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Orientale, Dem. Rep. Congo - Ebola Bundibugyo: 36 suspected deaths (25 confirmed/probable), 800+ contacts traced, 77 suspected cases (52 confirmed/probable) since March 2012

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  • #46
    Re: Dem. Rep. Congo - 15 probable/confirmed cases (10 fatal) of hemorrhagic fever in Orientale province - Ebola Bundibugyo confirmed

    Originally posted by JimO View Post
    Is there any relationship between this outbreak and the one in Uganda?
    WHO supervised labs have determined that the ebola outbreaks are 2 different strains.

    The ebola strain in Dem. Rep. of Congo is Bundibugyo.

    The ebola strain in Uganda is Sudan.

    Comment


    • #47
      Re: Dem. Rep. Congo - 15 probable/confirmed cases (10 fatal) of hemorrhagic fever in Orientale province - Ebola Bundibugyo confirmed

      This actually appears to be two spearate outbreaks. The case in Dungu got the virus from an animal (assuming he is confirmed), whereas the cluster in Isiro appears to be the result of H2H.

      Actually, I see that the article doesn't even mention the hunter cooking the animal, making me wonder whether he could have died of something else. Is his one of the confirmed cases?



      DRC: Bushmeat blamed for Ebola outbreak

      Photo: IRIN
      Off the menu (file photo)KINSHASA, 23 August 2012 (IRIN) - Health officials in the Democratic Republic of Congo's north-eastern Orientale Province are urging the population to desist from activities that could put them at risk of contracting the Ebola virus, including contact with infected individuals and the consumption of bushmeat.

      At least 10 people in the province had died from suspected Ebola by 20 August, according to the UN World Health Organization (WHO), which first reported the outbreak on 17 August. Local sources say the first symptoms were spotted about a month ago.

      Nine of the deaths - which included three health workers - occurred in the district of Isiro, and one occurred in Dungu District. WHO reports a total of 15 cases so far, 13 probable and two confirmed.

      "The death case we got in Dungu was a hunter. Once in the bush he saw a dead antelope and did not care to ask why it had died. He immediately took [the carcass] and went to eat it... He fell sick and passed away," said the DRC's Health Minister Kabange Numbi.

      [snip]

      Jacques Gumbaluka, chief of the Haut-Uele health zone in Isiro, said that about one month ago a number of children under age five presented at health centres with anaemia. Then adults began to be admitted with unexplained bleeding and fever. "You have to know that the blood flows in vessels, but when the blood is flowing out of vessels it is a big problem, it becomes a drama," he said.

      [snip]

      Comment


      • #48
        Re: Dem. Rep. Congo - 15 probable/confirmed cases (10 fatal) of hemorrhagic fever in Orientale province - Ebola Bundibugyo confirmed

        Originally posted by alert View Post
        This actually appears to be two spearate outbreaks. The case in Dungu got the virus from an animal (assuming he is confirmed), whereas the cluster in Isiro appears to be the result of H2H.

        Actually, I see that the article doesn't even mention the hunter cooking the animal, making me wonder whether he could have died of something else. Is his one of the confirmed cases?
        I was also wondering if the case in Dungu has been confirmed. I can't find anything definite on that except this, from a ReliefWeb article posted earlier in this thread.



        To this day, "a total of 11 probable or confirmed cases (10 Isiro and 1 Dungu) with 9 deaths (8 Isiro and one in Dungu) have been reported," said the Minister of Health during a press conference in Kinshasa, adding that laboratory results provided by the Institute Uganda Virus Research Entebbe (UVRI) have confi rmed 2 positive cases Ebola Bundibugyo strain Isiro town of more than 200 thousand inhabitants.
        The machine translation makes it a little iffy. Perhaps someone who reads French better than I can provide a more accurate translation. But to me, I read it as something like, "...confirmed 2 positive cases of Ebola Bundibugyo strain in Isiro a town of more than 200 thousand...".

        If this is correct, then it would seem that the hunter in Dungu has not been confirmed.

        The WHO report of Aug. 17 lists the case in Dungu as suspected:

        A total of 10 suspected cases (9 in Isiro and 1 in Dungu) and 6 deaths (5 deaths in Isiro and 1 in Dungu) have been reported.
        So it would seem that unless some confirmation came in since Aug. 17, the Dungu case is only suspected.


        A WireUpdate article, also posted here earlier, gives a better geographic picture.

        In addition to the nine deaths in Isiro...one fatal case has been reported in Dungu, some 139 kilometers (86 miles) northeast of Isiro.
        Combined, the info definitely does make it seem that the Dungu case is kind of out there on its' own. But was there ever anything more found about the earlier report you posted regarding 3 cases of suspected VHF in Dungu?

        In an article you posted earlier from http://rdc-humanitaire.net/images/do...%2013%20vf.pdf, those cases seem to have disappeared.

        Suspected cases of viral hemorrhagic fever (VHF) in ZS Isiro and Dungu ��
        The health authorities have reported seven suspected cases and four deaths in the health zones of Isiro (6 cases
        and 3 deaths) and Dungu (1 case and 1 death), between 1 and August 13, 2012.



        "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

        "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

        Comment


        • #49
          Re: Dem. Rep. Congo - 15 probable/confirmed cases (10 fatal) of hemorrhagic fever in Orientale province - Ebola Bundibugyo confirmed

          Bulletin d'Information Humanitaire

          22 ao?t 2012 Province du Nord Kivu N? 29/12

          ...
          Health Alert
          ? A suspected case of Ebola received August 18 General Hospital Reference O?cha in Beni Territory, is died Aug. 20. According to the medical director of the General Hospital and the Medical Officer of Health O?cha area,
          The patient showed signs of diarrhea, nasal bleeding and anal. The Medical Officer of Health Zone O?cha of the information transmitted to the Provincial Division of Health so that preventive measures be implemented in the territory of Beni, bordering Uganda and the Eastern Province are already affected by this epidemic. Beni District Health has developed a first draft of the plan
          contingency and a meeting with humanitarian partners is expected in the coming days to finalizing this document. Subject to the decisions and actions taken by the Task Force set up by the National Department of Public Health, a partner has already positioned to support the health district Beni and the Congolese Red Cross activities in outreach center professionals health and population.

          Bulletin d'Information Humanitaire

          22 ao?t 2012 Province Orientale N? 31/12
          ...
          Ebola haemorrhagic fever
          􀂃 A total of 16 cases combined with signs of bleeding including 10 deaths were reported in the 21 August 2012 Isiro, according to the meeting of the Crisis Committee, held Tuesday, August 21 at Kisangani, under the chairmanship of Minister Provincial Health. Moreover, apart from the areas of health and Dungu Isiro (Haut-Uele District) the epidemic had reached those of Pawa and Viadana Territory Poko (Bas-Uele District), who respectively reported two cases and that many deaths. Alerts were also recorded in other areas of health.
          􀂃 A delegation of seven experts in Ebola virus epidemic, from Kinshasa, visited the Wednesday, August 22 Isiro with 400 Kg protective equipment. It is planned to set up a committee scientific and technical coordination of international fight against Ebola, which will consist of all national and international partners.
          􀂃 The outbreak of Ebola haemorrhagic fever was officially declared on 17 August, the Congolese Minister of Health. Since then, two emergency committees have been set up in Kinshasa and Kisangani to respond to the crisis with the support of the humanitarian community. Although occurring at the same time, it should be noted that the epidemic of Isiro has no connection with that of Uganda. They have different strains. Strain Budibudiyo Isiro and that called for Sudan to Uganda.
          Twitter: @RonanKelly13
          The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

          Comment


          • #50
            Re: Dem. Rep. Congo - 15 probable/confirmed cases (10 fatal) of hemorrhagic fever in Orientale province - Ebola Bundibugyo confirmed

            So it the total number of cases 20, with 14 deaths?

            Comment


            • #51
              Re: Dem. Rep. Congo - 15 probable/confirmed cases (10 fatal) of hemorrhagic fever in Orientale province - Ebola Bundibugyo confirmed

              The translator is fouling us up there. The original French is:

              Par ailleurs, outre les Zones de santé de Dungu et d'Isiro (District du Haut-Uél&#233,
              l'épidémie aurait atteint celles de Pawa et Viadana dans le Territoire de Poko (District du Bas-Uél&#233, qui ont
              respectivement rapporté deux et un cas dont autant de décès.

              I think that means 2 cases, 2 deaths in Pawa, and one fatal case in Viadana.

              So I think the total number of suspected deaths is 14 only if you count the hunter in Dungu, who is not in that report. Otherwise, it's 13 (10 in Isiro, 2 Pawa, and 1 in Viadana).

              As far as suspected cases, it looks like 16 in Isiro, plus the 3 above, plus the 1-3 in Dungu, for a total of 20-22.

              Comment


              • #52
                Re: Dem. Rep. Congo - 15 probable/confirmed cases (10 fatal) of hemorrhagic fever in Orientale province - Ebola Bundibugyo confirmed

                In a report posted yesterday, MSF has different numbers. I'm wondering if this is info from an MSF team on-site in Isiro and so only includes cases actually in Isiro. From what I can find, there are still only 2 lab confirmed cases. So if one of those is in Isiro, where is the other one?


                Médecins Sans Frontières (MSF) is an international, independent, medical humanitarian organisation.


                "An emergency team from M?decins Sans Fronti?res (MSF) is responding to an outbreak of Ebola haemorrhagic fever in Isiro, northeastern Democratic Republic of the Congo (DRC).

                So far nine people have died, only one of whom has been confirmed by lab tests as having Ebola. Twelve more people are suspected to have the disease ? one has been admitted to the treatment centre in Isiro. One patient who contracted the disease has made a full recovery. "



                "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

                "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

                Comment


                • #53
                  Re: Dem. Rep. Congo - 15 probable/confirmed cases (10 fatal) of hemorrhagic fever in Orientale province - Ebola Bundibugyo confirmed

                  French to English machine translation.

                  Des employés de l’OMS s’apprêtant à entrer dans l’hôpital de Kagadi dans le district de Kibale où une épidémie d’Ebola a éclaté récemment. Photo AFP Le gouvernement a annoncé le maintien de la rentrée scolaire au 3 septembre prochain dans les zones touchées par la fièvre hémorragique d’Ebola en Province Orientale.


                  DRC: back to school maintained in the areas affected by Ebola Orientale Province
                  posted 6 hours ago, 30 minutes | Last update August 27, 2012 at 12:50 |

                  The government has announced the continuation of the school year to 3 September in areas affected by Ebola haemorrhagic fever in the Eastern Province. According to the Minister of Health, on a working visit to Isiro, scientists ensure that the epidemic is in its downward and there have been no new cases since four days. Felix Kabange Numbi wants to reassure worried parents who do not send their children to school.


                  "First, the WHO has never prohibited the movement of people and goods in areas Ebola epidemic. Second, since the beginning of the epidemic, no action has been taken to confine children in their homes or in their plots, "he said.

                  The Minister of Health also announced the first day of school, organizing a day of awareness about modes of transmission and means of protection of children against Ebola hemorrhagic fever.

                  Felix Kabange Numbi also invited the coordination of schools to organize awareness days in the same direction with the national association of parents, then with the prefects and teachers.

                  Before leaving Isiro, the Minister of Health officially handed over drugs and other protective equipment and sampling for health zones of Isiro, Dungu, Pawa, Viadana, Wamba and Gombari.

                  Since August 17, the World Health Organization (WHO) has identified fifteen patients Ebola in DRC, ten died.

                  Comment


                  • #54
                    Re: Dem. Rep. Congo - 15 probable/confirmed cases (10 fatal) of hemorrhagic fever in Orientale province - Ebola Bundibugyo confirmed

                    [Source: World Health Organization, full page: (LINK). Edited.]
                    Ebola outbreak in Democratic Republic of Congo ? update

                    30 August 2012



                    The Ministry of Health (MoH) of the Democratic Republic of Congo (DRC) continues to work with partners to control the outbreak of Ebola haemorrhagic fever.

                    As of 28 August 2012, a total of 24 (6 probable, 6 confirmed and 12 suspected) cases and 11 deaths had been reported from Province Orientale.

                    The reported cases and deaths occurred in 3 health zones as follows: 17 cases and 9 deaths in Isiro; 6 cases and 2 deaths in Viadana; 1 case and 0 death in Dungu. The fatal cases in Isiro include three health-care workers.

                    All alerts have been investigated and so far there has been no Ebola suspected or confirmed case reported from outside Province Orientale.

                    Initial samples were tested by Uganda Virus Research Institute (UVRI) in Entebbe, Uganda, and three samples taken from two patients were confirmed for Ebola virus (Ebola subtype Bundibugyo).

                    US Centers for Disease Control and Prevention (CDC) has established a field laboratory in Isiro to support case management and epidemiological investigations. A National Task Force convened by the Congolese Ministry of Health is working with several partners including WHO, M?decins Sans Fronti?res (MSF), International Federation of Red Cross and Red Crescent Societies (IFRC) and CDC to control the outbreak.

                    A joint MoH, WHO and MSF emergency response team is in the field to conduct a detailed epidemiological investigation and case management. WHO has deployed epidemiologists and logisticians from AFRO regional office (including the Inter-country Support team) and WHO headquarters to support the MoH and is working closely with partners in the areas of coordination, surveillance, epidemiology, logistics for outbreak, public information and social mobilization.

                    WHO?s Global Outbreak Alert and Response Network (GOARN) has deployed an anthropologist from the Museum National d?Histoire Naturelle (MNHN), France to assist with a clearer understanding of the social and anthropological issues among the affected population that could impact the on-going response efforts.

                    Control activities that are being carried out include active case finding and contact tracing, enhanced surveillance, case management, public information and social mobilization and reinforcing infection control practices.

                    WHO does not recommend that any travel or trade restrictions be applied to Democratic Republic of Congo.

                    There is currently no indication that this Ebola outbreak is related to the recent Ebola outbreak in Uganda occurring in Kibaale district.



                    General information on Ebola subtypes

                    There are five identified subtypes of Ebola virus.

                    The subtypes have been named after the location they have been first detected in Ebola outbreaks.

                    Three subtypes of the five have been associated with large Ebola haemorrhagic fever (EHF) outbreaks in Africa. Ebola-Zaire, Ebola-Sudan and Ebola-Bundibugyo.

                    EHF is a febrile haemorrhagic illness which causes death in 25-90% of all cases.


                    The Ebola Reston species, found in the Philippines, can infect humans, but no illness or death in humans has been reported to date.
                    -
                    ------

                    Comment


                    • #55
                      Re: Dem. Rep. Congo - 24 probable/confirmed cases (11 fatal) of hemorrhagic fever in Orientale province - Ebola Bundibugyo confirmed

                      Thanks for posting this.

                      I've been watching and haven't seen much of anything on this from any media for several days and was pretty curious about why the info dried up.



                      "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

                      "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

                      Comment


                      • #56
                        Re: Dem. Rep. Congo - 24 probable/confirmed cases (11 fatal) of hemorrhagic fever in Orientale province - Ebola Bundibugyo confirmed

                        And now this blows my mind:

                        If you notice the wording of the WHO report above, it now refers to "1 case and 0 death in Dungu". All previous reports have mentioned the Dungu case as fatal. Was that a mistake? Or has the original fatal case in Dungu been discarded and replaced with a non-fatal one? The original posts did indicate three suspects in Dungu, one of whom had died.

                        The version of the post here:

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                        As of 28 August 2012, a total of 24 (12 suspected, 6 probable and 6 confirmed) cases and 11 deaths had been reported in Province Orientale.

                        The reported cases and deaths (suspected, probable and confirmed) have occurred in 3 health zones as follows: 17 cases and 9 deaths in Isiro, including three (3) health care workers who have died; 6 cases and 2 deaths in Viadana; and 1 fatal case in Dungu. One alert was received from Gombari health zone, yet to be verified.


                        reports the case as fatal, but the numbers do not add up. The sum of the deaths for the three zones (9+2+1) is 12, not the 11 reported.

                        So what gives?

                        Comment


                        • #57
                          Re: Dem. Rep. Congo - 24 probable/confirmed cases (11 fatal) of hemorrhagic fever in Orientale province - Ebola Bundibugyo confirmed

                          I noticed that also. I've been looking this evening and so far can't find anything to clarify it.

                          The version of the report on the GAR site (http://www.who.int/csr/don/2012_08_30/en/index.html ) shows the same info, so it isn't just the version posted to the afro.who site.:

                          "...30 August 2012 - The Ministry of Health (MoH) of the Democratic Republic of Congo (DRC) continues to work with partners to control the outbreak of Ebola haemorrhagic fever. As of 28 August 2012, a total of 24 (6 probable, 6 confirmed and 12 suspected) cases and 11 deaths had been reported from Province Orientale. The reported cases and deaths occurred in 3 health zones as follows: 17 cases and 9 deaths in Isiro; 6 cases and 2 deaths in Viadana; 1 case and 0 death in Dungu. "


                          Not only does the death toll not add up, but AFAIK, the only case in Dungu was that of the hunter who died after supposedly eating the antelope meat. So if his death isn't being counted, has there been another case in Dungu? I'm thinking that this is just a typo and the 1 counted in Dungu should have been listed as a death and not a case. If not, then things are really screwy.

                          The other thing I noticed is this:
                          "...Initial samples were tested by Uganda Virus Research Institute (UVRI) in Entebbe, Uganda, and three samples taken from two patients were confirmed for Ebola virus (Ebola subtype Bundibugyo)."

                          In this entire outbreak, of supposedly 24 cases, there have been only 2 cases that were confirmed by testing? We were discussing those 2 confirmed cases over a week ago. There's been no further confirmations? Or no further samples? Or all other samples tested negative for Ebola? Really?

                          I know things are bad in the Congo so maybe this confusion is not coming so much from the WHO as it is from local authorities. But someone needs to get the facts straight, or the WHO will lose what credibility it has.



                          "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

                          "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

                          Comment


                          • #58
                            Re: Dem. Rep. Congo - 9 suspected cases (5 fatal) of hemorrhagic fever in Orientale province - test negative for ebola

                            Originally posted by Pathfinder View Post
                            From link provided by Sharon:



                            The health zone of Dungu reported three suspected cases and one death of suspected VHF during the month of August. The results of the investigation and charges are expected for better learning of the situation.
                            This was earlier in the thread.

                            My guess is that the fatal case in the hunter has been discarded, and some other surviving case is the current suspect in Dungu. Either that or the hunter never died, and the report of his death was incorrect.

                            I'm not that concerned about that only two cases have been confirmed. Comfirmation requires sending samples to Kinshasa or Kampala, something that has some cost and effort. I don't think too many other samples were taken. It appears that about 8 of the deaths occurred before the first report, so there may have been no sample to take.

                            Comment


                            • #59
                              Re: Dem. Rep. Congo - 24 probable/confirmed cases (11 fatal) of hemorrhagic fever in Orientale province - Ebola Bundibugyo confirmed

                              Actually, the WHO report above raises the number of confirmed cases to six. And this report might raise it further:

                              Cases of Ebola continue to rise in the Democratic Republic of Congo (DRC) as government continues to find ways to control the outbreak of the haemorrhagic fever, the World Health Organization (WHO) has said.


                              DRC Govt Confronts Ebola as New Cases Test Positive at Entebbe's UVRI

                              Cases of Ebola continue to rise in the Democratic Republic of Congo (DRC) as government continues to find ways to control the outbreak of the haemorrhagic fever, the World Health Organization (WHO) has said.

                              Comment


                              • #60
                                Re: Dem. Rep. Congo - 24 probable/confirmed cases (11 fatal) of hemorrhagic fever in Orientale province - Ebola Bundibugyo confirmed

                                Originally posted by alert View Post
                                Actually, the WHO report above raises the number of confirmed cases to six. And this report might raise it further:

                                Cases of Ebola continue to rise in the Democratic Republic of Congo (DRC) as government continues to find ways to control the outbreak of the haemorrhagic fever, the World Health Organization (WHO) has said.


                                DRC Govt Confronts Ebola as New Cases Test Positive at Entebbe's UVRI

                                Cases of Ebola continue to rise in the Democratic Republic of Congo (DRC) as government continues to find ways to control the outbreak of the haemorrhagic fever, the World Health Organization (WHO) has said.

                                Good catch on that, thanks! So the difference between the confirmed case count (both 2 and 6 being mentioned in the same WHO article) could be due to a time lag. If the cases were confirmed at about the same time that the latest WHO report was being put together, I can see how the confusion occurred.



                                "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

                                "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

                                Comment

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