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Ebola outbreak: DR Congo confirms first cases

Re: Ebola outbreak: DR Congo confirms first cases

..Below, the entire communication from the Minister of Health, Dr Felix Kabange Numbi, as he delivered yesterday on RTNC, while giving full details of the reported presence of the Ebola virus to Djera, Ecuador... Dear compatriots,
Since December 2013, the outbreak of the Ebola virus disease, prevalent in West Africa, including Liberia, Guinea, Sierra Leone and Nigeria. In those days, more than 2,000 cases were reported, of which 1,145 deaths. Faced with this public health emergency of international concern, the Democratic Republic of Congo has raised the alert threshold at entry points and the level of supervision of all hemorrhagic fevers within the country.
Before the occurrence of haemorrhagic fever of undetermined origin, served in the Health Zone Boende in the Province of Ecuador, the President of the Republic, His Excellency Joseph Kabila, head of state, instructed the Government to hold two crisis meetings on Tuesday 19 and Friday, August 22, 2014, chaired by the Prime Minister.
It was decided during the first meeting, sent a delegation led by the Minister of Public Health in the territory of Boende.


The facts on ground shows that the disease has killed 13 people, including five health workers, patients were 11 people in isolation and over 80 contacts were identified and monitored by a specialized team.
The Government of the Republic presents its condolences to all the bereaved families.


After analyzing eight samples field, the National Institute of Biomedical Research (INRB) has confirmed that two samples were positive to Ebola. A sample is positive for Sudan strain and one positive sample in a cross strain, Sudan Zaire. Of aligots were sent to the International Center for Medical Research in Franceville, Gabon, for the determination of strain in the coming hours.
'So I said to this day, the outbreak of the Ebola virus disease in Sector Djera, Boende territory, district Tshuapa, Equator Province in the DRC'.
This epidemic has no connection with that outbreak in West Africa and is the <sup>7th</sup> epidemic in the DRC since the Great Yamboko occurred in 1976 in the province of Ecuador.
The experience gained from previous epidemics 6 Ebola will be put to use to contain the disease.
'I recall that the epidemic is confined to the area Djera, located about 600 kilometers from Mbandaka, Chief town of the Province of Ecuador, is over 1,200 km from the city-province of Kinshasa DRC capital. Actions are already underway on land with the contribution of local authorities, health personnel and the Government of the Republic.

The Government of the Republic invites the public to remain calm and respect the protection measures including regular hand washing with soap after critical moments.

Before the disease Ebola in the area Djera, the Government of the Republic met this afternoon of Sunday, August 24, 2014, in crisis meeting with the Prime Minister, on the instruction of the President of the Democratic Republic of Congo.
And the Government of the DRC announced the following measures:

  1. Quarantining sector Djera. Sorting and filtering will be from Lomela River, located 16 kilometers from Boende and security services will be involved;
  2. The establishment of a processing center Lokolia;
  3. Installation of the International Technical Coordination Committee and Scientific acronym CICTS to Lokolia. A camp will be built for this purpose, for multiple interventions;
  4. The installation of a mobile laboratory Lokolia, the epicenter of the epidemic for the laboratory diagnosis in real time;
  5. The deployment of experts to Lokolia and its surroundings, including all skills. It should be noted that health workers who managed the previous outbreaks in DRC will be involved and deployed in the field.
  6. Staffing all ports and airports in Ecuador Laser thermometer;
  7. The prohibition of hunting on the entire range of the district Tshuapa;
  8. Strengthening all the measures already announced to date, including the equipping of protection to all medical personnel, active case finding and monitoring of all cases contacted, secure confirmed cases and funerals unexplained deaths in the community, awareness, isolation of all cases, disinfecting homes of all confirmed cases or deaths in the community, staffing of all essential drug industry structures of Djera and free care for the entire period of the epidemic, staff motivation and the motivation of the response team, the psychosocial care of all those infected and affected people, building capacity of local service providers throughout the territory of Boende.
'The leadership of the response to the outbreak of the Ebola virus disease is provided by the President of the Republic, Head of State, His Excellency Joseph Kabila and Prime Minister, His Excellency Matata Ponyo Mapon hold regular crisis meetings with all concerned Ministries'.
The Government of the DRC remains available to all support of National as well as international community. An Information Point will be open, from this Monday, August 25, 2014, the Ministry of Public Health to regularly inform the public and the international community. A hotline will be announced in the coming hours to answer all the questions here.
I remember that there is no Ebola in the City-Province of Kinshasa, capital of DRC, much less Mbandaka, Chief town of the Province of Ecuador, and the epidemic is restricted to date , sector Djera in Boende territory and that all measures have been taken by the Government to contain this epidemic in the Territory Boende.
Thank you:tiphat:https://translate.googleusercontent...=SANTE&usg=ALkJrhgmBkTbkeSvIlZIgP6KijYHyOcG6Q
 
Last edited by a moderator:
Re: Ebola outbreak: DR Congo confirms first cases

Translation Google

Guest Africa
Podcast
| Download this edition

Released Monday, August 25, 2014

F. Kabangue Numbi, "We have quarantined the area of Jera"

Sonia Rolley

The DRC authorities confirmed Sunday that Ebola was indeed present in the Equateur province. Eleven people have died from the disease. The Ebola virus has been identified, but the epidemic has nothing to do with the one that spreads currently in West Africa. That's at least according to the Congolese Minister of Health, Felix Kabangue Numbi, micro RFI.

RFI: Are you sure, sir, that it is Ebola and why are you sure?

Felix Kabangue Numbi: Because we just had the first result of the National Institute of Biomedical Research in Kinshasa (INRB) which shows that of the eight samples we brought from Jera, there are two samples that are positive, positive sample Ebola virus strain Sudan and another sample with a cross strain Sudan-Zaire. That's why for the determination of the strain, we'll wait in the next hours [culture results] of the Institute of Franceville [who received the samples] that were prepared by Kinshasa to determine the strain.

How to explain that there are actually different strains?

It is probably a single strain. In fact, there is not much difference between the Zaire strain and the Sudan strain. The laboratory in Kinshasa has not the same security as the laboratory in Franceville, so we could not do the sequencing. It will be done at Franceville and then we can determine the strain.

Is this is the same strain as the West Africa?

We do not know how to confirm. . What I can confirm is that the epidemic we have in Jera is completely independent of that of West Africa. It is an epidemic whose "index case" [the first confirmed case NDLR] is located at in the sector of Jera. And if it turns out that it is the Sudan strain, it will demonstrate that even on the original layout, it will be two different strains. But already there are two epidemics that are quite distinct. There are no links, because for there to be a link, there must be a contact case that comes from West Africa.

The area of concerned, this is an area that is in the forest, a very isolated area, and where no one has had contact with the outside. And already the mission that we did Friday last week in Jera, including Lokolia and Watikengo allowed us precisely to go up the chain and to find even a probable "index case."

We have a lady who died Aug. 11, who was pregnant. The doctor who operated on this lady, because you had to retrieve the child, has died, the nurse who attended the intervention has died; hygienist who disinfected the operating room died; the husband of this lady, who is a pastor and hunter by trade, is one of the two cases that are positive. So we think we have an "index case" and therefore it is an epidemic that is totally independent of that outbreak in West Africa.

What actions will you take from now? You had already taken a precautionary measure, will there be new or more precise measures?

Indeed, we have just decided to quarantine the sector of Jera. Since there is Lomela river located at 16 km from Boende which is a completely natural barrier, we will use it for sorting and filtering all who can enter or exit the sector Jera .. . and the Minister of Internal Security was instructed that the service of safety is involved.

We will set up a treatment center in Lokolia itself and we decided to install the International Committee of Technical and Scientific Coordination (CICTS) in Lokolia at the epicenter of the epidemic in order to act directly.

The installation of a mobile laboratory at Lokolia has for interest to ensure laboratory diagnosis in real time to enable us to quickly load and unload the "contact cases" that are identified. We have to use all the health personnel who managed the previous outbreaks. It must be said that this epidemic is the seventh, so the president has asked us to get all the staff who managed the previous epidemics to deploy at Jera sector so that support is the best from the start. Of course we will also equip all ports and airports in Equateur, laser thermometers, we have extended the ban on hunting in the area of Tshuapa and for governor, he will go to all province of Equateur.

What is the state of the epidemic in terms of patients and in terms of death yet?

We have thirteen deaths, we have eleven people who are contacts in isolation.

Are you optimistic?

We remain optimistic. First, the alert was sounded soon enough. Second, we had the chance to establish the chain of transmission. Usually it takes time (two to three weeks), but then we have the chain of transmission that has been drawn upon our return Jera, and support and the response was even par. And I hope, by the grace of God and the work that is being done, I am confident that we can quickly stop the chain of transmission.

http://www.rfi.fr/emission/20140825...ra»/#./?&_suid=140898438658905370538498298567
 
Re: Ebola outbreak: DR Congo confirms first cases

The INDEX case died 11 august and the reporting of many deaths came the 20th of august. Meaning less then 10 days between death of index case and the death of 12 contacts. In sawyer chain the death was 12, 17, 20 and 25 days after index death.
Sounds like a very agressive strain and a short incubation time. Or?

Can it really be the index case that died 11 august?
 
Re: Ebola outbreak: DR Congo confirms first cases

There are a few explanations:

First -

The index case - presumed, died on Aug 11 - unknown but reasonable to suggest that based on the disease is the index case may have presented with signs and symptoms beginning August 1. The contacts to this case may have been exposed at initial onset of signs - aka August 1, and by August 3, probably more like August 9 or 10, the contacts could have also started presenting with disease signs and died ten days later (within the normal onset to death time frame) on August 20.

Second -

The contacts to Sawyer were monitored and received higher level medical care from the illness onset, for the known disease - Ebola. Appropriate treatment was provided in the Sawyer Chain as compared to the unknown treatment for the undiagnosed disease that eventually turned out to be Ebola in the DRC. The enhanced medical support - blood transfusions, coagulation monitoring and medications, IV fluids, etc... may extend the life by a few days.
 
Re: Ebola outbreak: DR Congo confirms first cases

Mbandaka is de capital city of Equateur Province

A suspected case of hemorrhagic fever recorded in Mbandaka

August 26, 2014 at 8:23

Medical sources report a suspected case of hemorrhagic fever discovered Monday, August 25 in the town of Mbandaka in Equateur. This is a lady of 65 years living in the neighborhood Bongondjo which was conducted at the General Hospital Reference Wangata.

"Indeed, on Monday at about 10:01 suspected case was transferred to the General Referral Hospital Wangata" confirms provincial medical inspector and interim coordinator of the Provincial Committee of the fight against Ebola outbreak in Ecuador, Dr. Franck Boembi.

The doctor tells the patient and the family members who accompanied him were isolated.

"In connection with the practical arrangements that are made ​​locally here in Mbandaka, we had to identify a site where all suspected cases will be routed. This site is located within the General Hospital Wangata "says Dr. Frank Boembi.

Acting provincial medical inspector invites the public to exercise caution and respect for hygiene. He says the local radio educate townspeople about it.
This suspected case of hemorrhagic fever was reported after the declaration of an outbreak of Ebola in Djera within the province of Ecuador.

Radio Okapi
 
Re: Ebola outbreak: DR Congo confirms first cases

computertranslation

Mbandaka:the suspected case has nothing to do with Ebola says Felix Kabange

August 26, 2014 at 12:29

After identifying a suspected case of hemorrhagic fever in Mbandaka (Equateur), the Health Minister Felix Kabange Numbi, invites the people of this city in peace. In a statement Tuesday, August 26 at Radio Okapi, asserts that this suspected case has nothing to do with the Ebola epidemic in the area Djera [/ B], in the same province.

"I know that there is a lady of 65 years we have brought to the hospital in Wangata and people have said right away that there Ebola, while this is a case that has nothing like Ebola, "said Felix Kabange Numbi.

Mbandaka : le cas suspect détecté n’a rien à voir avec Ebola, affirme Félix Kabange

le 26 août, 2014 à 12:29 | sous

Après l’identification d’un cas suspect de fièvre hémorragique à Mbandaka (Equateur), le ministre de la Santé, Félix Kabange Numbi, invite la population de cette ville au calme. Dans une déclaration faite mardi 26 août à Radio Okapi, il affirme que ce cas suspect n’a rien à voir avec l’épidémie d’Ebola qui sévit dans le secteur de Djera, dans la même province.

« Je sais qu’il y a une dame de 65 ans qu’on a amené à l’hôpital de Wangata et les gens ont déclaré tout de suite qu’il y a Ebola, alors que c’est un cas qui n’a rien à voir avec Ebola », déclare Félix Kabange Numbi.

Radio Okapi
 
Re: Ebola outbreak: DR Congo confirms first cases

Source: http://uk.reuters.com/article/2014/08/26/us-health-ebola-idUKKBN0GQ17920140826


MSF can only offer limited help in Congo Ebola outbreak
KINSHASA/DAKAR Tue Aug 26, 2014 3:04pm BST

(Reuters) - Medicins Sans Frontieres (MSF), the leading organization in fighting Ebola, said on Tuesday it could provide only limited support to tackle a new outbreak in Democratic Republic of Congo as it was already overstretched by the worst ever epidemic...

...MSF said that four of its samples had tested positive for the virus, without specifying whether these were in addition to two cases already confirmed by the government at the weekend...
 
Re: Ebola outbreak: DR Congo confirms first cases

MSF Sending Ebola Specialists and Supplies to DRC

August 26, 2014

KINSHASA—Doctors Without Borders/Médecins Sans Frontières (MSF) has launched a response to the confirmed Ebola viral hemorrhagic fever outbreak in Equateur Province, Democratic Republic of Congo (DRC). The medical organization, present in DRC for more than 30 years, is sending doctors, nurses, logistics experts, and hygiene specialists to the epicenter of this outbreak.

“We received confirmation on Sunday that four of the samples our team took last week have tested positive for Ebola virus,” says Jeroen Beijnberger, MSF Medical Coordinator in DRC. “We are responding fast to try to isolate the suspected and confirmed patients and to start the work of contact tracing.”

Working with the Congolese Ministry of Health, MSF is setting up an Ebola management center in Lokolia, the area most affected by the outbreak in the Boende health zone. “Our key objective for now is to do all we can to stop the outbreak spreading and to protect other people from catching the virus,” says Beijnberger.

No link with the Ebola outbreak in West Africa has been established, although that cannot be categorically discounted. “For now, we consider this outbreak as an unfortunate coincidence,” says Beijnberger. “We are trying to confirm the origin of the outbreak, but at this time nothing points to a direct link with the epidemic in Guinea, Liberia, and Sierra Leone.”

In the first phase of response to a new hemorrhagic fever outbreak, protection of patients and health workers is the top priority. Good coordination is also required to ensure that all levels of leadership—from the highest government levels to the local community leaders and village chiefs—pass accurate and constructive information to the population, that burial teams are organized with proper infection control measures, and that contact tracing and epidemiological monitoring are done swiftly and efficiently to avoid the spread of the outbreak.

“Usually, we would be able to mobilize specialist hemorrhagic fever teams, but we are currently responding to a massive epidemic in West Africa,” says Beijnberger. “This is limiting our capacity to respond to the epidemic in Equateur Province. We need other organizations to step up and joint the efforts to support the Ministry of Health. We will not be able to do this one alone.”

MSF
 
Re: Ebola outbreak: DR Congo confirms first cases

Translation Google

Information on the disease Ebola in Equateur (DRC) No. 2 on 25 August 2014

Category: Status Reports Publication Date

1 status of the disease

Declaration of the epidemic by the Minister of Public Health on August 24, 2014

13 people died of the disease (CFR 54%), including five health workers, on 24 suspected cases (16 women and 8 men)

11 people held in isolation

24 cases (16 women and 8 men) of Ebola virus disease identified in the area of health Boende, from July 28 to August 18, 2014

80 contacts identified for monitoring

4 samples positive out of 8 after a second analysis INRB

565 suspected cases investigated with gastroenteritis, diarrhea and vomiting.

Index cases identified at Ikanamongo (100 km of Boende): a woman who died on August 11 after consuming bushmeat hunted by her husband and that contaminated her doctor and her husband.

Strain not yet unidentified , between Zaire and Sudan. Awaiting the results from the laboratory in Franceville (Gabon).

No link between the epidemic of West Africa, given the remoteness of the area.

7th epidemic since 1976, date of the discovery of the disease in the DRC

No cases reported in Kinshasa or Mbandaka

2 information on the disease

Fatality rate can reach 90%.
Transmission to humans from wild animals and then spread in populations by human transmission
No vaccine or specific treatment approved, either for humans or animals.

3 Geography places

Isolated area, surrounded by two rivers

4 health areas concerned in the health zone of Boende, at 1200 km from Kinshasa

http://www.rdc-humanitaire.net/inde...bola-dans-l-equateur-rdc-no-2-au-25-aout-2014
 
Re: Ebola outbreak: DR Congo confirms first cases

A New Strain Of Ebola Emerges In Democratic Republic Of Congo


by Nurith Aizenman


<time datetime="2014-08-25">August 25, 2014 4:06 PM ET</time>


4 min 14 sec






A new outbreak of Ebola is being reported in the Democratic Republic of Congo. But scientists say it's not related to the Ebola epidemic going on in West Africa.



ROBERT SIEGEL, HOST:
Another country is reporting deaths from the Ebola virus. The government in the Democratic Republic of Congo has confirmed that two people there have died and many more are infected. The outbreak appears unrelated to the epidemic now sweeping through West Africa. NPR's Nurith Aizenman is in Monrovia, the capital of Liberia. And she joins us now with the latest. And first, Nurith, what's known about what's happening in Congo?

NURITH AIZENMAN, BYLINE: Well, as you said, Robert, there are these confirmed death. And Congolese officials say they suspect more have died and there are many more infected with Ebola. This is in a remote northwestern region of that country. They sent out samples and two have come back positive for Ebola. But it's important to stress that the strain of Ebola identified in Congo is not the same one that's causing the epidemic in West Africa. It doesn't appear that it was brought in from West Africa. It's a different strain that seems to have popped up in Congo of its own accord. And while that may sound alarming, it is useful to understand that that is the region where Ebola first originated in the 1970s.
The virus has emerged there six more times since and unlike West Africa, we're not talking about an area where people are constantly streaming in and out. Congolese officials also have experience dealing with Ebola. And each time it's reared its head there, they have managed to quash it before it could get out of the area. So there is reason to hope that this Congo outbreak can be contained more quickly and more easily than the one in West Africa..:tiphat:http://www.npr.org/2014/08/25/34317...hare&utm_source=twitter.com&utm_medium=social
 
Re: Ebola outbreak: DR Congo confirms first cases

<table border="0" cellpadding="0" cellspacing="0" bgcolor="#FFFFFF" width="100%"><tbody><tr><td class="f-title" height="40">
UN mission in DRC creates Ebola taskforce in response to outbreak: spokesman


</td> </tr> <tr> <td height="5">
</td> </tr> </tbody></table> <table border="0" cellpadding="0" cellspacing="0" bgcolor="#FFFFFF" width="100%"> <tbody><tr> <td class="sj" align="left" width="43%">English.news.cn 2014-08-26 07:16:08</td> <td align="right">
</td> </tr> </tbody></table> UNITED NATIONS, Aug. 25 (Xinhua) -- The United Nations peacekeeping mission in the Democratic Republic of Congo (DRC) has created a taskforce in response to a fresh Ebola outbreak in the African country, a UN spokesman told reporters here on Monday.
"The Office for the Coordination of Humanitarian Affairs (OCHA) reported today that the government of the DRC has confirmed that Ebola has resurfaced in the country," UN spokesperson Stephane Dujarric said at the daily briefing.
Dujarric quoted Congolese Health Minister Felix Kabange Numbi as saying that the outbreak killed 13 people since July in a remote village in Boende of Equateur Province, more than 1,200 km from the capital Kinshasa, but the strain of this outbreak was different from the one that's been ravaging West Africa.
"The Congolese authorities, the World Health Organization (WHO) and NGOs are mobilizing against the disease," said Dujarric.
"The United Nations Stabilization Mission in the DRC (MONUSCO) has created an Ebola taskforce, and is tracking and screening its staff traveling to and from the affected countries in West Africa, " he added.
Ebola was first discovered in the DRC in 1976 and this is the seventh time the disease has broken out, said the UN spokesperson. The latest bout was in 2012 when some 36 people died in Province Orientale.
According to the latest WHO update, so far there have been 2, 615 cases and 1,427 deaths reported in Guinea, Liberia, Sierra Leone and Nigeria. Dr. David Nabarro, the United Nations System Coordinator for Ebola, is now in Guinea, after visiting Liberia and Sierra Leone. :tiphat:http://news.xinhuanet.com/english/africa/2014-08/26/c_133583552.htm
 
Re: Ebola outbreak: DR Congo confirms first cases

Translation Google

DRC | Ebola | Health & Medicine
Posted on 27-08-2014 ? Amended 27-08-2014 at 17:18

Ebola Zaire strain confirmed in DRC

by RFI

Six of the eight samples taken from patients in the Democratic Republic of Congo were positive to Ebola. Since August 11, 13 people died in a remote province of Ecuador about 800 miles northeast of Kinshasa sector. Detailed examinations have confirmed that the strain of the disease in the DRC is the so-called "Zaire". Eric Leroy, Director of the International Centre for Medical Research, the laboratory in Franceville in Gabon who made the diagnosis, interviewed by RFI.

RFI: Your laboratory analyzed the samples taken from patients in the Democratic Republic of Congo. The results are determined, what are they?

Eric Leroy: Our laboratory was required as a WHO Collaborating Centre for diagnosing viral haemorrhagic fever and Ebola virus and therefore actually we confirmed the results obtained by Kinshasa and thus we confirmed the positive results in Ebola Zaire virus. For now we are at the stage of diagnosis, which is just to identify whether or not the Ebola within biological samples and to identify the virus species.

You know that the Ebola virus is divided into five species: Sudan, Zaire, Cote d'Ivoire, Bundibugyo and Reston and our systems precisely allow us to differentiate the species. After the characterization of the strain itself, it is necessary to wait for the result of sequencing that is to say, the characterization of the entire genome sequence of the virus. There the test has shown us that it was Zaire and now to have a finer strain characterization, it is necessary to wait for the sequencing that we will get, hopefully, by the weekend.

How many specimens exactly have you received and where do they come from?

We received eight biological samples that come from IRMB (National Institute for Biomedical Research in Kinshasa) who conducted the initial analyzes. The eight biological samples from eight patients obviously of the affected area and on the eight biological samples, we confirmed the presence of Ebola virus in six of them. The other two, it can be entirely another disease because you have to know that Ebola expresses symptoms that are quite common contrary to what people think and can be confused with many other diseases as a uncomplicated malaria, gastroenteritis and typhoid then. Finally, there are many other diseases resembling the infection with Ebola virus.

Can we say that this strain is different from the strain that currently grips West Africa?

As long as one does not have the result of sequencing, we can not be 100% positive, but given the context of the emergence of these cases, it is still very high probability that it is a different strain. It is an outbreak that appeared in a small village so the movement of people between the small village of the DRC and Guinea is very, very unlikely. If the cases occurred in a big city, then we could actually raise the possibility of transmission of the strain. And there it is in a village, so it evokes a new appearance, a new emergence of the virus from an animal strain and therefore a strain different from Guinea.

Exactly how is it that the virus appears like that from time to time?

The virus can not live alone. He lives like a parasite, inevitably within a living organism, it is called the reservoir. And numerous viruses, if not most, live inside a living organism that is an animal, so it is called the "animal reservoir" so the natural host of the virus . And there it lives permanently, it does not appear, it does not disappear, it is always present. "The animal reservoir" is the carrier at a certain percentage. These animals naturally harbor the virus without getting sick.

And then with regard to the Ebola virus, they are species of bat. So the virus is still there in populations of bats. By cons, it is not always there in the human species. The so-called outbreak of an epidemic or outbreak of a disease is when there is a transfer so a transmission from animals that hosts permanently the virus to the species human. And conditions of this transmission are known, it is primarily in the butchering or handling of these animals, that the transfer or transmission may occur.

http://www.rfi.fr/afrique/20140827-e...07646384189454
 
Re: Ebola outbreak: DR Congo confirms first cases

- snip -

august 27 2014

6 confirmed cases of Ebola

The Minister of Health announced Thursday that the updated figures show 42 cases of hemorrhagic fever with 6 confirmed cases of Ebola, 13 probable and 23 suspect cases.

Felix Kabange Numbi says the number of deaths is still 13 dead, including five health workers.

Eleven people are put in isolation. Six new samples were taken outside the eight already analyzed.

Radio Okapi
 
Re: Ebola outbreak: DR Congo confirms first cases

computertranslation

DRC: 7 new cases of Ebola in Djera

August 29, 2014

The Health Minister Felix Kabange, announced Thursday, Aug. 28 that seven new cases of Ebola have been confirmed by laboratory tests.

Bringing to thirteen the number of people affected by the virus in the area Djera people in northern Ecuador, where the epidemic was declared.

The Minister ensures that for now the epidemic is contained in this sector alone.

"Instead of six, we now have thirteen cases involved. The number of probable cases is still thirteen and the number of suspects is sixteen, "explains the Minister of Health.

The new cases were confirmed after analysis of samples taken from the seven suspects.

Radio Okapi
 
Re: Ebola outbreak: DR Congo confirms first cases

Congolese experts, medicines to fight back against Ebola Djera

Response against the epidemic of Ebola virus disease in Djera in Boende territory located in the district of Tshuapa Ecuador did not have to wait. The government has reacted swiftly to stem the disease that has killed 13 people including five health workers.
Under the impetus of government, a first Congolese experts team of epidemiologists, psychotherapists, clinical psychologists, specialists in sanitation goes to Lokolia with a large consignment of drugs to organize the response there. It was at Ndolo Airport to the Minister of Health, Dr. Felix Kabange Numbi that the team led by the Director of Directorate for the disease at the Department of Public Health, Dr. Benoit Kebela is mounted on the edge aircraft with medication. It was around 15h that plane took off. Shortly before takeoff, the Minister of Health gave exact instructions to the head of the delegation, Dr. Benoit Kebela returning from the Guinnée where he also led a team of Congolese experts to help the country organize the fight against the disease Ebola in Djera.
With this experience, Dr. Benoit Kebela is now the "front" in his own country against the Ebola virus Djera. According to him, with the means provided by the government it is possible to contain this epidemic and stop the virus from spreading. "We had the same response in 2012 to Isiro in eastern province where she had declared an outbreak of the disease Ebola virus. we led the team that was in Isiro. The big challenge is to stop the transmission of Ebola virus. Everyone looks at us, we went elsewhere to provide expertise.
as everyone looks at us we have to prove we have the expertise and the only challenge would be the one to stop the transmission. must we avoid the spread of this epidemic. I think we can do it because we have experienced the outbreak in Kikwit I can call an epidemic in open, well Isiro. And we have managed because there was no extension and today we are going to Boende which is a closed environment. This is an area that has less contact with other media. I think with this favor if you work with all the means that we must stop this epidemic and we can do it ... ".
The Minister of Public Health that promises to join this team of experts in 72 hours with another batch of drugs and protective equipment emphasizes that it is Lokolia it is installed headquarters to coordinate the fight against Ebola in Djera. Today's day, it is still expected to send other drugs and equipment by the government acted disponibilisés and other partners such as the Oms and UNICEF.
Logistics, recognizes Dr. Felix Kabange will be the biggest challenge we have to build a camp, "because there are only two houses in Sector Djera to Lokolia where all teams must be installed with any protective equipment, disinfection and sanitation. There are also bikes, bikes bought by the government and the support of other partners. We will send all the materials ... " says Dr. Felix Kabange Numbi.
Current statistics
According to the Minister of Public Health, Dr. Felix Kabange Numbi, since the beginning of the epidemic 42 cases were reported, of which six laboratory confirmed, 13 probable and 23 suspect cases. The number of deaths has not changed. He is 13, including 5 health professionals. There are also reports that 11 people are currently isolated. Dr. Felix Kabange Numbi as accurate as 6 new samples were taken in addition to eight already considered and 168 contacts are identified and tracked.
On land, the government is all means to curb the epidemic, according to this contingency plan initiated by the Head of State, Joseph Kabila.
Blandine Lusimana T
http://www.minisanterdc.cd/new/inde...edicaments-a-djera-pour-riposter-contre-ebola
 
Re: Ebola outbreak: DR Congo confirms first cases

Information about the disease Ebola Point in Ecuador (DRC) No. 3 to 28 August 2014
Print out E-mail Category: Situation Reports Date of publication Views: 45
Updated data

Between July 28 and August 27, 2014, a cumulative total of 42 suspected cases have been recorded in the area of ​​health Boende Lokolia locality, province of Ecuador (+/- 1200 Km of Kinshasa).
13 people died of the disease (CFR 31%), 5 of the health workforce. 11 people held in isolation.
6 confirmed positive Ebola on 8 analyzed samples (performed INRB in Kinshasa and CIRMF City of France in Gabon).
Contamination: 147 contacts between people at risk identified for monitoring.
Other samples taken Boende August 27 waiting to be sent to Kinshasa.
Index cases identified Ikanamongo (100 km Boende): a woman who died on August 11 after handling and consumption of bushmeat hunted by her husband and that contaminated her doctor and her husband.
Rumors of suspected cases in other provinces are not confirmed.
Coordination

Establishment and held regular meetings of the National Coordinating Committee (NCC).
Existence of seven thematic committees at national and local levels to ensure coordination of humanitarian action; Six of these committees meet daily: Epidemiological Surveillance, Communication, Laboratory and Research Support for the sick, Water, hygiene and sanitation and logistics.
Implementation of UN Task Force and held the first meeting August 26, 2014.
Recommendation: A participation of entities and clusters in technical committees, depending on their expertise, including Logistics, Food Security and Wash.
http://www.rdc-humanitaire.net/inde...bola-dans-l-equateur-rdc-no-3-au-28-aout-2014

UPDATE ON THE EBOLA VIRUS DISEASE IN DRC
No. 3
28 August 2014
1. Update
 Between 28 July and 27 August 2014, a total of 42 cases have been identified in the Area, including
13 deaths (mortality rate: 31%).
 13 people died from the disease (31% mortality rate), including 5 health professionals. 11 people
have been put in isolation.
 147 contacts identified for follow-up.
 6 positive samples out of 8 after a second analysis carried out at the INRB in Kinshasa and at the
CIRMF of France Ville in Gabon.
 Other samples taken in Boende on 27 August being sent to Kinshasa.
 Index case identified in Ikanamongo (100 km from Boende): a woman died on 11 August after
handling and eating bush meat hunted by her husband that contaminated both her husband and her
doctor.
 Rumours on suspected cases in other provinces have not been confirmed.
2. Coordination
 Establishment and holding of regular meetings of the National Committee on Coordination (CNC).
 Existence of seven thematic commissions at national and local levels to ensure the coordination of
humanitarian action; Six of these commissions meet on a daily basis: Epidemiologic Surveillance;
Communication; Laboratory and Research; Support for the Sick; Water, Hygiene and Sanitation;
and Logistics.
 Establishment of a UN Ebola Task Force and holding of its first meeting on 26 August 2014.
 Recommendation: participation of UN entities and clusters to technical commissions, in line with
their expertise, notably with regard to Logistics, Food Security and WASH.
3. Security and logistics
 Availability of UNHAS and ASF-F aircraft:
UNHAS: One 37-seats, cargo 2,7 MT aircraft aircraft; one helicopter available in Goma and
possibility to have an additional helicopter from South Africa, in case of need.
ASF-F: one/two 9-seats 1,2 MT cargo aircraft.
 Drafting of protocols for the regulation of travel in the quarantined area, on the basis of protocols
currently used in West Africa by UNHAS. These protocols will be shared with other aviation
companies for their consideration.
 Announcement by the Government of the provision of a daily cargo to send material.
4. Response
4.1. Ongoing
 A second team of experts has travelled to the field on 27 August 2014, in view of the establishment
of the International Committee on Technical Coordination (CICTS) in Lokolia, epicentre of the
disease. This Committee will comprise experts from the Ministry of Health and WHO.
4.2. Planned
 Strengthening of field teams with technical staff and additional inputs.
5. Financing
 Process to request CERF ($2 million) and CHF ($1.5 million) funds under way.
6. Gaps
 Need to strengthen the technical field team with an anthropologist.
http://www.rdc-humanitaire.net/attachments/article/4918/EBOLA - Update of 28 august 2014 - no3.pdf
 
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