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)
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Le ministère de la santé de la République démocratique du Congo (RDC) a annoncé lundi qu'un essai clinique avait commencé pour évaluer l'efficacité et la sécurité des médicaments utilisés dans le traitement des patients atteints du virus Ebola au Nord-Kivu.
L’endiguement de la flambée de maladie à virus Ebola (MVE) en République démocratique du Congo est une tâche complexe et difficile, mais l’OMS demeure convaincue que ce but peut être atteint en collaboration avec le Ministère de la santé et les autres partenaires.
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:
The Ministry of Health of the Democratic Republic of the Congo (DRC) today announced that a randomized control trial has begun to evaluate the effectiveness and safety of drugs used in the treatment of Ebola patients. The trial is the first-ever multi drug trial for an Ebola treatment. It will form part of a multi-outbreak, multi-country study that was agreed to by partners under a World Health Organization (WHO) initiative.
9.6 million people were severely food-insecure in Southern Africa at the start of the lean season (October 2018- April 2019)
Three districts in Zimbabwe and two in Madagascar are facing Emergency food insecurity (IPC phase 4) due to extreme loss of livelihoods
There is at least an 80 per cent chance of an El Niño phenomenon between October and December 2018, which could exacerbate the deteriorating situation.
The GenXpert laboratory result for the Yambio suspected Ebola Virus Disease case was negative for Ebola virus. The confirmatory result of Polymerase Chain Reaction (PCR) results from Uganda Virus Research Institute (UVRI) is also tested negative for Ebola,
Marburg, CCHF and RVF.
12 November, WHO’s Director General Dr. Tedros, head of emergencies Dr. Salama, and head of emergencies in WHO Regional Office for Africa Dr. Soce Fall, visited DRC to meet with the teams in Beni and with government officials and partners. They were accompanied by the head of the UN Peacekeeping mission USG Jean-Pierre Lacroix. Their mission was to assess what further support is needed and to recognize the hard work of teams on the ground. They also met with the Prime Minister, the Minister of Health and other government officials.
Le Conseil de Paix et de Sécurité (CPS) de l’Union africaine (UA) en sa 808ème réunion, tenue le 19 novembre 2018, a adopté la décision qui suit sur la situation en République démocratique du Congo (RDC).
The Peace and Security Council (PSC) of the African Union (AU) at its 808th meeting, held on 19 November 2018, adopted the following decision on the situation in the Democratic Republic of the Congo (DRC).
By Kevin Jenkinson
A simple hug can lead to potential death in the Democratic Republic of Congo – where a new outbreak of the Ebola virus has so far infected 341 people and killed 215.
'Preys on human compassion'
Loved ones with early symptoms that include fever, headaches and muscle weakness could spread the fatal disease – for which there is no cure – merely by touching their sick sibling, parent, child or relative.
Containing the ongoing Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo is a complex and challenging task but WHO remains confident that the outbreak can be successfully contained in collaboration with the Ministry of Health (MoH) and partners.
• 54% des ménages déplacés internes n’ont pas d’activité génératrice de revenus ;
• 605 personnes déplacées, rapatriées et membres des communautés hôtes bénéficient du projet « cash for work » mis en place par l’OIM pour assurer leur réintégration socioéconomique ;
• 3 personnes déplacées internes sur 4 ont été forcées de quitter leur maison en raison des aléas climatiques (DTM oct. 2018)
6,030 mt of food assistance distributed
US$1.4 m cash based transfers made
US$113.5 m six months (Oct 2018 to Mar 2019) net funding requirements, representing 39% of total
951,344 people assisted in September 2018
Ebola Virus Disease (EVD):
Church burned and IDPs attacked in CAR as UN Security Council debates peacekeeping mandate
• € 7,2 million additional funding for DG ECHO partners.
• Regular and ad hoc humanitarian 'ECHO Flight' services to Beni: 293 passengers and 28 ton freight in 40 flights as of 11 November.
• UN helicopter 100% financed by the Commission.
• Through the Union Civil Protection Mechanism, Norway deployed a team who provided training in Goma on the use medical evacuation isolation shuttles (22-29 August). The request for assistance came from the World Health Organisation.
In a recent discussion of the Ebola outbreak in the eastern Democratic Republic of Congo (DRC) at the Center for Strategic and International Studies, Dr. Peter Salama, Deputy Director-General of Emergency Preparedness and Response for the World Health Organization (WHO), properly described the “perfect storm” of a potentially devastating epidemic in the midst of a major security crisis.
DES MILLIERS DE DÉPLACÉS APRÈS DES AFFRONTEMENTS À ALINDAO
CENTRAL AFRICAN REPUBLIC
THOUSANDS DISPLACED AFTER CLASHES IN ALINDAO
On 15 November, clashes between armed groups resulted in the burning of the Catholic Mission site affecting over 18,000 people in Alindao town (south east). The Central African Red Cross has buried 60 corpses so far. Thousands of people have fled into the bush and to other displacement sites around the city. Aid groups have conducted initial assessments in these locations and priority needs include shelter, water and sanitation, health and protection.