As of 1 December 2019, a total of 3,313 EVD cases, including 3,195 confirmed and 118 probable cases had been reported in the Democratic Republic of Congo (DRC), of which 2,204 cases had died (overall case fatality ratio 67%). Of the total confirmed and probable cases, 56% (1,866) were female, 28% (936) were children less than 18 years, and 5% (163) were healthcare workers. During the last three weeks of November new cases were reported from four health zones, mainly from Mabalako, Mandima and Beni. While good progress continued in limiting the rate of new cases, towards the end of the month renewed violence at various locations - during which three EVD responders were killed - led to the suspension of some activities in North Kivu Province, raising concerns about the potential for increased transmission.
In South Sudan, eight new alerts were reported and verified during November, bringing the total since the onset of the outbreak in DRC in August 2018 to 108. All laboratory tests have proven negative, with no confirmed cases. Over the same period, the cumulative number of primary screenings of incoming travelers reached 3.7 million. The handover from WHO to IOM of the oversight of screening sites in Nimule, and at international airports in Juba and Wau, was completed. Operations were resumed at two screening sites in Yei River State on the border with DRC, out of five where activities were suspended in October due to insecurity. In early November, a workshop was conducted with representatives of the Ministry of Health and partners to consolidate arrangements for coordination of training, including the standardisation of curricula and training materials for different cadres of trainees.