A. Situation analysis
Description of the disaster
A yellow fever outbreak was declared in DRC in March 2016. The epidemics that originated from neighbouring Angola initially affected 11 health zones in DRC, namely N’djili and Masina 2 health zones of Kinshasa Province, and Boma, Boma Bungu, Kitona, Muanda, Matadi, Nsona-Pangu, Nzanza, Kimpangu and Kimpese health zones of Kongo Central Province. In reaction to this outbreak, Government organized a yellow fever vaccination campaign, which took place from 24 May to 4 June 2016. Thanks to an initial DREF allocation of CHF 177,927 started on 20 May 2016, the DRC Red Cross contributed to the success of that campaign by engaging its volunteers in activities including social mobilization, communication on the risks of yellow fever, vector control, active search for yellow fever cases, and community surveillance of suspected cases.
Simultaneously, measles and cholera outbreaks were declared in some health zones and had the tendency to spread all over the country. From week 1 to week 43 of 2016, 78 cases of Yellow Fever were confirmed in DRC. The 78 cases included 13 indigenous cases, 8 sylvatic cases, and 57 cases confirmed as being imported, mainly from neighbouring Angola.
From week 1 to week 43, some 21 health zones in 10 provinces reported 13 817 suspected cases of measles and 178 deaths. Out of the cases reported, 1 807 cases were examined, and 248 of them were confirmed as being cases of IGM+ measles. During the same period, 13,998 cases of cholera and 341 deaths were reported. While the number of cases was going down until week 24, a new wave of cholera cases and deaths started appearing, particularly during weeks 28 and 29.
The situation could no longer be managed through the initial DREF operation. On behalf of the host National Society (NS), IFRC launched an emergency appeal on 21 July 2016 seeking CHF 2,247,478 to enable DRC RC volunteers carry out the following activities: social mobilization, vector control, community surveillance, active search for suspected cases, and hygiene promotion within the framework of the fight against yellow fever, measles and cholera epidemics in Kinshasa, Kongo Centrale, Kwango, Kasaï, Kasaï Central, Equateur and Mongala provinces of DRC. A DREF loan of CHF 220,000 was allocated on 21 July 2016 to enable the NS to continue activities while contributions to the Emergency Appeal came in from potential donors.
This EA was launched on 21 July 2016 for CHF 2,247,478 for 6 months, to support the DRC RC provide assistance to some 12,327,181 persons primarily through social mobilization activities linked to vaccination campaigns, in addition to emergency health, water, sanitation and hygiene promotion and to support NS capacity building. Activities were to be carried out in the initially affected 11 health zones in DRC, namely N’djili and Masina 2 health zones of Kinshasa Province, and Boma, Boma Bungu, Kitona, Muanda, Matadi, Nsona-Pangu, Nzanza, Kimpangu and Kimpese health zones of Kongo Central Province.
The major donors and partners of this EA operation include the Red Cross Societies and governments of Australia, Austria, Belgium, Canada, Denmark, Ireland, Italy, Japan, Luxembourg, Monaco, the Netherlands, Norway, Spain, Sweden, and the USA, and DG ECHO, the UK Department for International Development (DFID) the Medtronic and Zurich Foundations and other corporate and private donors. The IFRC, on behalf of the DRC RC, would like to extend many thanks to all partners for their generous contributions.