DR Congo: Cholera and Measles Outbreaks - Jan 2013Ongoing
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).
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)
The protracted outbreak of cholera in [DRC] is still going on unabated ... The situation has continued to worsen with numerous pockets of outbreaks occurring along the Congo River...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)
In spite of the observed reduction during the reporting week, the cholera outbreak in the Democratic Republic of the Congo remains a concern, with a high weekly incidence and new areas being affected. The cholera epidemic is active in eleven provinces and 66 health zones. The outbreak appears to be following three major river and lake routes, suggesting that these water bodies play an important role in transmission. Towards the east of the country, the affected areas are along Lake Tanganyika and Lake Kivu and the disease appears to be moving towards Lake Albert in the north-east. In the central region, the disease is affecting areas along the internal lakes and along the Congo River, up to Kindu and Maniema. In the western central area, the disease is affecting areas along the Kasai River. (WHO, 23 Oct 2017)
Between W1 and W48, 50,579 suspected cholera cases including 1,083 deaths (Case-fatality ratio of 2.1%) are reported from 23 provinces and 225 health zones. To be noted that while this bulletin was prepared, the completeness rate of the database shared was not of 100%. However, the overall decrease of the reported cholera incidence is clear as the incidence reduces in several provinces (notably North Kivu, South Kivu, Kongo Central, Sankuru, Tanganyika, and Ituri). The epidemic is still expanding to new areas in the Great Kasai, despite an overall reduction in the cumulative incidence. (UNICEF, 15 Dec 2017)
The trend of the outbreak continues to improve nationwide. During week 2 of 2018, a total of 763 suspected cases and 14 deaths (CFR: 1.8%) were reported, compared to 1 022 suspected cases and 19 deaths (CFR: 1.9%) during week 1 of 2018. Most of the cases are reported from during this week are reported from Kinshasa (189 cases), North Kivu (272) and South Kivu (117). From 4-7 January 2018, a flooding event affected areas of Kinshasa that are currently reporting cholera cases. (WHO, 26 Jan 2018)
Measles: Over 43 000 cases were reported in 2017. In weeks 1 and 2 of 2018, 713 cases and 13 deaths were reported, with a stable weekly number of cases since week 52 of 2017.The trend of the outbreak has decreased this week. Most of the suspected cases this week were reported from South Kivu province. (WHO, 26 Jan 2018)
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EXPEDIT MWAMBA MUBI
Kalemie, le 21 mars 2018 – C’est au marché du quartier Kamkolobondo, en périphérie de Kalemie, que le Dr Cyrille Kimpu Awel Mukalay, ministre provincial de la Santé du Tanganyika, a lancé le 20 mars 2018 la campagne de lutte contre le choléra dans les ménages de cette province.
D. R. Congo: New cases are reported from the three provinces accounting for more than 60% of the cases at week 10 (Mai Ndombe, Kasai Oriental, and North Kivu).
Ivory Coast: One suspected case was reported at week 10 in the Agneby region.
Liberia: One suspected case was reported at week 9. Since week 1, 20 suspected cases were reported of which 17 were tested negative and 2 are still pending lab results.
Situation de protection des civils préoccupante dans le Territoire de Rutshuru
Appui à environ 40 écoles et centres de rattrapage scolaire dans le nord-est de Beni
Aperçu de la situation
• La province de l’Ituri replonge dans une nouvelle crise humanitaire après plus de deux décennies d’accalmie
• Faible couverture de la réponse dans la région du Kasaï malgré la stabilité de la situation humanitaire
• Besoins toujours énormes dans le territoire de Pweto où 80% d’enfants déplacés ne fréquentent pas l’école
• La réintégration communautaire des survivantes des violences sexuelles : fruit de plusieurs implications.
By Annie Leverich
About 4.5 million people are displaced in the Democratic Republic of the Congo (DRC), making it one of the largest displacement crises in the world.
As years of conflict further deteriorate the humanitarian situation, explore how USAID is working to reach millions of people in the Democratic Republic of the Congo (DRC) in need of vital assistance.
Emmanuel est superviseur en eau, hygiène et assainissement dans la zone de santé rurale de Kabondo Dianda, située en Province du Haut-Lomami. Avec ses trente ans de carrière, ce sexagénaire a été le témoin d’innombrables épisodes épidémiques de choléra.
« Le choléra, on le connaît ! Nous maîtrisons les signes tels que la diarrhée et les vomissements. Cette maladie a tué le fils d’un ami à moi », nous raconte avec amertume Emmanuel. « Mais que doit-on faire face à une population qui ne respecte pas toujours les normes d’hygiène ? », poursuit-il en se questionnant.
Renewed fighting and strengthened presence of armed groups in eastern prefectures of CAR, particularly in Basse-Kotto and Mbomou, have increased insecurity and limited humanitarian access since early 2018.
Fighting also continues in western CAR: repeated cycles of violence since October 2017 in Gamboula sub-prefecture have displaced some 21,700 people within the sub-prefecture, and affected populations in transhumance areas, including Nassole and Dilapoko.
This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 53 events in the region. This week’s edition covers key new and ongoing events, including:
Listeriosis in Namibia
Cholera in north-east Nigeria
Cholera in Malawi
Hepatitis E in Namibia
Lassa fever in Liberia
Humanitarian crisis in Central African Republic
This is Mwasi Kallunga and her seven children, including her 18-month-old baby, Shabani. You all have this picture in front of you. You can see little Shabani has the distended belly of many malnourished children. I met them last Tuesday in Katanika camp in Kalemie, in the stunning and rich landscape surrounding Lake Tanganyika in Eastern Congo.
Thousands of Refugees from the Democratic Republic of Congo have continued to infiltrate the country despite the already ongoing influx, and the recent cholera outbreak in refugee settlements. Uganda Red Cross society has been on ground to respond to both, the growing numbers of refugees and the continued spread of cholera especially in Kyangwali and Kyaka II refugee settlements.
Intercommunal violence between Lendu and Hema communities since December has internally displaced over 100,000 people and led to a severe humanitarian crisis. In a conflict where civilians are being directly targeted, protection of the affected population is a major concern. Thousands of houses have been burned down and livelihood activities, including agriculture, have been disrupted, resulting in significant needs for shelter and food assistance.
Anticipated scope and scale
117 Vaccine-derived polioviruses outbreaks and events in 3 provinces of Democratic Republic of the Congo, 2017
125 Emergence of monkeypox in West and Central Africa, 1970–2017
117 Flambées et événements de poliovirus dérivés d’une souche vaccinale dans 3 provinces de la République démocratique du Congo, 2017
125 Émergence de l’orthopoxvirose simienne en Afrique de l’Ouest et en Afrique centrale, 1970-2017
INTRODUCTION & KEY TAKEAWAYS
This Outlook provides an overview of the anticipated humanitarian situation in the Great Lakes region from January to June 2018. It focuses on Burundi, the Democratic Republic of the Congo (DRC), Rwanda, Tanzania, Uganda and neighbouring countries—including Angola, Kenya and Zambia—that have received refugees and asylum-seekers due to the DRC crisis.
Plus de USD 9 millions pour les réponses d’urgence à Bukama, Kamina, Malemba Nkulu, Mitwaba et Pweto
A Kamabange, les enfants de moins de 5 ans meurent de la malnutrition
Since July 2014 it has been my privilege to hold the position of Executive Director with MSF in the UAE. As I reach the end of my tenure, I find myself reflecting on our work in recent months and years – on the projects that may come to define us as a medical humanitarian movement.
(Kinshasa, 13 March 2018) UN humanitarian chief Mark Lowcock and Minister for Foreign Trade and Development Cooperation of the Kingdom of the Netherlands, Sigrid Kaag, today called on the international community to urgently address the crisis facing the Democratic Republic of the Congo (DRC) where humanitarian needs have doubled since last year.
Depuis plus de quarante ans, Médecins Sans Frontières (MSF) apporte une assistance médicale à des populations aux prises avec des crises menaçant leur survie : principalement en cas de conflits armés, mais aussi d’épidémies, de pandémies, de catastrophes naturelles ou encore d’exclusion des soins.
The WHO Health Emergencies Programme is currently monitoring 50 events in the region. This week’s edition covers key new and ongoing events, including:
- Listeriosis in South Africa
- Rift Valley fever in South Sudan
- Lassa fever in Nigeria
- Cholera in Uganda
- Humanitarian crisis in Democratic Republic of the Congo
For each of these events, a brief description followed by public health measures implemented and an interpretation of the situation is provided.
Faits saillants :
RCA : Un cas suspect a été rapporté à la semaine 8 et en cours d’analyse au laboratoire pour confirmation.
R. D. Congo : Deux nouveaux foyers de choléra ont été déclarés dans les régions du Kasai Oriental (voir p. 2) et de Mai Ndombe. On note une légère augmentation des cas au Nord Kivu et à Kinshasa, en lien avec un faible nombre d'activités communautaires.