Ebola Virus Disease - Democratic Republic of the Congo: External Situation Report 4 (18 May 2017)

Report
from World Health Organization
Published on 19 May 2017 View Original

1. Situation update

WHO continues to support the Ministry of Health in the Democratic Republic of Congo to monitor and respond to the outbreak of Ebola virus disease (EVD) in Likati Health Zone, Bas Uele Province located in the north-east of the country.

On 18 May 2017, nine suspected EVD cases were reported in Ngayi (7 cases) and Azande (2 cases) in Likati Health Zone. The suspected cases are being investigated and will be classified accordingly. As of 18 May 2017, a total of 29 EVD cases [two confirmed, two probable and 25 suspected] have been reported. To date, three deaths have been reported, giving a case fatality rate of 10%. Most of the cases presented with fever, vomiting, bloody diarrhoea and other bleeding symptoms and signs. The cases have been reported from four health areas, namely Nambwa (11 cases and two deaths), Mouma (three cases and one death), Ngayi (13 cases and no deaths), and Azande (two cases and no deaths). According to available information at this stage, no healthcare workers have been affected.

Out of the five blood samples analysed at the national reference laboratory, Institut National de Recherche Biomédicale (INRB) in Kinshasa, two were confirmed Zaire ebolavirus. At least 416 close contacts have been registered in Likati Health Zone and are being monitored.

This EVD outbreak in the Democratic Republic of Congo was notified to WHO by the Ministry of Health on 11 May 2017. The cluster of cases and deaths of previously unidentified illness have been reported since late April 2017. Likati Health Zone shares borders with two provinces in the Democratic Republic of the Congo and with the Central African Republic (Fig. 1). The affected areas are remote and hard to reach, with limited communication and transport networks.