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)
In week 25 of 2018, 288 suspected cases with 7 deaths (CFR-2.4%) were notified across the country compared to 557 suspected cases with 9 deaths (CFR-1.6%) reported in the previous week 24. During week 25, the provinces of Haut Katanga, Sankuru, Tanganyika, Maniema and Haut Lomani notified 76.4% of all suspected cases. A total of 14,286 cases with 155 deaths (CFR-1.1%) has been reported from week 1 to 25, 2018. (WHO, 6 Jul 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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CENTRAL AFRICAN REPUBLIC
AID WORKERS HARASSED AND LOOTED NEAR KAGA BANDORO
DES TRAVAILLEURS HUMANITAIRES HARCELÉS ET PILLÉS PRÈS DE KAGA BANDORO
by Adelheid Onyango and Bibi Giyose
Adelheid Onyango is Adviser for Nutrition at the World Health Organization’s Regional Office for Africa and Bibi Giyose is Senior Nutrition and Food Systems officer, and Special Advisor to the CEO of the New Partnership for Africa’s Development (NEPAD).
• As of 28 June 2018, a total of 15,425 refugees from the Democratic Republic of the Congo (DRC) were registered at Kenani transit centre in the Luapula Province of Zambia.
• UNICEF and partners are supporting the Government of Zambia to provide life-saving services for all the refugees in Kenani transit centre and in the Mantapala permanent settlement area.
• More than half of the refugees have been relocated to Mantapala permanent settlement area.
This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 59 events in the region. This week’s edition covers key ongoing events, including:
Ebola virus disease in the Democratic Republic of the Congo
Cholera in Cameroon
Cholera in Tanzania
Humanitarian crisis in Central African Republic
Humanitarian crisis in Ethiopia.
During the month of July 2018, 9,154 persons from South Sudan, the Democratic Republic of Congo (DRC), Burundi and other countries, arrived in Uganda—the majority from DRC. The humanitarian situation remains unpredictable in South Sudan, DRC and Burundi.
Refugees from South Sudan report fleeing primarily out of fear of being killed by fighters from either side of the conflict inside the country, while those from DRC report interethnic clashes and fears related to the upcoming elections.
APERÇU DE LA SITUATION
- Lake Chad basin: Cholera platform is alerting on the situation (please refer to page 2 and 3).
- Nigeria: seven states affected with main concerns in Zamfara, Katsina and Kano. The situation has improved significantly in Adamawa and Bauchi (few sporadic cases).
- Niger: unprecedented outbreak in the Maradi region with 332 cases on week 30 affected Maradi city.
- Cameroon: three main outbreak in “Nord, littoral & Centre” regions with Douala and Yaoundé at risk.
DÉCÈS DE SIX RÉFUGIÉS NIGÉRIANS PENDANT LEUR REFOULEMENT
SIX NIGERIAN REFUGEES KILLED DURING REFOULEMENT OPERATION
*Lieu : Localité Kirumbu en Chefferie de Bashali Mokoto, Territoire de Masisi – Nord Kivu *
Dates de l’intervention : Du 13 janvier 2018 au 16 mai 2018
Secteurs : → AME → Education
I. Contexte spécifique de la zone La localité de Kirumbu est située en chefferie Bashali Mokoto, territoire de Masisi. Cette localité a reçu des milliers de déplacés au cours du dernier trimestre de l’année 2017. Ces personnes déplacées fuyaient les affrontements entre rebelles Mai Mai dans les localités Mpati, Bweru, Kivuye, Muhanga, Kahira,etc.
Date de l’évaluation : 03 au 09/07/2018
Date du rapport : 11/07/2018
This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 57 events in the region. This week’s edition covers key new and ongoing events, including:
Ebola virus disease in the Democratic Republic of the Congo
Guinea worm in South Sudan
Cholera in Niger
Hepatitis E in Namibia
Humanitarian crisis in South Sudan.
Faisant partie de personnes les plus affectées en temps de déplacement, les enfants ont besoin d’un environnement qui leur permettre de vivre normalement. A Bunia, les enfants déplacés ont choisi le football qui est à la fois une activité de détente et de rapprochement communautaire.
La communauté humanitaire de la RDC se met à l’heure du nouvel indicateur ‘’genre et âge’’.
Le nouveau guide du Comité permanent interagences réaffirme une inclusion du genre et de l’âge dans la programmation humanitaire.
This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 54 events in the region. This week’s edition covers key new and ongoing events, including:
The declaration of the end of the Ebola virus disease in the Democratic Republic of the Congo
Focus on the outbreaks in Nakivale refugee camp in Uganda
Monkeypox outbreak in Central African Republic
- Nigeria: 469 cases at W27. Zamfara (129), Bauchi (115), and Kano (122) States are the most affected.
- Niger: outbreak in the Maradi region, 13 cases reported at W27. (see p.2)
- Cameroon: 2 outbreaks in the North Region and the Central Region (see p.2).
- D. R. Congo: 432 cases reported with high lethality. The Grand Kasaï region gathers more than half of the cases. The coordination challenges and weakness of community interventions explain the persistence of the outbreak.
In a complex and fast-changing world, we remain focused and resolute in pursuit of our goal – to provide the most appropriate, effective medicine in the harshest of environments. As well as responding to vital needs, our aid is born of a desire to show solidarity with people who are suffering, whether as a result of conflict, neglect or disease.
In June, UNICEF participated in the UN Economic and Social Council (ECOSOC) Humanitarian Affairs Segment (HAS) side event focusing on nutrition and food security co-hosted by UNICEF, WFP and FAO - In June, 90,430 people were provided with essential household items, and shelter materials through the Rapid Response to Population Movement (RRMP).