WEEKLY BULLETIN ON OUTBREAKS
AND OTHER EMERGENCIES
Week 11: 8 - 14 March 2021
Data as reported by: 17:00; 14 March 2021
...
Ebola virus disease Democratic Republic of the Congo
11 Cases
5 Deaths
45.5% CFR
EVENT DESCRIPTION
The Ebola virus disease (EVD) outbreak in North Kivu continues.
However, there has been no new confirmed cases for the past 13
consecutive days. The first result of the contact that became a
suspect at day 16 of follow-up the Biena health zone is negative.
He is isolated while awaiting the second sample. In the past 21
days, four new cases have been confirmed in Biena Health Zone
(Biambwe (1), Masoya (1); and Butembo Health Zone (Vutsundo
(3), with no new deaths.
As of 14 March 2021, there is a cumulative total of 12 cases
(11 confirmed and one probable) and 5 deaths (case fatality ratio
45.5%). Two health workers have been infected, 16.6% of all
cases. Two confirmed EVD cases are still undergoing treatment
at the Katwa Treatment Centre, while 34 suspect cases are
being closely monitored in isolation health facilities. Four cases
have recovered from EVD and been discharged from the Ebola
Treatment Centre since the start of the epidemic.
Since the beginning of the outbreak, the total number of contacts
is 345 and of these, 286 (83.0%) contacts were followed-up.
Of the 345 contacts, 120 (34.8%) and 225 (65.2%) are at their
second and third weeks of follow-up respectively. The highest
proportion (59.5%) of contacts that have never been seen were
listed around the probable case in Biambwe Health Area in Biena
Health Zone.
A total of 416 alerts have been raised as of 14 March 2021. Of
these, 411 alerts were investigated (96.0%), and 95 alerts were
verified as true including 72 alive alerts and 23 deaths. Since
the start of the epidemic, 1 590 laboratory samples have been
analyzed, of which (0.7%) 11, have tested positive for EVD.
As of 14 March 2021, a total of 1 515 people have been
vaccinated; including 135 contacts, 450 contacts of contacts and
930 probable contacts. Of the 1 515 vaccinated persons, (57.2%)
866 are in Biena, (19.1%) 290 in Butembo and (3.4%) 51 in
Musienene. Ring vaccination in Butembo health zone has been
suspended following security threats.
PUBLIC HEALTH ACTIONS
WHO and UNICEF continue to hold weekly meetings to
improve collaboration to support response interventions.
A monitoring and evaluation plan, including key performance
indicators, is being developed for facilitate in the process of
being finalized.
Psychological support was given to two confirmed cases (1
male and 1 female) and three male suspect cases.
Infection prevention and control (IPC) activities continue,
with three health facilities supplied with IPC materials; and
37 health facilities in the six health zones supported and
assessed; 27 IPC kits were distributed in health zones in
Biena and Musienene; and 128 health workers were briefed
in Katwa, Musienene, Biena and Butembo.
IPC assessment was conducted in 10 health facilities in the
health zones of Biena (4) and Musienene (6).
A total of 31 143 travellers were registered at the 13 points
of entry, among which (97.6%) 30 388 screenings were
conducted.
Mass sensitization are ongoing in churches in the health
zones of Katwa, Butembo, Biena and Musienene and young
people from the Catholic church of Biambwe.
Dialogue with seven family members of confirmed cases on
the importance of completing of the recommended days for
contact tracing in Vutsundo is also underway.
SITUATION INTERPRETATION
The ongoing EVD outbreak remains a serious concern, with
challenges around the response, including low number of alerts
in other affected and at-risk health zones, refusal of contacts
seen to be vaccinated and other contacts remaining unseen.
The authorities need to strengthen EVD awareness in the
various health zones to support community activities including
vaccination, alert notification and contact follow-up; and mobilize
resources to support the different pillars of the response.
https://apps.who.int/iris/bitstream/handle/10665/340188/OEW11-0814032021.pdf