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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Découvrez les dernières informations sur la crise d’Ebola et la réponse du Gouvernement, de l’UNICEF et de leurs partenaires pour contrôler l’épidémie.
Au cours de la période considérée, une enquête sur les connaissances, les attitudes et les pratiques a été menée dans la zone de santé de Butembo. Cette enquête visait à identifier les lacunes et à tirer des enseignements permettant d’améliorer les interventions de l’équipe de communication dans les zones touchées.
On 1st August 2018, an outbreak of Ebola virus was confirmed in Mabalako Health Zone in Mangina village situated in Beni Territory, North Kivu Province of the Democratic Republic of Congo.
The official declaration of the epidemic by the National Ministry of Health initiated a response from WHO and other organizations from the health sector to attempt to stop the further spread of the disease and treat the affected.
L’augmentation de l’incidence des cas confirmés au cours des quatre dernières semaines (Figure 1), surtout dans la ville de Beni et dans les communautés autour de Butembo, est préoccupante. Les incidents de sécurité continuent d’avoir de graves répercussions tant sur les civils que sur les intervenants de première ligne. De plus, des poches de résistance ou de réticence communautaire continuent d’entraver la détection rapide de nouveaux cas et l’efficacité des interventions de riposte.
The World Health Organization Regional Director, Dr Matshidiso Moeti, visited South Sudan to open the Public Health Emergency Operations Center in Juba.
The vaccine expert has arrived Juba and the four new WHO consultants were deployed to high risks states of Yambio, Yei, Torit (Nimule) and Wau in response to the re-classification of South Sudan to “very high risk” from “high risk” status.
Le chef des opérations de maintien de la paix des Nations Unies et le chef de l’Organisation mondiale de la santé (OMS) ont entamé lundi une mission conjointe en République démocratique du Congo (RDC) pour faire le point sur la réponse à l’épidémie d’Ebola.
by Francesca Mold
It is a quiet day in the surgical ward at the Yei hospital. There are just three patients. One child is recovering from severe burns after suffering an epileptic seizure and falling into an open fire. Another is still very ill with bed sores. On a bed outside the ward, a man rests his leg after an operation to close wounds caused by a motorbike accident.
• During the reporting period, a Knowledge, Attitude, and Practice survey was conducted in Butembo Health Zone, which to identify gaps and lessons to improve the communication team’s interventions in the affected areas
• UNICEF has submitted a proposal to the World Bank to support the revised joint response plan for UNICEF’s areas of responsibility.
SITUATION IN NUMBER
274 total reported cases (MoH, 28 October 2018)
239 confirmed cases (MoH, 28 October 2018)
This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 55 events in the region. This week’s edition covers key new and ongoing events, including:
Kampala, 3 November 2018:- Uganda has finalized plans to vaccinate frontline health workers in Uganda against Ebola virus-Zaire which is currently affecting parts of the Democratic Republic of Congo (DRC). According to the Ministry of Health, vaccination will start as soon as next week in the high-risk districts bordering DRC.
Les conflits continuent à perturber les moyens d’existence des ménages dans les zones affectées
2/11/2018. The Ministry of Health would like to inform the public and the entire world that it will conduct compassionate use of the Ebola vaccine (rVSV) for healthcare and frontline workers and ring vaccination in Uganda, starting next week.
In August 2018, Ebola Virus Disease (EVD) outbreak was confirmed in the Democratic Republic of Congo (DRC), currently affecting north-eastern provinces of DRC which border Uganda, Rwanda and South Sudan.
As neighbour to the DRC, Uganda is on high alert due to the high risk of the Ebola threat.
Zambia has been classified by the World Health Organisation to be at very high risk of importation of cases of Ebola virus disease (EVD) from the ongoing epidemic of the disease in the Democratic Republic of the Congo due to the heightened transmission of the virus in North Kivu and Ituri provinces. The WHO Regional Office for Africa is therefore supporting the 10 countries bordering the DRC to heighten vigilance by strengthening capacity for preventing, detecting, investigating and responding quickly to potential Ebola threats.
Juba 1 November 2018 – The World Health Organization is supporting the Ministry of Health of South Sudan, to train a total of 214 members of the Rapid Response Teams at the national level and in all the Ebola virus disease (EVD) high-risk states.
This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 55 events in the region. This week’s edition covers key ongoing events, including:
Democratic Republic of Congo (DRC) declared its tenth outbreak of Ebola in 40 years on August 1, 2018. The latest outbreak was originally centered in the small village of Mangina in North Kivu province, though the epicenter has now moved to the much larger city of Beni.
Latest figures, as of October 27, 2018 (provided by DRC Ministry of Health)
TOTAL CASES: 267
CONFIRMED CASES: 232
CONFIRMED DEATHS: 135
The increase over the past four weeks in confirmed case incidence (Figure 1), most notably in the city of Beni and communities around Butembo, is concerning. Security incidents continue to severely impact both civilians and frontline workers. Moreover, pockets of community resistance or reluctance continue to hamper timely detection of new cases and the effectiveness of response operations.