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...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 1 January 2019, a total of 608 EVD cases, including 560 confirmed and 48 probable cases...were reported from 16 health zones in the two neighbouring provinces of North Kivu and Ituri[.] (WHO, 3 Jan 2019)
From the beginning of the outbreak to 3 February 2019, a total of 785 EVD cases, including 731 confirmed and 54 probable cases...were reported from 18 health zones in the provinces of North Kivu and Ituri[.] (WHO, 5 Feb 2019)
As of 24 March 2019, a total of 1016 EVD cases, including 951 confirmed and 65 probable cases, were reported. This includes 634 deaths (overall case fatality ratio 62%), including 569 deaths among confirmed cases...Security remains a major challenge for ongoing outbreak response efforts. Though successes have been reported from the field, notably in the 10-day lull prior to this past weekend, the overall situation remains fragile. (WHO, 26 Mar 2019)
Appeals & Response Plans
Most read reports
- MONUSCO: United Nations strengthens Ebola response in Democratic Republic of the Congo. 23 May 2019
- Safeguarding Health in Conflict: Impunity Remains: Attacks on Health Care in 23 Countries in Conflict in 2018. 15 May 2019
- IOM: A Region on the Move - 2018 Mobility Overview in the Horn of Africa and the Arab Peninsula. 20 May 2019
- WHO: Ebola virus disease – Democratic Republic of the Congo: Disease outbreak news - Update, 23 May 2019. 23 May 2019
- UNICEF: UNICEF DR Congo Ebola Situation Report North Kivu and Ituri - 12 May 2019. 23 May 2019
This past week witnessed a notable escalation of security incidents surrounding the Ebola virus disease (EVD) response efforts. On 19 April, an attack on a hospital in Katwa by armed militia resulted in the tragic death of Dr Richard Mouzoko Kiboung, a WHO epidemiologist, and the injury of two other healthcare workers. To ensure the safety of all outbreak responders, Ebola response activities have been temporarily halted in some high-risk health areas until security measures can be reinforced.
• Over 100,000 persons have been vaccinated against Ebola since the beginning of the response in August 2018
• Discussions surrounding the update of the Strategic Response Plan III is ongoing with the aim to develop a plan that goes beyond beyond July
Kampala, 24th April 2019:- Uganda’s Ebola Virus Disease (EVD) preparedness and response have capacity gaps that need urgent attention to be able to effectively respond to a potential outbreak of the disease. The gaps were identified during a Simulation Exercise (SimEx) that was conducted recently in Wakiso (Entebbe) and Kasese (Mpondwe and Kagando) districts.
1. Situation update
The tragic death of the WHO epidemiologist following an attack by armed militia at an Ebola treatment centre (ETC) in Katwa has saddened colleagues and increased security concerns. Many Ebola response activities were suspended in the wake of his death as teams mourned his passing and as further security measures were being reviewed. Two other healthcare workers were injured in the attack but are currently recovering from their injuries.
GOMA - Alors que la République démocratique du Congo est aux prises avec la deuxième plus grande épidémie d'Ebola de son histoire, le Programme alimentaire mondial (PAM) des Nations Unies a averti qu’il manquait de ressources nécessaires pour faire face à l'augmentation récente de la transmission, et le risque potentiel de propagation du virus en RDC et dans les pays voisins. Le PAM contribue à contenir le virus Ebola en fournissant de la nourriture aux personnes susceptibles d'être porteuses du virus et en fournissant des services logistiques essentiels.
GOMA - As the Democratic Republic of Congo grapples with the second largest ever Ebola outbreak, the UN World Food Programme (WFP) has warned that the resources needed to support its work are not keeping pace with the recent increase in transmission and the potential risk of the virus spreading within DRC and to neighbouring countries.
WFP helps contain Ebola by providing food to people potentially carrying the virus, and by providing crucial logistical services, including flights, which enable responders to reach new or remote outbreak areas quickly.
Overview: In March 2019, WFP supported 1.3 million people in Uganda. WFP’s operations mainly focused on refugee support, with 1.1 million refugees receiving food and nutrition assistance. In Karamoja, WFP provided school meals to 130,000 school going children and implemented nutrition activities for 45,000 children aged 6-23 months and pregnant and nursing mothers. WFP also supported 26,000 smallholder farmers to access markets and participate in trainings.
An average of 87 per cent of displaced people are living on just over a meal a day in areas already plagued by conflict and Ebola in Congo’s North Kivu. Families affected by the deadly virus have lost access to food and are on the brink of malnutrition. Ebola cannot be eradicated if people are left starving, warns the Norwegian Refugee Council. “Fighting Ebola should not make the world forget that millions of Congolese cannot find enough to eat,” warns NRC DR Congo Country Director, Maureen Philippon.
AT A GLANCE
In partnership with the Congolese Ministry of Health, particularly the National Programme for Border Health (PNHF), IOM implements surveillance and disease prevention activities at points of entry and points of control (POE/POC), using information on population mobility to minimize disease transmission to new areas and across borders.
Stamford, Conn. – April 22, 2019 – Americares is delivering more than 4 tons of critical medicine and medical supplies to treat patients and protect health workers fighting the deadly Ebola epidemic in the Democratic Republic of the Congo.
This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 66 events in the region. This week’s edition covers key ongoing events, including:
Cyclone in Mozambique
Ebola virus disease outbreak in the Democratic Republic of the Congo
Lassa fever in Nigeria
Hepatitis E in Namibia
Chikungunya in the Republic of Congo.
Key developments in Africa in the week of April 14th include the escalation of threats in the DRC’s North-Kivu province; the heavy battles against Boko Haram in the Lake Chad area amid changing risks posed by the groups; and the violence in Nigeria, Somalia and CAR.
By February 2019, there were 1.1 million food insecure people in Kenya, up from 700,000 people in August 2018.
The Government of Kenya is leading the response to the extended dry spell and has provided over Kshs. 1.3 billion (US$12.8 million) for food, nutrition and water response. UNICEF requires $US5.7 million for early action to complement the Government interventions.
Since the beginning of the year, 1198 cholera cases were reported across Narok, Kajiado, Nairobi, Garissa and Machakos counties, with four deaths reported.
Current major event
Cholera preparedness in Northern Syria
As a part of cholera preparedness activities, the WHO Country office, Turkey, in collaboration with the WHO EMRO and EURO, three-day workshop on surveillance and response to water borne diseases (WBD) was held in Gaziantep, Turkey from 8 - 10 April 2019.
La déclaration suivante a été communiquée, aujourd’hui, par le Porte-parole de M. António Guterres, Secrétaire général de l’ONU:
Le Secrétaire général condamne l’attaque contre un centre de santé à Butembo, province du Nord-Kivu, en République démocratique du Congo, au cours de laquelle un membre du personnel de l’Organisation mondiale de la Santé (OMS) a été tué et deux autres personnes blessées.
Le Secrétaire général présente ses plus profondes condoléances à la famille de la victime et souhaite un prompt rétablissement aux blessés.
The following statement was issued today by the Spokesman for UN Secretary-General António Guterres:
The Secretary-General condemns the attack against a health centre in Butembo in the North Kivu Province of the Democratic Republic of the Congo that resulted in the death of one staff member of the World Health Organization (WHO) and two people wounded.
Integrated Food Security Phase Classification (IPC) projections for February to March, indicate 57 per cent of the population will face acute food insecurity or worse. Currently, UNICEF is funding gap of 42 million in nutrition section. There is a high-risk of a ready-to-use-therapeutic food (RUTF) pipeline break during the last quarter of 2019, if adequate funds are not mobilized before September 2019.
Two hundred and forty three children have lost their lives to Ebola in the Democratic Republic of Congo (DRC), while 340 children are reported to have caught the disease, since the outbreak started in August last year, according to latest DRC government figures.
Of those children who have died from Ebola, 111 were girls and 132 boys. So far, 97 children have survived the disease.