While the last major cholera outbreak in DR Congo's western provinces was in 2011, cholera is endemic in the eastern provinces, which experienced a resurgence of cases starting in July 2012. Over the course of 2013, ongoing violence and displacement in North and South Kivu, Katanga and Orientale provinces limited access to health care and life-saving vaccination services. Between January and September, more than 21,000 cases of cholera and 376 deaths were recorded with 99% of these cases in the eastern provinces. During the same time frame, more than 74,299 cases of measles and 1,160 deaths had been reported. (WHO, 31 Oct 2013)
In 2013, Katanga was the most-affected province with 13,726 cholera cases and 348 deaths, compared to 6,930 cases and 223 deaths in 2012 (OCHA, 15 Jan 2014). On 7 Dec 2013, the governor of Sud-Kivu officialy declared a cholera epidemic outbreak. More than 6,200 cases had been reported since the beginning of the year. (OCHA, 11 Dec 2013) Country-wide, a total of 26,440 cases of cholera were reported in 2013 (UNICEF, 28 Jul 2014).
Between 1 Jan and 1 Dec 2013, 86,264 measles cases and 1,372 deaths were recorded (WHO, 20 Dec 2013).
By the end of July 2014, 10,551 cholera cases had been reported - almost half the number of cases reported during the same time in 2013 (19,032) (UNICEF, 28 Jul 2014). By October, the total number of cholera cases in 2014 stood at just over 14,000, compared to just over 21,000 in 2013 (UNICEF, 20 Oct 2014). By then end of 2014, a total of 19,305 cases had been recorded (UNICEF, 29 Jan 2015).
During the first 14 weeks of 2015, 5,030 new cased had been reported, compared to 6,499 cases during the same period in 2014 (UNICEF, 2 May 2015).
Since the beginning of the year, 19,705 cases have been reported in DRC. As of 29 November, the following provinces had reported cases: South Kivu (4,906), ex-Katanga (4,565), Maniema (3,971), North Kivu (3,294) and ex-Oriental (2,969). A high number of cases are still reported in the province of South Kivu where the situation is particularly worrying because of the presence of camps hosting refugees from Burundi. Furthermore, there are concerns that the epidemic in Maniema could spread to other provinces of the country as observed during the 2011 cholera epidemic when areas of Kinshasa were also affected. (WHO,15 Dec 2015)
This Emergency Appeal operation shall contribute to the fight against yellow fever, cholera and measles epidemics in the Democratic Republic of Congo (DRC) by supporting social mobilization during the yellow fever vaccination campaigns organized by the Government and its partners, as well as carry out vector control activities and surveillance for yellow fever, cholera and measles. The operation is due to end in January 2017. (IFRC, 21 Jul 2016)
The protracted outbreak of cholera in the Democratic Republic of Congo (DRC) is still going on unabated ... The situation has continued to worsen with numerous pockets of outbreaks occurring along the Congo River. During week 14 (week ending 9 April 2017), 321 new cases including 10 deaths (case fatality rate of 3.1%) were reported across the country. This shows a minimum reduction compared to 469 cases and 18 deaths (case fatality rate of 4.05%) reported in week 13 (week ending 2 April 2017). Since the beginning of the year up to 15 April 2017, a total of 9,160 cases including 315 deaths (case fatality rate of 3.4%) have been reported. Meanwhile in 2016, a total of 29,352 cases, including 817 deaths (case fatality rate of 2.8%) were notified nationwide. With these, the cumulative number of cases and deaths reported since onset of the outbreak is 38,511 cases including 1,419 deaths (case fatality rate of 3.68%). In 2017, the provinces of Tanganyika, South Kivu, Ecuador, Maindombe, Central Kongo, and Tshopo have been the most affected. (WHO, 25 Apr 2017)
At a glance
483,257 people of concern as of April 2017
The Burundi crisis was categorized by UNHCR as a Level 2 emergency on 11 May 2015. Since April 2015, some 420,689 Burundians have fled to neighbouring countries, the Democratic Republic of the Congo (DRC), Rwanda, Uganda and the United Republic of Tanzania. Within Burundi, a further 55,293 people are displaced and 7,275 refuge returnees have been reported.
US$250 million is needed in financial requirements for the Burundi situation for January until December 2017
Déclaration de l’épidémie de choléra dans le Territoire de Bukama, Province du Haut-Lomami.
This weekly bulletin focuses on selected public health emergencies occurring in the WHO African region. The WHO Regional Office is currently monitoring 49 events: three Grade 3, six Grade 2, two Grade 1, and 38 ungraded events.
The ECDC Communicable Disease Threats Report (CDTR) is a weekly bulletin for epidemiologists and health professionals on active public health threats. This issue covers the period 14 May - 20 May 2017 and includes updates on influenza, measles, hepatitis A, cholera, polio, Ebola virus disease and Legionnaires' disease.
Faits saillants à fin avril 2017 : D’observation générale, on remarque un recul à partir de la semaine 13. Prière de noter que les données d’incidence de RDC comptent pour 97,7% de l’incidence totale cumulée, ainsi, cette réduction est à observer principalement sur le Bassin Congo.
La province du Lualaba continue à recevoir des déplacés de la Province du Lomami
Un nouveau cas suspect de poliovirus détecté dans la zone de santé de Malemba
Besoin d’USD 270 000 pour la lutte contre le choléra dans la zone de santé de Bukama
Aperçu de la situation
L’épidémie de la maladie à virus Ebola est déclarée dans la Zone de santé de Likati dans le Bas-Uélé.
Une épizootie non encore identifiée décime les volailles dans la région au bord du lac Albert en Ituri.
Les groupes d’autodéfense menacent la scolarité et la protection des enfants dans le sud Irumu
Aperçu de la situation
Ce rapport a été produit par OCHA RD Congo en collaboration avec les partenaires au Kasaï, Kasaï Central et au Kasaï Oriental. Il couvre la période du 5 mai (date suivant la parution du Sitrep n°5) au 12 mai 2017.
Quelque 23 700 nouveaux déplacés ont été rapportés au cours de la semaine écoulée, y compris –pour la première fois– une vague de 2 200 personnes dans la Province du Kwilu, portant le nombre de provinces de la République Démocratique du Congo (RDC) touchées par la crise à huit (sur 26).
Period January to December 2017
Current Population 1,769,241 (at 31 March 2017)
Population Planning Figures 2,130,500 Target Beneficiaries2,130,500
Financial Requirements US$ 1,382,909,571
Number of Partners 58
REGIONAL STRATEGIC OVERVIEW
Latest Developments in South Sudan
This weekly bulletin focuses on selected public health emergencies occurring in the WHO African region. WHO AFRO is currently monitoring 47 events: three Grade 3, six Grade 2, two Grade 1, and 36 ungraded events.
Plus de 1,2 million de personnes ont besoin d’assistance humanitaire dans la région du Kasaï
Au moins un nouveau cas suspect de choléra ou de rougeole rapporté tous les deux jours en RDC
Les écoles appuyées par le PAM au cours de ces deux dernières années ont enregistré des taux de rétention dépassant les 90% pendant qu’elles bénéficiaient du programme d’alimentation scolaire
- Un cas suspect de poliovirus sauvage dans la zone de santé de Butumba
- Les incursions des miliciens de Kamuina Nsapu provoquent un déplacement de plus de 16 000 personnes dans le Territoire de Kapanga
Aperçu de la situation
OVER US$ 57 MILLION ALLOCATED BY THE DRC HUMANITARIAN FUND IN 2016
CENTRAL AFRICAN REPUBLIC
AID GROUPS SUSPEND WORK OVER INSECURITY
DES AGENCES D’AIDE SUSPENDENT LEURS ACTIVITÉS
This Operational update seeks to support exceptional reopening of IFRC DRC Epidemics Emergency Appeal for the next six months (20 July 2017). This will enable the DRC RC meet humanitarian needs resulting from an outbreak of cholera (ongoing), dating back from December 2016. Primarily through social mobilization activities linked to vaccination campaigns, in addition to emergency health, water, sanitation and hygiene promotion and to support National Society capacity building.
A. Situation analysis
229 Progress towards measles elimination – African Region, 2013–2016
239 Monthly report on dracunculiasis cases, January– March 2017
229 Progrès réalisés en vue d’éliminer la rougeole – Région africaine, 2013-2016
239 Rapport mensuel des cas de dracunculose, janvier-mars 2017
El Niño and the shifting geography of cholera in Africa
Moore SM, Azman AS, Zaitchik BF, Mintz ED, Brunkard J, Legros D, Hill A, McKay H,
Luquero FJ,, Olson D, Lessler J.
Pub Med az of 2017 april 07
The El Niño Southern Oscillation (ENSO) and other climate patterns can have profound impacts on the occurrence of infectious diseases ranging from dengue to cholera.
Two decades of successive shocks, armed conflicts and intercommunity violence have placed millions of families in the throes of acute consequences such as epidemic outbreaks, malnutrition and food insecurity. Population movement generates over half of the humanitarian needs, including over 2.1 million people internally displaced within the country and half a million refugees at the end of 2016. The humanitarian context is aggravated by political and pre-electoral tensions, economic downturn and the spread of violence.