DR Congo: Ebola Outbreak - Aug 2018Ongoing
The Government of [DR Congo (DRC)] announced on 1 Aug 2018 that preliminary laboratory results indicate a cluster of cases of Ebola virus in North Kivu province. The announcement was issued little more than a week after the Ministry of Health declared the end of an outbreak in Equateur Province in the far western part of the country, some 2500 km from North Kivu. (WHO, 1 Aug 2018)
The Ministry of Public Health of [DRC] today [8 August] announced the launch of Ebola vaccinations for high risk populations in North Kivu province. The vaccinations have begun just one week after the announcement of a second outbreak of Ebola this year in the country. A total of 44 cases have been reported so far, of which 17 have been confirmed. (WHO, 8 Aug 2018)
The 1 September 2018 marks one month since the declaration of the [EVD] outbreak in North Kivu and Ituri provinces...As of 2 September 2018, a total of 122 confirmed and probable EVD cases, including 82 deaths, have been reported. Of the 122 cases, 91 are confirmed and 31 are probable...The epicentre of the outbreak remains Mabalako Health Zone in North Kivu Province, reporting 70% (86/122) of all cases and 76% (62/82) deaths, including 65 confirmed and 21 probable cases...Additionally, four other health zones in North Kivu Province and one in Ituri Province have reported confirmed and probable cases...Of concern is an apparent increase in transmission in Beni Health Zone, where the number of confirmed and probable cases has increased from eight on 23 August 2018 to 19 cases on 2 September 2018. (WHO, 4 Sep 2018)
While substantial progress has been made to limit the spread of the disease to new areas and the situation in Mangina (Mabalako Health Zone) is stabilizing, the cities of Beni and Butembo have become the new hotspot...As of 18 September 2018, a total of 142 EVD cases (111 confirmed and 31 probable), including 97 deaths (66 confirmed and 31 probable) have been reported in seven health zones in North Kivu Province (Beni, Butembo, Kalunguta, Mabalako, Masereka, Musienene and Oicha), and Mandima Health Zone in Ituri Province. (WHO, 20 Sep 2018)
[EVD] outbreak in [DRC] is becoming increasingly undermined by security challenges in at-risk areas, particularly Beni...Since the last Disease Outbreak News (data as of 9 October), 29 new confirmed EVD cases were reported: 23 from Beni, four from Butembo, one from Mabalako, and one from Masereka Health Zones in North Kivu Province. (WHO, 11 Oct 2018)
The meeting of the Emergency Committee convened by the WHO Director-General under the International Health Regulations (IHR) (2005) regarding the [EVD] outbreak in [DRC] took place on...17 October 2018...It was the view of the Committee that a Public Health Emergency of International Concern (PHEIC) should not be declared at this time. But the Committee remains deeply concerned by the outbreak and emphasized that response activities need to be intensified and ongoing vigilance is critical. The Committee also noted the very complex security situation. (WHO, 17 Oct 2018)
As of 8 December 2018, there have been a total of 494 EVD cases, including 446 confirmed and 48 probable cases. To date, confirmed cases have been reported from 15 health zones: Beni (203), Mabalako (72), Katwa (53), Kalunguta (31), Butembo (30), Masereka (7), Oicha (7), Vuhovi (7), Kyondo (4), Mutwanga (3) and Musienene (2) in North Kivu Province; and Mandima (16), Komanda (8), Tchomia (2) and Mambasa (1) in Ituri Province. Twelve of the 15 affected health zones reported at least one new confirmed case in the previous 21 days (29 November-8 December 2018). A total of 283 deaths were recorded, including 235 among confirmed cases, resulting in a case fatality ratio among confirmed cases of 53% (235/446). (WHO, 7 Dec 2018)
Appeals & Response Plans
Most read reports
- South Sudan set to vaccinate targeted healthcare and frontline workers operating in high risk states against Ebola
- Global Humanitarian Overview 2019 [EN/AR/FR/ES/ZH]
- Crop Prospects and Food Situation, No. 4, December 2018
- West and Central Africa: Weekly Regional Humanitarian Snapshot (4 – 10 December 2018)
- South Sudan UNHCR Operational Update (16-30 November 2018)
PAS DE SECURITÈ NI DE DEVELOPPEMENT SANS RESPECT DES DROITS HUMAINS
Current major event
Transition from EWARN to routine surveillance
A three days workshop was conducted in Damascus, Syria from 8-10 August 2018 to disseminate findings of Early Warning Alert and Response Network (EWARN) evaluation in Syria. Participants included Ministry of Health (MOH) staff and technical EWARN officers. During this workshop the question of how and when to transition from EWARN to routine surveillance was examined.
L’opération militaire conjointe Usalama menée par les FARDC et la Force de la MONUSCO se poursuit dans la jungle de Mayangose afin de neutraliser les ADF et en conséquence de permettre aux populations civiles de la région de Beni de vivre à l’abri de la peur et aux équipes médicales en charge de la riposte à l’épidémie d’Ebola de travailler dans de meilleures conditions sécuritaires.
GenXpert laboratory results for the suspected EVD case in Yambio were negative for Ebola Zaire; follow-up polymerase chain reaction (PCR) testing was negative for all Ebola species, Marburg,
Rift Valley Fever, Crimean Congo Hemorrhagic Fever, and Sosuga viruses. Further testing of the sample at Uganda Virus Research Institute (UVRI) using Taqman Array Card (TAC) platform and YF-specific PCR assay confirmed that the sample was PCR positive for Yellow Fever Virus.
• A 5-day Integrated Rapid Response Mission in Baggari has been concluded.
• Conflict and insecurity through out the lean season push some 6.1 million people into hunger.
• Health partners intensified preparedness and response activities agaisnt Ebola in the wake of the Ebola Virus outbreak in DRC.
• Authorities in Greater Aweil area have reported that more than 20,500 households have been affected by floods in the area.
Scaling-up humanitarian response in Baggari area
Lutter contre une épidémie aussi effrayante dans une région en proie à la violence n'est pas une mince affaire.
« Ebola a bouleversé notre existence. Ici, à Beni, tout le monde vit dans l'angoisse. Tu en arrives à te méfier de ton frère et de tes amis parce que tu ne sais pas s'ils sont malades ou non », raconte Euloge, un infirmier travaillant dans un centre de santé privé à Beni.
Comme Euloge, beaucoup d'habitants de Beni sont désemparés, se sentant pris entre le marteau et l'enclume.
By Anita Powell
BENI, DRC — The Democratic Republic of Congo is in the throes of its worst-ever Ebola outbreak, with more than 420 cases in the country’s volatile east, and a mortality rate of just under 60 percent. But this outbreak — the nation’s tenth known Ebola epidemic — is unusual because more than 60 percent of patients are women.
Among them is Baby Benedicte. Her short life has already been unimaginably difficult.
Cette brève compilation d’analyses de données fournit un « état des lieux » des données en matière de sciences sociales et comportementales liées à la flambée épidémique du virus Ébola dans les provinces du Nord-Kivu et de l’Ituri. Sur la base des données collectées et analysées par des organisations œuvrant au sein de la région, nous avons cherché à examiner les convergences et les divergences entre les ensembles de données et, dans la mesure du possible, les différences par zone géographique, groupe démographique, période de temps et autres variables pertinentes.
• 3,875 households were visited through C4D door-to-door sessions.
• 1340 persons affected by the EVD received psychosocial support in the Ebola Treatment Centers.
Près de cinq mois après la déclaration de la flambée de maladie à virus Ebola (MVE), la riposte demeure une entreprise difficile. Néanmoins, en collaboration avec le Ministère de la santé et ses partenaires, l’OMS continue d’agir en vue d’endiguer la flambée et d’y mettre fin. Le Ministère de la santé, l’OMS et les autres partenaires interviennent particulièrement activement dans les zones où la transmission de la MVE se poursuit, notamment Butembo, Katwa, Beni et Kalunguta.
Global trends and challenges
More than 1 per cent of people across the planet right now are caught up in major humanitarian crises. The international humanitarian system is more effective than ever at meeting their needs – but global trends including poverty, population growth and climate change are leaving more people than ever vulnerable to the devastating impacts of conflicts and disasters.
By Diana Shaw
Your country is at war and has been for years. And there are not just two armies fighting, but instead around 30 armed groups.
Anywhere and everywhere can be a battlefield and nobody knows when the next round of violence will break out.
They don’t just attack each other – kidnappings, random shootings and sexual assaults are common.
Elections are a month away. You feel it’s likely that tensions will get worse.
Then people start to die from a disease you’ve never seen or heard of before.
Kasese 3rd December 2018:- As the Ebola Virus Disease (EVD) outbreak spirals in the Democratic Republic of Congo (DRC), Uganda and DRC have resolved to increase cross-border surveillance on both sides of the Uganda-DRC border. This was the consensus during a cross-border meeting among health officials from the two countries, held at Kasindi- Lubiriha immigrations office, in DRC.
The Ebola epidemic continues to spread through the Democratic Republic of Congo (DRC)’s North Kivu province. The newest areas to be affected include the city of Butembo and a number of isolated areas that are hard to reach. So far, 440 people have been infected with the virus, 255 of whom have died. Our teams continue to strengthen their efforts to help bring the epidemic under control.
Increasing number of cases
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:
Yellow fever in South Sudan
Ebola virus disease in the Democratic Republic of the Congo
Cholera in Zimbabwe
Hepatitis E in Central African Republic
Humanitarian crisis in Ethiopia.
6,700+ Refugees received relief packages across South Sudan during the reporting period.
7,900+ Refugees children and mothers received nutrition support in Upper Nile during the reporting period.
1,400+ Refugees and IDPs benefited from capacity building activities across South Sudan during the reporting period.
Achievements and Impact
8 - 10 October 2018, Mwanza: In this three-days intensive Case Management and Infection Prevention and Control (IPC) training, organised jointly by the Ministry of Health Community Development, Gender, Elderly and Children (MOHCDGEC) and the World Health Organization (WHO), 35 healthcare workers from the three highest risk regions, Kigoma, Kagera and Mwanza, were assembled at the Bugando Medical Centre in Mwanza. Participants included clinicians, nurses, health officers, and ambulance attendants.