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

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[TD]EPIDEMIOLOGICAL SITUATION [/TD]
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[TD]EVOLUTION OF THE EPIDEMIC IN NORTH KIVU AND ITURI PROVINCES AS AT DECEMBER 10 , 2019

Wednesday, December 11, 2019

• Since the start of the epidemic, the cumulative number of cases has been 3,340, including 3,222 confirmed and 118 probable. In total, there were 2,210 deaths (2,092 confirmed and 118 probable) and 1,088 people healed.

• 441 suspected cases under investigation;
• 10 new confirmed cases in North Kivu Mabalako, all from the Aloya health area;
• No new deaths among the confirmed cases;
• 1 person cured out of the CTE in Ituri in Biakato;
• No health worker is among the new confirmed cases. The cumulative number of confirmed / probable cases among health workers is 164 (5% of all confirmed / probable cases), including 41 deaths;
• The activities of the response to the epidemic of the Ebola virus disease are paralyzed in the sub-coordination of Beni, Mangina and Biakato for security reasons;
• ...

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[Shiloh]

Source: https://www.who.int/csr/don/12-december-2019-ebola-drc/en/ [h=1]Ebola virus disease – Democratic Republic of the Congo[/h] Disease outbreak news: Update
12 December 2019



Twenty-seven new confirmed cases were reported from 4 to 10 December in the ongoing Ebola virus disease (EVD) outbreak in North Kivu and Ituri provinces. The confirmed cases in this week were reported from seven health areas in four health zones: Mabalako (67%, n=18), Beni (22%, n=6), Mandima (7%, n=2), and Oicha (4%, n=1). This is a substantial increase in the number of reported cases, compared to the average of seven confirmed cases for the previous three weeks. All of these cases are linked to three transmission chains. Of these 27 new cases, 20 (74%) were registered contacts, including 10 (37%) who were being followed up regularly. One community death was reported in an individual whose body was intercepted by response personnel at a point of control as they were being transported from Lwemba Health Area; a safe and dignified burial was performed. All other cases were referred to an Ebola Treatment Centre.

The majority of these new cases are linked to a single chain of transmission, in which one individual was a potential source of infection for 17 people. This is the second documentation of EVD illness in this individual within a 6-month period. An investigation is ongoing to understand the circumstances around this case. Among the possibilities being investigated are reinfection and relapse. Reinfection would mean a person who has recovered from EVD is infected with EVD from another person; there has never been a documented case of this. Rare cases of relapse have been documented, in which a person who has recovered from EVD gets disease symptoms again.

In the past week, there were six new cases among health workers; five of which were traditional practitioners, bringing the total number of health workers infected in this outbreak to 169 (5% of all reported cases).

In Beni and Mabalako Health Zones, the overall average percentage of contacts under surveillance in the last seven days has returned to levels seen prior to the security events in past weeks. The volume of alerts and the proportion of alerts investigated within 24 hours has made similar improvements.

In the past 21 days (20 November to 10 December), 42 confirmed cases were reported from 15 of the 71 (21%) health areas within four neighbouring active health zones in North Kivu and Ituri provinces (Figure 2, Table 1): Mabalako (60%, n=25), Mandima (19%, n=8), Beni (17%, n=7), and Oicha (5%, n=2). The majority of the cases (95%, n=40) are linked to known chains of transmission. Mambasa Health Zone recently cleared 42 days without any new confirmed cases.

As of 10 December, a total of 3340 EVD cases were reported, including 3222 confirmed and 118 probable cases, of which 2210 cases died (overall case fatality ratio 66%) (Table 1). Of the total confirmed and probable cases, 56% (n=1881) were female, and 28% (n=941) were children aged less than 18 years. [h=4]Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 10 December 2019*[/h]

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[h=4]Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 10 December 2019*[/h]

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*3340 confirmed and probable cases, reported as of 10 December 2019. Excludes n=173 cases for whom onset dates not reported. 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, Butembo, Goma, Kalunguta, Katwa, Kayna, Komanda, Kyondo, Lolwa, Lubero, Mambasa, Manguredjipa, Masereka, Musienene, Mutwanga, Mwenga, Nyankunde, Nyiragongo, Pinga, Rwampara, Tchomia, and Vuhovi. [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 10 December 2019**[/h]

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**Total cases and areas affected 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 information about public health response actions by the Ministry of Health, 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.

Although the number of new confirmed cases has remained relatively low, the interruption of response activities due to attacks, violence and unrest threatens to reverse recent progress. WHO and response partners are working to adapt the response strategy to protect communities from a resurgence of the outbreak while keeping all responders safe. [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. 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 practise 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
• News and updates on the Ebola outbreak in the Democratic Republic of the Congo
• Highlights from the Meeting of the Strategic Advisory Group of Experts (SAGE) on Immunization
• The Strategic Advisory Group of Experts (SAGE) on Immunization
• Ebola virus disease in the Democratic Republic of the Congo – Operational readiness and preparedness in neighbouring countries
• Update on Ebola drug trial: two strong performers identified
• Ebola response funding

 

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[TD]EVOLUTION OF THE EPIDEMIC IN THE PROVINCES OF NORTH AND Kivu Ituri AT 11 DEC EMBER 2019


Thursday, December 12, 2019


• Since the start of the epidemic, the cumulative number of cases is 3,343, of which 3,225 are confirmed and 118 probable. In total, there were 2,210 deaths (2,092 confirmed and 118 probable) and 1,088 people healed.
• 432 suspected cases under investigation;
• 3 new confirmed cases in North Kivu Mabalako and Biena;
• No new deaths among the confirmed cases;
• No one is cured out of the CTE;
• No health worker is among the new confirmed cases. The cumulative number of confirmed / probable cases among health workers is 164 (5% of all confirmed / probable cases), including 41 deaths;
• After 85 days without cases, the Biena health zone located in North Kivu province has again notified a confirmed case. The last case was notified on September 16, 2019.
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[TD]New Ebola case confirmed and notified to Biena after 85 days of silence

• The Biena health zone located in North Kivu province has notified a new confirmed case #Ebola after 85 days without case notification since September 16, 2019;
• He is a 28-year-old living man, unvaccinated and not listed as a contact in the Mandelya health area;
• The date of the beginning of the signs dates back to December 07, 2019 with the date of the exposure period from November 20 to December 03, 2019 by headache and musculo-articular pain;
• This man arrived at Mandelya village on December 09, 2019 and went to the Health Center named after this village on December 10, 2019 following abdominal pain and mel?na (symptom characterized by evacuation via anus of blood black, pasty and foul-smelling, mixed with stool or not (stools are often described as tarry and can be seen either by the patient or by the doctor during the digital rectal examination);
• The alert was launched on December 11 by this health center and the patient was sent to the #Ebola Treatment Center in Mangina, after validation, as a suspected case. The same day #MVE cases were confirmed;
• This patient would have consulted the Afya Bora traditional center on an outpatient basis in the Mabalako health zone in North Kivu from November 29 to December 06, 2019, from which several confirmed cases have recently emerged.

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DRC-Ebola: "We are now dealing with a controllable epidemic around the health zones" (Dr Muyembe)

Saturday December 14, 2019 - 6:32 pm

The Technical Secretary of the Multisectoral Committee for the Response to the Ebola Epidemic, Dr Jean Jacques Muyembe Tamfum gave an update on the situation of Ebola this Saturday, December 14. He says that currently, the epidemic is controllable, and that it is possible to follow all infected cases.

“The advantage is that we know these chains of transmission. Before we had to look. Today we can follow all the infected to vaccinate them. So we no longer get along with an uncontrollable epidemic. We are now dealing with a controllable epidemic around the health zones. It is enough that we have maximum security, we will have the maximum results, "said Jean Jacques Muyembe during a press conference in Kinshasa.

He said that the response to Ebola has no problem with funding.

"We do not have funding problems to carry out the response to Ebola which is a priority for President F?lix Tshisekedi. We are working together with the Minister of Health, Budget and Finance under the Prime Minister's umbrella. We have nothing to complain about, but the needs are enormous on the ground. And we manage to master most of the parameters, ”he added.

The province of North Kivu no longer shows signs of Ebola, but currently the epidemic is entrenched in the province of Ituri.

“In July, there were three provinces infected with Ebola: North Kivu, Ituri and South Kivu. Today, we can say that North Kivu is under control. The virus remains concentrated in Ituri, not in all health zones, only in Mabalako and Mandima, ”he said.

In Ituri, the security situation characterized by the activism of the armed men hampers the response. Dr Muyembe who remains reassuring still reserves to give forecasts on the end of the disease. The latter has already left 2,211 people dead since August 1, 2018.

Jordan Mayenikini

https://actualite.cd/2019/12/14/rdc...emie-controlable-autour-des-zones-de-sante-dr

 

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[TD]EVOLUTION OF THE EPIDEMIC IN THE PROVINCES OF NORTH AND Kivu Ituri AT 14 DEC EMBER 2019


Sunday, December 15, 2019

• Since the start of the epidemic, the cumulative number of cases has been 3,346, including 3,228 confirmed and 118 probable. In total, there were 2,213 deaths (2,095 confirmed and 118 probable) and 1,089 people healed.
• 491 suspected cases under investigation;
• 2 new cases in North Kivu at Mabalako;
• No new deaths among the confirmed cases;
• No healed person has left the CTE;
• No health worker is among the new confirmed cases. The cumulative number of confirmed / probable cases among health workers is 164 (5% of all confirmed / probable cases), including 41 deaths.
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[TD]• Disruption of activities at PoC Pk5 (S / C Beni) after a massacre of the population around this PoC the night of December 13 to 14 by armed rioters not otherwise identified.  The tarpaulins covering the PoC Biakato Mayi screening device were torn apart by unknown persons during the night of December 13-14 (S / C Biakato);
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Dr Jean-Jacques Muyembe: "The number of Ebola cases is increasing but we will take things back in hand"

Posted on Mon, 12/16/2019 - 09:23 | Modified Mon, 12/16/2019 - 15:14


The technical secretary of the multisectoral committee for the response to the Ebola virus disease in the DRC, Dr Jean-Jacques Muyembe Tanfum, confirms the increase in cases of Ebola patients, after the recent armed attacks against the response teams in Biakato in the province of Ituri.

According to him, from November 29 to December 11, 2019, 34 cases were recorded in the various health zones.

More than 10 cases from the Aloya health area have been reported in Biakato. Despite the challenges facing the response to Ebola virus disease, Dr. Muyembe plans to "take matters into his own hands" in the days to come.

"We are seeing the number of cases starting to increase here and there, but we are not giving up. We believe that in the coming days, we will take matters into our own hands. [We must] restore security with the help of MONUSCO, with our Armed Forces of the DRC and the Police to have more security around the treatment centers and the accommodation of our agents, "said Dr Muyembe.

In this interview with Billy Yvan Lutumba, he talks about areas that have already been cleaned, the insecurity that is holding back treatment and the projections made by the response team.

https://www.radiookapi.net/2019/12/...ombre-de-cas-debola-augmente-mais-nous-allons

 

[sharon sanders]

Please see:

US - CDC Health Advisory: Guidance for Using Rapid Diagnostic Tests for Ebola in the United States - December 16, 2019

 

[Shiloh]

Source: https://www.who.int/csr/don/19-december-2019-ebola-drc/en/
[h=1]Ebola virus disease – Democratic Republic of the Congo[/h] Disease outbreak news: Update
19 December 2019



Eleven new confirmed cases were reported from 11 to 17 December in the ongoing Ebola virus disease (EVD) outbreak in North Kivu and Ituri provinces. The confirmed cases in this week were reported from three health areas in three health zones: Mabalako (82%, n=9), Biena (9%, n=1), and Butembo (9%, n=1). This is the first confirmed case in Butembo Health Zone in 54 days.

All 11 cases reported in the past seven days are linked to the case in Aloya Health Area, in which one individual was a potential source of infection for 28 people. Based on the preliminary sequencing of samples from this individual, this is being classified as a relapse of EVD. Rare cases of relapse - in which a person who has recovered from EVD gets disease symptoms again - have been documented during past outbreaks, but this is the first relapse documented in this outbreak.

The volume of alerts reported has returned to levels seen before recent security incidents. The average proportion of contacts under surveillance in the last seven days has returned to previously observed levels. However, Mabalako, the health zone with the highest volume of contacts, has the lowest performance, with 82% of contacts under surveillance.

In the past 21 days (27 November to 17 December), 47 confirmed cases were reported from 13 of the 102 (13%) health areas within six neighbouring active health zones in North Kivu and Ituri provinces (Figure 2, Table 1): Mabalako (66%, n=31), Mandima (15%, n=7), Beni (13%, n=6), Butembo (2%, n=1), Oicha (2%, n=1), and Biena (2%, n=1). The majority of the cases (94%, n=44) are linked to known chains of transmission.

As of 17 December, a total of 3351 EVD cases were reported, including 3233 confirmed and 118 probable cases, of which 2217 cases died (overall case fatality ratio 66%) (Table 1). Of the total confirmed and probable cases, 56% (n=1886) were female, 28% (n=941) were children aged less than 18 years, and 5% (n=169) were healthcare workers. [h=4]In depth analysis: EVD in young children[/h]
WHO periodically conducts in-depth epidemiological analyses so that data can help drive evidence-based improvements in response activities. A previous in-depth analysis of EVD cases in children aged under 5 years was presented in the Disease Outbreak News in May 2019.

As of 17 December 2019, over a quarter of all confirmed EVD cases have been children aged less than 18 years (28%, 898/3233). Children from 1-4 years of age accounted for 9% (293/3233) of reported EVD cases and children under 1 year of age accounted for 6% (182/3233) of reported cases. The age distribution of EVD cases has remained relatively constant throughout the outbreak. The case fatality ratio (CFR) among children aged 1-4 is 78% and among children under 1 year is 70%. These figures are similar to those observed in the 2014-16 West Africa EVD outbreak[SUP]1[/SUP].

The data from this outbreak reveal a relationship between a person’s age group and their pathway to care for EVD infection. Of persons who have died from EVD, death in the community occurred among 44% (80/182) of deaths among children under 1 year of age and 49% (145/294) of deaths among children 1-4 years of age. In contrast, 26%(575/2248) of deaths among persons aged 18 years or older were in the community. If a child infected with EVD presents to a HCF, they do so, on average, sooner than adults after symptom onset. Although they present sooner, the proportion of children with EVD being referred from a HCF to an ETC is lower than adults. Among all cases admitted to a HCF, 38% of cases aged 1-4 years and 32% of cases aged less than 1 year die outside of ETCs, without referral, compared to 15% of cases aged 18 years or older.

The reasons for poor referral need to be further investigated, but might include, among others, the challenges for healthcare workers to recognise the symptoms of EVD in children and reluctance or concern by parents or guardians for children to be transferred to ETCs. However, when referral from HCF to an ETC does happen, this is done quickly across all age groups and the case fatality within ETCs is similar across all age groups.

Of all confirmed EVD cases among children under 1 year of age, 47% (86/182) are registered as contacts; in children aged 1-4, 31% (91/293) are registered as contacts. The relative risk (RR) of not being known as a contact of an EVD case is significantly higher among paediatric cases compared to adults (age 18+), with a RR of 1.18 (95%CI: 1.03-1.35) among children aged less than 1 year and 1.49 (1.34-1.66) among children aged 1-4 years. In addition, the RR of not being a contact under follow up is higher among children aged 1-4 years (RR:1.22, 95%CI: 1.13-1.32), compared to adults.

Social science analyses found that children were less often listed as contacts because of their parents’ fears or concerns about referral to ETCs or vaccination, or they were not listed as contacts because of the parents’ perception that children were not contacts and would not have been exposed. Among parents and healthcare workers, there appears to be limited understanding of transmission routes of EVD. There are ongoing efforts to better understand healthcare workers knowledge, attitudes, and understanding of risk factors for transmission among children.

Specific actions are being taken to improve outcomes for children infected with EVD. Children of all ages that have suspected or confirmed EVD are cared for at ETCs with specific supportive care protocols. Paediatric equipment, medicines, and trained specialists are available to provide clinical support at ETCs. All eligible children with confirmed EVD are enrolled in investigational therapeutic protocols after informed consent is obtained. The Pamoja Tulinde Maisha (PALM [“Together Save Lives” in the Kiswahili language]) randomized controlled trial enrolled 172 children under 18 years of age. Of these, 86 were below the age of 5, and in this age group both mAb114 and REGN-EB reduced mortality when coupled with optimized supportive care.

Children also receive nutritional care and support from psychologists while in an ETC. This includes supporting and providing information related to infant feeding for children separated from their parents or orphaned due to EVD. Within ETCs, children are cared for by survivors at all times so that they are not alone. As with all age groups, infants and young children who survive EVD infection are offered support via a specialized programme of care for Ebola survivors. Pregnant women that have survived EVD are followed closely in the survivor program and return to ETCs for delivery by a multi-disciplinary team that has obstetric and paediatric expertise. To date, six healthy babies have been born to women who were pregnant at the time of EVD diagnosis and survived. UNICEF and partners are working with EVD survivors and creating infant and young child feeding counselling support groups. They are also supporting the screening and referral of malnourished children under 2 years of age. There is an ongoing effort design ETUs in a way that ensures care delivered to Ebola patients is patient-centred, especially for the most young and vulnerable.

Partners are also working to improve the health of children in EVD-affected areas by strengthening the continuity of primary healthcare, supporting vaccination against preventable diseases, and preventing malaria through mosquito net distribution and the provision of antimalarial drugs.

[SUP]1[/SUP]Ebola Virus Disease among Children in West Africa [h=4]Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 17 December 2019*[/h]

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[h=4]Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 17 December 2019*[/h]

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*3351 confirmed and probable cases, reported as of 10 December 2019. Excludes n=173 cases for whom onset dates not reported. 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, Butembo, Goma, Kalunguta, Katwa, Kayna, Komanda, Kyondo, Lolwa, Lubero, Mambasa, Manguredjipa, Masereka, Musienene, Mutwanga, Mwenga, Nyankunde, Nyiragongo, Pinga, Rwampara, Tchomia, and Vuhovi. [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 17 December 2019**[/h]

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**Total cases and areas affected 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 information about public health response actions by the Ministry of Health, 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. [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. 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 practise 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
• News and updates on the Ebola outbreak in the Democratic Republic of the Congo
• Highlights from the Meeting of the Strategic Advisory Group of Experts (SAGE) on Immunization
• The Strategic Advisory Group of Experts (SAGE) on Immunization
• Ebola virus disease in the Democratic Republic of the Congo – Operational readiness and preparedness in neighbouring countries
• Update on Ebola drug trial: two strong performers identified
• Ebola response funding

 

[Pathfinder]

WEEKLY BULLETIN ON OUTBREAKS
AND OTHER EMERGENCIES
Week 51: 16 - 22 December 2019
Data as reported by: 17:00; 22 December 2019
...
Ebola virus disease Democratic Republic of the Congo

3 358 Cases
2 224 Deaths
66% CFR

EVENT DESCRIPTION

The Ebola virus disease (EVD) outbreak in North Kivu, South
Kivu and Ituri provinces in Democratic Republic of the Congo
continues, with six health zones and 11 health areas reporting
confirmed cases in the past 21 days (1-21 December 2019).
Since our last report on 15 December 2019 (Weekly Bulletin 50),
there have been 15 new confirmed cases and 14 new deaths.
The principle hot spots of the outbreak in the past 21 days are
Mabalako (73%; n=33 cases) and Beni (13%; n=6). Two health
zones, Butembo and Mabalako, have reported new confirmed
cases in the past seven days.

As of 21 December 2019, a total of 3 358 EVD cases, including
3 240 confirmed and 118 probable cases have been reported. To
date, confirmed cases have been reported from 29 health zones:
Ariwara (1), Bunia (4), Komanda (56), Lolwa (6), Mambasa (78),
Mandima (347), Nyakunde (2), Rwampara (8) and Tchomia (2) in
Ituri Province; Alimbongo (5), Beni (695), Biena (19), Butembo
(287), Goma (1), Kalunguta (193), Katwa (651), Kayna (28),
Kyondo (25), Lubero (31), Mabalako (439), Manguredjipa (18),
Masereka (50), Musienene (84), Mutwanga (32), Nyiragongo (3),
Oicha (65), Pinga (1) and Vuhovi (103) in North Kivu Province
and Mwenga (6) in South Kivu Province.

As of 21 December 2019, a total of 2 224 deaths were recorded,
including 2 106 among confirmed cases, resulting in a case
fatality ratio among confirmed cases of 65% (2 106/3 240). The
cumulative number of health workers remains 169, which is 5%
of the confirmed and probable cases to date.

Contact tracing is ongoing in seven health zones. A total of 5 137
contacts are under follow-up as of 21 December 2019, of which
4 457 (86.8%) have been seen in the past 24 hours. Alerts in
the affected provinces continue to be raised and investigated. Of
4 275 alerts processed (of which 4 211 were new) in reporting
health zones on 21 December 2019, 4 197 were investigated and
446 (10.6%) were validated as suspected cases.

PUBLIC HEALTH ACTIONS

Response activities have resumed in Lwemba, Mandima
Health Zone, as a result of intense community dialogue and
popular forums.

As of 21 December 2019, a cumulative total of 258 895 people
have been vaccinated since the start of the outbreak in August
2018. There is low participation in vaccination activities in
Mabalako due to persistent community resistance.

Point of Entry/Point of Control (PoE/PoC) screening
continues, with over 131 million screenings to date. A
total of 101/109 (95%) PoE/PoC transmitted reports as of
21 December 2019. Unfortunately, the PoC in Goma was
attacked on the afternoon of 18 December 2019.

Water, sanitation and hygiene (WASH) activities continue, with IPC and WASH
teams assessing 25 health facilities in the Mabalako and Butembo health
zones and 20 IPC kits offered to a school in Oicha.

Community awareness and mobilization messages are being updated,
revised and harmonized and have been pre-tested by the commission and
will subsequently be shared in coordination and sub-coordination activities.
As of 21 December 2019, 94% (79/84) of the health facilities have received
support from the teams in charge of IPC/WASH in the Mabalako and Oicha
health zones. In addition, 77 providers were briefed on IPC in the Beni,
Mabalako and Oicha health zones.

SITUATION INTERPRETATION

New confirmed cases continue to be reported, which was expected after the recent
disruption of response activities in Beni, Butembo, Mandima, Mangina and Oicha.
Response activities have been upscaled wherever possible to break this resurgence
in transmission.

https://apps.who.int/iris/bitstream/handle/10665/330302/OEW51-23122019.pdf

 

[Pathfinder]

Translation Google

DRC: 3 new Ebola cases confirmed in Butembo on January 1, 2020

Published on 02/01/2020 - 10:44
7sur7

3 new patients, suffering from the epidemic of the Ebola virus disease, were registered in the city of Butembo on January 1, 2020, that is during the New Year festivities.

Two cases were tested at the Butembo Treatment Center and one at the Katwa center, according to the daily report on the epidemiological situation published by the technical secretariat of the Riposte Multisectoral Committee.

These new cases are triggered when until December 28, the Katwa health zone had completed 86 days without a confirmed case. But since then, new patients keep appearing, causing new concerns for a city of Butembo which became the epicenter of the disease between March and June 2019 following repetitive attacks on response teams.

It should be noted that with 652 confirmed cases since the start of the epidemic, the Katwa health zone is the second most affected after that of Beni, which has so far had 695. The total number of cases recorded in the North -Kivu, Sud-Kivu and Ituri is 3,380 thus causing the death of 2,232 and at least 1,114 cures.

Jo?l Kaseso and Glody Murhabazi

https://www.7sur7.cd/2020/01/02/rdc-3-nouveaux-cas-debola-confirmes-butembo-le-1er-janvier-2020

 

[Shiloh]

Source: https://www.who.int/csr/don/02-january-2020-ebola-drc/en/
[h=1]Ebola virus disease – Democratic Republic of the Congo[/h] Disease outbreak news: Update
2 January 2020



Since the last disease outbreak news published on 19 December 2019, 29 new confirmed cases were reported from 18 to 31 December in the ongoing Ebola virus disease (EVD) outbreak in North Kivu province. The confirmed cases in this week were reported from eight health areas in four health zones: Mabalako (62%, n=18), Butembo (14%, n=4), Kalunguta (17%, n=5), and Katwa (7%, n=2). Three of the four cases reported in Butembo in the past fourteen days are linked to a transmission chain of more than 50 people that originated in Aloya Health Area, Mabalako Health Zone. One individual classified as a relapse case of EVD, infected several other individuals within the family and through nosocomial transmission (for more information, please see the disease outbreak news published on 19 December 2019). In Kalunguta Health Zone, the five cases reported between 24 and 28 December 2019, are a distinct epidemiologically linked chain of transmission, although the source of exposure is currently under investigation.

In the past 21 days (11 December to 31 December), 40 confirmed cases were reported from 10 health areas within five neighbouring active health zones in North Kivu province (Figure 2, Table 1): Mabalako (68%, n=27), Butembo (13%, n=5), Kalunguta (13%, n=5), Katwa (5%, n=2), and Biena (3%, n=1). The majority of the cases (75%, n=30) are linked to known chains of transmission.

As of 31 December, a total of 3380 EVD cases were reported, including 3262 confirmed and 118 probable cases, of which 2232 cases died (overall case fatality ratio 66%) (Table 1). Of the total confirmed and probable cases, 56% (n=1900) were female, 28% (n=953) were children aged less than 18 years, and 168 (5% of all reported cases) were healthcare workers. [h=4]Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 31 December 2019*[/h]

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*3380 confirmed and probable cases, reported as of 31 December 2019. Excludes n=173 cases for whom onset dates not reported. 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, Beni, Bunia, Goma, Kayna, Komanda, Kyondo, Lolwa, Lubero, Mandima, Mambasa, Manguredjipa, Masereka, Musienene, Mutwanga, Mwenga, Nyakunde, Nyiragongo, Oichia, Pinga, Rwampara, Tchomia, and Vuhovi. [h=4]Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 31 December 2019*[/h]

Enlarge image
[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 December 2019**[/h]

Enlarge image



**Total cases and areas affected 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 information about public health response actions by the Ministry of Health, 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. [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. 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 practise 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
• News and updates on the Ebola outbreak in the Democratic Republic of the Congo
• Highlights from the Meeting of the Strategic Advisory Group of Experts (SAGE) on Immunization
• The Strategic Advisory Group of Experts (SAGE) on Immunization
• Ebola virus disease in the Democratic Republic of the Congo – Operational readiness and preparedness in neighbouring countries
• Update on Ebola drug trial: two strong performers identified
• Ebola response funding

 

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[TD]EVOLUTION OF THE EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI ON 02 JANUARY 2020

Friday, January 03, 2020
• Since the start of the epidemic, the cumulative number of cases is 3,385, of which 3,267 are confirmed and 118 probable. In total, there were 2,232 deaths (2,114 confirmed and 118 probable) and 1,114 people healed;
• 389 suspected cases under investigation;
• 3 new confirmed cases in North Kivu Butembo;
• No new deaths from confirmed cases, including:
o No community deaths have been recorded;
o No deaths among the confirmed cases;
• No healed person has left the CTE;
• No health worker is among the new confirmed cases. The cumulative number of confirmed / probable cases among health workers is 164 (approximately 5% of all confirmed / probable cases), including 41 deaths.

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DRC: "As long as Ebola persists in neighboring areas, Butembo will always be exposed" (Coordination of the response)

Sunday, January 5, 2020 - 5:10 p.m.
...
During a press conference held this Sunday, January 5 in Butembo, following the resurgence of the epidemic in the city, the representative of the World Health Organization (WHO) in strategic coordination, Doctor Aboubacar Diallo, explained that the high density and the movement of the population in the region make the city of Butembo vulnerable.

“As long as the epidemic persists around Butembo, Butembo will never be spared. That is clear, given the movement of the population, and let's not forget that it is the capital here, it is the big city. The people who are in Aloya, in Mambasa, they prefer to come to be treated here in the big city of Butembo. And that is why Butembo will always be exposed, as long as the epidemic still exists ”, he warned at the microphone of ACTUALITE.CD.

Until last Saturday, the strategic coordination of the response against the Butembo Ebola virus disease said it had recorded, during the last 21 days, 10 positive cases of Ebola in Butembo, in particular in its health zones of Katwa and Butembo. An epidemic that resurfaces in a city where no case had been reported for 56 days.

According to Dr. Aboubacar Diallo, these new notified cases are linked to a person from Mabalako, where he had been identified as the contact for a confirmed case, but who had not been followed up for the required 21 days.

Over 150 contacts lost to follow-up

Butembo's strategic coordination calls on residents and healthcare providers to cooperate with response teams to find more than 150 lost contacts. For Doctor Atibasay Jean Paul, interim coordinator of the response to Butembo, this cooperation will allow response teams to identify contacts related to new cases of Ebola, and therefore cut the chain of contamination.

Claude Sengenya

https://www.actualite.cd/2020/01/05...dans-les-zones-voisines-butembo-sera-toujours

 

[Pathfinder]

WEEKLY BULLETIN ON OUTBREAKS
AND OTHER EMERGENCIES
Week 1: 30 December 2019 - 5 January 2020
Data as reported by: 17:00; 5 January 2020
...
Ebola virus disease Democratic Republic of the Congo

3 388 Cases
2 233 Deaths
66% CFR

EVENT DESCRIPTION

The Ebola virus disease (EVD) outbreak in North Kivu, South Kivu and
Ituri provinces in Democratic Republic of the Congo continues, with
six health zones and 11 health areas reporting confirmed cases in the
past 21 days (15 December 2019 to 4 January 2020). Since our last
report on 29 December 2019 (Weekly Bulletin 51), there have been
13 new confirmed cases and one new death. The principle hot spots
of the outbreak in the past 21 days are Mabalako (55%; n=23 cases),
Butembo (24%; n=10) and Kalunguta (12%; n=5). Four health zones
and 10 health areas have had active cases in the past 21 days. Five
health zones, Katwa, Kalunguta, Butembo, Mambasa and Mabalako,
have reported new confirmed cases in the past seven days.

As of 4 January 2019, a total of 3 388 EVD cases, including 3 270
confirmed and 118 probable cases have been reported. To date,
confirmed cases have been reported from 29 health zones: Ariwara
(1), Bunia (4), Komanda (56), Lolwa (6), Mambasa (80), Mandima
(347), Nyakunde (2), Rwampara (8) and Tchomia (2) in Ituri Province;
Alimbongo (5), Beni (695), Biena (19), Butembo (295), Goma (1),
Kalunguta (198), Katwa (653), Kayna (28), Kyondo (25), Lubero (31),
Mabalako (452), Manguredjipa (18), Masereka (50), Musienene (84),
Mutwanga (32), Nyiragongo (3), Oicha (65), Pinga (1) and Vuhovi
(103) in North Kivu Province and Mwenga (6) in South Kivu Province.

As of 4 January 2020, a total of 2 233 deaths were recorded, including
2 114 among confirmed cases, resulting in a case fatality ratio among
confirmed cases of 65% (2 115/3 270). The cumulative number
of health workers remains 169, which is 5% of the confirmed and
probable cases to date.

Contact tracing is ongoing in seven health zones. A total of 4 133
contacts are under follow-up as of 4 January 2020, of which 3 495
(84.6%) have been seen in the past 24 hours. Alerts in the affected
provinces continue to be raised and investigated. Of 4 633 alerts
processed (of which 4 542 were new) in reporting health zones on
4 January 2020, 4 525 were investigated and 464 (10.3%) were
validated as suspected cases.

PUBLIC HEALTH ACTIONS

Response activities continue where possible.

As of 1 January 2020, a cumulative total of 261 285 people have
been vaccinated since the start of the outbreak in August 2018.
Point of Entry/Point of Control (PoE/PoC) screening continues,
with over 136 million screenings to date. A total of 106/109
(97.2%) PoE/PoC transmitted reports as of 4 January 2020.

Water, sanitation and hygiene (WASH) activities continue, with
17 health facilities evaluated in Mabalako and Butembo health
zones, while 321 health workers were briefed in Oicha, Mabalako,
Butembo and Mambasa.

Community awareness and mobilization messages are being
updated, revised and harmonized and have been pre-tested by the
commission and will subsequently be shared in coordination and
sub-coordination activities.

On 4 January 2020 a community dialogue was held with young
people from Beni citizen’s movements, during which they renewed
their commitment to combating community resistance. Similarly,
a dialogue was organized with community representatitives to
lift resistance to response in new outbreaks of EVD in Mondo
and Katsya in Butembo Health Zone, and at the same time 38
householders in this zone were sensitized around response
activities to the last reported confirmed case.

SITUATION INTERPRETATION

New confirmed cases continue to be reported in Mabalako, Butembo
and Kalunguta in North Kivu Province and in Mambasa in Ituri Province.
The new confirmed cases in Mambasa are of concern, since there had
been no new confirmed cases in Ituri Province for 66 days. Resistance
to response activities continues, particulary in North Kivu Province.
However, there are continued efforts to engage with the community and
to upscale response activities in affected regions in order to bring the
outbreak to a close.

https://apps.who.int/iris/bitstream/...1-05012020.pdf

 

[Pathfinder]

Translation Google

Ituri: 3 new cases of Ebola in Mambasa, 63 days later

Posted on Tue, 1/7/2020 - 4:11 PM | Modified on Tue, 07/01/2020 - 16:11
...
These cases appear after 63 days without a confirmed case in the capital of this territory. The response coordinator in Ituri, Christophe Shako, told Radio Okapi that these patients were already admitted to the local treatment center and that more than 200 people contacted were already identified.

Christophe Shako has promised further investigations to contain the disease. He asked the local population to keep calm, all those contacted by the sick being known:

“We are more than two hundred contacts who have been listed and the investigations continue. We will dig further to find other contacts. We will list them and will be followed for twenty-one days ”.

The Ituri response coordinator recalls that the three Ebola patients are friends. They were in Bunia on December 15. They showed signs on December 31.

Before being admitted to the Ebola virus treatment center, they were treated by a traditional healer, then in a health center.

https://www.radiookapi.net/2020/01/...-3-nouveaux-cas-debola-mambasa-63-jours-apres

 

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[TD]EVOLUTION OF THE EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI ON JANUARY 07, 2020

Wednesday, January 08, 2020

• Since the start of the epidemic, the cumulative number of cases has been 3,392, of which 3,274 have been confirmed and 118 are probable. In total, there were 2,235 deaths (2,117 confirmed and 118 probable) and 1,122 people healed;
• 521 suspected cases under investigation;
• 1 New confirmed case in North Kivu in Beni;
• 1 new death among the confirmed cases, of which:
o No community death was recorded;
o 1 death from confirmed cases in North Kivu in Beni;
• No healed person has left the CTE;
• No health worker is among the new confirmed cases. The cumulative number of confirmed / probable cases among health workers is 164 (approximately 5% of all confirmed / probable cases), including 41 deaths;
• Beni again notified a confirmed case after 29 days of silence.
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[TD] Beni reports confirmed # Ebola case after 29 days of silence

• This is a known contact from Aloya-Metal for more than a week, announced the head of the epidemiological surveillance pillar at the Sub-coordination of the response to the epidemic of the #Ebola virus disease. Beni in North Kivu, Dr. Bibiche Matadi;
• He is a 40-year-old man at the CTE of Beni in the Bundji health area, listed as the contact for a deceased and confirmed #Ebola case on December 21, 2019 in Mabalako and whose signs had started on December 16, 2019;
• The Beni health zone is again re-infected from the Bundji health area, where the displaced persons from Lwemba and Aloya are placed in search of the vaccine against the Ebola virus;
• For Dr Bibiche Matadi, this notification is due to the late warning and misinformation in the population camp. She said that a vaccination ring was installed in this health area to limit the spread of the virus;
• To this end, it called on the population of Bundji to be vaccinated, to facilitate follow-up and all the other activities of the response which will be carried out around this new case of Beni;
• 108 contacts were pre-listed around this case, including 14 family members, 1 pastor, 55 neighbors, 13 co-patients, 22 visitors and 3 care providers. The contact listing continues.

Interception of four high-risk contacts at the Control Point in Kalaunguta in North Kivu
• Four high-risk contacts, all from the same family, were intercepted at the Maboya Control Point in Kalunguta in the province of North Kivu;
• They are listed around the confirmed case “Ebola of January 6, 2020 in Aloya in the health zone of Mabalako and presented each other the signs of the #Ebola virus disease, in particular fever, physical asthenia, anorexia, redness of the eyes and cough;
• They were taken to the #Ebola Treatment Center in Mangina;
• In addition, the disruption of surveillance activities at the Mutsanga and Kyaghala checkpoints in the Katwa health zone, also in North Kivu, has been reported following clashes between the FARDC and unidentified individuals.
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[Shiloh]

Source: https://www.who.int/csr/don/09-january-2020-ebola-drc/en/
[h=1]Ebola virus disease – Democratic Republic of the Congo[/h] Disease outbreak news: Update
9 January 2020



Twelve new confirmed cases were reported from 1 to 7 January in the ongoing Ebola virus disease (EVD) outbreak in North Kivu and Ituri Provinces. The confirmed cases in this week were reported from nine health areas in four health zones: Butembo (42%, n=5), Mambasa (33%, n=4), Mangina (17%, n=2), and Beni (8%, n=1). The new case reported in Beni is linked to a transmission chain that originated in Aloya Health Area, Mabalako Health Zone.

In the past 21 days (18 December 2019 to 7 January 2020), 41 confirmed cases were reported from 13 health areas within six active health zones in North Kivu and Ituri Provinces (Figure 2, Table 1): Mabalako (49%, n=20), Butembo (22%, n=9), Kalunguta (12%, n=5), Mambasa (10%, n=4), Katwa (5%, n=2), and Beni (2%, n=1). Mabalako Health Zone remains the main hotspot of the outbreak having reported 49% of confirmed cases in the past 21 days. Although the majority of the cases (76%, n=31) are linked to known chains of transmission, there are concerns around the reintroduction of the disease into health zones with dense populations which have previously been cleared, such as Butembo, Katwa, and Beni Health Zones. The sources of exposure for five new cases reported in Kalunguta Health Zone and four new cases reported in Mambasa Health Zone in the past 21 days are currently under investigation.

As of 7 January, a total of 3392 EVD cases were reported, including 3274 confirmed and 118 probable cases, of which 2235 cases died (overall case fatality ratio 66%) (Table 1). Of the total confirmed and probable cases, 56% (n=1903) were female, 28% (n=956) were children aged less than 18 years, and 169 (5% of all reported cases) were healthcare workers. [h=4]Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 7 January 2020*[/h]

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*3392 confirmed and probable cases, reported as of 7 January 2020. Excludes n=173 cases for whom onset dates not reported. 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, Kayna, Komanda, Kyondo, Lolwa, Lubero, Mandima, Manguredjipa, Masereka, Musienene, Mutwanga, Mwenga, Nyakunde, Nyiragongo, Oicha, Pinga, Rwampara, Tchomia, and Vuhovi. [h=4]Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 7 January 2020*[/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 7 January 2020**[/h]

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**Total cases and areas affected 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 information about public health response actions by the Ministry of Health, 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. [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. 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 practise 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
• News and updates on the Ebola outbreak in the Democratic Republic of the Congo
• Highlights from the Meeting of the Strategic Advisory Group of Experts (SAGE) on Immunization
• The Strategic Advisory Group of Experts (SAGE) on Immunization
• Ebola virus disease in the Democratic Republic of the Congo – Operational readiness and preparedness in neighbouring countries
• Ebola response funding

 

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WEEKLY BULLETIN ON OUTBREAKS
AND OTHER EMERGENCIES
Week 2: 6 – 12 January 2020
Data as reported by: 17:00; 12 January 2020
...
Ebola virus disease Democratic Republic of the Congo

3 395 Cases
2 235 Deaths
66% CFR

EVENT DESCRIPTION

The Ebola virus disease (EVD) outbreak in North Kivu, South Kivu
and Ituri provinces in Democratic Republic of the Congo continues,
with seven health zones and 14 health areas reporting confirmed
cases in the past 21 days (22 December 2019 to 11 January 2020).
Since our last report on 5 January 2020 (Weekly Bulletin 1), there
have been seven new confirmed cases and two new deaths. The
principle hot spots of the outbreak in the past 21 days are Mabalako
(38%; n=14 cases), Butembo (22%; n=8), Kalunguta (14%; n=5)
and Mambasa (11%; n=4). Four health zones, Museienene, Beni,
Mabalako and Mambasa have reported new confirmed cases in
the past seven days. The new confirmed case in Beni is the first
for 29 days, with the last confirmed case reported on 8 December
2019 and the new confirmed case in Musienene Health Zone was
registered in Katolo health area, not previously affected by EVD. The
last new confirmed case in Musienene Health Zone was detected on
31 August 2019.

As of 11 January 2019, a total of 3 395 EVD cases, including 3 277
confirmed and 118 probable cases have been reported. To date,
confirmed cases have been reported from 29 health zones: Ariwara
(1), Bunia (4), Komanda (56), Lolwa (6), Mambasa (82), Mandima
(347), Nyakunde (2), Rwampara (8) and Tchomia (2) in Ituri
Province; Alimbongo (5), Beni (698), Biena (19), Butembo (295),
Goma (1), Kalunguta (198), Katwa (653), Kayna (28), Kyondo (25),
Lubero (31), Mabalako (453), Manguredjipa (18), Masereka (50),
Musienene (85), Mutwanga (32), Nyiragongo (3), Oicha (65), Pinga
(1) and Vuhovi (103) in North Kivu Province and Mwenga (6) in
South Kivu Province.

As of 11 January 2020, a total of 2 235 deaths were recorded,
including 2 114 among confirmed cases, resulting in a case fatality
ratio among confirmed cases of 65% (2 117/3 277). The cumulative
number of health workers remains 169, which is 5% of the confirmed
and probable cases to date.

Contact tracing is ongoing in 11 health zones. A total of 3 769
contacts are under follow-up as of 11 January 2020, of which 3 365
(89.3%) have been seen in the past 24 hours. Alerts in the affected
provinces continue to be raised and investigated. Of 4 578 alerts
processed (of which 4 448 were new) in reporting health zones on
11 January 2020, 4 481 were investigated and 460 (10.3%) were
validated as suspected cases.

PUBLIC HEALTH ACTIONS

Response and surveillance activities continue in all affected areas,
with disruption to surveillance activities at the PoC at Mutsanga
and Kyaghala in Katwa after a confrontation with National Police;
there was an abrupt stop to vaccination activities in the Biakato
Mines area after rumours of a probable attack on responders.
As of 7 January 2020, a cumulative total of 264 682 people have
been vaccinated since the start of the outbreak in August 2018.
Point of Entry/Point of Control (PoE/PoC) screening continues,
with over 138 million screenings to date. A total of 106/109
(99.7%) PoE/PoC transmitted reports as of 11 January 2020.
Water, sanitation and hygiene (WASH) activities continue, with six
health facilities evaluated in Beni and Mabalako health zones and
IPC kits were dontated, while 23 health facilities were monitored
in Oicha, Mabalako and Mambasa.

Community awareness and mobilization messages are being
updated, revised and harmonized and have been pre-tested by
the commission and will subsequently be shared in coordination
and sub-coordination activities.

Traditional healers and managers of private structures which had
contact with suspected EVD cases were persuaded to participate
in response activities after community dialogue in Aloya,
Mabalako Health Zone and a forum for popular expression was
also organized with village chiefs and civil society leaders with
the aim of removing resistance to the off-protocol vaccination
organized in M?tal and Aloya.

SITUATION INTERPRETATION

New confirmed cases continue to be reported in Mabalako, Butembo
and Kalunguta in North Kivu Province and in Mambasa in Ituri Province.
The new confirmed cases in Mambasa are of concern, since there had
been no new confirmed cases in Ituri Province for 66 days. Additionally,
new cases were confirmed in Beni and Musienene where there have
been non new confirmed cases for 29 and 132 days respectively.
Resistance to response activities continues, particulary in North Kivu
Province. However, there are continued efforts to engage with the
community and to upscale response activities in affected regions in
order to bring the outbreak to a close.

https://apps.who.int/iris/bitstream/handle/10665/330398/OEW02-0612012020.pdf

 

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Translation Google

EPIDEMIOLOGICAL SITUATION
EVOLUTION OF THE EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI ON JANUARY 13, 2020

Tuesday, January 14, 2020

• Since the start of the epidemic, the cumulative number of cases has been 3,403, of which 3,285 have been confirmed and 118 are probable. In total, there were 2,236 deaths (2,118 confirmed and 118 probable) and 1,123 people healed;
• 502 suspected cases under investigation;
• 5 new cases confirmed in North Kivu at 4 Mabalako and 1 at Beni;
• 1 new death among the confirmed cases, of which:
o No community death was recorded;
o 1 death among the confirmed cases of the CTE in North Kivu in Beni;
• 1 healed person leaving the CTE in North Kivu in Butembo;
• No health worker is among the new confirmed cases. The cumulative number of confirmed / probable cases among health workers is 164 (approximately 5% of all confirmed / probable cases), including 41 deaths.
...
https://us3.campaign-archive.com/?u=b34a30571d429859fb249533d&id=0925511401

 

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Translation Google


Ituri: four Ebola response workers seriously injured in attack on youths armed with edged weapons

Posted on Wed, 1/15/2020 - 11:23 | Modified on Wed, 15/01/2020 - 11:23

Angry demonstrators, armed with knives, attacked a response team against Ebola on Monday 13 January in Bandimwame, a town located 32 kilometers from Mambasa-center (Ituri).

Seven officers were in a vehicle when they were attacked. Four of them were seriously injured and were taken to Nyakunde hospital 45 kilometers from Bunia.

The other three response officers who were in the vehicle fled into the forest. Two of them went out a few hours after the incident. One is still missing.

Angry youths suspected the response team had mutilated the body of a dead child at the Ebola treatment center in Mambasa.

Rather, Ituri response coordinator Christoph Shako said the officers were on their way to Bandimwame to secure the burial of a dead child at the Ebola Treatment Center in Mambasa.

He recommends that the local community continue to observe hygiene measures, because this epidemic is not yet under control.

For his part, the administrator of the Mambasa territory asks the population not to give in to rumors to commit violence against the response team.

He adds that thirteen people were arrested by the police, including the chief of the locality of Bandimwame for investigations.


https://www.radiookapi.net/2020/01/...oste-contre-ebola-grievement-blesses-dans-une