DRC - Ebola outbreak in North Kivu and Ituri: July 30, 2018+

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North Kivu: Mayi-Mayi group attacks and burns Ebola treatment center in Butembo

Posted on Mon, 25/02/2019 - 13:01 | Edited Mon, 25/02/2019 - 13:01

A Mayi-Mayi group attacked and burned the Ebola Treatment Center (ETC) in Katwa, Butembo, on Monday, February 25th. The mayor of this city, Sylvain Kanyamanda, who evaluated the damage claims that these militiamen were wearing knives.

"We found that the hut was burned. And next to this hut, there was a vehicle that serves to move the staff Physicians who manages this treatment center that was burned and some motorcycles. All around the center, we also found that there are two sets of fire generators. They also attacked the logistics and material cell of this center. As for human lives, until late we were there until 3am we did not observe a death case, "explains Sylvain Kanyamanda.

He also announced that the patients who were being cared for in this center have just been transferred to another Ebola treatment center in Butembo.

"There was internment of ten patients. These patients were evacuated to other Ebola treatment centers. The danger is permanent and if the population does not want to become aware, we will disappear in this city. And they are Mai-Mai. They had knives, machetes and fuel cans in their hands, "says Kanyamanda.


https://www.radiookapi.net/2019/02/...i-attaque-et-incendie-le-centre-de-traitement

 

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[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

Monday 25 February 2019

The epidemiological situation of the Ebola Virus Disease dated February 24, 2019 :

• Since the beginning of the epidemic, the cumulative number of cases is 872, 807 confirmed and 65 probable. In total, there were 548 deaths (483 confirmed and 65 probable).
• 176 suspected cases under investigation;
• 3 new confirmed cases in Katwa;
• 2 new deaths from confirmed cases in Katwa, all are community deaths;
• 1 new person cured at the CTE of Beni.

/! \ Cleaning databases in progress: Revision of the database of people cured. We will start sharing the number of cures as soon as the revision is complete .

Remarks:

• In order to prevent the total number of cases from going up or down daily, the suspect cases have been placed in a separate category. For example, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
• The probable case category includes all deaths for which it was not possible to obtain biological samples for laboratory confirmation but where the investigations revealed an epidemiological link with a confirmed or probable case.
• A community death is any death occurring outside of an Ebola Treatment Center.

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News of the response​

The Katwa CTE burned in the night from Sunday to Monday

• The Ebola Treatment Center (ETC) in Katwa, one of Butembo's health zones, was ransacked and set on fire on the night of Sunday 24th to Monday 25th February 2019. This fire resulted in the death of nurse who was trying to escape.

>>>>> Read the communiqu? of the Ministry of Health <<<<<

• These uncivil acts, perpetrated by unidentified perpetrators, began around 10 pm Sunday. For this purpose, the Mayor of Butembo town, Sylvain Mbusa Kanyamanda, who condemned these acts, explained that this attack started with the generators which resulted in the interruption of the electric current that occurred before the fire of some cells, including the center's logistics cell.

• The deceased nurse would have fallen into a creek as he tried to flee. On the other hand, the ten patients who were hospitalized in this CTE were not affected and were transferred to other health facilities. Of these patients, four are confirmed carriers of the Ebola virus and have been transferred to the Butembo CTE. The six suspected patients were transferred to the Alima transit center in Katwa.

• Butembo's mayor is urging the people of the country to work with Ebola response teams to stop the spread of the disease in the city. He also denounced the incivists whose intention is the destabilization of health experts. The specialized services continue the investigations, according to the mayor, to identify the perpetrators of this attack.

CENI President raises awareness about Ebola Virus Disease

• The President of the Independent National Electoral Commission (INEC), Corneille Naanga, on Sunday visiting the Butembo Ebola Subcommittee on Ebola response, appealed to all Congolese, especially those in areas affected by the Ebola virus disease to respect the different councils of health professionals to fight against this disease.

• The objective of his mission in Beni and Butembo was to evaluate the preparations for the elections of national and provincial deputies to be held on March 31, 2019.

• He took advantage of his visit to not only raise awareness about the Ebola virus disease, but especially to encourage the teams of the response for their work, which he himself qualifies as commendable. "Ebola has not only started in North Kivu. This is the tenth epidemic that the DRC is experiencing. It is a very dangerous disease, "he said, adding that he will deploy a large team for the elections. "We ourselves have just received instructions that once the teams are in the field, they will be vaccinated and we will also follow all the advice of health professionals. "These elections will involve all neighborhoods, even the neighborhoods where the Ebola outbreak continues," said Corneille Naanga.

Vaccination

• Since the start of vaccination on 8 August 2018, 83,517 people have been vaccinated , including 21,357 in Katwa, 20,613 in Beni, 10,220 in Butembo, 6,109 in Mabalako, 2,839 in Kalunguta, 2,581 in Goma, 2,317 in Komanda, 2,084 in Oicha, 1,813 to Mandima, 1,325 to Kyondo, 1,357 to Karisimbi, 1,283 to Kayina, 1,094 to Bunia, 1,064 to Vuhovi, 920 to Masereka, 772 to Mutwanga, 767 to Biena, 700 to Lubero, 590 to Rutshuru, 583 to Musienene, 527 in Nyankunde, 496 in Mangurujipa, 426 in Rwampara (Ituri), 355 in Tchomia, 333 in Lolwa 280 in Mambasa, 254 in Alimbongo, 207 in Kirotshe, 141 in Nyiragongo, 97 in Watsa (Haut-U?l?) and 13 in Kisangani .

• The only vaccine to be used in this outbreak is the rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck, following approval by the Ethics Committee in its decision of 19 May 2018.

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Ebola response in Democratic Republic of the Congo risks slowdown

26 February 2019 News Release

Geneva, Switzerland

WHO Director-General Dr Tedros Adhanom Ghebreyesus today called on donors to continue funding the response to the Ebola outbreak in the Democratic Republic of the Congo or risk backsliding. There is an urgent need for US $148 million for all partners involved in the response to continue their work. So far, under US $10 million has been pledged.

The call comes a week ahead of Dr Tedros&#146; next mission to DRC. He is scheduled to meet President Tshisekedi in Kinshasa before travelling to the Ebola-stricken areas of Butembo and Katwa.

&#147;The situation is unprecedented: there has never been an Ebola outbreak in these conditions, with such a highly mobile population and with many gaps in the health system .&#148; said Dr Tedros.

&#147;The security context is another major concern. I am deeply saddened by reports that a health facility run by M?decins Sans Fronti?res in Katwa was attacked on Sunday night. Nevertheless, together with partners and with the Democratic Republic of the Congo government in the lead, we have made major gains. Hundreds of deaths have been averted, maybe even thousands. But the outbreak is not over and we urgently need additional funding to see it through.&#148;

Over 80,000 people have been vaccinated and over 400 have received treatment. Thousands of suspect cases have been monitored, tested and transferred to other centres once they were confirmed to not have Ebola. More than 40,000 contacts have been identified and reached daily for three weeks each to ensure they did not fall sick as well. WHO alone has shipped over 300 metric tons of supplies, including vaccination supplies and 470,000 sets of personal protective equipment for partners running treatment centres.

Alongside the response in the country, hundreds of health workers, border officers and other responders in neighbouring countries have been trained and prepared for a responding to a potential case.

Response partners have contained the outbreak in successive health zones, and prevented transmission to neighbouring countries, demonstrating that success is possible despite the difficult context. However, the on-going transmission in Butembo and Katwa, with the potential for the outbreak to reach into even more volatile and dangerous areas &#150; where almost no partners could be able to operate. This is why support is needed now. Only if current actions are sustained and intensified will we be able to end this outbreak in the coming months.

The response plan for the period February to July, which brings together the planned actions and funding needs of all partners, was launched by the country&#146;s health minister on 13 February. It anchors the response in local health system structures, strengthening the capacities of local responders, especially at provincial and local levels, and deepening the involvement of local communities, especially women&#146;s groups and survivors.

&#147;We have a shared responsibility to end this outbreak,&#148; said Dr Tedros, adding that the continuing generous technical and financial support from the donor community is proof of the global commitment to stopping the outbreak. &#147;We now need them to join us in the final push. No country or partner can face this deadly virus alone. The impact on public health and the economic ramifications can expand far beyond one country or continent. We promise we won&#146;t relent until we&#146;ve stopped this outbreak. But beating Ebola, wherever it may be, is expensive. It requires all of us to work together.&#148;

https://www.who.int/news-room/detail...risks-slowdown

 

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• [FONT=&quot]MSF International‏Verified account @MSF 2h2 hours ago More
  
  
  
  

  

  #DRCongo #News: We have decided to suspend the activities of an #Ebola Treatment Centre in #NorthKivu after a violent attack on 24 February where our facility was partially burnt down.
  
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North Kivu: MSF Ebola centre inoperative after violent attack

Press Release26 February 2019

MSF&#146;s Ebola treatment centre was attacked and partly burnt down, forcing services to be suspended

The attack and suspension hampers response to DRC&#146;s worst-ever Ebola outbreak

Organisations, including MSF, have failed to gain trust from communities; approaches to people must change

KATWA &#150; Following a violent attack on an Ebola Treatment Centre in North Kivu, Democratic Republic of Congo (DRC), where the facility was partially burnt down, M?decins Sans Fronti?res (MSF) has decided to suspend activities at the centre. The suspension will severely limit access to essential health services.

At 10pm on 24 February, unidentified assailants attacked the MSF-managed Ebola Treatment Centre in Katwa. After throwing stones at the facility, they set parts of the structure on fire and destroyed wards and equipment. The brother of a patient died while reportedly trying to flee the scene. The exact circumstances of his death are still unclear.

&#147;This attack was traumatic for patients, their relatives and staff present inside the centre at the time,&#148; said Emmanuel Massart, MSF&#146;s Emergency Coordinator in Katwa. &#147;We managed to relocate all four confirmed and six suspected patients to nearby treatment centres, but this attack has crippled our ability to respond to what is now the epicentre of the outbreak.&#148;

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https://www.msf.org/msf-ebola-centre...republic-congo [/FONT]

 

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Why Does Ebola Keep Spreading In Congo? Here's A Major Clue

February 25, 20195:02 PM ET

NURITH AIZENMAN
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Yao is leading the World Health Organization's on-the-ground response to the ongoing Ebola outbreak in the Democratic Republic of the Congo. And as each new person falls sick, his team must race to figure out how the person got infected.
...
But some weeks ago, as cases started erupting around two towns, Katwa and Butembo, the investigators found that patient after patient had something else in common: They had all recently visited a health clinic for treatment for some other disease such as a respiratory infection or malaria.

"They would say, 'I went to the hospital. They treated me. I got clear [of that illness]. And then a few days after, I start having fevers.' " Fevers that were the first of signs of Ebola.
...
When Yao started visiting the clinics, it was pretty obvious how this was happening: Even government-run facilities such as large hospitals hadn't set up triage tents to separate possible Ebola patients from everyone else.

"This disease is not well-known in this part of the country. It is the first time," Yao explains, even though Ebola has broken out in other parts of the DRC on multiple occasions.

Even more problematic, says Yao, are the hundreds of unofficial private health facilities in this area. Some are large operations. In many other cases, says Yao, "it's just a house ? a very old house."
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https://www.npr.org/sections/goatsa...la-keep-spreading-in-congo-heres-a-major-clue

 

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[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

Tuesday, February 26, 2019

The epidemiological situation of the Ebola Virus Disease dated February 25, 2019 :

• Since the beginning of the epidemic, the cumulative number of cases is 875, of which 810 are confirmed and 65 are probable. In total, there were 551 deaths (486 confirmed and 65 probable).
• 196 suspected cases under investigation;
• 3 new confirmed cases, including 1 in Mandima, 1 in Vuhovi and 1 in Butembo;
• 3 new deaths of confirmed cases, including 1 in Mandima, 1 in Vuhovi and 1 in Butembo, all are community deaths;
• 1 new person healed out of Butembo CTE.

/! \ Cleaning databases in progress: Revision of the database of people cured. We will start sharing the number of cures as soon as the revision is complete .

Remarks:

• In order to prevent the total number of cases from going up or down daily, the suspect cases have been placed in a separate category. For example, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
• The probable case category includes all deaths for which it was not possible to obtain biological samples for laboratory confirmation but where the investigations revealed an epidemiological link with a confirmed or probable case.
• A community death is any death occurring outside of an Ebola Treatment Center.

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News of the response​

Revision of databases

• The different databases are being revised to check and harmonize them. In discussion with the different partners involved in epidemiological surveillance, the decision was made to reclassify all cases in the health zone where they started the symptoms of the disease. Several questions arose as to the classification of some cases that had moved between two or even three health zones between the onset of symptoms and their death. In these particular cases, only thorough investigations can determine where the person has started to show signs of the disease, which may take several days. Pending the results of the investigations, some of these cases are tentatively classified in the health zone where they were detected.

• These cases include the patient from Katwa who fled to Bunia with her family after falling ill in her area of ​​residence but whose body was found in Komanda. This patient was initially classified in Komanda but was reclassified to the Katwa Health Zone after completion of the in-depth investigation.

• On Tuesday, February 26, 2019, Lubero District Chief Medical Officer said that a case of Ebola had been detected in the health zone of Lubero. This is a young woman from Katwa, who was known to be in contact with another confirmed case and who refused to be transferred to the Ebola Treatment Center when she became ill. She ran away from Katwa for Lubero. She died the next day at the Lubero General Referral Hospital from where the alert was launched. This patient was classified in the health zone of Katwa, where her first symptoms appeared.
• ...

https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=e40a2cdcce


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Ebola treatment center held by MSF attacked in the East

1 hour ago
AFP

An Ebola treatment center held by M?decins sans Fronti?res (MSF) was attacked Wednesday in Butembo, the epicenter of the hemorrhagic fever epidemic in the eastern part of the Democratic Republic of Congo. we learned from concordant sources.

"Butembo's ETC (Ebola Treatment Center) has just been attacked by attackers armed with guns and arrows, they have just burned the first CTE reception facilities, fortunately the police have just stopped Action is under way, "Sylvain Kanyamanda, the mayor of the city, told AFP.

"We do not yet know who did this," said a member of the National Intelligence Agency (ANR).

"MSF confirms that a security incident is currently taking place at the Butembo CTE, we have no more information to share at the moment," the NGO said.

"Butembo's CSE policemen repelled the assailants' attack and managed to extinguish the fire, some (of the center) is burned, and we regret the death of a policeman," he told reporters. AFP Colonel Richard Mbambi, Butembo police chief.

Another CTE held by this NGO was attacked in the night from Sunday to Monday in Katwa, not far from Butembo, making it impossible to take care of patients.
...

https://www.voaafrique.com/a/un-cen...-tenu-par-msf-attaqué-dans-l-est/4806575.html

 

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MSF in DRC
@MSFcongo
1 hr1 hour ago

MSF deplores the attack on the #Ebola treatment center in Butembo, North Kivu. @MSFcongo & @MinSanteRDC are actively working to ensure that all patients, companions and staff are safe, many of whom have fled the fire.
-----------------------------------------------------------------------------------------------
Koma Ebola
‏@EbolaKoma
5 hrs5 hours ago

#EbolaReport: The Ebola Treatment Center (ETC) at # Itav, in #Butembo, has just been burned by unknown people. No assessment is available at the moment. Our correspondents on the spot note the presence of the police and the army on the site.

 

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[FONT=&quot]Doctors w/o Borders‏Verified account @MSF_USA 3 hrs3 hours ago More


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[FONT=&quot] BREAKING: Awful news from DRC - just days after MSF?s Ebola treatment center in Katwa was attacked, today there was an attack on our treatment center in Butembo. We?re focused now on ensuring the safety of our patients and staff. https://www.doctorswithoutborders.org/what-we-do/news-stories/news/drc-msf-ebola-treatment-center-butembo-attacked ?
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[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

Wednesday, February 27, 2019

The epidemiological situation of the Ebola Virus Disease dated February 26, 2019 :

• Since the beginning of the epidemic, the cumulative number of cases is 879, of which 814 are confirmed and 65 are probable. In total, there were 553 deaths (488 confirmed and 65 probable).
• 229 suspected cases under investigation;
• 4 new confirmed cases, including 3 in Katwa and 1 in Butembo;
• 2 new deaths of confirmed cases, 1 in Katwa and 1 in Butembo, all are community deaths.

/! \ Cleaning databases in progress: Revision of the database of people cured. We will start sharing the number of cures as soon as the revision is complete .

Remarks:

• In order to prevent the total number of cases from going up or down daily, the suspect cases have been placed in a separate category. For example, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
• The probable case category includes all deaths for which it was not possible to obtain biological samples for laboratory confirmation but where the investigations revealed an epidemiological link with a confirmed or probable case.
• A community death is any death occurring outside of an Ebola Treatment Center.

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News of the response​

Attack on Butembo Ebola Treatment Center

• On the evening of Wednesday, February 27, 2019, unidentified gunmen attacked the Butembo CTE co-managed by M?decins Sans Fronti?res and the Ministry of Health. This attack took place only three days after the arson attack of the Katwa CTE, the neighboring health zone.

• At the time of the attack, 38 suspected patients and 12 confirmed patients were treated at the CTE. Of the suspected patients, 32 fled. And among the confirmed cases, 8 were found in their single rooms. Research is underway to find the 4 confirmed fugitives. All the patients found, as well as the medical staff, are safe and unharmed. The patients were temporarily transferred to the Butembo Transit Center operationalized by Alima.

Workshop on the implementation of the 3 [SUP]th [/SUP] Strategic Plan Response

• On Tuesday, February 26, 2019, the Minister of Health, Dr Oly Ilunga Kalenga, opened in Goma, the workshop on the implementation of the third strategic plan for response to the Ebola epidemic (SRP 3) in provinces of North Kivu and Ituri. This workshop brought together all the national and international actors of the response, including all the health authorities of the different health zones of the region.

• The purpose of the two-day workshop was to explain the PSR 3 to all local health authorities, senior staff of strategic coordination and sub-coordination as well as to gain ownership of the plan to ensure better Implementation.

• This new plan focuses on three important areas:
  1. The anchoring of the response in the local health system : The leadership and the expertise of the response belong to the specialized teams while the optimization of the functioning of the health system is the responsibility of the actors of the local health system (Provincial Division of Health). Health, Health Zone and Health Area).
  2. Establishment of an information management system : The informationmanagement mechanism has been strengthened to improve data collection and analysis at all levels.
  3. The importance of accountability : An important addition in SRP 3 is the accountability framework for each stakeholder involved in the response, both local providers and international partners. This accountability framework clearly identifies the roles and responsibilities of each organization in the response to assess their performance on the ground.

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[FONT=&quot]Barry Rodrigue‏ @barryr33082845 53m53 minutes ago More


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[FONT=&quot] #Butembo at the moment. Crisis meeting with the Staff. @drmichelyao1 #WHO Incident Manager for #Ebola Response in #DRC (middle). After Ebola Treatment Unit attack yesterday night #MSF and @ALIMA_ORG experts in case management have been relocated in #B?ni and #Bunia.
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WHO expresses concern over damage to Ebola treatment facilities in the Democratic Republic of the Congo

BRAZZAVILLE/28 February 2019 &#150;The World Health Organization (WHO) is deeply concerned about the recent attacks on the M?decins Sans Fronti?res (MSF)-run Ebola treatment centres on 24 February in Katwa and on 27 February in Butembo in the Democratic Republic of the Congo. Such attacks are deplorable for their immediate impact on lives and for the risk of spreading the disease further. They are profoundly disrespectful of the dedicated work of local, regional and international responders.

Following the most recent Butembo attack, WHO and partners are working to ensure the safety of the patients and staff. Patients have been transferred to the Katwa transit centre, which WHO is expanding to house and treat these additional patients. It is a priority of the response to ensure quality clinical care for the patients. Staff on the ground are also working to follow up with the four convalescent patients who sought shelter elsewhere during the violence.

MSF reported that their staff were safe. Likewise, WHO staff in the area are all accounted for. However, security services did experience casualties.
These attacks have occurred in areas with ongoing transmission of Ebola in the community and could lead to increases in transmission and result in more hardship for the local community. The violence and disruption to the treatment centres also make it difficult for Ebola responders to carry out field work.

WHO teams on the ground continue to work tirelessly to respond to the challenges. WHO is working closely with our partners to determine appropriate action to ensure the overall Ebola response is maintained. Working with the Ministry of Health and our partners, our priority continues to be to end the outbreak.
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https://afro.who.int/media-centre/st...form=hootsuite

 

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Source: https://www.who.int/csr/don/28-february-2019-ebola-drc/en/
[h=1]Ebola virus disease ? Democratic Republic of the Congo[/h] Disease outbreak news: Update
28 February 2019

The Ebola virus disease (EVD) outbreak is continuing with moderate intensity. Katwa and Butembo remain the major health zones of concern, while simultaneously, small clusters continue to occur in various geographically dispersed locations. During the last 21 days (6 ? 26 February 2019), 77 new cases have been reported from 33 health areas within nine health zones (Figure 1), including: Katwa (45), Butembo (19), Vuhovi (4), Kyondo (3), Kalunguta (2), Oicha (1), Beni (1), Mandima (1), and Rwampara (1).
Although there are decreasing trends in case incidence (Figure 2), the high proportion of community deaths reported among confirmed cases and relatively low number of new cases who were known contacts under surveillance could increase the risk of further chains of transmission in affected communities. Response teams must maintain a high degree of vigilance across all areas with declining case incidence and contact tracing activity, as well as in areas with active cases, to rapidly detect new cases and prevent onward transmission. Following attacks this week on the treatment centres in Katwa and Butembo, WHO is working with partners to ensure the safety of the patients and staff. These incidents are disruptive to the response on many levels and can also hamper surveillance activities in the field.
As of 26 February, 879 EVD cases[SUP]1[/SUP] (814 confirmed and 65 probable) have been reported, of which 57% (499) were female and 30% (264) were children aged less than 18 years. Cumulatively, cases have been reported from 119 of 301 health areas across 19 health zones. Overall, 553 deaths (case fatality ratio: 63%) have been reported and as of 19 February 2019, 257 survivors have been reported. There is ongoing cleaning of the case database to correct the number deaths and survivors discharged from Ebola Treatment Centres (ETCs).
[h=4]Figure 1: Confirmed and probable Ebola virus disease cases by health area, North Kivu and Ituri provinces, Democratic Republic of the Congo, data as of 23 February 2019[/h]

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[h=4]Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset, data as of 26 February 2019*[/h]

Source: Ministry of Health, Democratic Republic of the Congo
*Data in recent weeks are subject to delays in case confirmation and reporting, as well as ongoing data cleaning ? trends during this period should be interpreted cautiously.
[h=3]Public health response[/h] For further detailed information about the public health response actions by the MoH, WHO, and partners, please refer to the latest situation reports published by the WHO Regional Office for Africa:

• Ebola situation reports: Democratic Republic of the Congo

[h=3]WHO risk assessment[/h] WHO continuously monitors changes to the epidemiological situation and context of the outbreak to ensure that support to the response is adapted to the evolving circumstances. National and regional risk levels remain very high, though global risk levels remain low. This EVD outbreak is affecting primarily the north-eastern provinces of the Democratic Republic of the Congo bordering Uganda, Rwanda and South Sudan. There is a potential risk for transmission of EVD at the national and regional levels due to extensive travel between the affected areas, the rest of the country, and neighbouring countries for economic and personal reasons, as well as due to insecurity. The country is concurrently experiencing other epidemics (e.g. cholera, vaccine-derived poliomyelitis, malaria, measles), and a long-term humanitarian crisis. Additionally, the fragile security situation in North Kivu and Ituri, further limits the implementation of response activities.
As the risk of national and regional spread is very high, it is important for neighbouring provinces and countries to enhance surveillance and preparedness activities. The International Health Regulations (IHR 2005) Emergency Committee has advised that failing to intensify these preparedness and surveillance activities would lead to worsening conditions and further spread. WHO will continue to work with neighbouring countries and partners to ensure that health authorities are alerted and are operationally prepared to respond.
[h=3]WHO advice[/h] International traffic: WHO advises against any restriction of travel to, and trade with, the Democratic Republic of the Congo based on the currently available information. There is currently no licensed vaccine to protect people from the Ebola virus. Therefore, any requirements for certificates of Ebola vaccination are not a reasonable basis for restricting movement across borders or the issuance of visas for passengers leaving the Democratic Republic of the Congo. WHO continues to closely monitor and, if necessary, verify travel and trade measures in relation to this event. Currently, no country has implemented travel measures that significantly interfere with international traffic to and from the Democratic Republic of the Congo. Travellers should seek medical advice before travel and should practice good hygiene.
For more information, see:

• Ebola response in Democratic Republic of the Congo risks slowdown
• SAGE interim recommendations on vaccination against EVD, 20 February 2019
• Statement on the October 2018 meeting of the IHR Emergency Committee on the Ebola virus disease outbreak in the Democratic Republic of the Congo
• WHO Interim recommendation Ebola vaccines
• WHO recommendations for international travellers related to the Ebola Virus Disease outbreak in the Democratic Republic of the Congo
• Ebola virus disease in the Democratic Republic of the Congo ? Operational readiness and preparedness in neighbouring countries
• Ebola virus disease fact sheet

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[SUP]1[/SUP]The number of cases is subject to change due to ongoing reclassification, retrospective investigation, and the availability of laboratory results.

 

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[TD="class: mcnTextContent"]DIRECTORATE GENERAL FOR DISEASE CONTROL[/TD]
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[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

Thursday, February 28, 2019

The epidemiological situation of the Ebola Virus Disease dated February 27, 2019 :

• Since the beginning of the epidemic, the cumulative number of cases is 885, of which 820 are confirmed and 65 are probable. In total, there were 555 deaths (490 confirmed and 65 probable).
• 227 suspected cases under investigation;
• 6 new confirmed cases, including 5 in Katwa and 1 in Kalunguta;
  • The new case confirmed in Kalunguta is a known contact of a confirmed case of Katwa who had refused follow-up and vaccination.
• 2 new deaths of confirmed cases, including 1 in Katwa and 1 in Kalunguta (all community deaths);
• 1 new person healed out of CTE de Beni.

/! \ Cleaning databases in progress: Revision of the database of people cured. We will start sharing the number of cures as soon as the revision is complete .

Remarks:

• In order to prevent the total number of cases from going up or down daily, the suspect cases have been placed in a separate category. For example, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
• The probable case category includes all deaths for which it was not possible to obtain biological samples for laboratory confirmation but where the investigations revealed an epidemiological link with a confirmed or probable case.
• A community death is any death occurring outside of an Ebola Treatment Center.

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News of the response​

Minister's visit to Butembo

• On Thursday, February 28, 2019, the Minister of Health, Dr. Oly Ilunga Kalenga, accompanied by the Representative of the WHO in the DRC, went to Butembo to inquire about the situation on the ground following the two arson that destroyed Ebola Treatment Centers in Katwa and Butembo.

• These two incidents greatly disrupted the response teams. For several days, these teams have been the target of attacks and threats that have significantly slowed down the response activities, particularly the follow-up of contacts, the investigation of alerts, the vaccination of contacts, and the prevention and control activities. infections (PCI). Thus, it will be expected a significant upsurge of cases in health areas of Katwa and Butembo in the coming days. The Minister met with members of the sub-coordination and field teams to reassure them of the support and full support of the Ministry of Health.

• With the mayor of the city and the coordinator of the Butembo sub-coordination, the Minister visited the sites of the two burned CTEs. The Minister urged the Mayor of Butembo that it will be impossible to control the epidemic in the city until the security of the agents of the response is assured.

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Democratic Republic of Congo

Medical activities suspended after Ebola treatment centre attack

Statement 28 February 2019

M?decins Sans Fronti?res (MSF) has put on stand-by its medical activities in the epicentre of the Ebola epidemic, in Butembo and Katwa, in the province of North Kivu, Democratic Republic of the Congo, following an attack on an Ebola treatment centre in Butembo city during the evening of 27 February.

Unidentified assailants set some of the compound?s facilities and vehicles on fire. The blazes were contained, but the teams were obliged to immediately cease patient care. At the time of the attack, there were 57 patients admitted in the treatment centre, which was run alongside the Ministry of Health; 15 of the patients were confirmed to have Ebola.

This incident comes only days after another Ebola treatment facility, also supported by MSF teams in the neighbouring district of Katwa, was attacked on 24 February ? also forcing its suspension. MSF has evacuated its staff from the area for their safety pending a thorough analysis of the risks associated with continuing to provide medical care there.
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https://www.msf.org/medical-activities-suspended-after-ebola-treatment-centre-attack

 

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Translation Google

BUTEMBO: Fire two CTE in the space of 4 days, complicity or negligence?

Posted on: 28/02/2019 at 17h08min19s
By Radio Moto Butembo-Beni
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MBUSA KANYAMANDA Sylvain talks about terrorist actions by attackers who targeted this site while the city was calm. The mayor of Butembo indicates that the perpetrators of the fire have links with militiamen. However, the mayor of Butembo welcomes the fact that the police have displayed resistance that has allowed some patients to escape.

"It's not a small question that will have to be overlooked. There was still resistance. Our elements did something. They protected the generators, they also protected the sites of care of the patients. The patients escaped from this center there to avoid bullets. There are those who are beginning to identify themselves, they are beginning to call coordination. They are civilians supervised with May-May. Because if they were civilians, they would not have guns. There are even those who have bulletproof vests, "said the mayor.

According to him, the attackers, some of whom will be arrested soon, are high-risk people, since they would have reached dangerous sites in CTE Butembo. About the fate of the sick, the latter were transferred to the transit center of Katwa pending the reconstruction work that begins this Friday, promises the mayor.

No organization has yet made official mention of its withdrawal

With regard to the announced withdrawal of M?decins Sans Fronti?res experts who co-managed the Ebola treatment centers in Butembo, the mayor replied that no organization has yet made any official mention of its withdrawal.

"The partners are here. There are some who have done 1 month, 2 months, 6 months. There are some who can not handle stress related to these attacks. For them, you can not deny them the right to rest, to be able to reconstitute themselves. But no one has yet declared the departure, because those who are gone, it is surely for a small leave pending that they reconstitute themselves and return. On site, their office remains functional, "he said.

As a reminder, CTE Butembo was attacked on Wednesday night at ITAV Butembo. The mayor deplores the death of a police officer during the exchange of fire that took place between law enforcement officials and attackers.

Posted on: 28/02/2019 at 17h08min19s
By Radio Moto Butembo-Beni


http://radiomotofm.info/lirearticle.php?billet=5487

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2019-02-28 18:10:20

BENI: the inter-medical staff of Vuhovi health zone raises its dry strike

The intersyndical of the health care staff of the Vuhovi health zone has just ended its dry strike that began on February 19, 2019. The option was lifted this Thursday, February 28, 2019 during the evaluative meeting that health professionals of said health zone held in a premises of the Vuhovi Reference General Hospital.

All participants agreed to provide a minimum service in all health facilities in this region. However, they decided that the service will be stopped at 15 hours each day in health facilities located in corners of insecurity.

"In case of emergency, the patients will be transferred directly to VUHOVI at the reference general hospital," says Pascal KASKOTI aka PAO, member of the inter-union VUHOVI.

It should be recalled that the dry strike of the health personnel was decided on February 19 following the murder of the nurse holding the health center of ISONGA and attacks on health facilities in this health zone. Health professionals continue to call for improved safety conditions in their work environment.

http://radiomotofm.info/lireactuali...a zone de santé de Vuhovi lève sa grève sèche

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Ebola in DRC: Reasons for attacking two transit centers in Butembo

By RFI Published on 01-03-2019 Updated on 01-03-2019 at 11:59
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For the Butembo civil society, part of the population is still struggling to accept the existence of this epidemic, particularly because it served as a pretext for the cancellation of the elections in Butembo, but also in Beni.

It is probably not a coincidence, according to her, if these attacks took place just after the passage of the president of the Independent National Electoral Commission (CENI). But it is not the only reason. "The swarming armed groups have only benefited from this crisis of confidence that already exists because, from the outset, the coordination of the response did not integrate the local community into the participation of the actions that it does" says Ely Karuvusa, vice president of Butembo's civil society.
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http://www.rfi.fr/afrique/20190301-ebola-rdc-attaques-butembo-centres-transit?ref=tw

 

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[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

Friday, March 1, 2019

The epidemiological situation of the Ebola Virus Disease dated February 28, 2019 :

• Since the beginning of the epidemic, the cumulative number of cases is 888, 823 confirmed and 65 probable. In total, there were 557 deaths (492 confirmed and 65 probable) and 302 people cured.
• 174 suspected cases under investigation;
• 3 new confirmed cases, 2 in Katwa and 1 in Mandima;
• 2 new confirmed cases deaths:
  • 1 community death in Katwa;
  • 1 death of confirmed cases at Katwa CT.

/! \ The data presented in this table are subject to change later, after extensive investigations and after redistribution of cases and deaths in their health areas .

Remarks:

• In order to prevent the total number of cases from going up or down daily, the suspect cases have been placed in a separate category. For example, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
• The probable case category includes all deaths for which it was not possible to obtain biological samples for laboratory confirmation but where the investigations revealed an epidemiological link with a confirmed or probable case.
• A community death is any death occurring outside of an Ebola Treatment Center.

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News of the response​

Continuation of medical care in Butembo

• Following security incidents in recent days, the international NGOs M?decins Sans Fronti?res and Alima have decided to withdraw their teams deployed in the town of Butembo while continuing their activities in the other areas affected by the epidemic. After the destruction of the two Ebola Treatment Centers (ETCs), the only functioning patient care facility in the city is the Transit Center (CT) located within the compound of the Katwa Reference General Hospital.

• Initially intended to support suspicious patients waiting for the results of their laboratory tests, the TC has been slightly reorganized to accommodate confirmed patients from the two CTEs destroyed. TB management was immediately taken over by the Ministry of Health, in collaboration with WHO and UNICEF, to ensure continuity of patient care.

• The doctors, nurses and hygienists working in the ETCs and the TC are all local health workers living in the area. Despite the shock of recent events, many have returned to their jobs to continue to advance the Ebola response.

• The CT has a capacity of 35 beds. Following the transfer of all patients who were at the Butembo CTE, the CT currently hosts 31 patients, including 12 confirmed cases and 19 suspected cases. All of the confirmed cases that escaped during the Butembo CTE attack were found and are admitted to the CT. As of tomorrow, 10 extra beds will be added to increase the capacity of the TC. The logistic teams began their work of evaluating the material damages in the two attacked CTEs in order to start the rehabilitation work of these structures as quickly as possible.

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DRC-Ebola: Following the suspension of its activities in North Kivu, MSF notes that there are still "worrying signs of the epidemic"

Saturday, March 2, 2019 - 15:26

Dr. Joanne Lui, the international president of the NGO M?decins Sans Fronti?res (MSF), expressed this Saturday, March 2, 2019, her concern about the continuation of the operation of response against the 10th Ebola epidemic after a series of attacks by armed men against the centers for the treatment of the disease in the city of Butembo.

During an exchange with five media in Kinshasa including ACTUALITE.CD, Dr. Joanne Lui indicates that after these attacks, about 40% of cases of the epidemic identified remain in the community.

For her, MSF does not follow the logic of the use of force to fight against Ebola. The NGO instead seeks to create a balance between the protection of facilities and the trust that must be created in the community.

"There are still worrying signs regarding the evolution of the epidemic. Around 40% of deaths are in the community so it is "they are people who did not come to the treatment centers before the attacks, we also know that 40% of the confirmed cases do not belong to the chain of transmission. both of these are extremely alarming, and we need community confidence in the response to the Ebola outbreak, "she said.

It has been seven months since Ebola was declared in the city of Magina, in the territory of Beni. MSF is one of the government's main partners fighting back the epidemic that has already claimed more than 557 deaths in North Kivu and Ituri.

"MSF will not support an approach that advocates the use of force to stem the epidemic. You can not force people to be tested or treated against their will. Ebola is the common enemy. We must not blame the communities for our difficulties in stemming the epidemic at the moment, " added the MSF President.

MSF announced Friday the suspension of its Ebola activities in health zones of Katwa and Butembo but continues the fight against Ebola Kayna and Lubero still in North Kivu following two attacks against Ebola treatment centers (CTE) by armed men in Katwa and ITAV in Butembo town.

Auguy Mudiayi

https://actualite.cd/2019/03/02/rdc-...l-y-encore-des

 

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EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

Saturday, March 2, 2019

The epidemiological situation of the Ebola Virus Disease dated 1 March 2019 :

Since the beginning of the epidemic, the cumulative number of cases is 890, of which 825 are confirmed and 65 are probable. In total, there were 559 deaths (494 confirmed and 65 probable) and 302 people cured.
172 suspected cases under investigation;
2 new confirmed cases, including 1 in Katwa and 1 in Mandima;
2 new deaths of confirmed cases:
1 community death in Katwa;
1 death of case confirmed at Katwa CT.
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EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

Sunday March 3, 2019

The epidemiological situation of the Ebola Virus Disease dated March 2, 2019 :

Since the beginning of the epidemic, the cumulative number of cases is 894, of which 829 are confirmed and 65 are probable. In total, there were 561 deaths (496 confirmed and 65 probable) and 302 people cured.
182 suspected cases under investigation;
4 new confirmed cases, 2 in Katwa, 1 in Butembo and 1 in Mandima;
2 new deaths of confirmed cases (community deaths), 1 in Katwa and 1 in Butembo.
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News of the response

Reopening of Butembo Ebola Treatment Center

The Butembo Ebola Treatment Center, which was attacked by armed men on Wednesday, February 27, 2019, reopened this Saturday, March 2, 2019. To date, 12 confirmed patients, temporarily hospitalized at the Katwa Transit Center, have already been admitted. transferred to the Butembo CTE.

The logistics teams have rehabilitated in a few days the main parts of the CTE to allow the proper and dignified care of confirmed patients. The Butembo CTE is now managed by the Ministry of Health, in collaboration with WHO and UNICEF. All the caregivers and support staff who were already working at the ETC went back to work with a smile. This Monday, March 4, 2019, reconstruction work of the Katwa CTE set on fire on the night of Sunday 24 to Monday 25 February will be launched.

Ebola Hackathon in Kinshasa

This weekend, the Ministry of Health, in partnership with Kinshasa Digital, Path and Internews, organized an Ebola hackathon for students in Kinshasa. The theme for the hackathon was: " How can Ebola response agents better utilize new technologies to achieve their communication goals locally, nationally and internationally? ". The objective of the event was to raise awareness among young people in Kinshasa, living several thousand kilometers from the epicenter of the epidemic, on the problem of Ebola.

For 24 hours, about fifty students worked as a team to develop innovative solutions that can help the response teams in their work. The thematic touching several areas, the students had been instructed to form multidisciplinary teams mixing students in computer science, communication / journalism and medicine.

The Minister of Health, Dr. Oly Ilunga Kalenga, as well as Ministry of Health partners spent the hackathon in the afternoon of Saturday. They met with students who briefed them on the projects they were working on. All guests were particularly impressed by the quality and relevance of some projects designed by students who have never worked in an Ebola response.

This Sunday, March 3, 2019, the ten teams presented their project to a jury composed of representatives of the Ministry of Health, Path, Kinshasa Digital, Internews, Congolia, TMB, Viamo, and BlueSquare. The competition was tight and several projects stood out. Creativity and innovation were at the rendezvous. We were able to discover the idea of ​​a mobile app to help healthcare providers identify suspicious patients or a connected bracelet that monitors the temperature of contacts during the follow-up period.

The winning team will be announced at Kinshasa Digital Week from April 12 to 13, 2019. She will receive three months of coaching and coaching at Congolia Incubator as well as a financial contribution from a bank. In addition, during the competition, the Ministry of Health identified some talents who could work part-time in the Ebola response, particularly at the level of the new information management system. A second Ebola hackathon will be organized by Internews in Goma in April.
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AFRICATECHMARCH 4, 2019 / 10:12 AM / UPDATED 10 MINUTES AGO

Unknown attackers threaten to worsen Ebola epidemic in Congo

Inna Lazareva, Thomson Reuters Foundation

YAOUNDE, March 4 (Thomson Reuters Foundation) -
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While two Medecins Sans Frontieres (MSF) facilities treating Ebola patients in North Kivu province were attacked last week, aid workers said they are only the latest in a series of incidents.
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?We had at least 10 cars that were broken into in Katwa,? said Michel Yao, incident manager for the World Health Organization referring to an attack last month in an area in the eastern trading hub of Butembo, a city with strong links to neighbouring Uganda.

?There are increasing attacks on different teams,? Yao told the Thomson Reuters Foundation by telephone from Butembo.

He cited the difficult conditions faced by aid staff working on disinfection, safe burials, support of health facilities, those providing vaccinations to treat Ebola and others.
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It is unclear who exactly is behind the attacks, said Jean-Philippe Marcoux, country director for the Mercy Corps charity in Congo.
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?To a certain extent, Ebola has been politicised during the run up to (December?s presidential) elections,? said Marcoux.
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"The teams and staff are very scared,? WHO?s Yao said. ?When our team enters (certain areas), they are suddenly surrounded by hostile people who are even armed.?
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https://af.reuters.com/article/ugandaNews/idAFL5N20O3WY