[/SUP], including 28 deaths, have been reported from four health zones in Equateur Province. The total includes 38 confirmed, 14 probable and eight suspected cases. Cases have been confirmed from three health zones: Bikoro (n=24; 10 confirmed, 11 probable and three suspected cases), Iboko (n=32; 24 confirmed, three probable and five suspected cases), Wangata (n=4; all confirmed) (Figure 2). Five cases were health care workers, of which four were confirmed cases and two died. Of 1 706 contacts of cases registered to date, 244 contacts remain under active follow up as of 18 June 2018.
[h=4]Figure 1: Confirmed and probable Ebola virus disease cases by date of illness onset from 4 April through 18 June 2018 (n=52)[/h]
Picture1.png



[h=4]Figure 2: Democratic Republic of the Congo, Ebola cases per Health Zone in Equateur province from 4 April through 18 June 2018 (n=60)[/h]
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[h=3]Public health response[/h] The Ministry of Health (MoH) is leading the response in the affected health zones with support from WHO and partners. Priorities include the strengthening of surveillance and contract tracing, laboratory capacity, infection prevention and control (IPC), case management, community engagement, safe and dignified burials, response coordination and vaccination. Additionally, to avoid the spread of the disease from affected provinces to non-affected provinces and to other countries, the Democratic Republic of the Congo has put into place cross-border surveillance at points of entry (neighbouring at-risk zones, provinces, countries, and at important travellers? congregation points). WHO continues to work closely with the Ministries of Health from nine neighbouring countries to strengthen preparedness in order to mitigate the risk of international spread.
  • Since the launch of the vaccination intervention on 21 May through 17 June, a total of 3 137 people have been vaccinated in Iboko (1 434) Wangata (834), Bikoro (779), Ingende (77), and Kinshasa (13). Populations eligible for ring vaccination include front-line health professionals, people who have been exposed to confirmed EVD cases (contacts) and contacts of contacts.
  • Active surveillance activities are ongoing, including daily follow-up of contacts of cases, active case search at community and health facility levels, real-time investigation of alerts, and laboratory testing of all suspected cases to confirm or exclude EVD.
  • Infection prevention and control supplies, including personal protective equipment and disinfectants, have been provided to health facilities in eight health areas, namely: Mapeke, Bokongo, Itipo, Londo, Bokando-Bouna, Mpangi, Lokango, and Boutela.
  • Community awareness activities continue in Iboko, Bikoro, Mbandaka Wangata and Bolenge. In Iboko, more than 140 households were visited this week. Cellule d?Animation Communautaire (CAC) teams conducted house-to-house visits in Bokongo, Mapeke, B.Buna and Loondo health areas. In Mbandaka, awareness raising activities was carried out in ports and small markets along the river. Community awareness involving street leaders is also being carried out in Mbandaka, Wangata and Bolenge, where rumours and community concerns are being addressed.
  • WHO is providing technical advice on the use of investigational therapeutics under the Monitored Emergency Use of Unregistered Interventions (MEURI) framework and provision of essential medical supplies. Four of the five investigational therapeutics are in-country and all protocols have been approved by the Ethics Review Board (ERB). This is the first time such treatments have been available during an Ebola outbreak.
  • As of 18 June 2018, WHO has deployed a total of 271 technical experts in various critical functions of the Incident Management System (IMS) to support response to the EVD outbreak, including 31 experts from the Global Outbreak Alert and Response Network (GOARN) partner institutions. A WHO anthropologist and risk communication experts have trained Ebola responders on community engagement, including safe burial and contact tracing.
  • As of 19 June 2018, 26 countries have implemented entry screening for international travellers coming from Democratic Republic of the Congo, but there are currently no restrictions of international traffic in place. WHO continues to monitor travel and trade measures in relation to this event.
  • A joint partnership project was initiated by WHO, IOM, IFRC, UNHCR, and other partners to reinforce cross border coordination activities between the Democratic Republic of the Congo, Congo and the Central African Republic.
  • As of 19 June 2018, no cases were detected at ports on the River Congo closed to Kinshasa (Muluku, Kinkol?, Ngobila) as well as in the international and main national airports in Kinshasa (Ndili, Ndolo). As of 16 June 2018, 9 716 travelers were screened, in Mbandaka, 538 travellers in Irebu, and 100 travelers in Iboko.
  • As of 20 June no exported case was reported. The risk of missed cases able to travel outside of Equateur Province and internationally during the incubation period (two to 21 days) was considered very low. However, it was decided to maintain exit screening at points of entry and congregation sites as a precautionary measure and to prepare a deactivation plan for after the end of the outbreak.
  • WHO is supporting neighbouring countries to systematically assess and take action on Ebola preparedness, and to develop national contingency response plans. A regional readiness and preparedness plan has been developed and published, outlining activities to ensure that the nine neighbouring countries can detect and contain Ebola should it be introduced. The regional readiness and preparedness plan requires US$ 15.5 million.
[h=3]WHO risk assessment[/h] WHO considers the public health risk to be very high at the national level due to the serious nature of the disease, insufficient epidemiological information and the delay in the detection of initial cases, which makes it difficult to assess the magnitude and geographical extent of the outbreak.
WHO has assessed the public health risk to be high at the regional level. Nine neighbouring countries, including the Republic of Congo and the 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 reviewed as further information becomes available.
[h=3]WHO advice[/h] The International Health Regulations Emergency Committee was convened by the WHO Director-General on 18 May 2018, and advised against the application of any travel or trade restrictions to the Democratic Republic of the Congo in relation to the current Ebola outbreak. Flight cancellations and other travel restrictions may hinder the international public health response and may cause significant economic damage to the affected country. The Emergency Committee also advised that 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. Although the Emergency Committee stated that the conditions for a PHEIC are not currently met, the Committee issued comprehensive public health advice[SUP]2[/SUP].
WHO travel advice was issued on 29 May 2018[SUP]3[/SUP], aiming to sensitize travellers on how to reduce the risk of exposure and where to obtain appropriate medical assistance in case of EVD like symptoms after possible exposure , considering the risk of an international traveller becoming infected with Ebola virus during a visit to the affected areas and developing disease after returning is low, even if the visit included travel to areas where primary cases have been reported. In addition WHO in collaboration with transport and travel partners (ICAO, IATA) are working together to increase travellers? awareness, vigilance on board of conveyances and points of entry and stress on the importance of establishing and maintaining a public health emergency contingency plan at POE in a multisectoral approach, pursuant to the IHR requirement.
[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]http://www.who.int/news-room/detail/18-05-2018-statement-on-the-1st-meeting-of-the-ihr-emergency-committee-regarding-the-ebola-outbreak-in-2018
[SUP]3[/SUP]http://www.who.int/ith/evd-travel-advice-final-29-05-2018-final.pdf?ua=1
 
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[TD="class: mcnTextContent"]EPIDEMIOLOGICAL SITUATION
Thursday 21 June 2018
The epidemiological situation of the Ebola Virus Disease dated June 20, 2018 :​
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  • A total of 61 cases of haemorrhagic fever were reported in the region, including 38 confirmed, 14 probable and 9 suspected .
  • 4 new suspected cases, including 2 in Bikoro and 2 in Iboko
  • 4 samples were negative
  • 24 people have been cured of Ebola Virus Disease since the beginning of the epidemic
  • No deaths reported so far
  • No new cases confirmed
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
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Vaccination
  • Since the launch of the vaccination on 21 May, 3,199 people have been vaccinated, including 836 in Mbandaka, 779 in Bikoro, 1,464 in Iboko, 107 in Ingende and 13 in Kinshasa.
Leopards against Ebola
  • On Thursday 21 June 2018, the coach of the national football team, Florent Ibenge, the former professional football player Aziz Makukula, and the African champion of karate, Master Nancy Tshiaba, went to Mbandaka and Itipo with the Ministry of Health to raise awareness about Ebola as part of the 'Leopards against Ebola' campaign.
  • In Itipo, they were greeted with fanfare by the people who accompanied them to the football field to attend a shootout contest between two local teams. Coach Ibenge and Aziz Makukula handed the two teams a set of autographed T-shirts, caps and footballs. Master Tshiba took the opportunity to give a demonstration of karate to the young people present.
  • Athletes also exchanged with members of the National Association of Ebola Winners (ANVE) who spoke about the stigma they still face in the community. The presence of these celebrities alongside the winners has sent a strong message to the community to show that Ebola survivors are not a danger.
  • Our guests were keen to support the local medical teams who have been working hard for more than a month to contain the Ebola outbreak. They offered a batch of drugs at the Itipo Ebola Treatment Center. Before leaving for Mbandaka, they stopped for a moment to watch with the Itipo teams part of the match of the World Cup Denmark v. Australia.
  • The Leopards congratulated the population of Itipo for their collaboration with the health authorities and encouraged them to continue to respect hygiene measures to put an end to the Ebola outbreak.
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Master Nancy Tshiaba with the children of Itipo​
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[TD="class: mcnTextContent"]EPIDEMIOLOGICAL SITUATION
Friday 22 June 2018
The epidemiological situation of the Ebola Virus Disease dated 21 June 2018 :​
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  • A total of 52 cases of haemorrhagic fever were reported in the region, of which 38 confirmed, 14 probable and 0 suspect.
  • No new suspicious cases
  • 9 samples were negative
  • 24 people have been cured of Ebola Virus Disease since the beginning of the epidemic
  • No deaths reported so far
  • No new cases confirmed
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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A modern isolation unit in the Itipo Ebola Treatment Center set up by ALIMA (The Alliance for International Medical Action)​
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[TD="class: mcnTextContent"]EPIDEMIOLOGICAL SITUATION
Sunday, June 24, 2018
The epidemiological situation of the Ebola Virus Disease dated June 23, 2018 :​
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  • A total of 57 cases of haemorrhagic fever were reported in the region, including 38 confirmed, 14 probable and 5 suspected .
  • 2 new suspected cases, including 1 in Bikoro and 1 in Iboko.
  • 24 people have been cured of Ebola Virus Disease since the beginning of the epidemic.
  • The last confirmed case dates back to June 6, 2018.
  • The last contact will be taken from the contact list on June 27, 2018.
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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.
  • 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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News from the Ebola response
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Vaccination
  • Since the launch of the vaccination on May 21, 3,268 people have been vaccinated, including 843 in Mbandaka, 779 in Bikoro, 1,518 in Iboko, 107 in Ingende and 21 in Kinshasa.
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Coach Florent Ibenge and former Leopards player Aziz Makukula during their visit to Itipo​
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[TD="class: mcnTextContent"]ECHOS EBOLA RDC 2018[/TD]
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[TD="class: mcnTextContent"]EPIDEMIOLOGICAL SITUATION
Tuesday, June 26, 2018
The epidemiological situation of the Ebola Virus Disease dated 25 June 2018 :​
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  • A total of 56 cases of haemorrhagic fever were reported in the region, including 38 confirmed, 15 probable and 3 suspected .
  • 3 new suspected cases, including 3 in Bikoro and 1 in Iboko.
  • 3 samples were negative
  • A previous community death in the Iboko Health Zone on May 20, 2018 has been classified as a probable case after further investigation. This was a contact from an old confirmed case.
  • 24 people have been cured of Ebola Virus Disease since the beginning of the epidemic.
  • The last confirmed case dates back to June 6, 2018.
  • The last contact will be taken from the contact list on June 27, 2018.
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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.
  • 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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News from the Ebola response
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Vaccination
  • Since the launch of the vaccination on May 21, 3,312 people have been vaccinated, including 875 in Mbandaka, 779 in Bikoro, 1,530 in Iboko, 107 in Ingende and 21 in Kinshasa.
Port of entry surveillance in Kinshasa
  • On Tuesday, June 26, 2018, the Ministry of Health, through its National Border Health Program (PNHF), organized a visit for media professionals at the Bende Bende sanitary control station in the municipality of Maluku, in Kinshasa. This activity was organized in collaboration with the Japan International Cooperation Agency (JICA) and the Japan Disaster Relief (JDR) intervention teams .
  • A demonstration of point-of-entry surveillance activities was conducted by the field teams to explain to media professionals how port-of-entry surveillance works.
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Demonstration of the care of a patient at the sanitary control station of Bende Bende in the municipality of Maluku in Kinshasa​
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https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=559528d1e3
 
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[TD="class: mcnTextContent"]ECHOS EBOLA RDC 2018[/TD]
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Communication sp?ciale du Ministre de la Sant? concernant l'?volution de la neuvi?me ?pid?mie d'Ebola en RDC​

(English version available below)​

Ce jeudi 28 juin 2018, toutes les personnes ayant ?t? en contact avec le dernier cas confirm? d?Ebola ont termin? leur p?riode de suivi de 21 jours sans montrer de signe de contamination. Il s?agit d?une ?tape importante dans la riposte contre l??pid?mie d?Ebola car elle marque le d?but du compte ? rebours pour l?annonce de la fin de la neuvi?me ?pid?mie d?Ebola en R?publique D?mocratique du Congo. La fin de l??pid?mie sera d?clar?e lorsque le pays aura pass? 42 jours, soit deux p?riodes d?incubation, sans notifier de nouveau cas confirm? d?Ebola.

Cette ?pid?mie a ?t? l??pid?mie la plus complexe et la plus difficile que le pays ait eu ? g?rer, principalement parce qu?elle a commenc? dans deux zones rurales en m?me temps et a rapidement atteint une ville de plus d?un million d?habitants directement connect?e ? Kinshasa, notre capital o? plus de 12 millions de Congolais vivent. Toutefois, gr?ce ? une rapide mobilisation nationale et internationale ainsi qu?au leadership du Gouvernement dans la coordination de la r?ponse, nous avons r?ussi ? ma?triser cette ?pid?mie ? haut risque en seulement 7 semaines.

Cela constitue une v?ritable r?ussite dont nous devons tous ?tre fiers. La cl? de notre succ?s r?side avant tout dans l?efficacit? des ?quipes de surveillance nationales et internationales sur le terrain qui ont fait, et continuent ? faire, un travail remarquable. Elles ont r?ussi ? identifier et suivre 1,706 contacts qui furent parmi les premi?res personnes ? b?n?ficier du nouveau vaccin contre Ebola.

L?utilisation de la vaccination dans cette riposte contre Ebola a ind?niablement contribu? ? briser la cha?ne de transmission et contenir plus rapidement le virus. Depuis le d?but du microplan de vaccination le 21 mai dernier, 3,330 personnes ont ?t? vaccin?es et immunis?es contre le virus Ebola. Jusqu?? pr?sent, les r?sultats de la vaccination se sont montr?s concluants car aucune des personnes vaccin?es n?a d?velopp? la maladie ni exp?riment? d?effets secondaires majeurs.

Bien que nous nous dirigions vers la fin de l??pid?mie, le travail du Minist?re de la Sant? ne s?arr?te pas l?. Notre priorit? est, d?sormais, d?am?liorer la r?silience du syst?me de sant? en commen?ant par l?agrandissement de nos centres des op?rations d?urgence ? Mbandaka et Kinshasa. Comme Ebola est un virus dont le r?servoir naturel est situ? dans la for?t ?quatoriale, nous devons nous pr?parer ? la 10?me ?pid?mie. De plus, en raison de la mobilit? croissante de la population, il est fort probable que d?autres ?pid?mies surviennent dans des zones urbaines dans le futur. Par cons?quent, nous devons tirer les le?ons de cette r?ponse et renforcer notre syst?me de sant? afin qu?il puisse d?tecter et r?pondre de mani?re encore plus efficiente ? la prochaine ?pid?mie.

FIN​


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Special communication of the Minister of Health regarding the evolution of the ninth Ebola outbreak in DRC​
​
On Thursday 28th June 2018, all the people who have been in contact with the last confirmed Ebola case have passed the 21-day incubation period without showing any signs of an Ebola infection. This is an important milestone in the Ebola response as it marks the start of the countdown towards the end of the ninth Ebola outbreak in the Democratic Republic of Congo. The end of the outbreak will be declared when the country spends 42 days, or two incubation periods, without notifying new confirmed Ebola cases.

This outbreak has been the most challenging and complex outbreak the country has ever had to face, mainly because it started in two rural zones at the same time and quickly reached a city of more than 1 million inhabitants directly connected to Kinshasa, our capital city where more than 12 million Congolese live. Yet thanks to a rapid national and international mobilization as well as a great government-led coordination of the response, we managed to contain this high-risk outbreak in just 7 weeks.

This is a great achievement that we should all be proud of. The key of our success lies, primarily, in the efficiency of the national and international surveillance teams on the ground, which have been ? and are still ? doing an outstanding work. They managed to identify and trace 1,706 contacts who were among the first beneficiaries of the new vaccine against Ebola.

The use of vaccination in this Ebola response has been a game-changer as it allowed us to break the chain of transmission and contain the virus more quickly. Since the beginning of the vaccination microplan on May 21st, 3,330 people have been vaccinated and immunized against the Ebola virus. So far, the results of the vaccination have been promising as none of the individuals who were vaccinated developed the disease nor experienced major side effects.

While we are heading towards the end of the outbreak, the work of the Ministry of Health does not end here. Our priority is now to improve the resilience of the health system starting with the expansion of our emergency operations centers in Mbandaka and Kinshasa. As Ebola is a virus whose natural reservoir is located in the Equatorial Forest, we must prepare ourselves for the 10th Ebola outbreak. Moreover, with the greater mobility of the population, we can expect to have other outbreaks in urban zones in the future. We must learn the lessons from this response and strengthen our health system in order to detect and respond even more efficiently to the next outbreak.

END​
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[TD="class: mcnTextContent"]SITUATION ?PID?MIOLOGIQUE
Jeudi 28 juin 2018
La situation ?pid?miologique de la Maladie ? Virus Ebola en date du 27 juin 2018 :​
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  • Au total, 55 cas de fi?vre h?morragique ont ?t? signal?s dans la r?gion, dont 38 confirm?s, 15 probables et 2 suspects.
  • 2 nouveaux cas suspects, dont 1 ? Bikoro et 1 ? Wangata.
  • 4 ?chantillons se sont r?v?l?s n?gatifs.
  • 24 personnes ont ?t? gu?ries de la Maladie ? Virus Ebola depuis le d?but de l'?pid?mie.
  • Le dernier cas confirm? remonte au 6 juin 2018.
  • Tous les contacts enregistr?s sont sortis de la liste de suivi des contacts.
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Remarques​
  • Les tests n?gatifs sont syst?matiquement retir?s du tableau r?capitulatif.
  • La cat?gorie des cas probables reprend tous les d?c?s notifi?s pour lesquels il n'a pas ?t? possible d'obtenir des ?chantillons biologiques pour confirmation au laboratoire.
  • Les analyses ?pid?miologiques ont permis d'identifier des contacts qui vivent dans les zones de sant? voisines ? Bikoro et Iboko. Ces contacts sont suivis et ont ?t? conseill?s de limiter leurs mouvements durant toute la p?riode de suivi qui est de 21 jours.
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[TD="class: mcnTextContent"] INFORMATION G?N?RALE

En raison du commencement de la phase finale de l'?pid?mie, nos bulletins journaliers seront remplac?s par un bulletin hebdomadaire jusqu'? la d?claration officielle de la fin de l'?pid?mie d'Ebola. Le prochain bulletin sera envoy? le vendredi 6 juillet 2018.
L'Equipe Presse reste ? votre enti?re disposition pour toute question ou demande d'interview concernant l'?pid?mie d'Ebola.

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GENERAL INFORMATION
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As we are entering the final phase of the Ebola outbreak, our daily updates will be replaced by one weekly update until the official declaration of the end of the Ebola outbreak. The next update will be sent on Friday, 6th July 2018.
The press team remains available for any questions or interview requests related to Ebola.
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