National Task Force Situation Report (Sitrep No 2) as at 17.00 Mrs; 6th December 2007. Seen and cleared by Dr. Sam Okware/Chairman/NTF & Dr Melville George, WR/Uganda/Co chair/NTF
1. Situation in the Field:
- To date there are 93 cases, 22 deaths (CFR of 24%) including 4 health workers
- There are 9 confirmed Ebola cases
- 5 sub-counties of Bundibugyo district are affected putting about 253,000 people at risk
- Epidemic is on the increase with epicenter (most affected ) is Bundibugyo Town Council
- There have been alert cases in Kasese, Mbarara & Kabarole districts
- Total current admissions in the isolation camps are 38 cases (15 in Kikyo HC IV and 23 in Bundibugyo Hospital)
2. Laboratory and Surveillance:
- Active listing, tracing and follow-up of contacts is on going involving Village Health Teams and Community Medicine Distributors.
- There are 327 contacts listed and being followed up. 175 are in Bundibugyo town council while 152 are in Kikyo Sub County
- Specimen collection and referral for confirmation is also being done
- CDC Atlanta Laboratory experts arrived yesterday to establish an Ebola Laboratory at the Uganda Virus Research Institute and also build capacity
- 28 specimens were collected yesterday.
- Patients and caretakers are to be provided with food within the isolation camps to minimize movement of people
3. Case Management and Infection Control:
- Isolation camp staff at Kikyo HC IV have been trained these include 6 Nurses, 2 cleaners, sprayers and 2 watchmen at Kikyo
- Patient triages systems have been established in Kikyo HC IV and Bundibugyo Hospital Out Patient Departments and staff trained
- Health workers given peer and social support and mentoring to maintain a functional Hospital /
- Burial teams trained and given practical demonstration on how to handle and burry the dead
- Attendants of the cases in the isolation camps were trained on minimum personal protection practices and provided with supplies
- The Isolation camp at Bundibugyo Hospital has been re-organised and expanded
- Training in barrier nursing is also ongoing
4. Coordination - Collaboration:
- The Acting Medical Superintendent of Bundibugyo Hospital is Dr Kaka-Amone who also the Assistant Commissioner of Health Services (clinical) I the Ministry of health. He arrived in the district yesterday .
- The operational plan for 60 days has been drawn up and will cost an estimated USD 1.5m
5. Logistics:
- Inventory of drugs, supplies including Personal Protection Equipments(PPEs) is being developed
- Participating agencies have provided some vehicles to support response
- Unicef has supplied two Emergency Health Kits to the district to cater for 10,000 people for 30 days
- WHO and MSF are bring logisticians to establish a logistics system
- Two stores are currently established by MSF for the EVHF supplies and drugs.
- There is urgent need for light/electricity at Kikyo HC and Bundibugyo hospital
6. Social mobilization, media and psycho social support:
- Social mobilization going on in the district using MoH film vans
- Radio messages have are running on 5 radio stations
- IEC materials i.e. fact sheets, brochures and posters in English and local languages have been printed and are to be distributed starting today
- Radio programmes have also been planned to start today targeting the affected area.
- Preparation for ecological study underway.
7. Travel advice:
- There is no travel restricts to the affected district as this disease is transmitted through direct contact with an Ebola patient or contact with body fluids from an infected person.