1. Situation Update
The Ministry of Health (MoH), WHO and partners continue to respond to the Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo, and remain confident that the outbreak can be contained, despite ongoing challenges. Since our last report dated 21 November 2018 (External Situation Report 16), there have been a total of 48 new confirmed cases from Katwa (n=16), Beni (n=13), Kalunguta (n=9), Butembo (n=6), Oicha (n=2), Kyondo (n=1) and Mutwanga (n=1), and 24 new deaths.
As of 26 November 2018, a total of 421 EVD cases, including 374 confirmed and 47 probable cases (Table 1) have been reported from 14 health zones in the two neighbouring provinces of North Kivu and Ituri (Figure 2). Kalunguta, Beni, Butembo and Katwa remain the principle hotspots of the outbreak. Of the 421 cases, 241 have died, including 194 among confirmed cases (case fatality ratio 52%). Females account for 60% of all confirmed and probable cases. A total of 41 health workers have been infected to date, including 12 deaths.
A total of 74 new suspected cases were reported on 26 November 2018 from the affected health zones, and are being investigated. A total of 125 patients have been cured since the beginning of the outbreak and have been reintegrated into their communities.
The MoH, WHO and partners continue to monitor and investigate all alerts in affected areas, in other provinces in the Democratic Republic of the Congo and in neighbouring countries. Since the last report was published, alerts were investigated in several provinces of the Democratic Republic of the Congo as well as in South Soudan and Uganda. To date, EVD has been ruled out in all alerts from neighbouring provinces and countries.