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

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EPIDEMIOLOGICAL SITUATION​
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[TD="class: mcnTextContent"]EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Friday, June 28, 2019

The epidemiological situation of the Ebola Virus Disease dated June 27, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,297, of which 2,203 are confirmed and 94 are probable. In total, there were 1,553 deaths (1,459 confirmed and 94 probable) and 641 people healed.
  • 364 suspected cases under investigation;
  • 13 new confirmed cases, including 7 in Beni, 3 in Masereka, 1 in Mabalako, 1 in Biena and 1 in Kulunguta;
  • 13 new confirmed cases deaths:
    • 4 community deaths, including 3 in Beni and 1 in Biena;
    • 9 deaths in CTEs, including 3 in Beni; 2 in Mabalako, 2 in Butembo and 2 in Katwa;
  • 4 people recovered from ETCs, including 3 in Beni and 1 in Butembo.
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Consensus Meeting and Consensus on Immunization in the EVD Epidemic in North Kivu and Ituri
  • The Minister of Health, Dr. Oly Ilunga Kalenga, chaired, on Friday, June 28, 2019, the meeting of consensus and consensus on vaccination in the context of the tenth epidemic of the Ebola virus disease that has been raging since the [SUP]1st[/SUP]August 2018 in the provinces of North Kivu and Ituri.
  • The two-day meeting aimed to create a consultative framework to transparently share the latest scientific and technical information on existing experimental Ebola vaccines to facilitate the Ministry of Health's decision-making on their use in the framework of the current epidemic or possible clinical trials in the margins of the current response. At the 72 [SUP]th[/SUP] World Health Assembly, the Minister of Health made a commitment to hold a meeting on vaccination against Ebola to Kinshasa to discuss the latest SAGE recommendations.
  • The Ministry of Health invited its partners and producers of these different experimental vaccines, including Merck, Johnson & Johnson, Cansino Biologics Inc. and Rospotrebnadzor, to submit to the national regulatory authorities the relevant technical data concerning their product.
  • Several bodies of the Ministry of Health also made presentations at the meeting, in particular the Directorate General for Disease Control (DGLM), the Expanded Program on Immunization (EPI), and the National Program for Communication and Promotion of Health (PNCPS).
  • Dr. Oly Ilunga Kalenga solicited the contributions of all national and international participants during these meetings, so that together they could make relevant recommendations to the national regulatory authorities empowered to make the final decision. These authorities are the Directorate of Pharmacy and Medicine (DPM) and the National Ethics Committee.
  • It should be noted that the vaccination against Ebola in this tenth epidemic was launched on 08 August 2018, less than 8 days after the declaration of the epidemic.
More than 8,000 teachers briefed on their role in fighting Ebola
  • More than eight thousand (8,000) teachers from Butembo and Katwa have been briefed on their role in fighting Ebola.
  • The aim of this training was to make these teachers ambassadors for the fight against EVD in the community during the school holidays in order to get rid of this epidemic at the beginning of the school year.
  • It is done before the end of the school year in order to encourage teachers, as well as students and their parents, to adopt measures to prevent and combat EVD during school holidays.
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https://us13.campaign-archive.com/?u...&id=0d17f83185
 
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EPIDEMIOLOGICAL SITUATION​
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[TD="class: mcnTextContent"] EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Saturday, June 29, 2019

The epidemiological situation of the Ebola Virus Disease dated June 28, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,312, of which 2,218 are confirmed and 94 are probable. In total, there were 1,559 deaths (1,465 confirmed and 94 probable) and 642 people healed.
  • 360 suspected cases under investigation;
  • 15 new confirmed cases, including 6 in Beni, 4 in Mabalako, 3 in Masereka, 1 in Butembo and 1 in Lubero;
    • 5/6 cases of Beni are part of the same family. She is a mother who fled with her children to Ariwara Health Zone in Ituri. They were all found and transferred to the CTE of Bunia.
  • 6 new confirmed case deaths:
    • 2 community deaths, including 1 in Mabalako and 1 in Lubero;
    • 4 deaths in CTEs, including 3 in Mabalako and 1 in Beni;
  • 1 person cured out of Butembo CTE.
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... Closing of the International Meeting on Immunization in the EVD Epidemic in North Kivu and Ituri
  • Following the commitment made by His Excellency the Minister of Health, Dr. Oly ILUNGA Kalenga, at the 72 [SUP]th [/SUP] World Health Assembly, the Ministry of Health organized an international meeting on vaccination within the 10 [SUP]th [/SUP] epidemic disease to Ebola virus raging in the Democratic Republic of Congo since 1 [SUP]st [/SUP]August 2018 in the provinces of North Kivu and Ituri.
  • This meeting, held in Kinshasa on June 28-29, 2019, aimed to gather all the scientific evidence, technical data and other useful information on the different vaccines and vaccine strategies against Ebola to inform the decision-making processes of the Ministry. of Health.
  • This meeting brought together the developers and manufacturers of the four most advanced experimental vaccines in the fight against Ebola, namely Merck & Co, Janssen (Johnson & Johnson), CanSino Biologics Inc. (China) and Rospotrebnadzor (Russia), as well as national and international experts. WHO, INSERM, CDC USA, Epicenter, CEPI, LSHTM, BARDA, NIH, World Bank, USAID, DFID, UNICEF, IFRC, WFP.
  • It should be remembered that vaccination alone can not stop the ongoing epidemic. All participants agreed that strengthening traditional public health measures will break the chains of transmission and halt the epidemic. Vaccination is one of the main pillars of the response and the rVSV-ZEBOV-GP vaccine from Merck, used since August 8, 2018, remains the best available option to date.
  • Recognizing that Ebola is an emerging disease and in order to help advance science, the Ministry of Health is open to the option of starting new clinical trials with one or more of these on the sidelines of the current epidemic. other experimental Ebola vaccines, outside the affected provinces. The Democratic Republic of Congo has a great contribution to make to universal knowledge about Ebola and the country is determined to do so in an active way.
  • Since the use of vaccines will be scientifically based, the proposals that will be made will be scientifically and epidemiologically justified and will require the required approvals from the relevant regulatory and ethical authorities.
Sensitization
  • Mbusa Nyamisi, president of the RCD / KML, was vaccinated against Ebola this Saturday, June 29, 2019 during his visit to the CTE Butembo / Itav. As an influential North Kivu politician, Mbusa Nyamisi made the move to the press to reassure the public about the safety and effectiveness of the vaccine. He also condemned attacks on operations and agents of the response.
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https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=37435f4c41
 
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Point A (red), the locality of Ariwara, located about 300 kilometers north of Bunia, in Aru territory
Radio Okapi


This case was confirmed by the MoH in his daily report of June 29, 2019 (Post above)

"5/6 cases of Beni are part of the same family. She is a mother who fled with her children to Ariwara Health Zone in Ituri. They were all found and transferred to the CTE of Bunia."


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Urgent / Ituri: a suspected case of ebola notified in Ariwara

29/06/2019 / in Society / by La Redaction

According to the chief medical officer of the Ariwara health zone, a suspected case has been registered since Thursday, June 27, 2019 at the general reference hospital Sainte-Jos?phine Bakhita d'Ariwara. Dr. Masumbuko abha reports in his press release public alert this Saturday, June 29 current that the patient is a subject who came from Beni for Ariwara via Bunia.

"This lady was already a registered contact from Beni. While we were trying to vaccinate people there, she preferred to flee. She also reportedly lost two of her children to ebola. She, her other children, and her husband were under surveillance at the local treatment center. But curiously her absence has been noted since June 25 and nobody knew her destination. And on Thursday 27th, one day after she arrived here, we noticed that she was presenting signs of ebola" he added to Orientalinfo.net's on the phone.

Already the samples have been taken and sent to Bunia and a team of experts dispatched to Ariwara to closely monitor this case indicates the same source.

While waiting for the results of the laboratory, the chief zone doctor specifies that the patient has been isolated and her contacts are also listed. He calls on the population of the region to strictly observe preventive hygiene measures, including washing their hands regularly and regularly with soap or ashes, avoiding any contact with a suspicious person or declaring that they have Ebola, avoiding handle or consume bushmeat and others.

Heir Mungumiyo

https://www.orientalinfo.net/06/29/u...fie-a-ariwawa/
 
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EPIDEMIOLOGICAL SITUATION​
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[TD="class: mcnTextContent"] EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Sunday, June 30, 2019

The epidemiological situation of the Ebola Virus Disease dated 29 June 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,325, of which 2,231 are confirmed and 94 are probable. In total, there were 1,563 deaths (1,469 confirmed and 94 probable) and 644 people healed.
  • 309 suspected cases under investigation;
  • 13 new confirmed cases, including 6 in Beni, 4 in Mabalako, 1 in Masereka, 1 in Butembo and 1 in Lubero;
  • 4 new confirmed cases deaths:
    • 3 community deaths in Mabalako;
    • 1 death at the CTE of Beni;
  • 2 people healed out of Butembo CTE.
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https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=760c25f566
 
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EPIDEMIOLOGICAL SITUATION​
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[TD="class: mcnTextContent"] EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Monday 1 July 2019

The epidemiological situation of the Ebola Virus Disease dated June 30, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,338, of which 2,244 are confirmed and 94 are probable. In total, there were 1,571 deaths (1,477 confirmed and 94 probable) and 653 people healed.
  • 360 suspected cases under investigation;
  • 13 new confirmed cases, including 3 in Mabalako, 2 in Beni, 2 in Lubero, 1 in Vuhovi, 1 in Ariwara, 1 in Alimbongo, 1 in Biena, 1 in Katwa and 1 in Kalunguta;
    • 1 new health zone affected: Ariwara (Ituri).
    • This is the mother of the 5 children confirmed cases classified in the health zone of Beni in the bulletin of June 29, 2019. After the death of 2 of her children in Beni on June 18 and 22, 2019, the mother had left clandestinely Beni June 26 to avoid the response teams. She fled to her sister's home in the Ariwara Health Zone where the alert was launched. To date, 177 family contacts have been listed in Ariwara and 40 contacts have already been vaccinated.
  • 8 new confirmed cases deaths:
    • 3 community deaths, including 1 in Beni, 1 in Alimbongo, and 1 in Vuhovi;
    • 5 deaths at CTE, including 4 in Butembo and 1 in Katwa;
  • 9 people recovered from CTEs, including 5 in Mabalako and 4 in Beni.
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https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=ddc3bfc46f
 
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Ariwara: the first confirmed positive case of ebola is dead

01/07/2019 / in Security / by La Redaction

Death on Monday 01 July 2019 of the positive confirmed case of ebola virus disease in Ariwara in Aru territory in the province of Ituri.

The quarantine already gone in isolation since June 27, died in the early morning, reports the chief medical officer of the local health zone.

Dr. Masimumbuko Abha says that all devices for a safe burial at the WHO standard have been observed to prevent the spread of the virus.

Meanwhile, nearly 400 people listed as direct or indirect contacts are being vaccinated and under the supervision of a team of experts in the response to this epidemic that has been raging since 01 August 2018 in the region of Beni and in the province of Ituri.

Recall that since June 27, 2019, a woman from Beni for Ariwara via Bunia has been reported to the General Reference Hospital Saint Josephine Bakhita of Ariwara as a suspected case before being confirmed positive in the laboratory. Bunia.
...

Heir Mungumiyo

https://www.orientalinfo.net/07/01/ariwara-le-premier-cas-confirme-positif-debola-est-mort/
 
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EPIDEMIOLOGICAL SITUATION​
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[TD="class: mcnTextContent"] EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Tuesday, July 2, 2019

The epidemiological situation of the Ebola Virus Disease dated 1 June 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,354, of which 2,260 are confirmed and 94 are probable. In total, there were 1,586 deaths (1,492 confirmed and 94 probable) and 654 people cured.
  • 402 suspected cases under investigation;
  • 16 new confirmed cases, including 11 in Beni, 1 in Mutwanga, 1 in Mandima, 1 in Komanda, 1 in Vuhovi and 1 in Lubero;
  • 15 new confirmed cases deaths:
    • 5 community deaths, including 3 in Beni, 1 in Mandima and 1 in Komanda;
    • 10 deaths at CTE / CT, including 3 in Beni, 2 in Mabalako, 2 in Butembo, 1 in Katwa, 1 in Ariwara and 1 in Bunia;
  • 1 person cured out of Butembo CTE.
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127 Contaminated health workers

One of Beni's non-vaccinated health workers is one of the new confirmed cases.

The cumulative number of confirmed / probable cases among health workers is 127 (5% of all confirmed / probable cases) including 40 deaths.
...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=4dd15d2c30
 
THE UNITED STATES IS PROVIDING $98 MILLION IN ASSISTANCE IN THE DEMOCRATIC REPUBLIC OF THE CONGO IN RESPONSE TO THE EBOLA OUTBREAK

For Immediate Release
Tuesday, July 2, 2019
Office of Press Relations
Telephone: +1.202.712.4320 | Email: press@usaid.gov

The United States is providing more than $98 million in the Democratic Republic of the Congo (DRC) in response to the Ebola outbreak since it began in August 2018.

Last month, USAID Administrator Mark Green visited Ebola-affected areas in the DRC to observe programming and response efforts and met brave local community leaders and the health care and partner staff responding to the outbreak. In response to the Administrator's dialogue with community leaders and calls for increased transparency, USAID is now providing regular updates on funding and key areas of support to the response. With this funding, USAID is providing lifesaving assistance, including infection prevention and control activities, training for health care workers, community engagement interventions, promotion of safe and dignified burials, and food assistance for people and communities affected by Ebola. This assistance is also bolstering preparedness efforts in Goma city for communities at risk of Ebola.

As of July 1, health officials have reported at least 2,338 confirmed and probable cases, including at least 1,571 related deaths in North Kivu and Ituri provinces. This Ebola outbreak is the second largest recorded outbreak of the disease, eclipsed only by the 2014 West Africa epidemic that killed more than 11,000 people. This outbreak presents a unique set of challenges, including insecurity and difficulty earning community acceptance for the response. A robust, unified response by the Government of the DRC, United Nations, other Great Lake countries, the United States, and the international community in partnership with local communities must occur and is critical to stopping the spread of the disease

In September 2018, USAID deployed a Disaster Assistance Response Team (DART)-comprising disaster and health experts from USAID and the U.S. Centers for Disease Control and Prevention-to the DRC to coordinate the U.S. Government response to the outbreak. The United States is the largest bilateral donor to the Ebola response in the DRC. As we continue to scale up our assistance for the outbreak, we strongly encourage additional contributions from other donors to meet the needs of people affected by this outbreak and bring it under control as soon as possible.

Last updated: July 02, 2019

https://www.usaid.gov/news-informat...on-assistance-democratic-republic-congo-ebola
 
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[TD="class: mcnTextContent"] EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Wednesday 3 July 2019

The epidemiological situation of the Ebola Virus Disease dated 2 July 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,369, of which 2,275 are confirmed and 94 are probable. In total, there were 1,598 deaths (1,504 confirmed and 94 probable) and 655 people healed.
  • 414 suspected cases under investigation;
  • 15 new confirmed cases, including 5 in Mabalako, 4 in Beni, 2 in Butembo, 1 in Mandima, 1 in Mutwanga, 1 in Katwa and 1 in Kalunguta;
  • 12 new confirmed cases deaths:
    • 5 community deaths, including 4 in Beni and 1 in Mandima;
    • 7 deaths in ETCs including 3 in Beni, 2 in Butembo and 2 in Katwa;
  • 1 person cured out of Butembo CTE.
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North Kivu: Munigi youth protest against Ebola response activities

Goma, July 03, 2019 (ACP) - The youth of the Munigi group in the Nyiragongo territory has been blocking the Ebola response in this part of the province since Tuesday, ACP Faustin Twagiramungu, president of the Munigi civil society core, told AFP on Wednesday.

According to him, the young people took to the streets to denounce not to be taken into account in the recruitment by the NGO MSF / Holland within the framework of the construction works of the facilities intended to shelter the centers of care of the people possibly affected by Ebola virus disease.

According to Faustin Twagiramungu, young people are castigating the importation of labor instead of locals. "We have young people who have studied and who demonstrate their knowledge, but this organization deems it better to hire the externals," he lashed out before adding that he left even the authorities of the NGO accused who said proceed to "recruitment by competence".

The Nyiragongo civil society recommends that the NGO MSF / Hollande integrate local youth into the project to not only ensure project security but also to fight against unemployment in the local community. ACP / Fng / May / Mpk

https://acpcongo.com/nord-kivu-mani...ntre-les-activites-de-riposte-contre-ebola-2/
 
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Nyiragongo / Ebola: MSF confirms suspension of CTE construction following threats from Munigi youth

By Admin

The non-governmental organization M?decins Sans Fronti?res (MSF) confirmed in a statement on Wednesday, July 3, 2019, the suspension since July 2, 2019, of the construction of the Ebola Treatment Center (ETC) in Munigi after threats from local youth as well as certain structures of society.

Jeane Saad said that the MSF NGO is undergoing a temporary suspension pending a likely dialogue with the community and the authorities concerned.

However, MSF is always open to discussing the concerns of community members, but can not tolerate threats to its workers or facilities.

MSF is an international, independent medical organization that employs more than 40,000 people worldwide; the majority locally recruited in the countries of work, said the document which also states that MSF operates with a recruitment system transparent and independent of any external influences. MSF recruits without discrimination based on age, gender, ethnic group, race, or religion.

"MSF recruits according to its technical needs and the best candidates are selected on the basis of their skills to ensure the highest quality of work for our patients. Concluded the document.

Editor

https://lesvolcansnews.net/2019/07/...u-cte-suite-aux-menaces-des-jeunes-de-munigi/
 
Source: https://www.who.int/csr/don/04-july-2019-ebola-drc/en/

[h=1]Ebola virus disease ? Democratic Republic of the Congo[/h] Disease outbreak news: Update
4 July 2019

The outbreak of Ebola virus disease (EVD) in North Kivu and Ituri provinces, Democratic Republic of the Congo continued with a steady transmission intensity this week. Indicators demonstrated the early signs of transmission easing in intensity in some major hotspots, such as Butembo and Katwa. The current hotspots are the health zones of Beni, Mabalako, and Mandima, with some cases being exported from these hotspot areas into unaffected health zones. There is a slight but notable increase in the number of new cases occurring in areas that previously had lower rates of transmission, such as the Komanda, Lubero, and Rwampara/ Bunia health zones. On 30 June, a case who had travelled overland from Beni was confirmed in Ariwara, more than 460 kilometres north of Beni, towards the borders with Uganda and South Sudan. This is the first confirmed case in this health zone, and a response team was deployed from Bunia to investigate and implement public health actions in Ariwara. Uganda and South Sudan have mobilized quickly, building on the preparedness efforts during the last months. Arua district in Uganda shares a border with Ariwara health zone, with high volume of trade and population movement. The Arua District Task Force in Arua mobilized on 2 July to agree on a plan of action, the Ministry of Health (MoH) immediately dispatched the National Rapid Response Team for needs assessment, and the vaccination team from Kasese was also dispatched to Arua district on 3 July to start vaccinating the front-line health workers. In South Sudan, WHO and the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) convened a joint meeting with implementing partners on 2 July to plan and coordinate field missions. Joint teams were dispatched to Kei State on 3 July to support operational readiness activities.
In the 21 days from 12 June through 02 July 2019, 73 health areas within 20 health zones reported new cases, representing 11% of the 664 health areas within North Kivu and Ituri provinces (Figure 2). During this period, a total of 285 confirmed cases were reported, the majority of which were from the health zones of Mabalako (30%, n=85), Beni (27%, n=76), Mandima (8%, n=23), Lubero (6%, n=16) and Kalunguta (5%, n=14). As of 02 July 2019, a total of 2369 EVD cases, including 2275 confirmed and 94 probable cases, were reported (Table 1). A total of 1598 deaths were reported (overall case fatality ratio 68%), including 1504 deaths among confirmed cases. Of the 2369 confirmed and probable cases with known age and sex, 56% (1334) were female, and 29% (691) were children aged less than 18 years. Cases continue to rise among health workers, with the cumulative number infected rising to 130 (6% of total cases).
No new EVD cases or deaths have been reported in the Republic of Uganda since the previous EVD Disease Outbreak News publication on 13 June 2019. As of 26 June, 108 exposed contacts were identified, and they are in the process of completing the 21-day follow-up period. Contacts are visited daily for 21 days until the last contact completes follow-up on 3 July. All contacts remain asymptomatic to date. All 14 suspected cases reported to date have tested negative for EVD, and these cases are not related to the confirmed cases mentioned in the Disease Outbreak News on EVD in Uganda. Cumulatively, 1507 individuals consented and were vaccinated, including 74 contacts (34 were not eligible for vaccination), 747 contacts of contacts and 682 frontline health workers.
[h=4]Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 02 July 2019*[/h]
figure_1_20190704.png



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* Data in recent weeks are subject to delays in case confirmation and reporting, as well as ongoing data cleaning. Other health zones include: Alimbongo, Ariwara, Biena, Bunia, Kalunguta, Kayna, Komanda, Kyondo, Lubero, Mangurujipa, Masereka, Mutwanga, Nyankunde, Oicha, Rwampara and Tchomia.
[h=4]Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 02 July 2019*[/h]
figure_2_20190704.png



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[h=4]Table 1: Confirmed and probable Ebola virus disease cases, and number of health areas affected, by health zone, North Kivu and Ituri provinces, Democratic Republic of the Congo, data as of 02 July 2019**[/h]
table_1_20190704.png



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**Total cases and areas affected based during the last 21 days are based on the initial date of case alert and may differ from date of confirmation and daily reporting by the Ministry of Health.
[h=3]Public health response[/h] For further detailed information about the public health response actions by the MoH, WHO, and partners, please refer to the latest situation reports published by the WHO Regional Office for Africa:
[h=3]WHO risk assessment[/h] WHO continuously monitors changes to the epidemiological situation and context of the outbreak to ensure that support to the response is adapted to the evolving circumstances. The last assessment concluded that the national and regional risk levels remain very high, while global risk levels remain low. Weekly increases in the number of new cases were observed from February through mid-May 2019, with lower but still substantial rates since then. A general deterioration of the security situation and the persistence of pockets of community mistrust exacerbated by political tensions and insecurity, especially over the past four weeks, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, therefore reducing the overall effectiveness of interventions. However, recent community dialogue, outreach initiatives, and restoration of access to certain hotspot areas have resulted in some improvements in community acceptance of response activities and case investigation efforts. In order to facilitate staff safety and security and continuity of activities, the operational area continues to be closely monitored and assessed, and security mitigation measures are implemented. The high proportion of community deaths reported among confirmed cases, relatively low proportion of new cases who were known contacts under surveillance, existence of transmission chains linked to nosocomial infection, persistent delays in detection and isolation in Ebola Treatment Centres (ETCs), and challenges in the timely reporting and response to probable cases, are all factors increasing the likelihood of further chains of transmission in affected communities and increasing the risk of geographical spread both within the Democratic Republic of the Congo and to neighbouring countries. The high rates of population movement from outbreak affected areas to other areas of the Democratic Republic of the Congo and across porous borders to neighbouring countries during periods of heightened insecurity further compounds these risks. Additional risks are posed by the long duration of the current outbreak, fatigue amongst response staff, and ongoing strain on limited resources. Conversely, substantive operational readiness and preparedness activities in a number of neighbouring countries have likely increased capacity to rapidly detect cases and mitigate local spread. These efforts must continue to be scaled-up.
[h=3]WHO advice[/h] WHO advises against any restriction of travel to, and trade with, the Democratic Republic of the Congo based on the currently available information. There is currently no licensed vaccine to protect people from the Ebola virus. Therefore, any requirements for certificates of Ebola vaccination are not a reasonable basis for restricting movement across borders or the issuance of visas for travellers to/from the affected countries. WHO continues to closely monitor and, if necessary, verify travel and trade measures in relation to this event. Currently, no country has implemented travel measures that significantly interfere with international traffic to and from the Democratic Republic of the Congo. Travellers should seek medical advice before travel and should practice good hygiene.
For more information, please see:

 
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[TD="class: mcnTextContent"] EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Thursday 4 July 2019

The epidemiological situation of the Ebola Virus Disease dated 3 July 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,382, of which 2,288 are confirmed and 94 are probable. In total, there were 1,606 deaths (1,512 confirmed and 94 probable) and 666 people healed.
  • 420 suspected cases under investigation;
  • 13 new confirmed cases, including 4 in Beni, 2 in Butembo, 2 in Katwa, 2 in Kalunguta, 1 in Mandima, 1 in Biena and 1 in Mabalako;
  • 8 new confirmed cases deaths:
    • 2 community deaths, including 1 in Butembo and 1 in Mandima;
    • 6 deaths in CTEs including 3 in Beni, 2 in Mabalako and 1 in Katwa;
  • 11 people cured out of CTE including 7 in Mabalako, 3 in Katwa and 1 in Beni.
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128 Contaminated health workers

One health worker, vaccinated, is one of the new confirmed cases in Beni.

The cumulative number of confirmed / probable cases among health workers is 128 (5% of all confirmed / probable cases) including 40 deaths.
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https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=62fc79c779
 
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[TD="class: mcnTextContent"] EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Saturday, July 6, 2019

The epidemiological situation of the Ebola Virus Disease dated July 5, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,398, of which 2,304 are confirmed and 94 are probable. In total, there were 1,618 deaths (1,524 confirmed and 94 probable) and 667 people healed.
  • 388 suspected cases under investigation;
  • 9 new confirmed cases, including 3 in Beni, 3 in Mabalako, 1 in Butembo, 1 in Lubero, and 1 in Vuhovi;
  • 5 new confirmed case deaths:
    • 1 community death in Mabalako;
    • 4 deaths in CTEs, including 3 in Beni and 1 in Mabalako.
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Sunday, July 7, 2019

The epidemiological situation of the Ebola Virus Disease dated July 6, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,408, of which 2,314 are confirmed and 94 are probable. In total, there were 1,625 deaths (1,531 confirmed and 94 probable) and 668 people healed.
  • 323 suspected cases under investigation;
  • 10 new confirmed cases, including 6 in Beni, 3 in Mabalako and 1 in Mangurujipa;
  • 7 new confirmed case deaths:
    • 1 community death in Mangurujipa;
    • 6 deaths in CTEs, including 2 in Beni, 2 in Butembo and 2 in Katwa;
  • 1 person cured exit of the CTE of Komanda.
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Monday, July 8, 2019

The epidemiological situation of the Ebola Virus Disease dated July 7, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,418, of which 2,324 are confirmed and 94 are probable. In total, there were 1,630 deaths (1,536 confirmed and 94 probable) and 671 people healed.
  • 286 suspected cases under investigation;
  • 10 new confirmed cases, including 5 in Beni, 2 in Mandima, 1 in Mabalako, 1 in Katwa and 1 in Kayna;
  • 5 new confirmed case deaths:
    • 1 community death in Beni;
    • 4 deaths in CTEs, 2 in Beni and 2 in Katwa;
  • 3 people recovered from CTEs, including 1 in Beni, 1 in Komanda and 1 in Bunia.
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[TD="class: mcnTextContent"] EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Tuesday, July 9, 2019

The epidemiological situation of the Ebola Virus Disease dated July 8, 2019:
  • Since the beginning of the epidemic, the cumulative number of cases is 2,428 , of which 2,334 are confirmed and 94 are probable. In total, there were 1,641 deaths (1,547 confirmed and 94 probable) and 683 people healed.
  • 322 suspected cases under investigation;
  • 10 new confirmed cases, including 8 in Beni, 1 in Vuhovi and 1 in Oicha;
  • 11 new confirmed case deaths:
    • 5 community deaths, including 3 Beni, 1 in Vuhovi and 1 in Oicha;
    • 6 deaths in CTE / CT, including 3 in Beni, 1 in Mabalako, 1 in Butembo and 1 in Katwa.
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... Ebola Virus Disease in Uganda
  • The Ministry of Health of the Republic of Uganda announced that all index case contacts have completed their mandatory 21-day follow-up period without developing signs of the disease. As a result, Ebola transmission in Kasese District was interrupted. As a reminder, the index case was a 5-year-old boy who had traveled with his mother to the burial of his grandfather who died of Ebola in Aloya, in the health zone of Mabalako.
  • Uganda has strengthened its border surveillance system. Thus, all travelers coming from the DRC or having traveled to the DRC during the last 21 days must go through the sanitary control at Entebbe airport and at the various road and sea entry points of the country.
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EPIDEMIOLOGICAL SITUATION​
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[TD="class: mcnTextContent"] EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Wednesday, July 10, 2019

The epidemiological situation of the Ebola Virus Disease dated July 9, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,437, of which 2,343 are confirmed and 94 are probable. In total, there were 1,646 deaths (1,552 confirmed and 94 probable) and 683 people healed.
  • 358 suspected cases under investigation;
  • 9 new confirmed cases, including 6 in Beni, 1 in Mambasa, 1 in Kalunguta and 1 in Katwa;
  • 5 new confirmed case deaths:
    • 5 community deaths, 2 in Beni, 1 in Oicha, 1 in Mambasa and 1 in Kalunguta;
    • Data on deaths of confirmed cases managed by CTEs are not available this Wednesday.
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Epidemiological surveillance
  • New health area affected: Mambasa (Ituri). The first case is an 8-year-old boy residing in Mambasa who had been to Beni with his mother. His mother, confirmed Ebola, died in Beni on June 19, 2019 but she was not buried in a dignified and secure manner. After developing the disease, the boy returned to Mambasa with his uncle. He died at the Mambasa Reference General Hospital.
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131 Contaminated health workers

3 health workers, including 2 vaccinated, are among the new confirmed cases (1 in Beni, 1 in Kalunguta and 1 in Katwa). The unvaccinated Kalunguta health worker died in a community health center.
The cumulative number of confirmed / probable cases among health workers is 131 (5% of all confirmed / probable cases), including 41 deaths.

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https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=0e6f57b1d3
 
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EPIDEMIOLOGICAL SITUATION​
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[TD="class: mcnTextContent"]EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Thursday 11 July 2019

The epidemiological situation of the Ebola Virus Disease dated July 10, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,451, of which 2,357 are confirmed and 94 are probable. In total, there were 1,647 deaths (1,553 confirmed and 94 probable) and 683 people healed.
  • 364 suspected cases under investigation;
  • 14 new confirmed cases, including 9 in Beni, 3 in Katwa, 1 in Mabalako and 1 in Kalunguta;
  • 2 new confirmed cases deaths:
    • 2 community deaths in Beni;
    • Data on deaths of confirmed cases in CTEs are not available this Thursday.
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Adaptation of the vaccination strategy in areas affected by EVD
  • Since June 13, 2019, the Ebola vaccination protocol has been adapted to better respond to the particular context of this tenth epidemic, especially the security context and the high rate of confirmed cases that are not listed on the contact lists.
  • This new protocol contains three strategies that can be used depending on the environment in which confirmed cases are found. These three strategies are:
    • Classic Ring: The classic strategy of vaccinating contacts of confirmed cases and contact contacts.
    • Enlarged ring: It is also possible to vaccinate all inhabitants of houses within 5 meters around the outbreak of a confirmed case.
    • Geographical Ring: In an area where team safety can not be guaranteed, they can vaccinate an entire village or neighborhood.
  • In addition, following the international meeting on Ebola vaccination last month, the Minister of Health adopted a circular on Wednesday, July 10, 2019 concerning the use of other experimental Ebola vaccines in the context of this tenth epidemic. . Due to the lack of sufficient scientific evidence on the efficacy and safety of other vaccines as well as the risk of confusion among the population, it was decided that no clinical vaccine trials will be allowed throughout the country. the extent of the territory of the Democratic Republic of Congo during the ongoing Ebola outbreak.
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Source: https://www.who.int/csr/don/11-july-2019-ebola-drc/en/
[h=1]Ebola virus disease ? Democratic Republic of the Congo[/h] Disease outbreak news: Update
11 July 2019

The outbreak of Ebola virus disease (EVD) in North Kivu and Ituri provinces, Democratic Republic of the Congo continues this past week with a similar transmission intensity to the previous week. While the number of new cases continues to ease in former hotspots, such as Butembo, Katwa and Mandima health zones, there has been an increase in cases in Beni, and a high incidence of cases continues in parts of Mabalako Health Zone. In addition to these re-emerging hotspots, there are a large number of people with confirmed and probable infections moving to other health zones, with the greatest number coming from Beni Health Zone. The movement of cases causes the outbreak to spread to new health zones and re-emerge in health zones with previously controlled infections. Overall, this underscores the importance of robust mechanisms for listing and following up contacts and understanding the motivations for peoples? decisions to move.
After the first reported case in the Ariwara Health Zone on 30 June, no new cases have been observed in that health zone. A response team deployed to that zone continues to identify contacts, engage the community, and vaccinate individuals at risk. Response personnel from the bordering countries of Uganda and South Sudan continue to support operational readiness activities. Resources are being dedicated to monitoring the Uganda-Democratic Republic of the Congo border in that area.
In the 21 days from 19 June through 9 July 2019, 72 health areas within 22 health zones reported new cases, representing 11% of the 664 health areas within North Kivu and Ituri provinces (Figure 2). During this period, a total of 247 confirmed cases were reported, the majority of which were from the health zones of Beni (41%, n=101), Mabalako (19%, n=48), Lubero (6%, n=16), and Mandima (5%, n=13). As of 09 July 2019, a total of 2437 EVD cases, including 2343 confirmed and 94 probable cases, were reported (Table 1). A total of 1646 deaths were reported (overall case fatality ratio 68%), including 1552 deaths among confirmed cases. Of the 2437 confirmed and probable cases with known age and sex, 57% (1384) were female, and 29% (704) were children aged less than 18 years.
Cases continue to increase among health workers, with the cumulative number infected rising to 132 (5% of total cases). Of the 128 health workers with information available, the greatest proportion is among health workers at health posts [poste de sant?] (20%, n = 26) and private health facilities (35%, n = 45). The majority (68%, n = 87) of health worker infections were among nurses.
No new EVD cases or deaths have been reported in the Republic of Uganda since the previous EVD Disease Outbreak News publication on 13 June 2019. As of 3 July, 108 contacts exposed to those cases were identified, and they all completed the 21-day follow-up period. All contacts were asymptomatic. Arua district, located in the north-western part of Uganda near the Uganda-Democratic Republic of the Congo border, is currently stepping up its response readiness to prevent imported cases of Ebola following the case that died on 30 June 2019 in Ariwara Health Zone in neighbouring Democratic Republic of the Congo, located 8 kilometres from the Uganda border. This case is known to have over 200 contacts, some of whom are in the communities bordering the Arua district. As of 9 July 2019, two suspected cases in the Arua district were reported and both tested negative. As of 9 July 2019, the cumulative number of individuals vaccinated in Arua district is 811 out of 1092 targeted front line and healthcare workers.
[h=4]Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 9 July 2019*[/h]
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*Data in recent weeks are subject to delays in case confirmation and reporting, as well as ongoing data cleaning. Other health zones include: Alimbongo, Ariwara, Biena, Bunia, Kalunguta, Kayna, Komanda, Kyondo, Lubero, Mangurujipa, Masereka, Mutwanga, Nyankunde, Oicha, Rwampara and Tchomia.
[h=4]Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 9 July 2019*[/h]
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[h=4]Table 1: Confirmed and probable Ebola virus disease cases, and number of health areas affected, by health zone, North Kivu and Ituri provinces, Democratic Republic of the Congo, data as of 9 July 2019**[/h]
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**Total cases and areas affected based during the last 21 days are based on the initial date of case alert and may differ from date of confirmation and daily reporting by the Ministry of Health.
[h=3]Public health response[/h] For further detailed information about the public health response actions by the MoH, WHO, and partners, please refer to the latest situation reports published by the WHO Regional Office for Africa:
[h=3]WHO risk assessment[/h] WHO continuously monitors changes to the epidemiological situation and context of the outbreak to ensure that support to the response is adapted to the evolving circumstances. The last assessment concluded that the national and regional risk levels remain very high, while global risk levels remain low. Weekly increases in the number of new cases were observed from February through mid-May 2019, with lower but still substantial rates since then. The security situation was relatively calm this past week, except for a reported attack on a check point along the Butembo-Kalunguta axis, which temporarily disrupted the activities in that area for the day. Local security forces conducted clearing operations and response activities were facilitated thereafter. Pockets of community reticence were observed during the period. However, recent community dialogue, outreach initiatives, and restoration of access to certain hotspot areas have resulted in some improvements in community acceptance of response activities and case investigation efforts. In order to facilitate staff safety and security, and continuity of activities, the operational area continues to be closely monitored and assessed, and security mitigation measures are implemented. The high proportion of community deaths reported among confirmed cases, relatively low proportion of new cases who were known contacts under surveillance, existence of transmission chains linked to nosocomial infection, persistent delays in detection and isolation in Ebola Treatment Centres (ETCs), and challenges in the timely reporting and response to probable cases, are all factors increasing the likelihood of further chains of transmission in affected communities and increasing the risk of geographical spread both within the Democratic Republic of the Congo and to neighbouring countries. The high rates of population movement from outbreak affected areas to other areas of the Democratic Republic of the Congo and across porous borders to neighbouring countries during periods of heightened insecurity further compounds these risks. Additional risks are posed by the long duration of the current outbreak, fatigue amongst response staff, and ongoing strain on limited resources. Conversely, substantive operational readiness and preparedness activities in a number of neighbouring countries have likely increased capacity to rapidly detect cases and mitigate local spread. These efforts must continue to be scaled-up.
[h=3]WHO advice[/h] WHO advises against any restriction of travel to, and trade with, the Democratic Republic of the Congo based on the currently available information. There is currently no licensed vaccine to protect people from the Ebola virus. Therefore, any requirements for certificates of Ebola vaccination are not a reasonable basis for restricting movement across borders or the issuance of visas for travellers to/from the affected countries. WHO continues to closely monitor and, if necessary, verify travel and trade measures in relation to this event. Currently, no country has implemented travel measures that significantly interfere with international traffic to and from the Democratic Republic of the Congo. Travellers should seek medical advice before travel and should practice good hygiene.
For more information, please see:
 
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