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

Monday, July 22, 2019

The epidemiological situation of the Ebola Virus Disease dated 21 July 2019 :

• Since the beginning of the epidemic, the cumulative number of cases is 2,592, of which 2,498 are confirmed and 94 are probable. In total, there were 1,743 deaths (1,649 confirmed and 94 probable) and 729 people healed.
• 272 suspected cases under investigation;
• 14 new confirmed cases, including 10 in Beni, 2 in Mandima, 1 in Oicha and 1 in Mutwanga;
• 6 new confirmed case deaths:
  • 3 community deaths including 1 in Beni, 1 in Mandima and 1 in Mutwanga;
  • 3 deaths at the CTE of Beni.

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Change in coordination of the response to Ebola Virus Disease

• A communiqu? of the Presidency of the Republic announced this Saturday, July 20, 2019, the establishment of a technical secretariat under the direct supervision of the Head of State to coordinate the response against the EVD in North Kivu and Ituri. This technical secretariat is headed by Professor Jean-Jacques Muyembe, who was also chairman of the laboratory committee in coordinating the current response since August 2018.

• As a result of the change and out of respect for the new arrangements, the Minister of Health, Dr. Oly Ilunga Kalenga, has resigned to give the new team appointed by the Presidency every chance of success. In his letter of resignation, he recalled that the uniqueness of the government's position in the face of the epidemic was important to avoid creating harmful confusion for the rest of the response. Dr. Oly Ilunga Kalenga's resignation letter is available here .

• As a result, all communications related to the response will now be managed directly by the Presidency. Thus, this newsletter is the last newsletter on the Ebola outbreak sent by the press team of the Ministry of Health. Thank you for having followed us all these months.

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140 Contaminated health workers
2 health workers are among the new confirmed cases of Beni (unvaccinated) and Oicha (unknown vaccination status).
The cumulative number of confirmed / probable cases among health workers is 140 (5% of all confirmed / probable cases), including 41 deaths.

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https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=1af4c6a868
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Ituri: Ten people die of Ebola in less than two weeks in Mambasa

Bunia, 23 July 2019 (ACP) .- Ten (10) people with Ebola have already died within two (2) weeks in Esome village, located at PK 26 on the Beni road in Mambasa territory, said Tuesday to the local press, Idriss Koma Kokodila, the administrator of this entity, located 165km from Bunia.

He attributed these deaths to the resistance of the population of this village who do not believe in the existence of this epidemic and who thinks rather of an invention of the humanitarian actors so that they seize money.

The administrator of the Mambasa territory expressed the fear of seeing the large-scale spread of this disease in his entity as a result of population movements from that village to Beni and Mambasa center. He recommends the listing of all contacts with positive cases in order to vaccinate them. ACP / FNG / ZNG / Wet / JFM

https://acpcongo.com/ituri-dix-personnes-meurent-debola-a-moins-de-deux-semaines-a-mambasa/

 

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NEWS 24 JULY 2019

Science under fire: Ebola researchers fight to test drugs and vaccines in a war zone
...
Working in a conflict zone has forced researchers to adapt and persevere to an extraordinary degree. They have learned how to conduct rigorous studies in areas where killings, abductions and arson are commonplace, and where Ebola responders have come under repeated attack. Although biomedical advances alone cannot defeat Ebola, scientists studying this outbreak remain hopeful that their growing knowledge will help end it ? and limit those to come.

?It is not easy,? says Jean Jacques Muyembe Tamfum, a microbiologist who helped to discover Ebola and now directs the National Institute for Biomedical Research (INRB) in Kinshasa. ?You are doing this and people are shooting.?

He and other Congolese researchers are also working to ensure that any advances will benefit their homeland, which has experienced more Ebola outbreaks than any other. ?It is very important to have the research done here because at the end of the day, Ebola is our problem,? says Sabue Mulangu, an infectious-disease researcher at the INRB.
...
Despite this difficult environment, the drug trial is nearing completion. Researchers are 14 people shy of their goal of enrolling 545 participants, a threshold that should allow them to draw strong conclusions about the drugs? efficacy. But there are already hints that the treatments are working. The mortality rate at Ebola treatment centres, where all patients receive one of the experimental drugs, is 35?40% ? compared with 67% overall in this outbreak. The latter figure reflects the large number of people who have died at home or in facilities that aren?t equipped to treat Ebola.
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https://www.nature.com/articles/d41586-019-02258-4

 

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DRC: 14 Ebola deaths at Some, near Mambasa

Posted Thursday, 25/07/2019 - 11:03 |
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Fourteen people died within about a month of the Ebola outbreak in 17 confirmed cases in Some, a locality 26 kilometers from Mambasa center in Mandima health area (Ituri) . The last case of death was recorded on Monday, announced the coordinator of the response to the Ebola epidemic in Ituri, Christophe Shako, Wednesday, July 24 to Radio Okapi. He regretted, however, strong resistance from the community to collaborate with the response teams.

Popular resistance may facilitate the spread of this disease in the region, dread Christophe Shako. Accessibility is easier at Some, which is closer to Mambasa.

"We have a total of seventeen confirmed cases at Some. And among the seventeen confirmed cases; we have fourteen dead. It's a time bomb. And even the population of Some begins to move, " said Christophe Shako.

Some people who come to Mambasa and return to other cities, he said, may spread the Ebola outbreak.

The other problem is related to the strong resistance on the part of the population. "The people who are next to the confirmed cases - all the family members, the community - are not well identified. The high-risk contacts escape us, since the teams of the response can not work calmly at Some, because of the reluctance of the population, " explained Mr. Shako.

When the teams of the riposte are not able to get their hands on these people, according to Christophe Shako, it becomes complicated to follow them and vaccinate them. This represents a real threat to the community.


https://www.radiookapi.net/2019/07/25/actualite/sante/rdc-14-morts-debola-some-pres-de-mambasa

 

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Source: https://www.who.int/csr/don/25-july-2019-ebola-drc/en/
[h=1]Ebola virus disease ? Democratic Republic of the Congo[/h] Disease outbreak news: Update
25 July 2019

The Ebola virus disease (EVD) outbreak in North Kivu and Ituri provinces in Democratic Republic of the Congo is ongoing amidst a complex crisis, and we continue to observe sustained local transmission and a high number of cases. Most notably, Beni Health Zone accounted for over half of all new cases reported in the last three weeks, as well as a number of cases and contacts that travelled to other health zones. This is the second wave of the outbreak in Beni Health Zone, and it is larger in case numbers and longer in duration than the first. New healthcare worker and nosocomial infections continue to be reported in Beni and other affected health zones, despite substantial infection prevention and control by multiple agencies during the last wave of the outbreak; a total of 141 (5% of total cases) have been reported to date.
The intensive follow-up of contacts of the confirmed case who arrived in Goma on 14 July (see the 18 July Disease Outbreak News) will continue until the end of the 21-day period. In response to this case, 19 health workers were deployed from other posts to Goma to provide support. Rumours of his contacts travelling to Bukavu, South Kivu, were investigated and ruled out by response teams. No new cases have been reported in Goma to date. There are currently no confirmed cases of EVD outside of the Democratic Republic of the Congo.
The first pillar of the fourth Strategic Response Plan (SRP4) for the control of the EVD outbreak in the Democratic Republic of the Congo was shared earlier this week by the Ministry of Health of the Democratic Republic of the Congo, with support from an international consortium of partners working on the response. The first pillar covers the core public health response to the outbreak. Other pillars of the plan are being finalized and will be progressively released.
In the 21 days from 3 July through 23 July 2019, 64 health areas within 18 health zones reported new cases, representing 10% of the 664 health areas within North Kivu and Ituri provinces (Figure 2). During this period, a total of 242 confirmed cases were reported, the majority of which were from the health zones of Beni (53%, n=129), Mandima (11%, n=26), Mabalako (10%, n=23), and Katwa (7%, n=17) (Table 1). As of 23 July 2019, a total of 2612 EVD cases were reported, including 2518 confirmed and 94 probable cases, of which 1756 cases died (overall case fatality ratio 67%). Of the total confirmed and probable cases, 56% (1470) were female, and 29% (744) were children aged less than 18 years. Bunia, Kyondo and Musienene health zones all recently cleared 21 days since their last reported case. However, high risks remain for the virus to be reintroduced to these areas, requiring teams to remain fully resourced and vigilant.
[h=4]Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 23 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, Goma, 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 23 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 23 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:

• Ebola situation reports: Democratic Republic of the Congo

[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.
Substantial rates of transmission continue within outbreak affected areas of North Kivu and Ituri provinces, with demonstrated extension to new (high risk) areas and across borders in recent months, although without sustained local transmission in these areas. The high proportion of community deaths, 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, and challenges in accessing some communities due to insecurity and pockets of community reticence are all factors increasing the likelihood of further chains of transmission in affected communities. The security situation is characterised by the resurgence of activities from non-state armed groups within all major areas of operations. Increased ADF activities also led to continuous clashes with FARDC in the areas north-east of Beni in the Oicha and Erengeti areas. 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 implemented. Additional risks are posed by the long duration of the current outbreak, fatigue amongst response staff, and ongoing strain on limited resources and funding.
The abovementioned risks, coupled with 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, increase the risk of geographical spread ? both within the Democratic Republic of the Congo and to neighbouring countries. 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] On 17 July 2019, the Director-General convened the Emergency Committee under the International Health Regulations (IHR) to review the situation on the Ebola outbreak in the Democratic Republic of the Congo. The Director-General accepted the Emergency Committee?s recommendation that the outbreak constitutes a Public Health Emergency of International Concern (PHEIC). Further information, including temporary recommendations advised by the Emergency Committee, is available in the statement, speech by WHO Director General, and news release.
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. Further information is available in the WHO recommendations for international traffic related to the Ebola Virus Disease outbreak in the Democratic Republic of the Congo.
For more information, please see:

• WHO resources and updates on Ebola virus disease
• SAGE Interim Recommendations on Vaccination against Ebola Virus Disease (EVD)
• Ebola virus disease in the Democratic Republic of the Congo ? Operational readiness and preparedness in neighbouring countries
• Ebola virus disease fact sheet
• WHO recommendations for international traffic related to the Ebola Virus Disease outbreak in the Democratic Republic of the Congo

 

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Ebola: the first teams of Dr. Muyembe expected in North Kivu

Posted on Sat, 27/07/2019 - 09:16 | Edited on Sat, 27/07/2019 - 09:19

The first teams in the Ebola response are expected to leave Kinshasa for Goma in North Kivu on Saturday (July 27th) under the leadership of the executive secretary of the multisectoral Ebola Committee, Dr. Muyembe Tamfum. The question of security was at the center of the talks, the day before in Kinshasa, between the interim Minister of the Interior, Basile Olongo, and this technical secretariat.

"The fight against Ebola currently has two bottlenecks. The first bottleneck is the non-commitment of the population and the second bottleneck is insecurity, " told the press Muyembe Tamfum, the technical secretariat of this committee, to the result of the interview between the two parties.

The fight against Ebola is no longer just a health problem, he said, but a multisectoral problem.

"We are proposing that the police accompany the Ebola teams in the field," said Dr. Muyembe Tamfum.

More than 1,700 people have already died from this epidemic in North Kivu and Ituri for more than a year.

https://www.radiookapi.net/2019/07/...pes-du-docteur-muyembe-attendues-au-nord-kivu

 

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JUL 27

Mistrust of the emitters of the messages among the factors to be addressed in the awareness, the case of Dome

All started on Thursday July 18 with the death of an 18-year-old girl, who died at the Mambasa Reference General Hospital as a result of EVD, after confirmed examination by the Komanda Laboratory (3 cases of Ebola in Mambasa Center). That same day in her village, Dome, located 26 km from Mambasa center on the axis Mambasa-Makeke, in Bapwele group in chiefdom of Babila Bakwanza, three other people died and the results of swabs applied on their bodies and sent to Mangina were expected on Friday in Mambasa, unfortunately this result had not been made public, no one knows why. The population appalled by the loss of four of their own and having no precise information on this epidemic which for them is a game system set up by the humanitarian members of the response to make money and exterminate a community cited, the young people of this village organized themselves into a team of self-defense against the response team which they consider as executioner. As a reminder, these young people attacked the team AJEDEC confused with the response because being in a jeep with a NGO logo. According to one of two attacked officers, they were hit by a few slaps and three cans of palm oil were stolen in the process. They had their lives saved thanks to the intervention of the police who were on the spot by following of the territorial administrator.

https://congoaujourlejour.blogspot.com/2019/07/la-mefiance-aux-emetteurs-des-messages.html

 

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DRC-Lubero: Ebola patient escaped treatment center, response teams deployed to find him

Sunday, July 28, 2019 - 15:34

The Ministry of Health reports that a patient diagnosed with Ebola positive on July 25, 2019 at the Lubero Health Zone escaped from the treatment center and joined the community. The teams of the riposte were deployed to find him.

From 22 to 25 July, a total of 38 confirmed cases were recorded in the ETCs (Ebola treatment center) during this period: 22 in Beni, 6 in Mandima, 3 in Kalungut, 2 in Katwa, 2 in Lubero, 1 in Butembo, 1 in Komanda and 1 in Vuhovi. 19 deaths were recorded in the CTEs during this period: 10 deaths at the CTE of Beni, 4 deaths at the CTE of Butembo, 3 deaths at the CTE of Mabalako, 2 deaths at the CTE of Katwa. And in the community, 5 confirmed deaths were recorded: 3 in Mandima, 1 in Beni and 1 in vuhovi. A total of 2 deaths were reported in the Beni TC during this period.

On the good news side, a total of 33 cures were discharged from the CTEs during this period: 19 cured at the CTE of Beni, 9 cured at the CTE of Mabalako, 6 cured at the CTE of Katwa, 1 cured at the CTE of Butembo.

Since the beginning of the epidemic, the cumulative number of cases is 2,641, of which 2,547 are confirmed and 94 are probable. In total, there were 1,773 deaths (1,679 confirmed and 94 probable) and 760 people healed.

https://actualite.cd/2019/07/28/rdc...ppe-du-centre-de-traitement-les-equipes-de-la

 

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[FONT=&quot]Barry Rodrigue‏ @barryr33082845 5h5 hours ago More


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[FONT=&quot] #Mambase Health area. 2 honorables elected local politicians giving support to @WHO #Riskcommunication Team during direct discussions in a public place. This interesting event is taking place in SOME, village where #Ebola confirmed cases have been notified. Pics Humudi Baraka.
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ACTUALITE.CD@actualitecd

3:00 PM - 29 Jul 2019 from Democratic Republic of Congo

Ebola: Since the beginning of the epidemic, the cumulative number of cases is 2,659, of which 2,565 are confirmed and 94 are probable. In total, there were 1,782 deaths (1,688 confirmed and 94 probable) and 766 people healed

358 suspected cases under investigation;
18 new confirmed cases, including 11 in Beni, 3 in Mandima, 2 in Mambasa, 1 in Komanda and 1 in Mutwanga.

9 new confirmed case deaths:
5 community deaths, 2 in Mandima, 1 in Beni, 1 in Mambasa and 1 in Mutwanga, 4 deaths in CTE, including 3 in Beni and 1 in Mabalako; 6 people healed from the CTE de Beni

Three health workers are among the new confirmed cases, including two in Beni, living and unvaccinated, and one in Mandima, living and vaccinated. The cumulative number of confirmed / probable cases among health workers is 145 (5% of all confirmed / probable cases), including 41 deaths.


https://twitter.com/actualitecd/status/1155961513602977805

 

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DRC: Five Ebola deaths in Some in Ituri

Posted on Tue, 30/07/2019 - 09:55 | Modified on Tue, 30/07/2019 - 09:55

Five people died of Ebola on Sunday (July 28th) in Some, a locality in Mambasa territory (Ituri). The administrator of the territory, Idrisse Koma, who gave this figure Monday, July 29 to Radio Okapi, indicates that a total of nineteen deaths are already recorded during this month.

"Yesterday [Sunday] there were five bodies. People were dismayed by five deaths in one day, "said Idrisse Koma.

According to him, the inhabitants refuse to admit that this epidemic is raging in their village.

"Young people believed that Ebola does not exist. They did not understand. But given the cases we have, we think it is important to educate young people and old people to make them understand the prevention of Ebola, "said Idrisse Koma.

He asked the people of his entity to collaborate with the response team to prevent the spread of this disease.

For his part, the coordinator of the response team in Ituri confirmed the death cases without specifying the number.

He also deplored the resistance of the population to the response teams, which justifies the multiplication of Ebola cases.


https://www.radiookapi.net/2019/07/30/actualite/sante/rdc-cinq-morts-debola-some-en-ituri

 

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WHO in the DRCVerified account
@OMSRDCONGO
6 hours ago

Telling #Ebola, 1 year later, #RDC. These nurses were there from the first hours of the Ebola outbreak in August 2018, at the Mangina Health Center. It is thanks to them that the first care of the patients could be made to # save lives...

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Two main obstacles prevented Ebola from being defeated in north-eastern DRC a year after the outbreak was declared

By Norbert Tambwe Wediambulu

Kinshasa, July 30, 2019 (ACP) .- The actors engaged in the fight against the Ebola virus disease in the provinces of North Kivu and Ituri, in the North-East of the Democratic Republic of Congo (DRC), that the specialists of this terrible viral disease have so far identified two main obstacles that prevented the end of the epidemic, one year after its official declaration, on August 1, 2018, by the Congolese government.

Since the outbreak was reported from 1 August 2018 to 23 July 2019, the Ministry of Health has reported a total of 2,612 cases (2,518 confirmed cases in the laboratory and 94 probable cases). The number of deaths is 1,756 (1,662 deaths of confirmed cases and 94 deaths of probable cases) until 23 July 2019. In view of this situation, the two targeted obstacles preventing an end to this epidemic are the non-commitment local communities in the fight against the epidemic and insecurity in a region of about 100 local and foreign armed groups.

Non-community involvement

Non-community involvement is manifested by reluctance, denial of the disease, and lack of confidence in the epidemic response teams, which include looking for sick people in households and people who die as a result of the virus disease. Ebola treatment centers. Community reluctance sometimes takes a violent form (throwing stones, physical aggression, threats, ...) and one of the main consequences of community resistance is the high rate of community deaths, that is to say deaths that occur outside the Ebola treatment centers.

According to the Congolese Ministry of Health, between 28 and 43% of deaths reported each week take place outside an Ebola treatment center. These deaths occur either in private hospitals and clinics, in community health centers, or at home. Ebola patients are often hidden until after their death. However, the contagiousness of a patient is maximal after his death. Hence the need for safe and dignified burials to limit the community spread of the virus.

It has been found that the majority of community deaths have a dignified and secure burial. However, the new technical secretariat of the multisectoral DRC Ebola Response Committee set up by the DRC President has a lot of work to do. He will have to make every effort to secure the commitment of the communities in this struggle. In order to build trust between the response teams and the communities, it will first be necessary to obtain the support of opinion leaders (political leaders, religious leaders, traditional leaders, civil society actors, etc.) in the fight against Ebola. , since they have the ability to influence the mass.

Armed attacks have largely contributed to the worsening of the epidemic

Armed attacks against the teams and response operations have contributed significantly to the increase in the number of Ebola cases, particularly between March and June 2019. According to the Congolese Ministry of Health, the bar of 1,000 cases of Ebola has reached March 24, 2019, almost 8 months after the outbreak was declared.

It was found that in two and a half months, this number has doubled to 2,000 cases on June 2, 2019. This increase in cases, notes the Congolese Ministry of Health, is directly related to armed attacks against teams and operations in Butembo and Katwa that started with the fires of the Ebola treatment centers in late February 2019 and culminated in the murder of Dr. Richard Mouzoko Kiboung of Cameroon, engaged in the fight against Ebola on behalf of WHO (World Health Organization).

After each armed attack, the response to the epidemic is halted for an indefinite period. As a result, an increase in EVD cases was observed every 10 to 15 days after each attack. Insecurity is thus a huge challenge for the Congolese State and its partner MONUSCO (UN Mission for Stabilization in Congo). The most positive point is that the Ebola epidemic, one year after its declaration, is contained in 2 of the 26 provinces in the DRC. Cases imported from the region of Beni-Butembo reported in Uganda and Goma, the capital of North Kivu province, were quickly checked. The transmission chains related to these cases have been virtually halted in Uganda and Goma. ACP / ZNG / MPK / JLL / CKM

https://acpcongo.com/deux-principau...-une-annee-apres-la-declaration-de-lepidemie/

 

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Ituri: a new case of Ebola death recorded in Some

Posted on Tue, 30/07/2019 - 20:16 | Modified on Tue, 30/07/2019 - 20:16

A woman died of Ebola on Tuesday, July 30 in Some 26 kilometers from Mambasa (Ituri), reports the administrator of the territory Idrissa Koma.

The woman, along with other villagers, has been manipulating the body of her son, who recently died of Ebola. This body was delighted by the team's response to the disease.

The territorial authority says that in the face of the spread of the disease, the population who resisted the Ebola response teams finally adhered to the preventive measures, agreeing to be vaccinated and to attend awareness campaigns.

"Thirty-six people have already been vaccinated and there are many candidates for this operation."

However, the territory administrator admits that the challenges are enormous to eradicate this disease because "some people are hiding in the fields, in the bush and others have abandoned the village. "

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https://www.radiookapi.net/2019/07/3...nregistre-some

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DRC: The situation is not improving in Beni, ALIMA has never admitted so many Ebola patients

Wednesday, July 31, 2019 - 09:01

All the actors in the Ebola response seem unanimous: the epidemic is not under control and tends to spread more in addition to returning to areas where the situation seemed to be mastering.

ALIMA (The Alliance for International Medical Action), which has been mobilized in the field since August 2018, reports, for example, that over the past two weeks, it has had to increase its capacity to take charge in one of its two treatment centers. Ebola.

"In Beni, ALIMA has never admitted so many patients with Ebola. More than 60 confirmed Ebola patients are currently hospitalized, "the NGO said in a statement.
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https://actualite.cd/2019/07/31/rdc-...tients-malades

 

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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 31, 2019


The Epidemiological Situation of Ebola Virus Disease, July 30, 2019

• Since the beginning of the epidemic, the cumulative number of cases is 2 701, of which 2 607 are confirmed and 94 are probable. In total, there were 1,813 deaths (1,719 confirmed and 94 probable) and 776 people healed.
• 293 suspected cases under investigation;
• 11 new confirmed cases, including 3 in Vuhovi, 1 in Mandima, 1 in Mambasa, 1 in Kalunguta and 1 in Nyiragongo (Goma);
• Continued search for the confirmed case in the health zone of Lubero dated 25/07/2019;
• 10 new confirmed cases deaths:
  • 2 community deaths, including 1 in Beni and 1 in Mandima;
  • 6 deaths at CTE, including 3 in Beni, 2 in Mabalako and 1 in Butembo;
  • 2 deaths at the CT of Beni;
• 6 people recovered from CTEs, including 4 Mabalako, 1 in Katwa and 1 in Butembo;
• Two alive health workers are among the new confirmed cases of Mambasa (non-vaccinated) and Vuhovi (vaccinated). The cumulative number of confirmed / probable cases among health workers is 148 (5% of all confirmed / probable cases), including 41 deaths.

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Organization of the Coordination Workshop for the Ebola Response to the Ebola Epidemic

• The Technical Secretariat of the Multi-sectoral Epidemic Response Committee of the EVD is organizing a coordination workshop from 31 July to 02 August 2019 to coordinate the response to the EVD epidemic at the Karibu Hotel in Goma in the province of North Kivu.
• This workshop aims to brief the Technical Secretariat of the Multisectoral Committee by coordinating the response on the organization of the current response in order to enable it to make informed decisions thus avoiding a major disruption of the response.
• It will enable the Technical Secretariat to inquire about the current epidemiological situation of EVD and the main challenges to be addressed, to learn about the current response structure (organization of the different levels of coordination) and the new strategic plan for the response. (PSR4) and synergy with the security, humanitarian and financial sectors, as well as the operational readiness of DRC neighboring countries to create a favorable environment for the response.
• It will also allow him to discuss challenges and perspectives related to priority themes (pillars). This workshop will result in the priority actions to be carried out over the next 90 days and the overall orientations on the response, as well as the new organizational structure of the response.
• It should be noted that under SRP-4, effective and coherent change in strategies, effective coordination, consistent standards and support for the most vulnerable communities are envisaged. at risk in the provinces of North Kivu and Ituri while preventing the spread of the epidemic in other provinces and countries bordering the DRC.

Death of the second confirmed case of Ebola in Goma

• The second confirmed Ebola case from Goma died on Wednesday 31 July 2019 at the CTE Nyiragongo de Goma located in the General Reference Hospital of this city.
• This last case of Goma is a patient, who began to present the symptoms of EVD on July 22, 2019. On July 30, 2019 he went to the Goma General Referral Hospital (HGR). located in the Nyiragongo Health Zone, where he was directly transferred to the CTE for appropriate care. The CTE, being installed within this HGR.
• Previously, he was treated as an outpatient by a nurse in a private community health center in the Nyiragongo Health Zone.

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EPIDEMIOLOGICAL SITUATION​

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EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Thursday, August 01, 2019

Epidemiological Situation of Ebola Virus Disease on July 31, 2019

Since the beginning of the epidemic, the cumulative number of cases is 2,713, of which 2,619 confirmed and 94 probable. In total, there were 1,823 deaths (1,729 confirmed and 94 probable) and 782 people healed.

• 423 suspected cases under investigation;
• 13 new confirmed cases, including 5 in Beni, 2 in Mabalako, 2 in Mandima, 1 in Nyiragongo (Goma), 1 in Vuhovi, 1 in Katwa and 1 in Mutwanga;
• 10 new confirmed cases deaths:
  • 2 community deaths, including 1 in Beni and 1 in Mandima;
  • 7 CTE deaths, including 3 in Beni, 2 in Mabalako, 1 in Komanda and 1 in Goma;
  • 1 death at the CT of Beni;
• 6 people cured out of ETCs, including 5 in Beni and 1 in Katwa;
• One health worker, living and vaccinated, is among the new confirmed cases in Beni. The cumulative number of confirmed / probable cases among health workers is 149 (5% of all confirmed / probable cases), including 41 deaths.

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Follow-up of the situation of contacts of the second case confirmed Ebola of Goma

• 151 contacts have been reported around the 2 [SUP]nd[/SUP] confirmed case of EVD in Goma since 22 July 2019. Among these contacts, 118 have already been vaccinated, including 70 at high risk (CHR) and 48 contact contacts (CC);
• The girl and the woman of this case of Goma constitute to date the 3 [SUP]rd[/SUP] and 4 [SUP]th[/SUP]positive cases of EVD recorded in Goma;
• The sister of this same case, who fled to the province of South Kivu, was found in Biara in the health zone of Muti Muresa. 40 contacts have already been vaccinated around this contact Thursday 1 [SUP]st[/SUP] August 2019, including 9-pin high-risk contacts and 31 contacts.

A traditional healer among the confirmed cases of Mabalako

• This is a 25 year old man, living and vaccinated on July 20, 2019 (geographical vaccination). He practiced self-medication on July 24-29, 2019 with a gradual worsening of symptoms.

• It was taken to the CTE after validation on July 30, 2019 after the alert launched by a Community Relay (ReCo). It has been confirmed MVE on July 31, 2019. 22 people-contacts are listed around this case, whose investigations are ongoing.

The confirmed case of Lubero on the run

• The confirmed case of July 25, 2019 in Lubero Health Zone (ZS), who fled into the community, is reported to be in Lukanga in the Masereka SZ, 17 km from Lubero. A team went there on Thursday 1 [SUP]st[/SUP] August 2019 for his transfer to the CTE. END

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Ituri / Ebola: A team of health workers in Mungwalu to trace the course of the second case who died in Goma

Friday, August 2nd, 2019 - 11:34

A team of Ebola response agents arrived in Mungwalu on Thursday, August 1, 2019 to trace the path of the second case of the epidemic that died this week in Goma. According to the health authorities, the patient was a gold miner from Mungwalu.

"There is a resident who left here in early July to go to Goma and he was confirmed by Ebola before dying a day later and it made us think that it is already necessary to investigate his path here . We must already warn of the danger, so we came to meet the providers in the Mungbwalu Health Zone to find out how to launch the awareness activities. But I say so far we have not yet declared Ebola here, "said Dr. Prosper Ofwa, Chief Medical Officer of Bunia Health Zone.

The bourgmestre of the rural commune of Mungwalu, Jean Pierre Bikilisende, who received the delegation, said he already had some information on the victim thanks to the local security committee of his entity. "We already have some information about this victim. I call the people of my jurisdiction to calm nothing serious is reported so far, "he reassured.

A third case of Ebola in Goma was a girl about a year old, a child of the deceased gold miner. The goldsmith's wife was declared Thursday positive, becoming the fourth case in the capital of North Kivu. This Thursday, August 01, 2019, the Ebola virus disease totaled one year. According to the response data, the cumulative number of cases is 2 701, of which 2 607 are confirmed and 94 are probable. In total, there were 1,813 deaths (1,719 confirmed and 94 probable) and 776 people healed.

Franck Asante

https://actualite.cd/2019/08/02/itu...gwalu-pour-tracer-le-parcours-du-deuxieme-cas

 

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Ebola persistence, the 9th case of Kasindi / Beni is dead

By Admin

The EBOLA virus disease is gradually intensifying in KASINDI, a border area of ​​the DRC with the Republic of Uganda, a city located in the extreme east of the territory of Beni in North Kivu.

The ninth case of EBOLA haemorrhagic fever recorded at KASINDI died on Thursday, August 1st, 2019.

This is a woman, wife of a soldier "FARDC" who died hospital center UMOJA commonly called at ZANGo and it is only around 12 o'clock last Friday that the results of the laboratory test indicated that she was positive for EBOLA virus disease.

For the moment, the risk of spreading EBOLA virus disease on the border between the Democratic Republic of Congo and UGANDA is still very low, since all the personnel of this health facility have been identified and their vaccination is planned for this weekend.

And also, the epidemiological surveillance at all points of entry and exit Kasindi-Lubiriya is boosted more.

Kakule Sikuli Musubao, one of the communicators of the teams involved in the response to EBOLA virus disease in the health zone of MUTWANGA in the RUWENZRI sector, urges the population to observe hygiene measures in their daily lives in order to fight this viral disease.

The Animal and Plant Quarantine Service (SQAV) reaffirms the continuity of its strong actions in the epidemiological control at the KASINDI border post with regard mainly to the destruction by incineration of bushmeat whose origin is subject to acute doubt.

However, the person in charge of this service, the veterinary doctor Dr. SIMBA SIDANO RODIN, expresses his deep concern about his separation in the coordination of teams in the response to this viral haemorrhagic fever.

The latter expressed the wish to see the Ministry of Public Health think of his involvement.

Paul Zaidi

https://lesvolcansnews.net/2019/08/03/persistance-debola-le-9eme-cas-de-kasindi-beni-est-decede/

 

[Shiloh]

Source: https://www.who.int/csr/don/02-august-2019-ebola-drc/en/
[h=1]Ebola virus disease ? Democratic Republic of the Congo[/h] Disease outbreak news: Update
2 August 2019

The Ebola virus disease (EVD) outbreak in North Kivu and Ituri provinces in the Democratic Republic of the Congo continued this week with similar transmission intensity to recent weeks, with an average of 85 cases per week (range 79 to 91 cases per week) in the past six weeks (Figure 1). There are currently no confirmed cases of EVD outside of the Democratic Republic of the Congo.
On 30 July, a confirmed EVD case was reported in Nyiragongo Health Zone on the outskirts of Goma city. The case worked as a miner in Ituri Province and travelled down through several outbreak hotspots, where he likely acquired the disease. Currently, there is no indication that the case had links to the to the first case identified in Goma on 14 July (see the 18 July Disease Outbreak News). Given that he was ill and in the community for several days before presenting to a health facility, secondary transmission to close contacts was anticipated. Two family members, a child and spouse, have subsequently tested positive and are receiving care in the Goma Ebola Treatment Centre (ETC). Other suspected cases among contacts are awaiting test results. Bolstered by months of preparedness, a sizable response, including exhaustive contact tracing and ring vaccination, was rapidly implemented upon detection of these cases with the aim of preventing tertiary spread or sustained local transmission in Goma city. Nonetheless, teams remain ready to rapidly respond to new cases. As of 1 August 2019, there are four confirmed case of EVD in Goma.
In the 21 days from 11 July through 31 July 2019, 71 health areas within 18 health zones reported new cases, representing 11% of the 664 health areas within North Kivu and Ituri provinces (Table 1, Figure 2). During this period, a total of 260 confirmed cases were reported, with the majority coming from the health zones of Beni (52%, n=135) and Mandima (16%, n=41). Most (68%, n=28) of the cases reported in Mandima Health Zone came from Som? Health Area, which has in turn seeded cases to the nearby city of Mambasa in recent weeks. The response in Som? Health Area was challenging for several weeks, due to tension between local communities and Ebola response teams. However, the situation has improved, following dialogues with community leaders to understand the community?s perspective and to define common ground for collaboration. Biena Health Zone recently cleared 21 days since their last reported case. However, hotspots continue to be the source of cases in other areas through the movement of suspected and confirmed cases and their contacts, and high risks remain for the virus to be reintroduced to these areas, requiring teams to remain fully resourced and vigilant.
As of 31 July 2019, a total of 2713 EVD cases were reported, including 2619 confirmed and 94 probable cases, of which 1823 cases died (overall case fatality ratio 67%). Of the total confirmed and probable cases, 56% (1527) were female, and 29% (773) were children aged less than 18 years. Cases continue to increase among health workers, with the cumulative number infected rising to 149 (5% of all confirmed and probable cases). 1 August 2019 marked one year since the Government of the Democratic Republic of the Congo declared the Ebola outbreak. UN partners reaffirmed our collective commitment to the people of the Democratic Republic of the Congo, and called for solidarity to end the outbreak.
[h=4]Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 31 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, Goma, Kalunguta, Kayna, Komanda, Kyondo, Lubero, Mangurujipa, Masereka, Mutwanga, Nyankunde, Nyiragongo, 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 1 August 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 31 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:

• Ebola situation reports: Democratic Republic of the Congo

[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.
Substantial rates of transmission continue within outbreak affected areas of North Kivu and Ituri provinces, with demonstrated extension to new (high risk) areas and across borders in recent months, although without sustained local transmission in these areas. The high proportion of community deaths, 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, and challenges in accessing some communities due to insecurity and pockets of community reticence are all factors increasing the likelihood of further chains of transmission in affected communities. While the overall security situation in the last 21 days was generally calm and bore no significant impact on the response operations, it remained unstable and concerning, with repeated sightings and activities of non-state armed groups within the area of operations. Threats on response personnel and assets continued to be recorded, indicating a possible level of prevailing community reticence by some sectors, groups, or individuals. The continuity of response activities is facilitated by the close monitoring of the operational environment and the corresponding implementation of appropriate security measures. Additional risks are posed by the long duration of the current outbreak, fatigue amongst response staff, and ongoing strain on limited resources and funding.
The abovementioned risks, coupled with 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, increase the risk of geographical spread ? both within the Democratic Republic of the Congo and to neighbouring countries. 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] On 17 July 2019, the Director-General convened the Emergency Committee under the International Health Regulations (IHR) to review the situation on the Ebola outbreak in the Democratic Republic of the Congo. The Director-General accepted the Emergency Committee?s recommendation that the outbreak constitutes a Public Health Emergency of International Concern (PHEIC). Further information, including temporary recommendations advised by the Emergency Committee, is available in the statement, speech by WHO Director General, and news release.
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. Further information is available in the WHO recommendations for international traffic related to the Ebola Virus Disease outbreak in the Democratic Republic of the Congo.
For more information, please see:

• WHO resources and updates on Ebola virus disease
• Ebola virus disease fact sheet
• SAGE Interim Recommendations on Vaccination against Ebola Virus Disease (EVD)
• WHO recommendations for international traffic related to the Ebola Virus Disease outbreak in the Democratic Republic of the Congo
• Ebola virus disease in the Democratic Republic of the Congo ? Operational readiness and preparedness in neighbouring countries

 

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Ituri: Geographical vaccination campaign against Ebola in the locality of Some

Bunia, 06 August 2019 (ACP) .- A campaign of geographical vaccination against Ebola is underway in the locality of Some, located 25km from Mambasa center located 165km from the city of Bunia, said Tuesday to the press the coordinator the response to Ebola in Ituri, Dr. Christophe Ckako.

He explained that this strategy set by the technical secretariat of the response to this epidemic aims to vaccinate the entire population of this region of Ituri to prevent high-risk people who are hidden in the population from escaping the this campaign in order to cut the chain of contamination.

A response team deployed in Mongwalu

In addition, Dr. Christophe Ckako has hinted that an Ebola response team has been deployed since last week in the rural commune of Mongwalu, located 85km north of Bunia in Djugu territory to conduct investigations. against this disease following the positive confirmed case on July 30 in Goma in the province of North Kivu came from this mining entity.

He clarified that this confirmed case did not develop the disease in Mongwalu because of which the deployed team will conduct thorough investigations to know the true identity of the entourage of this person who died a few days after Ebola the center treatment. ACP / Fng / ZNG / nig

https://acpcongo.com/ituri-campagne...phique-contre-ebola-dans-la-localite-de-some/