DR Congo + 26 more

WHO AFRO Outbreaks and Other Emergencies, Week 4: 18 - 25 January 2019; Data as reported by 17:00; 25 January 2019

Situation Report
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This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 57 events in the region. This week’s edition covers key new and ongoing events, including:

  • Ebola virus disease in the Democratic
  • Republic of the Congo Measles in Madagascar
  • Humanitarian crisis in Nigeria
  • Humanitarian crisis in South Sudan.

    For each of these events, a brief description, followed by public health measures implemented and an interpretation of the situation is provided.

    A table is provided at the end of the bulletin with information on all new and ongoing public health events currently being monitored in the region, as well as recent events that have largely been controlled and thus closed.

Major issues and challenges include:

The Ebola virus disease outbreak in north-east Democratic Republic of the Congo continues. The number of reported cases has increased during recent weeks, most notably in Katwa Health Zone where response teams have faced pockets of community mistrust. The outbreak has also extended southwards to Kayna Health Zone, a high security risk area. Response teams are working actively to build community trust and scale up response activities around these new clusters.
By using proven public health measures, including newer tools at hand, under the government’s leadership and working collaboratively across agencies, WHO is committed to addressing these challenges and ending the outbreak.
Madagascar has been experiencing an unprecedented measles outbreak since October 2018. While the situation has greatly improved following the first round of reactive vaccination campaign, there is still more to undertake in the coming months. Several inputs, including vaccines, funds and technical assistance are required for the successful implementation of the second and third rounds of reactive vaccination campaigns, as well as improving routine immunization activities. Only these will bring a lasting solution to the problem.