• As of Thursday 3 May 2018, the provincial health division reported 21 suspected cases of viral hemorrhagic fever and 17 deaths in Ikoko Impinge health area of Bikoro health zone. All the cases were reported from 5 villages in Ikoko Impinge health area.
• 08 May 2018, the Ministry of Public Health (MOH) in DRC made a public declaration to confirm two cases of Ebola among 5 cases for which blood samples were investigated in the Bikoro Health Zone of Equateur Province of the Country.
• This is the first-time Ebola virus has been reported in this health zone.
• The confirmed strain – Ebola Zaire - is the same as those in precedent outbreaks in the country, i.e. Yambuku in 1976, Tandala in 1978, Kikwit in 1995, Kapungu in 2007, Mweka in 2008, Boende in 2014 and Likati in 2017.
• The National Coordination Committee (CNC) led by the Minister of Public Health, that include WHO, UNICEF, CDC, MSF and other actors has been put in place to oversee the response. The CNC meets daily.
• At the provincial level, a coordination team is in place supported by 6 commissions (Epidemiological surveillance; patient care/management; laboratory examinations; communication; water, hygiene, and sanitation; and logistics) under the leadership of the Provincial Minister of Health.
UNICEF Field office in Mbandaka is represented in the provincial team • The MOH developed the first draft of Response Plan with an estimated resource need of USD 7.8 million, and an integrated mission to be led by the Minister of Health together with UNICEF Representative and WHO Representative is planned for Saturday 12 May, 2018.
21 suspected cases reported
2 confirmed cases by RT-PCR (MoH, 08 May 2018)
17 deaths were recorded with epidemiological link (MoH, 08 May 2018)
US$ 7.8 million is the estimated budget of the Ministry of Health National Ebola outbreak Response Plan
US$ 3 million is the estimated budget of UNICEF’s Response Plan in support of the national response (to be mobilized)
Humanitarian leadership and coordination
The National Coordination Committee (Comité National de Coordination - CNC), which is comprised of the Ministry of Health (MoH) UNICEF, WHO, CDC, MSF and other actors meet daily. Based on the experience of the 2017 response, the CNC established 6 commissions to oversee the response (i) epidemiological surveillance; (ii) patient care/management; (iii) laboratory examinations; (iv) communication; (v) water, hygiene, and sanitation; and (vi) logistics. UNICEF is a member of most of the commissions. The first draft of MOH’s Response Plan costed at USD 7.8 million was shared and under finalisation by the 6 commissions.
Under the leadership of the Provincial Minister of Health, 6 committees at the provincial level collaborate with the national team to provide adequate information that reflects the local realities.
A national level team composed of 12 delegates from the Ministry of Health, UNICEF, WHO and MSF is already in Mbandaka to strengthen the field teams. On 10 May, 2018 the team of experts are travelling to Bikoro and this include 4 UNICEF staff members – 1 WASH Officer, 1 C4D Officer, the Head of UNICEF Office in Mbandaka (Doctor) and 1 Epidemiologist from UNICEF Kinshasa.
A joint mission involving the Minister of Health, UNICEF Representative and WHO Representative is planned for Saturday 12 May, 2018 for direct field assessment.