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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Since 1976, the Democratic Republic of the Congo has faced 9 epidemics of Ebola Virus Disease (EVD), the latest of which occurred in May 2018. All these epidemics have been characterized by high infectiousness, high mortality, and serious degradation of the socioeconomic situation of the population.
APERÇU DE LA SITUATION
By Ombretta Baggio, senior community engagement and accountability adviser, IFRC
At the scene of a tragedy in the Democratic Republic of Congo, a team of Red Cross volunteers faced a very sensitive dilemma. A resident of a remote village in the north of the country had died from Ebola. The family had been patiently and respectfully talked out of doing the traditional burial practices that have proved so deadly during previous outbreaks. They agreed to allow a safe and dignified burial by the Red Cross team. But there was a problem.
North Kivu – New cases of Ebola were reported in the North Kivu Province of the Democratic Republic of the Congo (DRC) on July 31, just days after the country’s ninth epidemic was declared over in the Equateur Province. IOM, the UN Migration Agency, is carrying out mobility mapping of the affected area, while beginning measures to help contain and end the new Ebola epidemic.
Depuis 1976, la République démocratique du Congo a fait face à neuf épidémies de la maladie à virus Ebola (MVE) dont la dernière date de mai 2018. Toutes ces épidémies ont été caractérisées par une forte contagiosité, une mortalité élevée et une forte dégradation de la situation socioéconomique des populations.
A. SITUATION ANALYSIS
Description of the disaster
On 08 May, 2018, the Ministry of Health (MoH) officially declared the 9th outbreak of the Ebola virus disease (EVD) in DRC in the Equateur province. Since then, 54 EVD cases have been registered, including 38 confirmed cases. Seventeen (17) persons died from this epidemic including 2 health personnel. 21 people survived from the virus.
The 9th epidemic has been declared over on 25 July, as no new cases were detected from the 6th of June 2018.
created/written by MPH@GW, the online MPH program
In July 2014, a businessman working for an international steel company took a flight from Liberia to Nigeria — and in that moment an already bad Ebola outbreak in West Africa threatened to become a worldwide catastrophe, the very stuff of Hollywood horror films.
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.
LE CHOLÉRA SE PROPAGE DANS LES RÉGIONS DU NORD ET DU CENTRE
Le 23 juillet, les deux régions camerounaises du Nord et du Centre ont été déclarées touchées par l'épidémie de choléra qui a éclaté en mai dernier.
CHOLERA SPREADS IN NORTH AND CENTER REGIONS
A total of 221,286 consultations were made with 81% refugees and 19% Nationals with an average consultation/ clinician/day at 54 against a standard of 50 per clinician per day. Rhino camp settlement had the highest consultation/clinician per day at 84.
Top morbidity conditions were malaria (38%), URTI(23%), LRTI(12%), Watery diarrhea(7%) and skin diseases(6%).
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
Comme 42 jours (deux fois la période d’incubation) se sont écoulés depuis la dernière exposition possible à un cas confirmé de maladie à virus Ebola, le 24 juillet 2018, le Ministre de la santé, le Dr Oly Ilunga, a annoncé la fin de la flambée en République démocratique du Congo. Le Directeur général de l’OMS, le Dr Tedros Adhanom Ghebreyesus, et le Directeur régional pour la Région africaine, le Dr.
From January to June 2018, 39,361 children (12,810 girls; 26,551 boys) 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.
A total of 24,637 children with severe acute malnutrition (12,813 girls; 11,824 boys) were admitted and treated in 418 UNICEF-supported health facilities (Ministry of Health, May 2018).
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 22-28 July 2018 and includes updates on dengue, Ebola virus disease, Vibrio growth in the Baltic Sea, West Nile virus and Salmonella Agona.
The end of Democratic Republic of Congo’s 9th Ebola outbreak – which was announced on 25 July 2018 – is a time to mourn the lives lost and celebrate the work of Red Cross volunteers and communities who worked together to contain the disease. But it is also a time to prepare for a possible 10th outbreak and try to prevent it from happening, the International Federation of Red Cross and Red Crescent Societies (IFRC) said today.
• Continued conflict within the region has seen Uganda receive 121,672 refugees between January and June 2018.
Addis Ababa, 26 July 2018: The Chairperson of the Commission of the African Union, Moussa Faki Mahamat, welcomes the official announcement by the Government of the Democratic Republic of the Congo, on 24 July 2018, of the end of the Ebola virus outbreak in the country. He commends the Congolese Government for its swift and effective response since the outbreak was declared on 8 May 2018 in the province of Equateur.
Addis Abéba, le 26 juillet 2018: Le Président de la Commission de l’Union africaine, Moussa Faki Mahamat, se félicite de l’annonce officielle, ce 24 juillet 2018, par le Gouvernement de la République démocratique du Congo, de la fin de l’épidémie de la maladie à virus Ebola dans le pays. Il salue la diligence et l’efficacité qui ont caractérisé l’action gouvernementale depuis le déclenchement de l’épidémie, le 8 mai 2018, dans la province de l’Équateur.