DR Congo: Ebola Outbreak - May 2018
The Government of the [DRC] declared a new outbreak of Ebola virus disease (EVD) in Bikoro in Equateur Province today...The outbreak declaration occurred after laboratory results confirmed two cases of EVD. (WHO, 8 May 2018)
From 4 April through 9 May 2018, a total of 32 [EVD] cases (among which two are confirmed, 18 probable and 12 suspected cases) were reported from Bikoro health zone, Equateur province, including 18 deaths. Three of the 32 cases were among healthcare workers...All cases were reported from the catchment area of the Ikoko-Impenge health facility, located 30 km from the central health zone office of Bikoro, which is 280 km by road from Mbandaka, the capital of Equateur province. Of the 21 initially reported cases on 8 May 2018, 17 had epidemiological links (potential contacts with another suspect case). (WHO, 10 May 2018)
As of 11 May 2018, there are a total of 34 cases, with 18 deaths (case fatality rate 52.9%), among which two cases are confirmed, 14 suspected and 18 probable. Three health workers have been affected, with two suspected cases and a probable case who died. (WHO, 11 May 2018)
The affected community, Ikoko Impenge, is situated in the Bikoro Health Zone of the Equateur province of the DRC. The epicentre is a very remote village; Ikoko Impenge health area is not covered by mobile telephone networks but is accessible by road (though access is difficult especially with the ongoing rainy season). There are currently suspected 10 cases in treatment in two different facilities. Ikoko Impenge health area covers 15km and includes 5 villages, all of which have reported suspected cases. This area of DRC has not suffered previous documented Ebola outbreaks before the current outbreak. (IFRC, 14 May 2018)
One new case of [EVD] has been confirmed in Wangata, one of the three health zones of Mbandaka, a city of nearly 1.2 million people in Equateur Province. (WHO, 17 May 2018)
The 1st meeting of the Emergency Committee convened by the WHO Director-General under the International Health Regulations (IHR) (2005) regarding [EVD] outbreak in [DRC] took place on...18 May 2018...It was the view of the Committee that the conditions for a Public Health Emergency of International Concern (PHEIC) have not currently been met. (WHO, 18 May 2018)
On 15 June 2018, five new suspected EVD cases were reported in Bikoro Health Zone. Six laboratory specimens (from suspected cases reported previously) tested negative. No new confirmed EVD cases and no new deaths were reported on the reporting date. Since 17 May 2018, no new confirmed EVD cases have been reported in Bikoro and Wangata health zones, while the last confirmed case-patient in Iboko Health Zone developed illness on 2 June 2018 and was confirmed 6 June 2018. To date, a total 24 case-patients with confirmed EVD have been cured since the onset of the outbreak. Since the beginning of the outbreak (on 4 April 2018), a total of 57 EVD cases and 28 deaths (case fatality rate 49.1%) have been reported, as of 15 June 2018. (WHO, 15 Jun 2018)
On 27 June 2018, all the people who were exposed to the last confirmed EVD case-patient completed their mandatory 21-day follow up without developing symptoms. This is an important milestone. The last confirmed EVD case in Equateur Province was cured and discharged from the Ebola treatment centre (ETC)[.] (WHO, 3 Jul 2018)
On 3 July 2018, WHO reviewed the level of public health risk associated with the current outbreak. The latest assessment concluded that the current [EVD] outbreak has largely been contained, considering that over 21 days (one maximum incubation period) have elapsed since the last laboratory-confirmed case was discharged and that contact tracing activities ended on 27 June 2018. However, there remains a risk of resurgence from potentially undetected transmission chains and possible sexual transmission of the virus by male survivors. It is therefore, critical to maintain all key response pillars until the end of the outbreak is declared. (WHO, 6 Jul 2018)
Today marks the end of the ninth outbreak of Ebola in [DRC]. [WHO] congratulates the country and all those involved in ending the outbreak...WHO and partners appealed for US$57 million to stop the spread of Ebola. The total funds received by all partners, as tracked by OCHA, amount to US$63 million. Funding towards WHO’s contribution to the Ebola response was provided from: Italy (€ 300 000), UN CERF (US$ 800 000), Gavi (US$ 1 million), USAID (US$ 5.3 million), Wellcome Trust and UK-DFID (US$ 4.1 million), UK-DFID (£5 million), Germany (€5 million), Norway (NOK 8 million), Canada (CAD$1 million), World Bank PEF (US$ 6.8 million), Japan (US$1.3 million), EU ECHO (€1.5 million) and from the Ebola MPTF (US$ 428,000) bringing the total to approximately US$36 million. (WHO, 24 Jul 2018)
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Dans sa lutte contre l’insécurité alimentaire, le Programme alimentaire mondial (PAM) des Nations Unies a réussi à fournir une aide alimentaire record à cinq millions de Congolais cette année.
KINSHASA – With widening violence, largescale displacement, poor harvests and endemic poverty nearly doubling the number of acutely food insecure people in DRC this year to 13.1 million, the World Food Programme (WFP) significantly expanded its operations, reaching a record 5 million, a twofold increase from 2017.
Connor Bamford, Virologist, University of Glasgow
Connor Bamford does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.
What is it?
A. SITUATION ANALYSIS
Description of the disaster
For nearly three months, Equateur province confronted an Ebola epidemic that resulted in 54 victims amongst whom there were 33 deaths and 21 who survived. To combat this epidemic, the Government had declared free healthcare in all affected areas. The epidemic greatly slowed activity in the province, depriving many people of income. Under no circumstances should a financial barrier constitute an obstacle to accessing healthcare, and so free healthcare appeared to be a very good thing.
“Since I was carrying passengers every day, I took the opportunity to tell them about the risks of Ebola,” said Joël Songo, a motorcycle taxi driver in Mbandaka in the Equateur province. Between May and June 2018, an Ebola outbreak ravaged the province killing 29 people.
« Comme je transportais des passagers tous les jours, j’en profitais pour leur parler des risques d’Ebola », explique Joël Songo, conducteur de mototaxi à Mbandaka dans la Province de l’Equateur. Ici, de mai à juin 2018, une épidémie d’Ebola a ravagé la province, provoquant le décès de 29 personnes.
• A total of 12,979 children (6,779 boys; 6,200 girls) accessed critical protection services, including temporary emergency shelter, psychosocial support, release from detention, family tracing and reunification, medical support, as well as access to education and reintegration opportunities.
• Since the beginning of the year, 37,786 children with severe acute malnutrition have been admitted and treated in 418 health facilities supported by UNICEF.
- The Emergency Telecommunications Cluster (ETC) continues to provide shared security telecommunications services to support humanitarian operations in the Kasai region, South Kivu and Tanganyika.
- Given the recent Ebola outbreak in Beni (North-Kivu), the World Health Organization (WHO), leading the Ebola response, has formally requested the support from the ETC to evaluate the Information and Communications Technology (ICT) needs in affected areas. The ETC conducted an assessment mission in North-Kivu jointly with WHO.
6,209 mt of food assistance distributed
US$2.5 m cash based transfers made
US$199.8 m six months (August 2018 to January 2019) net funding requirements, representing 69% of total
939,884 people assisted in July 2018
Durant près de trois mois, la Province de l’Equateur était confrontée à une épidémie d’Ebola qui a fait 54 victimes, dont 33 décès et 21 survivants. Pour lutter contre cette épidémie, le Gouvernement avait déclaré la gratuité des soins dans toutes les zones touchées. L’épidémie a beaucoup ralenti les activités dans la province, privant de revenus de nombreuses personnes. La barrière financière ne peut en aucun cas constituer un frein à l’accès aux soins de santé et la gratuité des soins est donc apparue comme une très bonne chose.
Summary of major revisions made to the Emergency Action Plan
This brief summarises key socio-anthropological considerations regarding ‘indigenous communities’ in the context of the outbreak of Ebola in the DRC, June 2018. Further participatory enquiry should be undertaken with the affected population, but given ongoing transmission, conveying key considerations for the response and immediate recommendations related to engaging communities in Équateur Province have been prioritised.
Cette note stratégique résume les principales considérations socio-anthropologiques concernant les «communautés autochtones» dans le contexte de la flambée épidémique d’Ébola en RDC, en juin 2018. Une analyse plus complète devrait être faite avec la population affectée, mais en raison de la transmission qui se poursuit, la priorité a été accordée à la communication des points clés et des recommandations immédiates dans la province de l’Équateur.
Cette note stratégique résume les considérations socioculturelles clés inhérentes aux croyances et aux comportements en matière de santé dans le contexte de la flambée épidémique d’Ébola survenue dans la province de l’Équateur, en RDC, en juin 2018. Une analyse plus complète devrait être faite avec la population affectée, mais en raison de la transmission qui se poursuit, la priorité a été accordée à la communication des points clés et des recommandations immédiates dans la province de l’Équateur.
This brief summarises key socio-cultural considerations concerning health beliefs and health-seeking behaviour in the context of the outbreak of Ebola in Équateur Province, the DRC, June 2018. Further participatory enquiry should be undertaken, but given ongoing transmission, conveying key considerations and immediate recommendations related to community engagement have been prioritised.
Cette note stratégique résume les considérations clés inhérentes au contexte de la province de l’Équateur vis-à-vis de la flambée épidémique d’Ébola en RDC, en juin 2018. Une analyse plus complète devrait être faite avec la population affectée, mais en raison de la transmission qui se poursuit, la priorité a été accordée à la communication des points clés et des recommandations immédiates dans la province de l’Équateur.
This brief summarises key considerations about the context of Équateur Province in relation to the outbreak of Ebola in the DRC, June 2018. Further participatory enquiry should be undertaken with the affected population, but given ongoing transmission, conveying key considerations for the response in Équateur Province has been prioritised.