DRC - Ebola outbreak in North Kivu and Ituri: July 30, 2018+

Pathfinder · Sep 15, 2018

Translation Google

Ituri: a person with Ebola symptoms died in Mahagi

Posted on Sat, 15/09/2018 - 12:33 | Edited on Sat, 15/09/2018 - 12:33

A person with symptoms of Ebola died on Saturday, September 15 in Mokambo in the Mahagi territory. The victim is among the suspected cases registered in this territory and in Gety, in the territory of Irumu (Ituri), says provincial interim governor, Keta Pacific. According to him, all these two cases show symptoms similar to this disease.

However, he assures that the samples were taken and sent to Beni for analysis and that, pending the results, he can not speak of Ebola.

"We do not have confirmation yet that this is a case of Ebola. We asked the administrator of Mahagi to make all the arrangements to calm the population, "quiets Pacific Keta.

A suspected case of Ebola was reported in Mokambo, about 10 km away, before arriving at Lake Albert. Civil society sources report that the victim, mother of three, started vomiting blood with high fever and diarrhea.

She was taken to the Wi-lanyi Health Center in Mokambo where she died a few hours later.

The second case is that of Gety in the Walendu Bindi chieftaincy. According to the interim governor of Ituri, this patient shows the same signs similar to Ebola. He is interned at the moment at Gety hospital.

"In the case of Gety, the person is still alive. We are sending an on-site team to take care of it, "says Pacific Keta Upar.

These suspicious cases create a psychosis among the inhabitants. They fear that these cases will be confirmed, since many of them have been in contact with the patients.

The interim governor calls for calm and says all services are on standby for the response in case the results are declared positive.

https://www.radiookapi.net/2018/09/...sentant-des-symptomes-debola-est-morte-mahagi

Pathfinder · Sep 15, 2018

Translation Google
[TABLE="class: templateContainer, border: 0, cellpadding: 0, cellspacing: 0, width: 600"]
[TR]
[TD] [TABLE="class: mcnTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextBlockInner"] [TABLE="class: mcnTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"] [/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[TR]
[TD] [TABLE="class: mcnImageBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageBlockInner"] [TABLE="class: mcnImageContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageContent"]

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]DIRECTORATE GENERAL FOR DISEASE CONTROL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[TR]
[TD] [TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN NORTH KIVU PROVINCE
Saturday 15 September 2018

The epidemiological situation of the Ebola Virus Disease dated 14 September 2018 :

A total of 140 cases of haemorrhagic fever were reported in the region, 109 confirmed and 31 probable.
Of the 109 confirmed, 64 died and 37 are cured .
5 suspected cases are under investigation.
No new confirmed cases notified.
1 confirmed case death in Beni.

Remarks:

To avoid that the total number of cases varies (up or down) daily, the suspect cases have been placed in a separate category. Thus, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]

News of the response

/! \ Stop rumors /! \

Several messages circulating on the social networks affirm that confirmed cases of Ebola have been identified in Kabalo and that 4 suspected cases would be hospitalized at the General Reference Hospital of Kalemie, in the province of Tanganyika. These rumors are entirely false . An alert in Kabalo was reported several days ago. The samples had been sent to the INRB and the tests had proved negative.
As a reminder, only laboratory tests carried out by the laboratory staff of the National Institute for Biomedical Research (INRB) can confirm or invalidate the presence of the virus in the blood of a sick person.

Motorized caravan

This Saturday, September 15, 2018, the Ministry of Health organized a motorized caravan that circulated through the city of Beni to raise awareness about the Ebola virus disease. Three busy public places were selected for the stops of this first caravan. These included the Oicha car park, the central market and the Kanzuli Nzuli roundabout. This Saturday, the city vibrated to the sound of the caravan on which was a local comedian to animate the crowd. At each stop, the population was invited to ask their questions and share their concerns with the teams of experts. After this exchange session, a competition was organized to test the public's understanding of the disease. Gifts for those who answered the questions included bottles of disinfectant offered by Airtel, Save the Children handwashing kits, and polo shirts donated by UNICEF and UNFPA. The event was recorded and will be broadcast on local radio stations.

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnImageGroupBlock, border: 0, cellpadding: 0, cellspacing: 0"]
[TR]
[TD="class: mcnImageGroupBlockInner"] [TABLE="class: mcnImageGroupContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0"]
[TR]
[TD="class: mcnImageGroupContent"]

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[TR]
[TD="class: mcnImageGroupBlockInner"] [/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=88fbfda10d

Pathfinder · Sep 17, 2018

Translation Google
[TABLE="class: templateContainer, border: 0, cellpadding: 0, cellspacing: 0, width: 600"]
[TR]
[TD] [TABLE="class: mcnImageBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageBlockInner"] [TABLE="class: mcnImageContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageContent"]

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]DIRECTORATE GENERAL FOR DISEASE CONTROL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[TR]
[TD] [TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN THE PROVINCE OF NORTH KIVU

Sunday 16 September 2018

The epidemiological situation of the Ebola Virus Disease dated September 15, 2018 :

A total of 142 cases of haemorrhagic fever were reported in the region, 111 confirmed and 31 probable.
Of the 111 confirmed, 66 died and 38 are cured .
4 suspected cases are under investigation.
2 new confirmed cases including 1 in Beni and 1 in Butembo.
2 confirmed case deaths in Beni.
1 new person healed in Mabalako.

Remarks:

To avoid that the total number of cases varies (up or down) daily, the suspect cases have been placed in a separate category. Thus, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]

News of the response

surveillance

A joint investigation team was sent to the Komanda Health Zone, north of Beni City, after an Ebola confirmed case died at the Ebola treatment center in Beni. The purpose of the mission is to identify contacts and define vaccination belts.
To date, 4,038,431 travelers have been checked at the various entry points set up.

Vaccination

Immunization activities continue in the 48 vaccination belts spread over the 7 affected health zones. A data consolidation and harmonization process is underway. We will resume publishing immunization data as soon as this process is completed.

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=84ac48a712

Pathfinder · Sep 20, 2018

Translation Google

Negative result after Ebola cases analysis in Irumu and Mahagi

Posted the game, 20/09/2018 - 12:39 | Changed the game, 20/09/2018 - 12:39

The results of the analysis of samples collected last weekend on some suspected cases of Ebola virus disease in Gety in Irumu territory and in Mokambo in Mahagi in Ituri are negative. Dr Bate Njoloko, head of the Ebola response at the National Ministry of Health, made the announcement on Wednesday (19 September) at Radio Okapi, after analysis at the INRB laboratory in Beni.

Bate Njoloko, however, urges the population to respect the hygiene measures for the prevention against this epidemic, which is still present in the Northeast region of the country. It affects in particular the territories of Beni in North Kivu and Mambasa in Ituri.

https://www.radiookapi.net/2018/09/...f-apres-analyse-de-cas-debola-irumu-et-mahagi

Shiloh · Sep 20, 2018

Source: http://www.who.int/csr/don/20-september-2018-ebola-drc/en/
[h=1]Ebola virus disease ? Democratic Republic of the Congo[/h] Disease outbreak news
20 September 2018

The Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo remains active. While substantial progress has been made to limit the spread of the disease to new areas and the situation in Mangina (Mabalako Health Zone) is stabilizing, the cities of Beni and Butembo have become the new hotspot. Response teams continue to enhance activities to mitigate potential clusters in these cities and prevent spread to other areas.
Significant risks for further spread of the disease remain. Continued challenges include contacts lost to follow-up, delayed recognition of EVD in health centres, poor infection prevention and control (IPC) in health centres, and reluctance among some cases to be treatment in Ebola treatment centres (ETCs). While the majority of communities have welcomed response measures, in some, risks of transmission and poor disease outcomes have been amplified by unfavourable behaviours, with reluctance to adopt prevention and risk mitigation strategies. The priority remains strengthening all components of the public health response in all affected areas, as well as continuing to enhance operational readiness and preparedness in the non-affected provinces of the Democratic Republic of the Congo and neighbouring countries.
Since the last Disease Outbreak News (data as of 12 September), five new confirmed EVD cases were reported: four from Beni and one from Butembo health zones. All have been linked to ongoing transmission chains within these respective communities.
As of 18 September 2018, a total of 142 EVD cases (111 confirmed and 31 probable), including 97 deaths (66 confirmed and 31 probable)[SUP]1[/SUP] have been reported in seven health zones in North Kivu Province (Beni, Butembo, Kalunguta, Mabalako, Masereka, Musienene and Oicha), and Mandima Health Zone in Ituri Province (Figure 1). An overall decreasing trend in weekly case incidence continues (Figure 2); however, these trends must be interpreted with caution given the expected delays in case reporting and the ongoing detection of sporadic cases. Of the 135 probable and confirmed cases for whom age and sex information is known, adults aged 35?44 years (23%) and females (56%) accounted for the greatest proportion of cases (Figure 3). Cumulatively, 19 (18 confirmed and one probable) health workers have been affected to date, three of whom have died.
The Ministry of Health (MoH), WHO and partners continue to closely monitor and investigate all alerts in affected areas, in other provinces in the Democratic Republic of the Congo, and in neighbouring countries. As of 18 September 2018, nine suspected cases are awaiting laboratory testing. Since the last report was published, alerts were investigated in several provinces of the Democratic Republic of the Congo, as well as in neighbouring countries; and to date, EVD has been ruled out in all alerts from neighbouring provinces and countries.
[h=4]Figure 1: Confirmed and probable Ebola virus disease cases by health zone in North Kivu and Ituri provinces, Democratic Republic of the Congo, data as of 18 September 2018 (n=142)[/h]

[h=4]Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset, data as of 18 September 2018 (n=142)*[/h]

*Data in recent weeks are subject to delays in case confirmation and reporting, as well as ongoing data cleaning.
[h=4]Figure 3: Confirmed and probable Ebola virus disease cases by age and sex, data as 18 September 2018 (n=135)*[/h]

*Age and/or sex unknown for n=7 cases.
[h=3]Public health response[/h] The MoH continues to strengthen response measures, with support from WHO and partners. Priorities include coordinating the response, surveillance, contact tracing, laboratory capacity, IPC measures, clinical management of patients, vaccination, risk communication and community engagement, safe and dignified burials (SDB), cross-border surveillance, and preparedness activities in neighbouring provinces and countries.

As of 18 September, 209 experts have been deployed by WHO to support response activities including emergency coordinators, epidemiologists, laboratory experts, logisticians, clinical care specialists, communicators, and community engagement specialists.
Over 5000 contacts have been registered to date, of which 1983 remain under surveillance as of 18 September[SUP]2[/SUP]
As of 19 September, 58 vaccination rings have been defined, in addition to 24 rings of health workers and other frontline workers. These rings include the contacts (and their contacts) of all confirmed cases from the last four weeks. To date, 10 701 people consented and were vaccinated, including 4008 health care or frontline workers, and 2362 children. The ring vaccination teams are currently active in three health areas in North Kivu and one in Ituri.
ETCs remain fully operational in Beni and Mangina with support from The Alliance for International Medical Action (ALIMA) and M?decins Sans Fronti?res (MSF), respectively. MSF Switzerland and the MoH are supporting a temporary treatment center in Butembo where a fully functional ETC will open soon. The Makeke ETC in Ituri Province, which is supported by International Medical Corps (IMC), was inaugurated on 18 September. Samaritan's Purse continues to support IPC activities in Bunia.
ETCs continue to provide therapeutic agents under the monitored emergency use of unregistered and experimental interventions (MEURI) protocol in collaboration with the MoH and the Institut National de Recherche Biom?dicale (INRB). WHO is providing technical clinical expertise and mentoring onsite.
WASH and IPC activities are ongoing in the DRC and are supported by a number of partners in the field. Numerous activities have occurred in health facilities in the affected areas which include facility assessments, decontamination of centres, establishment of triage areas, and training on standard precautions as well as Ebola-specific IPC measures, which include personal protective equipment donning and doffing.
The MoH, WHO, UNICEF, Red Cross and partners are intensifying activities to engage with local communities in the affected areas. Local leaders, religious leaders, opinion leaders, and community networks such as youth groups, women?s group and motorbike taxi drivers are being engaged on a daily basis to support community outreach for Ebola prevention and early care seeking through active dialogues on radio, community gatherings and house-to-house visits. Community feedback is being systematically collected and concerns are being addressed. Local frontline community outreach workers are working closely with Ebola response teams to strengthen community engagement and psychosocial support in contact tracing, patient care, SDBs and vaccination of close contacts. The current focus is to intensify activities aimed at addressing community concerns through direct partnership with community members.
Expert teams have deployed to six at-risk provinces (Bas Uele, Haut Uele, Ituri, Maniema, South Kivu and Tanganika) to facilitate implementation of priority readiness actions, including strengthening multisectoral coordination, surveillance for early detection, laboratory diagnostic capacity, points of entry (PoE) surveillance, rapid response teams, risk communication, social mobilization and community engagement, case management and IPC capacities, operations support, and logistics.
As of 17 September, health screening has been established at 43 PoEs and close to four million travellers have been screened at these PoEs.
To support the MoH, WHO is working intensively with a wide range of, multisectoral and multidisciplinary regional and global partners and stakeholders for EVD response, research and urgent preparedness, including in neighbouring countries. This includes the UN secretariat, sister Agencies, including International Organization for Migration (IOM), the United Nations Children's Fund (UNICEF), World Food Programme (WFP), United Nations Office for the Coordination of Humanitarian Affairs (OCHA), Inter-Agency Standing Committee (IASC), multiple Clusters, and peacekeeping operations; World Bank and regional development banks; African Union, and Africa Centres for Disease Control and Prevention (CDC) and regional agencies; Global Outbreak Alert and Response Network (GOARN), Steering Committee, technical networks and operational partners, and the Emergency Medical Team Initiative. GOARN partners continue to support the response through deployment for response, and readiness activities in non-affected provinces and in neighbouring countries.

[h=3]WHO risk assessment[/h] This outbreak of EVD is affecting north-eastern provinces of the Democratic Republic of the Congo, which border Uganda, Rwanda and South Sudan. Potential risk factors for transmission of EVD at the national and regional levels include the transportation links between the affected areas, the rest of the country, and neighbouring countries; the internal displacement of populations; and the displacement of Congolese refugees to neighbouring countries. The country is concurrently experiencing other epidemics (e.g. cholera, vaccine-derived poliomyelitis), and a long-term humanitarian crisis. Additionally, the security situation in North Kivu and Ituri continues to hinder the implementation of response activities. Based on this context, the public health risk was assessed to be high at the national and regional levels, and low globally.
As the risk of national and regional spread remains high, it is important for neighbouring provinces and countries to enhance surveillance and preparedness activities. WHO will continue to work with neighbouring countries and partners to ensure health authorities are alerted and are operationally ready to respond.
[h=3]WHO advice[/h] WHO advises against any restriction of travel and trade to the Democratic Republic of the Congo based on the currently available information. WHO continues to closely monitor and, if necessary, verify travel and trade measures in relation to this event. Currently, no countries have implemented any travel restriction to and from the Democratic Republic of the Congo. Travellers should seek medical advice before travel and should practice good hygiene.
For more information, see:

[SUP]1[/SUP]The number of cases is subject to change due to ongoing reclassification, retrospective investigation, and the availability of laboratory results.
[SUP]2[/SUP]The total number of contacts under surveillance is highly dynamic with new cases being registered daily, and those who complete 21 days of post-exposure follow-up, without developing symptoms, are released from surveillance.

Pathfinder · Sep 21, 2018

Translation Google
[TABLE="class: templateContainer, border: 0, cellpadding: 0, cellspacing: 0, width: 600"]
[TR]
[TD] [TABLE="class: mcnImageBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageBlockInner"] [TABLE="class: mcnImageContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageContent"]

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]DIRECTORATE GENERAL FOR DISEASE CONTROL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[TR]
[TD] [TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN NORTH KIVU PROVINCE

Thursday 20 September 2018

The epidemiological situation of the Ebola Virus Disease dated 19 September 2018 :

A total of 143 cases of haemorrhagic fever were reported in the region, of which 112 were confirmed and 31 were probable.
Of the 112 confirmed, 66 died and 39 are cured .
7 suspected cases are under investigation.
1 new confirmed case in Butembo.
No new case deaths confirmed.
1 new person healed in Beni. This is the first healed person from the Ndindi neighborhood in the city of Beni where the resistance began.

Remarks:

To avoid that the total number of cases varies (up or down) daily, the suspect cases have been placed in a separate category. Thus, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]

News of the response

Vaccination

Since the beginning of vaccination on August 8, 2018, 10,663 people have been vaccinated , including 3,935 in Mabalako, 3,409 in Beni, 1,582 in Mandima, 814 in Butembo, 373 in Katwa, 270 in Masereka, 121 in Oicha, 94 in Komanda and 65 in Kinshasa (medical staff to deploy).

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnImageBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageBlockInner"] [TABLE="class: mcnImageContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageContent"]

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextBlockInner"] [TABLE="class: mcnTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]

Announcement of the return of the first Ebola survivor from Ndindi neighborhood in the city of Beni

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=f423e32086

Pathfinder · Sep 24, 2018

Translation Google

Ebola in the DRC: the 100 victims hit

Sunday, September 23, 2018 - 21:33

The Ebola epidemic that strikes the territories of Beni, Lubero and part of the province of Ituri has made its hundredth victim, announced the ministry of health in a statement this Sunday, September 23.

The virus is confirmed in 118 of the 148 people with hemorrhagic fever in the area, according to the same report. Of the 100 dead, only 69 are confirmed cases.
...
On Sunday, the response teams temporarily suspended field activities including Ebola vaccination, follow-up of contacts and sensitization after Ugandan rebels of Allied Democratic Forces (ADF) attacked the city of Beni Saturday night.

Eighteen (18) people including 14 civilians and four soldiers were killed in clashes, according to a count made by the army and civil society. The United Nations Children's Fund (Unicef) and its partners reported identifying 155 orphaned and unaccompanied children as a result of the current epidemic.
...

Christine Tshibuyi

https://actualite.cd/2018/09/23/ebola-en-rdc-la-barre-des-100-victimes-atteinte

---------------------------------------------------------------
[TABLE="class: templateContainer, border: 0, cellpadding: 0, cellspacing: 0, width: 600"]
[TR]
[TD] [TABLE="class: mcnImageBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageBlockInner"] [TABLE="class: mcnImageContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageContent"]

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[TR]
[TD] [TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]

MIN SANTE - PRESS RELEASE - 24 SEPTEMBER 2018

[h=1]Message from His Excellency the Minister of Health following incidents in the city of Beni this Saturday, September 22, 2018[/h]

Dear residents of the city of Beni,

I would first like to offer my sincere condolences to the families of the victims of the violent incidents that occurred in the city of Beni this Saturday, September 22, 2018.

As you know, the Government of the Republic, through the Ministry of Health, deployed in Beni and surrounding areas hundreds of experts from Kinshasa and North Kivu in the first week of August to respond to the Ebola Virus Disease epidemic .

We are aware that this Ebola outbreak is a new plague that adds to the burdens that have plagued you for many years. Also, we are making every effort to ensure that this epidemic, which has already killed 100 people since its occurrence, is not the source of a new tragedy for the people of North Kivu.

The experience of the Ebola outbreak in West Africa from 2014 to 2016 has shown that an epidemic that starts in a village can decimate entire families, villages, neighborhoods, and even cities. More than 11,000 people lost their lives. We can not allow such a tragedy to happen here. For this, it is essential for the community to become aware of the seriousness of the situation and facilitate the ongoing response by collaborating with the health authorities.

I personally want to assure you that, despite the unfortunate events of the last few days, the Ministry of Health remains fully committed and committed to your community.

Out of respect for the mourning population, we had temporarily suspended some field activities that required us to go to the households this Sunday, September 23, 2018.

However, we inform you that all the pillars of the response remain fully operational and that the teams remain prepared to intervene in case of emergency:

The Beni Ebola Treatment Center remains open to patients;
Free healthcare in all approved health centers remains effective, including for victims of violence;
Emergency teams remain available to receive and investigate alerts;
Vaccinators are also willing to continue vaccination; and
Psychologists are willing to support the families of the victims.

We share your sorrow. Do not let these tragic incidents divide us. Let us stand united and united because, beyond the medical response, the only way to end the Ebola Virus Disease epidemic remains the mobilization and commitment of the community alongside the health authorities.

Thank you.

Dr. Oly Ilunga Kalenga
Minister of Health

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=ab6d1e2292

Pathfinder · Sep 24, 2018

Translation Google [TABLE="class: templateContainer, border: 0, cellpadding: 0, cellspacing: 0, width: 600"]
[TR]
[TD] [TABLE="class: mcnImageBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageBlockInner"] [TABLE="class: mcnImageContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageContent"]

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]DIRECTORATE GENERAL FOR DISEASE CONTROL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[TR]
[TD] [TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN THE PROVINCE OF NORTH KIVU

Monday 24 September 2018

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

A total of 150 cases of haemorrhagic fever were reported in the region, 119 confirmed and 31 probable.
Of the 119 confirmed, 69 died and 41 are cured .
9 suspected cases are under investigation.
1 new case confirmed in Tchomia, which is the partner of the first confirmed case died of Tchomia. He was placed in isolation at the Kasenyi Hospital Center.
No new deaths.
1 new person healed in Mabalako.

Remarks:

To avoid that the total number of cases varies (up or down) daily, the suspect cases have been placed in a separate category. Thus, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]

News of the response

Coordination

Coordinators went to Bunia, the capital of Ituri Province, to prepare for the installation of the local sub-coordination. They held working sessions with the Vice Governor of the province, Pacific Keta Upar, and local and international partners in the response. The Tchomia site has been selected for the location of the local sub-coordination where the teams will meet and where the Ebola Treatment Center (ETC) and the mobile laboratory will be installed.

Medical care

To date, 38 patients have been treated with mAb 114, Remdesivir, or Zmapp. Of these 38 patients, 19 are cured and have been discharged, 12 have died and 7 are still hospitalized.

surveillance

To date, 5,391,475 travelers have been checked at the various entry points set up.

Vaccination

Since vaccination began on August 8, 2018, 11,563 people have been vaccinated , including 4,065 in Mabalako, 3,652 in Beni, 1,632 in Mandima, 884 in Butembo, 683 in Katwa, 270 in Masereka, 164 in Komanda, 121 in Oicha, 65 in Kinshasa (medical staff to be deployed), and 27 in Tchomia.

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=51b72f817f

Pathfinder · Sep 25, 2018

SEPTEMBER 25, 2018 / 3:52 AM / UPDATED 3 HOURS AGO

WHO extremely concerned about Ebola 'perfect storm' in Congo

Tom Miles

GENEVA (Reuters) - The World Health Organization said on Tuesday that an Ebola outbreak in northeastern Democratic Republic of Congo could worsen rapidly because of attacks by armed groups, community resistance and the geographic spread of the disease.

?We are now extremely concerned that several factors may be coming together over the next weeks and months to create a potential perfect storm,? WHO?s head of emergency response Peter Salama told a news conference in Geneva.
...
Attacks by armed opposition groups had increased in severity and frequency, especially those attributed to the Alliance of Democratic Forces, most dramatically an attack that killed 21 in the city of Beni, where WHO?s operation is based.

The city has declared a ?ville morte?, a period of mourning until at least Friday, obliging WHO to suspend its operations.
...
https://www.reuters.com/article/us-...ut-ebola-perfect-storm-in-congo-idUSKCN1M510T

Pathfinder · Sep 25, 2018

Ebola-hit DRC faces perfect storm as uptick in violence halts WHO operation

[FONT=&quot]25 September 2018

A "perfect storm" of active conflict and traumatized communities in Ebola-affected areas of eastern Democratic Republic of the Congo (DRC) could enable the deadly disease to spread, but there are no plans to pull UN workers out of the country despite concerns for their security, the World Health Organization (WHO) said on Tuesday.

We are now extremely concerned, that several factors may be coming together over the next weeks to months to create a potential perfect storm, said Dr Peter Salama, WHO Deputy Director-General for Emergency Preparedness and Response. A perfect storm of active conflict, limiting our ability to access civilians, distress by segments of the community, already traumatized by decades of conflict and of murder.

The senior WHO officials comments follow a spate of attacks, including one that killed at least 21 civilians on Saturday in the city of Beni, where WHOs Ebola-response teams are based.[/FONT]

Several factors may be coming together over the next weeks to months to create a potential perfect storm - Dr. Peter Salama, WHO

Weve seen attacks now on August 24, September 3, 9, 11, 16, 21 and most recently and most dramatically September 22 in the city itself of Beni, he said. He said that Beni was the base for the agencys base for the entire operation.

Apart from the worrying targeting of civilians, Dr. Salama expressed concern that in the aftermath of the latest attack, outraged communities had declared Beni a ville morte so that mourners can grieve, effectively suspending UN operations.

Weve heard this morning, that that ville morte, which was yesterday, has now been extended right through to Friday of this week, he said, which basically means for the UN family, including WHO, a lockdown in Beni. Our operations are in effect suspended.

The development meant that on Monday, WHO staff were able to reach only 20 per cent of the contacts they wanted to, in and around Beni, Dr Salama said.

Butembo could also declare a ville morte in coming days in sympathy with the people of Beni, he said, potentially increasing the chances of the situation deteriorating rapidly.

If we do see unsafe burials that cant be responded to and symptomatic people that cant be accessed, we can see this situation deteriorating very quickly, Dr. Salama said.

In addition to many peoples fear of Ebola, the WHO senior official explained that the situation was being further complicated by local politicians who exploited and manipulated them prior to upcoming elections.

Social media reaction to the outbreak was also adding to a range of conspiracy theories, Dr Salama said, adding that people have been actively fleeing health-workers, including in places where there have been a large number of cases in recent weeks.

In the nearly two months since the outbreak was declared, there have been 150 confirmed and probable cases of the disease, and 100 people have died, as of 23 September. Ebolas symptoms include high fever and vomiting, which make it difficult to treat, because it resembles many other illnesses in its early stages.

Speaking to journalists at the UN in Geneva, Dr Salama noted that the international response to the major public health threat had been excellent and that donors have responded very quickly and generously to this latest outbreak, which is DRCs tenth since the 1970s.

This progress risks being undone by the uptick in violence in the Kivus region, which is home to more than 100 armed groups, he said, before noting that neighbouring countries now also face an increased risk of the disease spreading.

'There are no plans for WHO or UN staff to pull out'

We call on the international community to continue to fund the response, he said, both in North Kivu, but also, and this is increasingly important, in the neighbouring provinces of the Kivus and Ituri, and in surrounding countries."

One of the armed groups in DRC which pose a threat to civilians and the international response to Ebola, the ADF  Allied Democratic Forces - has sufficient military capacity to ambush blue helmets from the UN'a Stabilization Mission in DRC (MONUSCO) and government forces  the FARDC.

The ADF in particular has enormous capabilities, Dr Salama said. Theyve been able to overrun entire FARDC-bases in and around Beni, theyve been able to ambush (UN) forces."

Asked whether the increasing violence may force WHO to leave the area, Dr Salama said that there were no plans to do so and that only a very significant presence of the UN and its partners could stop the disease.

There are no plans for WHO or UN staff to pull out, he added. You know the UN philosophy is to stay and deliver under all circumstances unless we become direct targets of violence.

I dont believewe can stop Ebola without a very significant presence of UN and partners, despite the fact that the Ministry of Health has exerted great leadership and is doing an extremely good job in this response, he added.

https://news.un.org/en/story/2018/09/1020392

Pathfinder · Sep 25, 2018

Translation Google

Ituri-Ebola: vice-governor confirms new case in Tchomia

September 25, 2018 |

The new confirmed case is that of the husband of the woman who died with this Ebola outbreak at the general reference hospital in Tchomia last Thursday south of Bunia.

The interim governor Pacific Keta Upar specifies that this new case is taken care of by the caregiver deployed in the region.

"At the same time anyone who has been in direct or indirect contact is being vaccinated in Tagba, Kasenyi and Tchomia. To date, there are about twenty-five vaccinated, "he said.

A strong delegation of members of the provincial government, the Ministry of Health, members of the provincial safety committee and partners involved in the health sector had visited the Tagba weekend where the woman lived before finding the died in Chomia hospital.

Purpose of this delegation: to get involved in the activities of the response against this epidemic, to sensitize, to encourage the population, the traditional chiefs not to panic rather to accompany the health care and to respect the sanitary measures to prevent the propagation of the virus in this health zone.

Dieu merci Thuambe

http://7sur7.cd/new/ituri-ebola-le-vice-gouverneur-confirme-un-nouveau-cas-a-tchomia/

Pathfinder · Sep 25, 2018

Translation Google
[TABLE="class: templateContainer, border: 0, cellpadding: 0, cellspacing: 0, width: 600"]
[TR]
[TD] [TABLE="class: mcnImageBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageBlockInner"] [TABLE="class: mcnImageContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageContent"]

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]DIRECTORATE GENERAL FOR DISEASE CONTROL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[TR]
[TD] [TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN THE PROVINCE OF NORTH KIVU

Tuesday 25 September 2018

The epidemiological situation of Ebola Virus Disease dated 24 September 2018 :

A total of 151 cases of haemorrhagic fever were reported in the region, 120 confirmed and 31 probable.
Of the 120 confirmed, 70 died and 41 are cured .
11 suspected cases are under investigation.
1 new case confirmed in Beni.
1 confirmed case death in Beni.

Remarks:

To avoid that the total number of cases varies (up or down) daily, the suspect cases have been placed in a separate category. Thus, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]

News of the response

Days of the dead city in Beni

Following the violence that occurred this Saturday, September 22, 2018 in Beni, the civil society had called the population to respect 5 days dead city to protest the violence. They demanded that all commercial activity and all activities of the response be halted during this period. On Tuesday, September 25, 2018, the coordinator of the response, Dr Ndjoloko Tambwe Bathe, and the mayor of the city of Beni invited the president of the civil society of Beni to explain the dangers of stopping the response for a whole week. After the meeting, understanding the severity of the epidemic, Beni's civil society president announced that all the response teams, from both the government and partner organizations, could continue to work during these dead city days. So,

Medical care

To date, 39 patients have been treated with mAb 114, Remdesivir, or Zmapp. Of these 39 patients, 19 are cured and have been discharged, 12 have died and 8 are still hospitalized.

surveillance

To date, 5,572,092 travelers have been checked at the various entry points set up.

Vaccination

Since the start of vaccination on 8 August 2018, 11,773 people have been vaccinated , including 4,122 in Mabalako, 3,652 in Beni, 1,632 in Mandima, 884 in Butembo, 803 in Katwa, 270 in Masereka, 164 in Komanda, 121 in Oicha, 65 in Kinshasa (medical staff to deploy), and 60 in Tchomia

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=cdccedef6e

Pathfinder · Sep 27, 2018

Translation Google
[TABLE="class: templateContainer, border: 0, cellpadding: 0, cellspacing: 0, width: 600"]
[TR]
[TD] [TABLE="class: mcnImageBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageBlockInner"] [TABLE="class: mcnImageContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageContent"]

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]DIRECTORATE GENERAL FOR DISEASE CONTROL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[TR]
[TD] [TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN NORTH KIVU PROVINCE

Thursday 27 September 2018

The epidemiological situation of the Ebola Virus Disease dated September 26, 2018 :

A total of 154 cases of haemorrhagic fever were reported in the region, of which 123 confirmed and 31 probable.
Of the 123 confirmed, 70 died and 43 are cured .
11 suspected cases are under investigation.
3 new confirmed cases in Beni.
- Of these new confirmed cases, two are known contacts from the same family who did not want to be vaccinated but who voluntarily went to the Ebola Treatment Center as soon as the first symptoms appeared.
No new deaths.
2 new people healed in Beni.

Remarks:

To avoid that the total number of cases varies (up or down) daily, the suspect cases have been placed in a separate category. Thus, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnImageBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageBlockInner"] [TABLE="class: mcnImageContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageContent"]

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]

News of the response

Days of the dead city in Beni and Butembo

This Thursday, September 27, 2018, the Governor of the Province of North Kivu, Julien Paluku, participated in the daily meeting of the coordination of the response to Beni and visited the CTE. He encouraged the teams and reminded them that they had all the support of the provincial government.
In Butembo, the dead city day was lifted and all commercial activities in the city resumed, allowing the response to resume field activities.

Collaboration of the community in Ndindi

All riposte activities were held normally in Beni this Thursday. In the Ndindi district, the cradle of resistance, the teams of the riposte were greeted without a hitch by the population. The local committee of community leaders had called for a catch-up session for unimmunized contacts and household decontamination of the latest confirmed cases from the neighborhood. Unlike the previous weeks, there was a lot of enthusiasm among neighborhood residents who voluntarily registered for vaccination.

Vaccination

Launch of the vaccination of several contacts and contacts of confirmed cases of Tchomia that were located in Bunia. These contacts readily agreed to collaborate with the health authorities.
Since the beginning of the vaccination August 8, 2018, 12,029 people were vaccinated , including 4.122 to Mabalako, 3662 in Beni, 1632 at Mandima 884 in Butembo, 903 to Katwa, 270 Masereka, 164 Komanda 156 Tchomia Oicha 121 to 65 in Kinshasa (medical personnel to deploy), and 50 Bunia.

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=ec941c5bb1

Shiloh · Sep 28, 2018

Source: http://www.who.int/csr/don/27-september-2018-ebola-drc/en/
[h=1]Ebola virus disease ? Democratic Republic of the Congo[/h] Disease outbreak news
27 September 2018

The response to the Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo is at a critical juncture. While substantial progress has been made, the situation is precarious given recent increases in insecurity, incidents of community reluctance and geographical spread.
There have been a number of incidents in recent days, notably in Beni, which have led to loss of life among the local communities. WHO response activities have been severely limited as Beni and other towns mark a period of mourning for those who were killed. Security in Beni and other areas remains challenging.
The Ministry of Health (MoH), WHO and partners continue to work closely with people in the affected areas to overcome reluctance and mistrust which has developed among some communities. Rumours, misinformation and traditional practices have led some families to opt to care for sick relatives at home; some patients have also left health facilities to seek alternative care. Together this results in health workers being unable to provide optimal treatment, and also increases the risk of infection for relatives and local community members. These factors have contributed to the geographical spread of the outbreak.
The movement of several cases across health zones in recent weeks is concerning; one infected individual who recently moved to Kalunguta Health Zone is the first to move into a 'red' zone - highly insecure and challenging environments where implementing response activities is extremely difficult, if not impossible. Responders are employing a range of new techniques in these red zones, including using armed escorts and training local health workers to trace contacts.
Where they have access, response teams continue to enhance activities to prevent new clusters and the potential spread to new areas. WHO continues to work in the affected areas, side-by-side with national and international partners, to support the response led by the MoH. There continues to be challenges with identifying all contacts, registered contacts being lost to follow up, delayed recognition of EVD in health centres, poor infection prevention and control (IPC) in health centres, and reluctance among some cases to be treated in Ebola treatment centres (ETCs). The priority remains strengthening all components of the public health response in all affected areas, as well as continuing to enhance operational readiness and preparedness in the non-affected provinces of the Democratic Republic of the Congo and in neighbouring countries.
Since the last Disease Outbreak News (data as of 18 September), nine new confirmed EVD cases were reported: five from Beni, one from Butembo and one from Mabalako health zones in North Kivu Province, as well as two from Tchomia Health Zone in Ituri Province. These are the first confirmed EVD cases to be reported from Tchomia Health Zone which is near the Ugandan border; both cases, a couple, were linked to the ongoing Beni transmission chain. Two of the remaining seven cases have been linked to ongoing transmission chains within the respective communities, while the last five cases are under investigation.
As of 25 September 2018, a total of 151 EVD cases (120 confirmed and 31 probable), including 101 deaths (70 confirmed and 31 probable)[SUP]1[/SUP], have been reported in seven health zones in North Kivu Province (Beni, Butembo, Kalunguta, Mabalako, Masereka, Musienene and Oicha), and two health zones in Ituri Province (Mandima and Tchomia) (Figure 1). An overall decreasing trend in weekly case incidence continues (Figure 2); however, these trends must be interpreted with caution given the expected delays in case reporting, the ongoing detection of sporadic cases and the security situation which is limiting contact tracing. Of the 149 confirmed and probable cases for whom age and sex information is known, 23%, 20% and 22% are aged 15-24, 25-34 and 35-44 years, respectively; females (56%) accounted for the greatest proportion of cases (Figure 3). Cumulatively, 19 (18 confirmed and one probable) health workers have been affected to date, three of whom have died.
The MoH, WHO and partners continue to closely monitor and investigate all alerts in affected areas, in other provinces in the Democratic Republic of the Congo and in neighbouring countries. As of 25 September, 17 suspected cases in the Democratic Republic of the Congo are awaiting laboratory testing. Since the last report was published, alerts were investigated in several provinces of the Democratic Republic of the Congo, as well as in neighbouring countries; and to date, EVD has been ruled out in all alerts from neighbouring provinces and countries.
[h=4]Figure 1: Confirmed and probable Ebola virus disease cases by health zone in North Kivu and Ituri provinces, Democratic Republic of the Congo, data as of 25 September 2018 (n=151)[/h]

[h=4]Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset, data as of 25 September 2018 (n=147)*[/h]

*Data in recent weeks are subject to delays in case confirmation and reporting, as well as ongoing data cleaning.
[h=4]Figure 3: Confirmed and probable Ebola virus disease cases by age and sex, data as 25 September 2018 (n=149)*[/h]

*Age and/or sex unknown for n=2 cases.
[h=3]Public health response[/h] The MoH continues to strengthen response measures, with support from WHO and partners. Priorities include coordinating the response, surveillance, contact tracing, laboratory capacity, IPC measures, clinical management of patients, vaccination, risk communication and community engagement, psychosocial support, safe and dignified burials (SDB), cross-border surveillance and preparedness activities in neighbouring provinces and countries.

As of 18 September, 201 experts have been deployed by WHO to support response activities including emergency coordinators, epidemiologists, laboratory experts, logisticians, clinical care specialists, communicators and community engagement specialists.
Over 5700 contacts have been registered, of which 1660 remain under surveillance as of 25 September[SUP]2[/SUP]. From 19 to 25 September, a high proportion of contacts ranging between 95-98% were followed up daily; however, coverage fell to between 60-76% from 23 to 25 September due to the suspension of field activities in Beni and a new front of operations in Tchomia..
As of 25 September, 63 vaccination rings have been defined in addition to 26 rings of health workers and other frontline workers. These rings include the contacts (and their contacts) of all confirmed cases from the last four weeks. To date, 12 029 people consented and were vaccinated, including 5041 health or frontline workers and 2497 children. The ring vaccination teams are currently active in three health areas in North Kivu and two in Ituri.
ETCs are operational in Beni and Mangina with support from the Alliance for International Medical Action (ALIMA) and M?decins Sans Fronti?res (MSF), respectively. MSF Switzerland and the MoH are supporting an ETC in Butembo. International Medical Corps (IMC) is supporting the recently opened Makeke ETC in Ituri Province. MSF and the MoH are setting up a 12-bed isolation facility in Kasenyi.
WASH and IPC activities are ongoing in the Democratic Republic of the Congo and are supported by several partners in the field. Numerous activities have occurred in health facilities in the affected areas including facility assessments, decontamination of centres, establishment of triage areas and training on standard precautions as well as Ebola-specific IPC measures.
The MoH, WHO, UNICEF, Red Cross and partners are intensifying activities to engage with local communities in the affected areas. Community feedback is being systematically collected and concerns are being addressed. Local frontline community outreach workers are collaborating with Ebola response teams to strengthen community engagement and psychosocial support in contact tracing, patient care, SDBs and vaccination of close contacts. The focus continues to be on intensifying activities aimed at addressing community concerns through direct partnership with community members.
Red Cross SDB teams are trained and operational in Mabalako, Beni and Butembo health zones. Due to the new confirmed EVD cases in Ituri, the Red Cross is strengthening response capacity in Bunia where one SDB team was initially trained. In preparation, training of Red Cross SDB teams in Goma started on 24 September. Civil protection SDB teams from Beni, Butembo and Oicha have been trained as part of the ?red zone strategy?. As of 24 September, Red Cross SDB teams have successfully responded to 144 of the 176 SDB alerts received; 37% of alerts were for community deaths, 36% were from ETCs and 27% were from non-ETC health facilities. In addition, four alerts were sent to the civil protection SDB teams.
Expert teams have deployed to six at-risk provinces (Bas Uele, Haut Uele, Ituri, Maniema, South Kivu and Tanganika) to facilitate implementation of priority readiness actions, including strengthening multisectoral coordination, surveillance for early detection, laboratory diagnostic capacity, points of entry (PoE) surveillance, rapid response teams, risk communication, social mobilization and community engagement, psychosocial support, case management and IPC capacities, operations support, and logistics.
As of 25 September, health screening has been established at 45 PoEs and close to six million travellers have been screened and over 17 000 means of travel have been decontaminated at these PoEs.
To support the MoH, WHO is working intensively with a wide range of multisectoral and multidisciplinary regional and global partners and stakeholders for EVD response, research and urgent preparedness, including in neighbouring countries. Among the partners are a number of UN agencies and international organizations including International Organization for Migration (IOM), the United Nations Children's Fund (UNICEF), World Food Programme (WFP), United Nations Office for the Coordination of Humanitarian Affairs (OCHA), Inter-Agency Standing Committee (IASC), European Civil Protection and Humanitarian Aid Operation (ECHO), UK Public Health Rapid Support Team, multiple Clusters, and peacekeeping operations; World Bank and regional development banks; African Union, Africa Centers for Disease Control and Prevention (CDC), and regional agencies; Health Cluster partners and NGOs including ALIMA, ADECO, AFNAC, CARITAS, CEPROSSAN, CARE, COOPI, CORDAID, ICRC, IFRC, INTERSOS, MEDAIR, MSF, OXFAM, PNHF, Samaritan?s Purse, and SCI; Global Outbreak Alert and Response Network (GOARN), Steering Committee, technical networks and operational partners, and the Emergency Medical Team (EMT) Initiative. GOARN partners continue to support the response through deployment for response and readiness activities in non-affected provinces and in neighbouring countries and to different levels of WHO.

[h=3]WHO risk assessment[/h] This outbreak of EVD is affecting north-eastern provinces of the Democratic Republic of the Congo, which border Uganda, Rwanda and South Sudan. Potential risk factors for transmission of EVD at the national and regional levels include the transportation links between the affected areas, the rest of the country, and neighbouring countries; the internal displacement of populations; and the displacement of Congolese refugees to neighbouring countries. The country is concurrently experiencing other epidemics (e.g. cholera, vaccine-derived poliomyelitis), and a long-term humanitarian crisis. Additionally, the security situation in North Kivu and Ituri continues to hinder the implementation of response activities. Since the last Disease Outbreak News on 20 September 2018, WHO has assessed the risk to be very high at the national and regional levels, and low globally[SUP]3[/SUP].
As the risk of national and regional spread is very high, it is important for neighbouring provinces and countries to enhance surveillance and preparedness activities[SUP]3[/SUP]. WHO will continue to work with neighbouring countries and partners to ensure health authorities are alerted and are operationally ready to respond.
[h=3]WHO advice[/h] WHO advises against any restriction of travel and trade to the Democratic Republic of the Congo based on the currently available information. WHO continues to closely monitor and, if necessary, verify travel and trade measures in relation to this event. Currently, no countries have implemented any travel restriction to and from the Democratic Republic of the Congo. Travellers should seek medical advice before travel and should practice good hygiene.
For more information, see:

[SUP]1[/SUP]The number of cases is subject to change due to ongoing reclassification, retrospective investigation, and the availability of laboratory results.
[SUP]2[/SUP]The total number of contacts under surveillance is highly dynamic with new cases being registered daily, and those who complete 21 days of post-exposure follow up, without developing symptoms, are released from surveillance.
[SUP]3[/SUP]Please note that these sentences under ?WHO risk assessment? were updated on 28 September 2018.

Pathfinder · Sep 28, 2018

Translation Google
[TABLE="class: templateContainer, border: 0, cellpadding: 0, cellspacing: 0, width: 600"]
[TR]
[TD] [TABLE="class: mcnImageBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageBlockInner"] [TABLE="class: mcnImageContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageContent"]

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]DIRECTORATE GENERAL FOR DISEASE CONTROL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[TR]
[TD] [TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN THE PROVINCE OF NORTH KIVU

Friday 28 September 2018

The epidemiological situation of the Ebola Virus Disease dated 27 September 2018 :

A total of 155 cases of haemorrhagic fever were reported in the region, of which 124 were confirmed and 31 were probable.
Of the 124 confirmed, 71 died and 45 are cured .
15 suspected cases are under investigation.
1 new case confirmed in Beni.
1 new confirmed case death in Beni.
2 new people healed in Butembo.

Remarks:

To avoid that the total number of cases varies (up or down) daily, the suspect cases have been placed in a separate category. Thus, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]

News of the response

Epidemiological surveillance

All contacts in the Masereka Health Zone have come out of their 21-day follow-up period.
Caregivers at the Mangina Reference Health Center, who had been discharged early in the epidemic as contacts, have also completed their follow-up period and will be able to return to work in the next few days.

Vaccination

Since the beginning of vaccination on August 8, 2018, 12,250 people have been vaccinated , including 4,122 in Mabalako, 3,712 in Beni, 1,632 in Mandima, 884 in Butembo, 993 in Katwa, 270 in Masereka, 164 in Komanda, 177 in Tchomia, 121 in Oicha, 110 in Bunia and 65 in Kinshasa (medical staff to deploy).

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=2466e64d46

Pathfinder · Sep 30, 2018

Translation Google
[TABLE="class: templateContainer, border: 0, cellpadding: 0, cellspacing: 0, width: 600"]
[TR]
[TD] [TABLE="class: mcnImageBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageBlockInner"] [TABLE="class: mcnImageContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageContent"]

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]DIRECTORATE GENERAL FOR DISEASE CONTROL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[TR]
[TD] [TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN NORTH KIVU PROVINCE

Saturday 29 September 2018

The epidemiological situation of the Ebola Virus Disease dated 28 September 2018 :

A total of 157 cases of haemorrhagic fever were reported in the region, 126 confirmed and 31 probable.
Of the 126 confirmed, 71 died and 45 are cured .
23 suspected cases are under investigation.
2 new confirmed cases, including 1 in Beni and 1 in Butembo.
No new deaths.

Remarks:

To avoid that the total number of cases varies (up or down) daily, the suspect cases have been placed in a separate category. Thus, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]

News of the response

Epidemiological surveillance

The last confirmed case reported to Butembo is a woman who started the symptoms around September 20th. At first, family members, who are supporters of national deputy Crispin Mbindule Mitono, refused to transfer her to the Ebola Treatment Center (ETC) and hid her. The family refused to see the teams of the response in the absence of the members of the "Standing Parliament", a pressure group of the Furu district in Butembo.
When the condition of the patient deteriorated, the pressure group, which was in negotiation with Butembo's sub-coordination, finally called on the emergency team to transfer the patient to the CTE. . Upon their arrival at CTE, samples were taken and they were positive. Thus, all of the patient's family members, members of the lobby group, and the member of Parliament herself were registered as at-risk contacts. This Saturday, September 29, 2018, all those at risk have agreed to be vaccinated in the health zone of Katwa.
As a reminder, last August, the MP said in the media that the Ebola Virus Disease was created in laboratories and was moved from the province of Ecuador to Beni to exterminate the population. He also advised against his supporters to accept the vaccination. Thus, the involvement of the MP and the pressure group is a major step forward in social mobilization and the lifting of the last Butembo resistance wall.

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=aeaa8fea49

-------------------------------------------------------------------------------------
[TABLE="class: templateContainer, border: 0, cellpadding: 0, cellspacing: 0, width: 600"]
[TR]
[TD] [TABLE="class: mcnImageBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageBlockInner"] [TABLE="class: mcnImageContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageContent"]

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]DIRECTORATE GENERAL FOR DISEASE CONTROL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[TR]
[TD] [TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN THE PROVINCE OF NORTH KIVU

Sunday, September 30, 2018

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

A total of 159 cases of haemorrhagic fever were reported in the region, of which 127 confirmed and 32 probable.
Of the 127 confirmed, 72 died and 45 are cured .
13 suspected cases are under investigation.
1 new confirmed case in Beni, who died shortly after arriving at the Ebola Treatment Center (ETC)
1 new probable case in Beni, who is a contact of the last confirmed case but who died a day earlier and was buried by his family in an unsecured way.

Remarks:

To avoid that the total number of cases varies (up or down) daily, the suspect cases have been placed in a separate category. Thus, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]

News of the response

Press conference in Beni

The coordinator of the response, Dr. Ndjoloko Tambwe Bathe, held a press conference this Sunday, September 30, 2018 in Beni. He returned to the impact of the dead city days on the activities of the riposte:
- The contact follow-up coverage rate increased from 98% to less than 50% during the dead-city days.
- There has been a slowdown in active case-finding in health facilities and in the community due to lack of team mobility.
- There has been a slowdown in monitoring activities at ports of entry and a disruption of water supply at some ports of entry.
- No vaccination activity for 3 days and poor follow up of people already vaccinated.
- No samples were collected or analyzed on the 25th of September.
- Failure to respect the principle that all households and health facilities through which positive cases have been passed must be disinfected within 24 hours.
- Non-supply of inputs and protective equipment for health care providers and patients in facilities where positive cases have been passed.
- Difficulty distributing hand washing kits in schools.
- No awareness activities or psychological support sessions could be organized.
The coordinator insisted that the stigmatization of the population in Beni must be stopped. Contrary to what is often repeated in the media, the population of the city has been very cooperative with the teams of the response. This collaboration is to be commended and encouraged. More and more contacts are voluntarily registering with vaccination teams, patients voluntarily present themselves to the CTE when they become ill, and bereaved families call emergency teams to proceed with the dignified and secure burial of their patients. close deceased. The cases of resistance in the city of Beni are actually concentrated around one or two families that caused the spread of the epidemic in Butembo and Tchomia. This is why it is important for the whole community to be involved in stopping the spread of the disease.

Vaccination

Since the beginning of vaccination on August 8, 2018, 12,940 people have been vaccinated , including 4,193 in Mabalako, 3,958 in Beni, 1,632 in Mandima, 1,143 in Katwa, 944 in Butembo, 270 in Masereka, 230 in Tchomia, 220 in Bunia, 164 in Komanda, 121 in Oicha and 65 in Kinshasa (medical staff to deploy).

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]

...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=d9a39da6a8

Pathfinder · Oct 1, 2018

Translation Google

DRC-Ebola: 6 cases confirmed after suspension of Beni riposte activities

Monday, October 1, 2018 - 08:53

Six confirmed cases of Ebola were recorded in Beni (North Kivu) during the five-day general strike called by civil society to protest killings of people by suspected ADF fighters.

The strike led to the temporary cessation of immunization activities and at least 243 people who were in contact with the patients could not be vaccinated, reports the health authorities.

"These events related to the massacres have not had any impact on the response and we have not been able to investigate all the alerts that have come in. Hospital surveillance at ports of entry and checkpoints has been suspended. As a result, there were two cases in the general hospital that were positive, our vaccination teams could not build the belts on the confirmed cases, and during that period there were six confirmed cases for 243 contacts that were not able to be vaccinated because of these actions of the strike, and all follow-up contacts were not made, "said Sunday Dr. Bath? Tambwe, general coordinator of the response to Ebola .

Several samples could not be examined during the strike. The latter was suspended last Friday.

"For hospitalized patients we were unable to conduct some tests including biochemistry and dermatology routine care of patients in treatment centers," said the health manager.

The tenth epidemic reported in the country has already killed 104 people in and around Beni and two localities in Ituri province. 159 cases of haemorrhagic fever were reported in the region, of which 127 confirmed and 32 probable. These figures could increase because 13 suspected cases are under investigation, say the health authorities.

Yassin Kombi

https://actualite.cd/2018/10/01/rdc...a-suspension-des-activites-de-la-riposte-beni

Pathfinder · Oct 1, 2018

Translation Google

Two suspected cases of Ebola virus detected in Bunia

Kinshasa01-10-2018

Health - The provincial governor who said this after the meeting of the strategic committee against Ebola held in the meeting room of the provincial governorate, said that this mother and her child shared the same room with a woman who died of this disease on Thursday, August 20 current, at the general reference hospital of Tchomia, 65 km from Bunia.

Two suspected cases of Ebola virus, a mother and her child are under observation at the general reference hospital in Bunia pending the results of samples taken to the laboratory of the National Institute of Biological Research (lN RB) in Beni (North Kivu), announced Thursday to press the governor of Ituri ad interim Pacific Keta Upar.

The provincial governor who said this after the meeting of the strategic committee against Ebola held in the meeting room of the provincial governorate, said that this mother and her child shared the same room with a woman died of this disease on Thursday, August 20 current, at the general reference hospital of Tchomia, 65 km from Bunia.

In addition, the results of sampling four other suspected cases proved negative before announcing, on the one hand, the provision by the province of an ambulance that is in the city of Bunia to transport patients to viruses. Ebola and suspected cases at the Tchomia locality and, on the other hand, the beginning of Friday the mobile laboratory activities of the INRB installed in the same locality.

ACP

https://www.digitalcongo.net/article/5bb21e2f5a27e00004c3597b/

Pathfinder · Oct 1, 2018

Translation Google
[TABLE="class: templateContainer, border: 0, cellpadding: 0, cellspacing: 0, width: 600"]
[TR]
[TD] [TABLE="class: mcnImageBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageBlockInner"] [TABLE="class: mcnImageContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnImageContent"]

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]DIRECTORATE GENERAL FOR DISEASE CONTROL[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[TR]
[TD] [TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN THE PROVINCE OF NORTH KIVU

Monday, October 1, 2018

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

A total of 161 cases of haemorrhagic fever were reported in the region, 129 confirmed and 32 probable.
Of the 129 confirmed, 73 died and 45 are cured .
9 suspected cases are under investigation.
2 new confirmed cases, including 1 in Beni and 1 in Komanda (Ituri)
- Beni's confirmed case is the daughter of a confirmed case who died at the Beni Ebola Treatment Center on September 22, 2018. The family had refused follow-up and vaccination. The girl is dead.
- The confirmed case of Komanda is a man belonging to Ndindi's family who is behind the pockets of resistance in the city of Beni. Some infected members of this family had caused the spread of the virus in Butembo and Tchomia by refusing follow-up and recommendations from the health authorities. After the death of the first confirmed case in Tchomia, who was his sister-in-law, he fled to Komanda. He was found hospitalized in a health post in Komanda. He will be transferred to the Tchomia isolation center and the health post will be fully disinfected.

Remarks:

To avoid that the total number of cases varies (up or down) daily, the suspect cases have been placed in a separate category. Thus, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[TABLE="class: mcnBoxedTextBlock, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnBoxedTextBlockInner"] [TABLE="class: mcnBoxedTextContentContainer, align: left, border: 0, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD] [TABLE="class: mcnTextContentContainer, border: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="class: mcnTextContent"]

News of the response

Epidemiological surveillance

The city of Beni remains the main focus of the Ebola Virus Disease epidemic. For week 39, from 24 to 30 September 2018, Beni recorded:
- 8/9 new confirmed cases reported
- 1/1 new probable case reported,
- 4/4 new deaths reported.

Vaccination

Since the start of vaccination on August 8, 2018, 13,208 people have been vaccinated , including 4,207 in Mabalako, 4,095 in Beni, 1,632 in Mandima, 1,193 in Katwa, 944 in Butembo, 270 in Masereka, 260 in Tchomia, 257 in Bunia, 164 in Komanda, 121 in Oicha and 65 in Kinshasa (medical staff to deploy).

[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
[/TD]
[/TR]
[/TABLE]
...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=70b0c0d7b9

Pathfinder · Oct 3, 2018

Translation Google

Butembo / North Kivu: Aggression against the response team at the funeral of a dead lady of Ebola

Writing Matininfos.net October 3, 2018

On Tuesday, October 2, the town of Butembo, about 300km north of Goma, recorded a fifth case of death from Ebola virus disease. After preparations for her dignified and secure burial, the retaliation team met fierce opposition at the Ngese cemetery that the deceased's family chose for burial. Behavior likely to increase cases of contamination and spread of the disease.

EBOLA-Tuesday, October 2, it is 14:30 in Butembo. The funeral procession of the DHS members (Safe and dignified burial) of the Ebola response arrives at the "Ngese" cemetery in the eastern part of the city. This team comes to bury a dead lady at the CTE (Ebola Treatment Center). While the Red Cross members who are taking care of the burial of the Ebola victims wanted to proceed with the burial, a group of young people with stones and sticks of the woods interfered.

These angry young people even wanted to rob the body of the deceased, claiming that she did not die of Ebola and that the coffin was empty, testifies a resident of Ngese who attended the scene. "When the team wanted to bury the body of the dead Ebola woman in agreement with the family, at the cemetery there was a group of people waiting for the Ebola riposte team. The gang robbed the body of the team's hands by threatening to burn two Red Cross members alive while others were manipulating the body of the deceased, "he says.

The driver of the vehicle carrying the body was able to escape and bring the body back to the Ebola Treatment Center, CTE, "he continued. Other young people pretended that the coffin used is too small compared to the size and mass of the deceased. As a result, the body was not buried on Tuesday. He spent the night at CTE.

"Attack the disease and not the agents"

The two Red Cross members escaped from the hands of their attackers and took refuge in a health center just meters from the cemetery. But young people have also attacked this health facility. Police sources say the altercations resulted in two injured DRC Red Cross workers, a ransomed aid vehicle and health center.

On the morning of Wednesday, October 3, a delegation of family members and relatives of the dead lady arrives at the CTE. With the response team, a compromise is found for the lady to be buried with dignity. "It is a scourge of this Ebola outbreak that we must fight and not attack the aid workers and other volunteers who help fight this disease," advises Edgard Katembo Mateso, president of the civil society. Elements of the order were deployed to the place to disperse these young people.

Umbo Salama, from Butembo

https://www.matininfos.net/butembo-...iposte-a-lenterrement-dune-dame-morte-debola/

DRC - Ebola outbreak in North Kivu and Ituri: July 30, 2018+

Editor, Senior Moderator

Editor, Senior Moderator

Editor, Senior Moderator

Editor, Senior Moderator

Editor, Senior Moderator

Editor, Senior Moderator

Editor, Senior Moderator

Editor, Senior Moderator

Editor, Senior Moderator

Editor, Senior Moderator

Editor, Senior Moderator

Editor, Senior Moderator

Editor, Senior Moderator

Editor, Senior Moderator

Editor, Senior Moderator

Editor, Senior Moderator

Editor, Senior Moderator

Editor, Senior Moderator

Editor, Senior Moderator

Editor, Senior Moderator