WEEKLY BULLETIN ON OUTBREAKS
AND OTHER EMERGENCIES
Week 41: 3 to 9 October 2022
Data as reported by: 17:00; 9 October 2022
...
Ebola Virus Disease caused by Sudan virus in Uganda
68 cases
37 Deaths
54.4% CFR
EVENT DESCRIPTION
From 3 to 9 October 2022, five new confirmed cases of Ebola
Virus Disease caused by Sudan virus (SVD) have been reported,
with no new probable case. In addition, eight new confirmed
deaths have been recorded, as well as ten new recoveries. A
comparison with the previous week (ending 2 October 2022)
depicts a significant reduction (80%) in the number of new
confirmed (5 vs 25) and probable (0 vs 2) cases, but an increase
in the number of confirmed deaths (8 vs 4). Eight new survivors
of SVD were recorded in the same reporting period.
Cumulatively, between the beginning of the outbreak on 19
September and 9 October 2022, 68 cases of SVD including
48 laboratory-confirmed and 20 probable cases have been
reported. Thirty-seven fatalities have been registered including
17 confirmed cases, for an overall case fatality ratio of 54.4%,
and 35.4% among confirmed cases. A total of 14 patients have
been discharged, giving a recovery rate of 29.2%.SVD infections
remain almost equally distributed between men and women.
The 20-29 years age group remains the most affected (26.5%)
followed by the 30-39 years (20.0%) and the under-10 years age
group which represent 17.5% of cases.
There has been no further geographical expansion of the outbreak,
as compared to week 39 during which two new Districts had
notified cases. In total, 15 Sub-Counties have reported at least one
case, distributed in five Districts including the hotspot Mubende
(40 confirmed and 19 probable), Kassanda (three confirmed and
one probable), Kyegegwa (three confirmed), Bunyangabu (one
confirmed), and Kagadi (one confirmed).
A total of 1 110 contacts have ever been listed since the beginning
of the outbreak, of which 657 are currently under follow-up. The
contact follow-up rate has kept improving, from less than 25%
at the beginning of the outbreak, 60% on 2 October, to 95% on
9 October 2022.
PUBLIC HEALTH ACTIONS
Coordination
National Task Force meetings are being held three times
every week.
Daily District Task Force meetings are being held in all
affected Districts.
Daily pillar meetings are also being held in all affected
Districts.
Surveillance and Laboratory
Epidemiological investigations, contact tracing, and active
case finding are ongoing in the affected Districts. As of 9
October 2022, 657 contacts were still under follow-up, with
624 (95%) followed-up over the past 24hrs. A total of 16
alerts were received from category 1 Districts, all of whom
were verified; nine of them were validated as new suspected
cases and evacuated to the Ebola Treatment Unit (ETU).
In addition, 57 VHF alerts were received from non-affected
Districts and Regions of the country, all of whom tested
negative by PCR for Ebola, Marburg, CCHF and RVF viruses.
Ecological investigations are ongoing in Bulega village of
Madudu Sub-County, based on information from communities
regarding probable cases. So far, four bat species have been
identified and 52 bat samples have been collected.
Mobile laboratory testing is ongoing at the Mubende Regional
Referral Hospital (RRH), with a results turn-around time of
approximately six hours. Cumulatively, 338 samples have
been tested since the beginning of the outbreak, yielding 48
laboratory-confirmed cases.
Case management and psychosocial support
There were nine new admissions in the past 24 hours, bringing
cumulative admissions to 144. Currently, 16 suspected and
10 confirmed cases are being managed at Mubende ETU,
with an additional five healthcare workers at Entebbe RRH.
Fourteen patients have recovered and were discharged.
Emergency Medical Services responded to six requests
for community to ETU evacuations, and three requests for
interfacility transfers within the communities of Mubende
(eight) and Kassanda (one). However, one patient declined
evacuation.
Psychosocial support teams visited the families of three
confirmed and one suspected case in Kassanda.
Infection, prevention and control (IPC)
IPC teams conducted decontamination of four households
in Kijuguzo sub-county, one in Mubende municipality, two
healthcare facilities in Mubende municipality and two others
in Kassanda.
Guidance on public health prevention and control measures
as well as an IPC kit were provided to a female visitor in a
home of six people evacuated to the ETU.
Twenty-one contact-tracing teams were oriented on ring IPC.
The construction of a water system at the Madudu HC III
isolation facility has been completed.
Risk communication and community engagement
Ten Community audio towers in Madudu and Kiruma SubCounties
have aired out 40 messages on SVD.
Five radio stations have conducted radio talk shows and
played 15 spot messages on SVD in addition to disk-jockey
mentions.
A sensitization of 210 followers of Ruhanga Owobusobozi
Bisaka within their “Tambiro” (Church) was organized at
Kisekende South Division of Mubende municipality.
Three film vans conducted community sensitization and
mobilization in areas of Kiyuni Sub-County. Other film vans
have been mobilized in Kyegegwa and Kassanda Districts.
https://apps.who.int/iris/bitstream/handle/10665/363497/OEW41-0309102022.pdf
