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SUBJECT: EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI AT 04
SEPTEMBER 2019
Date: Thursday, 05 September 2019
Since the beginning of the epidemic, the cumulative number of cases is 3,054, of which 2,945 are confirmed and 109 are probable.
In total, there were 2,052 deaths (1,943 confirmed and 109 probable) and 914 people healed.
405 suspected cases under investigation;
5 new confirmed cases, including:
o 3 in North Kivu, including 1 in Butembo, 1 in Kalunguta and 1 in Mutwanga;
o 2 in Ituri, including 1 in Mambasa and 1 in Mandima.
2 new confirmed deaths, including 1 in North Kivu and 1 in Ituri:
o 1 community deaths in Ituri in Mambasa;
o 1 death in CTEs in North Kivu in Mabalako.
The first removal of the suspected case of EVD in Walikale, North Kivu, was negative.
2 people cured out of CTE in North Kivu in Beni.
No health worker is among the newly confirmed cases. The accumulation of cases
confirmed / probable among health workers is 156 (5% of all cases
confirmed / probable), including 41 deaths.
FOCUS
One month of activities of the Technical Secretariat of the Multisectoral Committee for the Response to Virus Disease
Ebola in North Kivu and Ituri
Since 26 July 2019, the Technical Secretariat of the Multisectoral Committee for the Response to
the Ebola Virus Disease has taken office to end the Virus Disease epidemic
Ebola that has been raging for a year and a month already in the DRC, particularly in the provinces of
North and South Kivu, as well as in Ituri;
Immediately after delivery and resumption with the former coordination of the MVE response, the Secretary
Professor Jean-Jacques Muyembe Tamfum, accompanied by the entire team of
Secretariat, went to the headquarters of the General Coordination of the Goma Response in
North Kivu;
On site, the team toured two border crossings called Large and Small Barriers in
the purpose of inquiring about the evolution of the epidemic on the ground and, thus, putting in place strategies
that can quickly put an end to this 10th epidemic;
They organized the overall coordination of the response, providing it with the means to
financial and technical aspects, and by regularizing the administrative situation of staff deployed on
field ;
In terms of the results of this first month of work, we can note a greater involvement and
the appropriation of the response by the politico-administrative authority and the community,
all levels. What constitutes a remarkable innovation and whose materialization is the
great walk that gathered more than 6000 people in Goma. This march was organized by
the governor of North Kivu who until then continues to make efforts alongside the teams
response to a common goal, including ending the most serious epidemic
deadly Ebola in the Democratic Republic of the Congo;
However, there are still several challenges to overcome this epidemic. This is between
others of the high mobility of people with as a solution the strengthening of
Entry Points (POE) and Control Points (POC) thanks to geolocation.
Another challenge is the poor control of the infection due to the number of structures
unreliable health. This can be remedied by improving coverage and quality
care and regulation of health posts by the Provincial Inspectorate of Health.
The challenge of insecurity preventing the response teams from working well, thus limiting the
speed of interventions is one of the biggest challenges of the response;
Nevertheless, the Technical Secretariat is already recording some improvements,
fall in the numbers of community deaths, improved follow-up of contacts for a
complete investigation, where all the people constituting the chain around a confirmed case
are detected. We note here that the Entry and Control Points manage to retain several cases
contacts, suspects or confirmed before transferring them to the various treatment centers
Ebola (CTE) for further investigation or appropriate management. The
Technical Secretariat's strategy is to do a quick test for all the bodies;
A new CTE has been built on a surface of one hectare and a half by the international NGO
MSF in Munigi, in the peripheral part of Goma, to face any eventuality. This new
CTE has a capacity of 72 beds with several screening pavilions. It includes
compartments for the nursing staff and the administration with the particularity of having
larger single rooms with individual latrines. Another advance is
adoption of the Integrated Strategic Plan for Ebola Response (SRP4);
Interim Minister of Health Pierre Kangudia Mbayi led a strong delegation
Congolese in Rwanda, on 6 August, where he flew with his Rwandan counterpart a meeting
bilateral agreement aimed at strengthening collaboration between the two countries to eradicate the 10th
epidemic of EVD, declared as a public health emergency of international concern
by the World Health Organization;
Following this meeting, WHO organized a meeting from 14 to 15 August 2019
transboundary border crossing in Goma with the Democratic Republic of the Congo, where
1 year the Ebola outbreak and 4 of its bordering countries, namely Uganda, Burundi,
Rwanda and South Sudan;
On 16 August, two first confirmed cases of Ebola were reported in South Kivu,
territory of Mwenga more than 150 km from Bukavu, where a suspect case was also
reported as of August 25, 2019;
It should also be noted that the DRC took part in the 69th session of the Regional Committee of
WHO for Africa held from 19 to 23 August 2019 in Brazzaville. The DRC, whose
the delegation was led by Interim Health Minister Pierre Kangudia Mbayi
was congratulated through Professor Muyembe, himself a participant and speaker, for
its efforts in finding solutions to eradicate EVD. "I am embarrassed
when we talk about Ebola for the DRC. Ebola is not the only disease that is
confronted the DRC, "said the WHO DG, Tedros Adhenom, during the meeting,
calling on the international community to get involved in the fight against other diseases
such as malaria and measles;
The Technical Secretary of the Multisectoral Committee for the Response to Ebola Virus Disease, the
Professor Jean-Jacques Muyembe Tamfum received the 3rd Hideyo Noguchi Prize for
Africa, in the category "medical research" for its efforts in the fight against
against Ebola virus disease in eastern DRC. This prize was awarded on Friday
30 August on the sidelines of the 7th edition of the Tokyo Conference for the Development of
Africa (TICAD 7);
In order to block the spread of Ebola Virus Disease in the city of
Kinshasa, a training of trainers on preparing for the response to the virus disease
Ebola in this city was organized by the Technical Secretariat and the Ministry of Health
through its National Border Health Program with JICA and JDR of 29
August 30, 2019. This training falls within the framework of the declaration of the tenth
Ebola outbreak as a public health emergency of international concern;
Ebola is now curative thanks to the success of two molecules, including Mab114 and Regneb3. These are two effective molecules for treatment according to detection and management
fast case. Mab114 is a monoclonal antibody from a collaboration of more than one
decade between the National Institute for Biomedical Research (INRB) led by Prof. Muyembe
and the United States National Institute of Health (NIH);
In addition to these two molecules, there is vaccination which is the best method
prevention to limit the transmission chain of the Ebola virus;
The population and health workers are expected to follow the Goma experience demonstrating that the
total victory over this epidemic depends on the involvement of all. This can also be the case in
all affected and not yet contaminated areas, including the provinces and neighboring countries of the
DRC, in order to release as quickly as possible the sites of this monstrous disease, that we have,
today, the opportunity to heal and prevent. END_*
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https://www.dropbox.com/s/q2y9zuwnlk8eyfy/CMRE_Bulletin Ebola du 05 septembre 2019.pdf?dl=0
