Democratic Republic of Congo: Ebola Virus Disease - External Situation Report 2
Date of information: 14 May 2018
1. Situation update
On 8 May 2018, the Ministry of Health (MoH) of the Democratic Republic of the Congo declared an outbreak of Ebola virus disease (EVD) in Bikoro Health Zone, Equateur Province. This is the ninth outbreak of Ebola virus disease over the last four decades in the country, with the most recent one occurring in May 2017.
On 3 May 2018, the Provincial Health Division of Equateur reported 21 cases of fever with haemorrhagic signs including 17 community deaths in the Ikoko-Impenge Health Area in this region. A team from the Ministry of Health, supported by WHO and Médecins Sans Frontières (MSF) visited the Ikoko-Impenge Health Area on 5 May 2018 and detected five (5) active cases, two of whom were admitted to Bikoro General Hospital and three who were admitted in the health centre in Ikoko-Impenge. Samples were taken from each of the five active cases and sent for analysis at the Institute National de Recherche Biomédicale (INRB), Kinshasa on 6 May 2018. Of these, two tested positive for Ebola virus, Zaire ebolavirus species, by reverse transcription polymerase chain reaction (RT-PCR) on 7 May 2018 and the outbreak was officially declared on 8 May 2018.
The index case has not yet been identified and investigations are underway.
Since the last situation report, an additional Health Zone in Equateur Province reported EVD cases – Wangata Health Zone in the city of Mbandaka – with a total of three (3) affected Health Zones as of 14 May 2018.
Waganta Health Zone reported two probable cases on 11 May 2018 with both cases testing positive by Rapid Diagnostic Testing (RDT) – both their samples are awaiting PCR confirmation from INRB in Kinshasa. As of 13 May, there is a cumulative total of 41 cases, including 20 deaths (case fatality rate = 48.8%) and three healthcare workers from Bikoro (n=2) and Iboko (n=1). Of the 41 cases reported, two cases are confirmed, 17 are suspected and 22 are probable . A total of 432 contacts are being monitored in the health zones of Bikoro (n=274), Iboko (n=115) and Mbandaka (n=43) as of 14 May 2018.
With regards to case distribution, Bikoro Health Zone reported the highest number of cases (n=31), followed by Iboko (n=8) and Mbandaka (n=2) Health Zones. In the Bikoro Health Zone, 50% of the cases were reported from the Ikoko-Impenge health area, followed by Bikoro health area (35.3%), the health facility (14%) and the Moleti health area (7%). In the Iboko Health Zone, most cases were reported from the Mpangi health area (80%) with the remaining one case being reported from Itipo health area. In the Waganta Health Zone in Mbandaka city, the two cases were both from the Bongozo health area. They are the previously mentioned probable cases (RDT positive and awaiting PCR confirmation) and are brothers who had recently stayed in Bikoro for funerals.