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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The Ebola outbreak, which was declared on 8 May 2018, is not yet over but has been "largely contained" according to the World Health Organisation (WHO). The organisation views the situation with "cautious optimism". The last confirmed case of Ebola virus disease (EVD) was reported on 6 June 2018. The incubation period of the Ebola virus is 21 days. The end of the outbreak will be declared once 42 days have passed without a new Ebola case.
7.7 m people in food insecurity and livelihood crisis (15th IPC)
4.6 m people in need of nutrition assistance
US$167 m six months (July - December 2018) net funding requirements, representing 31.3% of total
1,140,902 m people assisted in June 2018
• While the overall response to the Ebola outbreak in Equateur Province continues, the follow up of the last contact in Bikoro health zone after 21 days was completed on 25 June, 2018. At present, follow up of contacts continues in Itipo health area of Iboko health zone.
Kinshasa – IOM, the UN Migration Agency, received USD 1,000,000 on Wednesday (27/06) from the Government of Japan to expand the Democratic Republic of the Congo’s (DRC) national Ebola response to other provinces – Kinshasa, Mai Ndombe, Tshopo and South Ubangi – and scale up the response in Equator province.
1,149 cholera cases (including 92 deaths) have been reported in Kasai Oriental, Sankuru, and Lomami provinces since February, with the outbreak intensifying since June, with over 270 cases reported. This is the second cholera outbreak in Greater Kasai region since the crisis first erupted in August 2016. Kasai was cholera-free since 2004, and these outbreaks are a significant indication of a deteriorating humanitarian situation. Poor WASH and health infrastructure within the context of ongoing insecurity and displacement is exacerbating the fairly quick spread of the disease.
It’s been nearly twenty years since the residents of Bosolo village in northwest Democratic Republic of Congo have seen a car.
“Bosolo is a village which is about 25 km from Iboko centre, but on this road 25 km can take two or more hours to travel,” said Dr Ismaila Ibrahim Mamane Sani, Co-coordinator of WHO’s Ring Vaccination in the Democratic Republic of Congo.
1. Situation update
The Ministry of Health and WHO continue to closely monitor the outbreak of Ebola virus disease (EVD) in the Democratic Republic of the Congo. The focus of the response remains on intensive surveillance, including active case finding, investigation of suspected cases and alerts and contact tracing.
Almost two months after the start of the latest Ebola outbreak in the Democratic Republic of Congo (DRC), United Nations health experts announced on Tuesday that the deadly disease has “largely been contained”.
A total of 55 cases of Ebola have been recorded during the current outbreak of the often-deadly viral infection and 28 people have died, according to the World Health Organization (WHO).
The European Union has allocated €40 000 in humanitarian aid to help health workers and the inhabitants of the Central African Republic (CAR) to prepare for spread the Ebola epidemic which is already present in a neighbouring Democratic Republic of Congo (DRC).
The Emergency Telecommunications Cluster (ETC) is providing shared security telecommunications services to support humanitarian operations in the Kasai region, South Kivu and Tanganyika. These services are available in Kananga and Tshikapa (Kasai-Occidental), Mbuji-Mayi (Kasai-Oriental),
Bukavu (South Kivu) and in Kalemie (Tanganyika).
The ETC carried out assessment missions in Sud Kivu and Tanganika provinces in May 2018 to evaluate evolving needs and adjust plans accordingly.
« Bilan final de la réponse L3 d’octobre 2017 à avril 2018 »
Depuis le 8 mai dernier, la République Démocratique du Congo (RDC) fait face à une sa neuvième épidémie de la maladie à virus Ebola. Le Gouvernement et ses partenaires unissent leurs efforts autour d’un objectif commun : faire triompher la vie en mettant fin à l’épidémie qui frappe la Province de l’Equateur, dans le nord-ouest du pays.
‘PPE’, ‘21 days’, ‘chlorine’, ‘treatment centres’, ‘safe burials’ and, most of all, ‘Ebola’ are words that I hoped I wouldn’t hear again. I personally witnessed the unprecedented Ebola outbreak which consumed parts of West Africa between 2013 and 2016. The damage and heartbreak it caused is something that will remain with me for a long time. The impact was devastating – Ebola killed more than 11,000 individuals and some 16,000 children lost parents or caregivers.
Les mots comme « équipement de protection individuelle », « chlore », « 21 jours », « centres de traitement », « enterrements sécurisés » et surtout « Ebola » sont des mots que j’avais espéré ne jamais entendre à nouveau. J’ai personnellement assisté à l’épidémie sans précédent d’Ebola qui a ravagé une partie de l’Afrique de l’Ouest entre 2013 et 2016. Les dégâts et la douleur causés me suivront encore pendant longtemps. Le choc a été dévastateur – Ebola a tué plus de 11.000 personnes et environ 16.000 enfants ont perdu leurs parents ou leurs aidants.
Le 19 juin, le Gouvernement du Japon a décidé d’accorder une Aide d’Urgence de 3 millions de dollars américains, en réponse à l’épidémie de maladie à virus Ebola en République Démocratique du Congo, à travers l’Organisation Mondiale de la Santé (OMS), le Fonds des Nations Unies pour l’Enfance (UNICEF) et l’Organisation Internationale pour les Migrations (OIM).
1. Situation Update
The Ministry of Health and WHO continue to closely monitor the outbreak of Ebola virus disease (EVD) in the Democratic Republic of the Congo. Over one month into the response, further spread of EVD has largely been contained. However, in spite of the progress made, there should be no room for laxity and complacency until the outbreak is controlled. The focus of the response remains on intensive surveillance, including active case finding, investigation of suspected cases and alerts and contact tracing.
• As of the 18th of June, the UNICEF Principal Adviser on Health Epidemic assumed the role of the UN coordinator for the Ebola response in Mbandaka for 3 weeks.
• As of the 20th of June, a total 38 confirmed and 14 probable cases were reported in the three affected health zones of Wangata (Mbandaka), Bikoro and Itipo of the Equateur province.
Depuis le 8 mai 2018, la République Démocratique du Congo fait face à une 9ème épidémie de la Maladie à Virus Ebola (MVE). Contrairement aux précédentes épidémies, l’actuelle épidémie a la particularité d’être multifocale, principalement dans les foyers de Bikoro, d’Iboko et de Mbandaka.
By Tony Byamungu
As I write this, I am inside the Iboko Health Zone, south of the Équateur Province in the Democratic Republic of Congo (DRC). Almost two months ago, the Health Minister declared an Ebola epidemic in the country. Iboko is one of the three health zones affected.