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

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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

Saturday, April 13, 2019

The epidemiological situation of the Ebola Virus Disease dated April 12, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 1,240, of which 1,174 are confirmed and 66 are probable. In total, there were 792 deaths (726 confirmed and 66 probable) and 365 people cured.
  • 269 ​​suspected cases under investigation;
  • 20 new confirmed cases, including 16 in Katwa, 1 in Vuhovi, 1 in Mandima, and 2 in Beni;
  • 20 new confirmed case deaths, including
    • 12 community deaths, including 10 in Katwa, 1 in Beni and 1 in Mandima;
      • The community death of Beni is a stillborn baby whose mother, confirmed case, died at the CTE on April 11th. The baby died during the transfer of the mother to the CTE.
    • 8 deaths at CTE, including 5 in Katwa, 2 in Butembo and 1 in Beni;
  • 1 new healed from the CTE of Butembo.
/! \ 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 .



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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.
  • Deaths occurring at the level of the CTEs are provisionally recorded in the health zones of CTE implantation pending reclassification in the health zone of case notification.
  • The category of probable cases includes all the deaths for which it has not been possible to obtain biological samples for laboratory confirmation but where investigations revealed epidemiologically linked to 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​


Vaccine Efficacy Study
  • The National Institute of Biomedical Research (INRB) and the World Health Organization (WHO) have published preliminary results of a study on the efficacy of the rVSV-ZEBOV-GP vaccine to control the Ebola outbreak. The objective of the study was to better understand if the vaccine was effective and help prevent the number of cases when used as part of the belt vaccination strategy. A more detailed analysis is being prepared and will be published in a scientific journal.
  • The researchers analyzed the data of those vaccinated between 1 [SUP]st [/SUP] May 2018 and 25 March 2019. According to the data collected, the efficiency of the rVSV-GP-ZEBOV vaccine is estimated at 97.5%. These first results confirm previous observations on the very high efficacy of the rVSV-ZEBOV-GP against Ebola vaccine to control the spread of the epidemic. The belt vaccination strategy has been shown to be effective because of the rapid protection of those vaccinated after a single injection and the high coverage achieved in the different vaccination belts (91%).
  • Of a sample of over 90,000 people vaccinated against Ebola, 71 developed the disease. Of these 71 people, 15 people developed the disease more than 10 days after vaccination, of which 7 were health workers. In this first group, no one died of Ebola. The other 56 people developed the first symptoms less than 10 days after being vaccinated, that is, before they could develop their immunity. It is estimated that the vaccine takes 10 days to offer maximum immune protection. In this second group, 9 people died. This indicates that the vaccine has reduced the overall mortality rate among the vaccinated people who developed the disease.
Validation workshop of the implementation framework of the 3 [SUP]rd [/SUP] strategic response plan (PSR-3)
  • From 10 to 12 April 2019, Minister of Health Dr. Oly Ilunga Kalenga chaired a workshop on the validation of the implementation framework for PSR-3 in Goma. The objective of this workshop was to reframe the implementation of the RSP-3, focusing on three specific deliverables, namely to clarify the organizational chart of the response taking into account the new actors, to define a plan of action unique and inclusive by sub-coordination and pillar, as well as developing a accountability and performance framework for all actors in the national and international response.
  • As the Minister of Health has pointed out, the current Ebola outbreak is taking place in an extremely complex and challenging environment that requires a constant review of response strategies. He emphasized the importance of maintaining a healthy framework for consultation and collaboration among the many national and international organizations involved in this response to ensure the effectiveness of all interventions with greater community involvement.
Vaccination
  • Since the beginning of vaccination on 8 August 2018, 98,966 persons have been vaccinated , including 25,131 in Katwa, 21,678 in Beni, 12,243 in Butembo, 6,371 in Mabalako, 4,182 in Mandima, 3,080 in Kalunguta, 3,070 in Goma, 2,540 in Oicha, 2.347 to Komanda, 1.795 to Vuhovi, 1.729 to Masereka, 1.630 to Kayina, 1.569 to Kyondo, 1.487 to Bunia, 1.357 to Karisimbi, 1.193 to Lubero, 1.027 to Musienene, 1.025 to Biena, 772 to Mutwanga, 690 to Rutshuru, 557 in Rwampara (Ituri), 527 in Nyankunde, 496 in Mangurujipa, 420 in Mambasa, 355 in Tchomia, 333 in Lolwa, 342 in Kirotshe, 254 in Alimbongo, 250 in Mweso, 245 in Kibirizi, 161 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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[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

Sunday, April 14, 2019

The epidemiological situation of the Ebola Virus Disease dated April 13, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 1,251, of which 1,185 are confirmed and 66 are probable. In total, there were 803 deaths (737 confirmed and 66 probable) and 371 people cured.
  • 290 suspected cases under investigation;
  • 11 new confirmed cases, including 7 in Katwa, 2 in Mandima, 1 in Vuhovi, and 1 in Butembo;
  • 11 new confirmed case deaths, including
    • 6 community deaths, 2 in Katwa, 2 in Mandima, 1 in Vuhovi and 1 in Butembo;
    • 5 deaths at CTE / CT, 2 in Katwa, 2 in Butembo and 1 in Beni;
  • 6 new cures, including 4 from the Butembo CTE, 1 from the Beni CTE and 1 from the Katwa CTE.
/! \ 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 .



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

Monday, April 15, 2019

The epidemiological situation of the Ebola Virus Disease dated April 14, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 1,264, of which 1,198 confirmed and 66 probable. In total, there were 814 deaths (748 confirmed and 66 probable) and 374 people cured.
  • 231 suspected cases under investigation;
  • 13 new confirmed cases, including 7 in Katwa, 2 in Mabalako, 1 in Mandima, 1 in Musienene, 1 in Butembo and 1 in Oicha;
  • 11 new confirmed case deaths, including
    • 6 community deaths, including 4 in Katwa and 2 in Mabalako;
    • 5 deaths at CTE, including 3 in Katwa and 2 in Butembo;
  • 3 new cures, including 1 from the Butembo CTE, 1 from the Beni CTE and 1 from the Mabalako CTE;
  • One Katwa health worker is among the new confirmed cases (community deaths).
    • This is an unvaccinated nurse who was in contact with a confirmed patient. When she started the illness, she hid and was cared for at home by her colleagues from 4 to 13 April 2019. Following the deterioration of her clinical condition, she consulted a health center in Butembo where she is. died.
    • The cumulative number of confirmed / probable cases among health workers is 89 (7% of all confirmed / probable cases) including 32 deaths.
/! \ 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 .



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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.
  • Deaths occurring at the level of the CTEs are provisionally recorded in the health zones of CTE implantation pending reclassification in the health zone of case notification.
  • 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​

More than 100,000 vaccinated people
  • This Sunday, April 14, 2019, the cap of 100,000 people vaccinated against Ebola in the provinces of North Kivu and Ituri has been reached. Of these 100,000, 27,766 are front-line health workers, 26,328 are high-risk contacts for confirmed cases, and 46,376 are contacts.
  • So far, the only vaccine to be used in this outbreak is the rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck, after the approval of the Ethics Committee in its decision of 19 May 2018. The strategy used, called vaccination, aims to create a circle of people immunized against the Ebola virus around a confirmed patient in order to break the chain of transmission.
  • Preliminary results from a study by the National Institute for Biomedical Research (INRB) and the World Health Organization (WHO) confirmed the very high efficiency of the vaccine and vaccination belt to limit the spread of Ebola outbreak. Moreover, the significant increase in new cases confirmed in recent weeks, particularly in active households in Butembo and Katwa, is partly explained by the temporary cessation of vaccination activities in March following the rise in violence against the teams of the response. Because of the problems of violence and safety, 45 vaccination rings could not be opened around confirmed cases.

Vaccination
  • Since vaccination began on August 8, 2018, 100,470 people have been vaccinated , including 25,917 in Katwa, 21,908 in Beni, 12,437 in Butembo, 6,451 in Mabalako, 4,220 in Mandima, 3,080 in Kalunguta, 3,070 in Goma, 2,540 in Oicha, 2,423 at Komanda, 1,845 at Vuhovi, 1,729 at Masereka, 1,630 at Kayina, 1,619 at Kyondo, 1,487 at Bunia, 1,357 at Karisimbi, 1,193 at Lubero, 1,027 at Musienene, 1,025 at Biena, 772 at Mutwanga, 690 at Rutshuru, 557 in Rwampara (Ituri), 527 in Nyankunde, 496 in Mangurujipa, 420 in Mambasa, 355 in Tchomia, 333 in Lolwa, 342 in Kirotshe, 254 in Alimbongo, 250 in Mweso, 245 in Kibirizi, 161 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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[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

Tuesday, April 16, 2019

The epidemiological situation of the Ebola Virus Disease dated April 15, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 1,273, of which 1,207 are confirmed and 66 are probable. In total, there were 821 deaths (755 confirmed and 66 probable) and 374 people cured.
  • 303 suspected cases under investigation;
  • 9 new confirmed cases, including 3 in Katwa, 3 in Butembo, 1 in Masereka, 1 in Mandima and 1 in Kyondo;
  • 7 new confirmed case deaths, including
    • 4 community deaths, 2 in Butembo, 1 in Katwa and 1 in Mandima;
    • 3 deaths at CTE, 2 in Butembo and 1 in Katwa.
/! \ 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 .



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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.
  • Deaths occurring at the level of the CTEs are provisionally recorded in the health zones of CTE implantation pending reclassification in the health zone of case notification.
  • 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​


Visit of the Head of State to Beni
  • This Tuesday, April 16, 2019, the President of the Republic, Felix Tshisekedi, visited the teams of the response during his trip to Beni. He visited the Ebola Treatment Center where he witnessed the release of a cured patient to whom he gave the clearance certificate. He spoke at length with various agents of the response who explained the functioning of the response, including patient care and mobile laboratories of the National Institute of Biomedical Research (INRB). He commended the health workers for their work in keeping the epidemic alive in only two provinces of the country, without reaching neighboring countries, and provided them with state support. Otherwise,

Vaccination
  • Since the beginning of the vaccination on August 8, 2018, 101,249 people have been vaccinated , including 26,316 in Katwa, 22,059 in Beni, 12,447 in Butembo, 6,556 in Mabalako, 4,250 in Mandima, 3,080 in Kalunguta, 3,070 in Goma, 2,540 in Oicha, 2.477 to Komanda, 1.845 to Vuhovi, 1.729 to Masereka, 1.649 to Kyondo, 1.630 to Kayina, 1.487 to Bunia, 1.357 to Karisimbi, 1.193 to Lubero, 1.027 to Musienene, 1.025 to Biena, 772 to Mutwanga, 690 to Rutshuru, 557 in Rwampara (Ituri), 527 in Nyankunde, 496 in Mangurujipa, 420 in Mambasa, 355 in Tchomia, 333 in Lolwa, 342 in Kirotshe, 254 in Alimbongo, 250 in Mweso, 245 in Kibirizi, 161 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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[TD="class: mcnTextContent"] WEEKLY SUMMARY OF EPIDEMIOLOGICAL DATA

Week 15 (April 8-14, 2019)

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For the week of April 8 to 14, 2019, we recorded:
  • 7.297 new notified alerts
    • There has been a clear increase in the number of alerts received in the past 5 weeks.
    • The vast majority of these alerts come from the community and health facilities. This indicates better community collaboration with the response teams. There has also been a decrease in violence against teams, including in areas of Katwa, Butembo and Vuhovi, which until now have been difficult for health workers to access.
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  • 1,933 suspected cases investigated and tested in the laboratory
  • 110 new confirmed cases :
    • Katwa is the main focus with 60 cases (54.5%).
    • A health zone has been removed from the list of zones that have notified at least one confirmed case in the last 21 days: Kayna. A health zone is back in the list: Komanda.
    • As the chart below shows, the number of new confirmed cases notified weekly has increased significantly in the last 5 weeks following targeted attacks against the Katwa and Butembo CTEs.
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  • 83 deaths of confirmed cases :
    • The main source of death is Katwa with 51 deaths, or 62.4% of the total number of new deaths during the week;
    • Of the 83 deaths, 49 were community deaths, or 59%, and 34 occurred in an ETC.
  • 24 new people healed :
    • The number of cures discharged from ETCs each week continues to increase. We went from 19 new cures at week 14 to 24 new cures at week 15.

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Visit of the President of the Republic to the Beni Ebola Treatment Center​
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https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=56b9184dbe
 
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[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

Wednesday, April 17, 2019

The epidemiological situation of the Ebola Virus Disease dated April 16, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 1,290, of which 1,224 are confirmed and 66 are probable. In total, there were 833 deaths (767 confirmed and 66 probable) and 379 people cured.
  • 251 suspected cases under investigation;
  • 17 new confirmed cases, including 11 in Katwa, 4 in Butembo, and 2 in Mandima;
  • 12 new deaths of confirmed cases, including
    • 10 community deaths, including 7 in Katwa, 2 in Mandima and 1 in Butembo;
    • 2 deaths at Butembo CTE;
  • 5 new cures, including 3 from the Katwa CTE, 1 from Beni and 1 from Butembo.
/! \ 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 .



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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.
  • Deaths occurring at the level of the CTEs are provisionally recorded in the health zones of CTE implantation pending reclassification in the health zone of case notification.
  • 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​

Community leaders get more involved in raising awareness
  • The customary chiefs of the Beni-Lubero territory, meeting within the National Alliance of Traditional Chiefs of North Kivu in Butembo, sent a message of sensitization to the population and recommendations to the teams of the response to put an end to the Ebola outbreak at home. Taking into account the seriousness of the situation, they asked the population to dissociate themselves from anyone who minimizes the Ebola disease, and to consider that Ebola is a disease that really exists. In addition, he asked the mothers and girls, who traditionally take care of the hygiene and care of the sick at home, not to throw stones at the teams of the response. Finally,
  • Two national deputies from Ituri province, Kambale Ezechiel Barnabas and Kakule Mupopolo Floribert, carried out a 3-day mission to Biakato, in Mandima health zone, to raise awareness and ask them to collaborate with the teams of the response. This locality has experienced a significant increase in confirmed Ebola cases in recent weeks because of the difficulty of the response teams in accessing the sick as a result of community reluctance. They closed their trip with a rally on Sunday, April 14, 2019 in the presence of the administrator of the territory during which they recalled the preventive measures to respect to stop the spread of the epidemic.
  • In Lubero, the Territorial Youth Council has launched a youth engagement to end the Ebola outbreak at home. Council members have put in place measures to support the efforts of the response teams, particularly community-based surveillance and hygiene compliance in their communities.
Glimmer of hope in Katwa and Butembo
  • A panic has blown over the Katwa and Butembo areas because of the accelerated spread of the epidemic in the community following targeted attacks against the two CTEs in the city. Rising insecurity and violence against the response teams had prevented them from carrying out essential interventions to break the chain of transmission and slow the spread of the epidemic in the community, especially contact tracing, vaccination and decontamination of households.
  • However, Dr. Jean-Paul Mundama, president of the prevention committee in Butembo, is optimistic and notes with satisfaction the lifting of resistance in the most resistant homes of the city, such as Mutsanga and Wayene. Thus, the teams begin to discover the hidden patients in the community. If all public health interventions around confirmed cases and deaths are unhindered, the chain of transmission will be broken down, the number of cases will begin to decline and the epidemic can be controlled. Although the rapid increase in the number of confirmed cases in recent weeks may be worrying, the epidemic is actually concentrated in some well-defined health areas and there has been no geographical spread of the virus. The epidemic has just resumed in areas that had already been affected because of patient mobility. The main outbreaks of the epidemic remain concentrated in the health zones of Katwa, Vuhovi, Masereka and Mandima.
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Vaccination
  • Since the beginning of the vaccination on August 8, 2018, 101,589 people have been vaccinated , including 26,646 in Katwa, 22,179 in Beni, 12,447 in Butembo, 6,596 in Mabalako, 4,300 in Mandima, 3,080 in Kalunguta, 3,070 in Goma, 2,540 in Oicha, 2.507 to Komanda, 1.845 to Vuhovi, 1.729 to Masereka, 1.649 to Kyondo, 1.630 to Kayina, 1.487 to Bunia, 1.357 to Karisimbi, 1.193 to Lubero, 1.027 to Musienene, 1.025 to Biena, 772 to Mutwanga, 690 to Rutshuru, 557 in Rwampara (Ituri), 527 in Nyankunde, 496 in Mangurujipa, 420 in Mambasa, 355 in Tchomia, 333 in Lolwa, 342 in Kirotshe, 254 in Alimbongo, 250 in Mweso, 245 in Kibirizi, 161 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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[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

Thursday 18 April 2019

The epidemiological situation of the Ebola Virus Disease dated April 17, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 1,302, of which 1,236 are confirmed and 66 are probable. In total, there were 843 deaths (777 confirmed and 66 probable) and 380 people healed.
  • 325 suspected cases under investigation;
  • 12 new confirmed cases, including 5 in Katwa, 3 in Mandima, 2 in Vuhovi, 1 in Kalunguta and 1 in Beni;
  • 10 new deaths of confirmed cases, including
    • 7 community deaths, including 3 in Mandima, 2 in Vuhovi, 1 in Katwa, and 1 in Kalunguta;
    • 3 deaths at CTE, 2 in Butembo and 1 in Katwa;
  • 1 new healed from the CTE of Komanda.
/! \ 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 .



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LUBERO Territory: death of an Ebola confirmed case in MAYIBA; an alarming risk of spreading the disease

Posted on: 18/04/2019 at 19h46min03s
By Radio Moto Butembo-Beni

A death of a confirmed Ebola case was reported, Wednesday, April 17, 2019, in MAYIBA, in the health zone of BIENA in Lubero territory. The state's delegated official in Njiapanda confirms this news communicated to him by medical sources.

Master MONGA MABANGA regrets that the Ebola response team did not have access to the body of the victim to secure his burial. Another concern is the non-decontamination of the health facility and home that the patient attended before his death. In view of this situation, Master MONGA MABANGA Julio fears a spread of the disease in health zone of BIENA.

"Well, we still had a probable case. At the moment I am talking to you, there has been a probable case in MAYIBA where there is someone who has fled Butembo. He was interned, 4 days later, he passed away. We wanted to secure the body, it did not hold. The body is brought back from MAYEBA to Fungula macho. You know, it's already in Bapere. There are still people who will touch the body ... ", he worries.

Posted on: 18/04/2019 at 19h46min03s
By Radio Moto Butembo-Beni


https://radiomotofm.info/lirearticle.php?billet=5722
 
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Attack at UCG / BUTEMBO university clinics: doctor killed and several other recorded damages

Posted on: 19/04/2019 at 15h48min19s
By Radio Moto Butembo-Beni

Diurnal attack of the Clinics of the Catholic University of Graben, UCG the day of this Holy Friday at 14h local time. The unidentified militiamen have just killed a foreign doctor, burned a health workers truck, burned the triage center and caused several other property damage. These clinics are located in Butembo in Malende district in Kimemi commune. They host an Ebola response team that triage cases of the disease. This attack comes after strangers signed an incursion on the night of Thursday, April 18 to Friday, April 19 to the community of priests of UCG Butembo.

https://radiomotofm.info/lirearticle.php?billet=5725
 
Tedros Adhanom Ghebreyesus
‏
Verified account

@DrTedros
59m59 minutes ago

The @WHO family lost a dear colleague in the hospital attack in Butembo, #DRC, today.
My colleagues and I are grieving over the loss of this courageous colleague who was saving lives to end #Ebola.
We are outraged by the attack. Health workers are #NotATarget

Tedros Adhanom Ghebreyesus
‏
Verified account

@DrTedros
3h3 hours ago
More
This is a very sad day. We just learned of one fatality, as well as some people injured, in the attack on hospital in Butembo, #DRC. Butembo is the epicenter of the ongoing #Ebola outbreak. Health workers are working around the clock to save lives. Health workers are #NotATarget.
 
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DRC: New attack on Ebola response team in Butembo

Friday, April 19, 2019 - 14:15

Armed men conducted a new attack on Friday 19 April 2019 against the university clinic of the Catholic University of Graben (UCG) in Butembo located Malende district in the commune of Kimemi. This clinic hosts an Ebola response team that triage cases of the disease.

The attack began at 1400 hours and lasted at least half an hour.

"They surprised the team of response (against Ebola, Ed) in full meeting. The shots lasted between 30 and 45 minutes. We are in our hiding places with patients. They have just burned a vehicle of the riposte. A doctor assigned to the response has been shot. He is in the emergency room right now. But the police and the army come to intervene. The shooting stopped. We're going to be out soon, "says to ACTUALITE.CD Achille Mukekya, intern ophthalmologist at the clinic.

The Ebola Response Team has been working at the clinic for a long time, but it has been a month since its case triage services have been installed there.

The University Clinic of Graben Catholic University organizes several services including ophthalmology, physiotherapy and cardiology.


https://actualite.cd/2019/04/19/rdc-nouvelle-attaque-visant-le-centre-de-traitement-debola-butembo

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WORLD NEWSAPRIL 19, 2019 / 11:10 AM / UPDATED AN HOUR AGO

Attacks on hospital in Ebola zone kill Cameroonian doctor

GOMA, Democratic Republic of Congo (Reuters) - Attacks on a hospital at the epicenter of Democratic Republic of Congo?s Ebola outbreak have killed a Cameroonian doctor and injured several others, the local mayor said on Friday.

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https://www.reuters.com/article/us-...la-zone-kill-cameroonian-doctor-idUSKCN1RV11B
 
WHO Ebola responder killed in attack on the Butembo hospital

19 April 2019 Statement

Geneva

Today, Dr Richard Valery Mouzoko Kiboung, an epidemiologist deployed by WHO in the response to the Ebola outbreak in the Democratic Republic of the Congo (DRC) was killed in an attack on Butembo University Hospital. Two other persons were injured in the attack but are believed to be in a stable condition.
Today we lost one of our very own: Dr Richard Valery Mouzoko Kiboung, an epidemiologist deployed in the #Ebola response in #DRC, during a hospital attack in Butembo.

We grieve together with his family during this difficult time. pic.twitter.com/dJ52VL64Yn

Tedros Adhanom Ghebreyesus
✔@DrTedros

Today we lost one of our very own: Dr Richard Valery Mouzoko Kiboung, an epidemiologist deployed in the #Ebola response in #DRC, during a hospital attack in Butembo.
We grieve together with his family during this difficult time.
120
3:08 PM - Apr 19, 2019



“I and all of WHO are deeply saddened by the loss of our colleague and brother Dr Mouzoko. He put himself on the frontline to save lives in the Democratic Republic of the Congo” said WHO Director-General Dr Tedros Adhanom Ghebreyesus. “We grieve with his family and friends at this very difficult time.”​
“This is a tragic reminder of the risks health workers take every day to protect the lives and health of others. We are outraged by this attack: health workers and health facilities must never be targets.”

The attack took place during a coordination meeting being held at the hospital at that time.

“We are assessing the security situation to ensure the safety of all patients, health workers and Ebola responders”, said Dr Tedros. “At the same time, we remain committed to continue supporting the Ministry of Health of DRC to end this outbreak as quickly as possible.”

https://www.who.int/news-room/detail...tembo-hospital
 
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[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

Friday, April 19, 2019

The epidemiological situation of the Ebola Virus Disease dated April 18, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 1,317, of which 1,251 are confirmed and 66 are probable. In total, there were 855 deaths (789 confirmed and 66 probable) and 383 people cured.
  • 293 suspected cases under investigation;
  • 15 new confirmed cases, 11 in Katwa, 1 in Butembo, 1 in Mandima, 1 in Masereka and 1 in Kalunguta;
  • 12 new deaths of confirmed cases, including
    • 8 community deaths, 7 in Katwa and 1 in Masereka;
    • 4 deaths at CTE, including 3 in Butembo and 1 in Katwa;
  • 3 new cures, 2 of which came out of Mabalako CTE and 1 from Butembo CTE.
/! \ 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 .



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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.
  • Deaths occurring at the level of the CTEs are provisionally recorded in the health zones of CTE implantation pending reclassification in the health zone of case notification.
  • 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​

Armed attack at Clinics of the Catholic University of Graben (UCG)
  • This Friday, April 19, 2019, a Cameroonian epidemiologist deployed by the World Health Organization, Dr. Richard MOUZOKO KIBOUNG, died of his wounds during an attack at clinics at the Catholic University of Graben, Butembo. Dr. Richard was the coordinator of the response in the Vutsundo health area. He was chairing a meeting with his team when three armed men burst into the room and opened fire on the teams. A local doctor and a driver were also injured in the attack. The attackers also burned vehicles and the yard built at the entrance of the hospital.
  • Click here to read the WHO official statement
  • Click here to read the message from the Minister of Health

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Source: https://www.who.int/csr/don/18-april-2019-ebola-drc/en/
[h=1]Ebola virus disease ? Democratic Republic of the Congo[/h] Disease outbreak news: Update
18 April 2019

The incidence of Ebola virus disease (EVD) cases in the Democratic Republic of the Congo continued to increase this week; however, it remained confined to a limited geographical area within North Kivu and Ituri provinces. This recent trend is likely attributable, in part, to past and ongoing security issues, unrest amongst certain local populations, and lingering community mistrust towards outbreak response teams. Improved case detection and response activities have been observed in previously inaccessible hotspots.
In the 21 days between 27 March and 16 April 2019, 55 health areas within 11 health zones reported new cases; 39% of the 143 health areas affected to date (Table 1 and Figure 2). During this period, a total of 249 confirmed cases were reported from Katwa (124), Vuhovi (40), Mandima (28), Butembo (24), Beni (16), Oicha (6), Mabalako (5), Kalunguta (2), Masereka (2), Musienene (1), and Lubero (1).
As of 16 April, a total of 1290 confirmed and probable EVD cases have been reported, of which 833 died (case fatality rate 65%). Of the 1290 cases with reported age and sex, 56% (725) were female, and 28% (361) were children aged less than 18 years. The number of healthcare workers affected has risen to 89 (7% of total cases), including 32 deaths. To date, a total of 379 EVD patients who received care at Ebola Treatment Centres (ETCs) have been discharged.
On 12 April 2019, the International Health Regulation (IHR) Emergency Committee convened in Geneva, Switzerland, to discuss whether the EVD outbreak posed a Public Health Emergency of International Concern (PHEIC) and offer response recommendations. While the Emergency Committee and the WHO Director-General reiterated their serious concern at the recent rise in the number of cases and the high risk of regional spread, upon consultation with various technical experts and further review of available epidemiological data, it was concluded that the current outbreak did not constitute a PHEIC. For the complete WHO statement concerning the 12 April IHR Emergency Committee meeting, please see here.
The ongoing vaccination efforts have produced some promising results this past week. On 12 April 2019, WHO and Institut National de Recherche Biom?dicale (INRB) published a preliminary analysis concerning the efficacy of the rVSV-ZEBOV-GP vaccine currently utilised in this outbreak (please see full report here). The data suggested the vaccine demonstrated notable efficacy in preventing Ebola infections in vaccinated individuals compared to those who are unvaccinated. Between 2-4 April 2019, the Strategic Advisory Group of Experts (SAGE) convened a meeting to review the epidemiological data and offer further recommendations to the ongoing vaccination efforts. They urged the further expansion of those eligible for vaccination to include children older than 6 months and lactating women; two populations observed to have especially high attack rates and high case fatality rates (please see here for further highlights from SAGE meeting).
In light of the findings, WHO and partners are evolving the existing vaccination strategy on the ground. Along with intensifying contact tracing of cases and vaccinating their known immediate contacts, a greater emphasis is being placed on following up contacts of contacts and ensuring these at-risk individuals are adequately vaccinated against Ebola. Various approaches are being employed at this time to vaccinate people at-risk including:
  • Site-by-site vaccinations at the places of residence and other locations previously visited by cases
  • Simultaneous vaccination of healthcare and frontline workers (HCW/FLW), and others at increased risk working in healthcare facilities
  • Pop-up vaccination, where those at risk are invited to an agreed upon location, outside their place of residence
  • Targeted geographic vaccination of villages if contacts, and contacts of contacts, cannot be clearly ascertained due to security constraints, but are invited to a previously agreed upon site to be vaccinated.
Through these strategies, 23 operational vaccination teams have effectively closed previously observed gaps in the vaccination rings surrounding reported cases; rings are currently pending for 10 of the 257 cases confirmed during the period between 28 March to 16 April 2019. As of 16 April, a total of 102 501 contacts and contacts of contacts have been vaccinated, of whom 29 720 were HCWs/FLWs. Outside of the Democratic Republic of the Congo, vaccination of frontline healthcare workers commenced in neighbouring Rwanda on 16 April 2019, with 176 HCWs/FLWs already vaccinated. It is expected that the vaccination strategy will be an effective means to slowing the spread of EVD.
Infection prevention and control (IPC) efforts have also yielded some notable progress this past week. A revised IPC strategy with an operational work plan for February to May 2019 period has been endorsed by the Ministry of Health (MoH). The strategy and work plan are intended to guide the national coordination activities of the Ebola response?s IPC Task Force, and the implementation of activities by the IPC commissions and partners at the subnational level. To support this operational shift, Risk Communication and Community Engagement research initiatives are being developed to better understand transmission pathways that can be addressed by the IPC coordination activities. Additional support will be provided by collecting feedback through community dialogue on how IPC can be better implemented at the community level.
While the EVD outbreak remains ongoing and the rise in number of cases is likely to continue in the following weeks, it should be noted that substantial progress has been made to adapt response strategies to the ever-evolving situation. Despite the multitude of challenges posed by having to mount a robust outbreak response in the demanding circumstances in which this EVD outbreak is currently taking place, WHO and partners are continuing to intensify all facets of the response efforts to curtail the further spread of EVD in the North Kivu and Ituri provinces.
[h=4]Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset, data as of 16 April 2019*[/h]
Figure_1_20190418.png



*Data in recent weeks are subject to delays in case confirmation and reporting, as well as ongoing data cleaning.
[h=4]Figure 2: Confirmed and probable Ebola virus disease cases by health area, North Kivu and Ituri provinces, Democratic Republic of the Congo, data as of 15 April 2019[/h]
Figure_2_20190418.png



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[h=3]Table 1: Confirmed and probable Ebola virus disease cases, and number of health areas affected, by health zone, North Kivu and Ituri provinces, Democratic Republic of the Congo, data as of 16 April 2019**[/h]
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**Total cases and areas affected based during the last 21 days are based on the initial date of case alert, and may differ from date of confirmation and daily reporting by the Ministry of Health.
[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:
[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. The last assessment concluded that the national and regional risk levels remain very high, while global risk levels remain low. Weekly increases in the number of new cases has been ongoing since late February 2019. A general deterioration of the security situation, and the persistence of pockets of community reluctance, refusal, and resistance due to mistrust exacerbated by political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions. However, recent community dialogue, outreach initiatives, and restoration of access to certain hotspot areas have resulted in some improvements in community acceptance of response activities and case investigation efforts. The high proportion of community deaths reported among confirmed cases, relatively low proportion of new cases who were known contacts under surveillance, existence of transmission chains linked to nosocomial infection, persistent delays in detection and isolation in ETCs, and challenges in the timely reporting and response to probable cases, are all factors increasing the likelihood of further chains of transmission in affected communities and increasing the risk of geographical spread both within the Democratic Republic of the Congo and to neighbouring countries. The high rates of population movement occurring from outbreak affected areas to other areas of the Democratic Republic of the Congo and across porous borders to neighbouring countries during periods of heightened insecurity further compounds these risks. Additional risks are posed by the long duration of the current outbreak, fatigue amongst response staff, and ongoing strain on limited resources. Conversely, substantive operational readiness and preparedness activities in a number of neighbouring countries, including vaccination of HCW and FLWs at prioritised health facilities, have likely increased capacity to rapidly detect cases and mitigated local spread; this must continue to be scaled-up.
[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:

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

Ebola in DRC: Security forces repel attack on general hospital in Butembo, a militia killed

Saturday 20 April 2019 - 08:23
Ph. ACTUALITE.CD

The army and police on Saturday (April 20th) repulsed another armed attack on the Katwa General Hospital in Butembo town, North Kivu. This facility located in the municipality of Mususa hosts a patient triage center for the surveillance of Ebola virus disease.

It was around 3 o'clock that armed attackers tried to vandalize these installations, before being repulsed by loyalist forces they crossed on the spot.

"They tried to commit their dirty work against the hospital in Katwa, luckily we were vigilant, we pushed them back and hunted them down," said ACTUALITY.CD Sylvain Kanyamanda, Mayor of Butembo.

The city authority reports that Loyalist forces are continuing to search, but in the meantime reports a death on the assailants' side, including a militiaman shot. Four more militiamen were captured

The Katwa General Hospital is located near the Ebola Treatment Center (ETC), which was the first attack target of gunmen last February.

The new attack comes the day after the assassination of a Cameroonian epidemiologist, an employee of the World Health Organization (WHO), killed in an armed attack against a team responding to the medical clinics of the Catholic University of Graben (UCG) of Butembo.

Claude Sengeya, in Butembo

https://actualite.cd/2019/04/20/ebo...oussent-une-attaque-contre-un-hopital-general
 
Translation Google


Interview. Oly Ilunga: "The current response has prevented Ebola from becoming a real human and economic tragedy"

Saturday 20th April 2019 - 15:15

The Minister of Health of the Democratic Republic of Congo (DRC) explains, in the interview he gave to the Kinshasa Courier, the interventions that are being conducted in the field as part of the response to Ebola. He says that many factors make this disease the most complex epidemic to manage in the history of the world.

Courrier de Kinshasa (L.C.K.): What is the current situation of the Ebola epidemic in the DRC?

Oly Ilunga (O.I.): As of April 17, we recorded 1,302 cases of Ebola, including 843 deaths and 380 cures. Nine months since its appearance, we have managed to contain this epidemic in only two provinces of the country, namely North Kivu and Ituri. A total of 21 health zones have already notified at least one confirmed case of Ebola.

L.C.K. : More than one hundred thousand people have been vaccinated against Ebola so far, but what is the overall situation of the response?

O.I. : Overall, the current response has prevented this epidemic from becoming a real human and economic tragedy for the entire country. Of the 100,000 vaccinated people, more than 26,000 are high-risk contacts who have been directly in contact with the bodily fluids of an Ebola-infected person. Without the intervention of health workers, the majority of these people would have developed the disease. We are constantly improving our interventions in the field but we are proud to have already been able to prevent several thousand more cases and deaths from Ebola.

L.C.K. : What justifies that the epidemic could not be contained in the place where it was declared?

O.I. It is a combination of factors that caused the rapid spread of the epidemic beyond the epicenter of Mangina. First, local health workers very late alerted the central level of the increase in mortality at home because they were on strike. When the National Institute for Biomedical Research (INRB) received the first samples, in Kinshasa, about thirty people had already died. Second, the population in the affected provinces is highly mobile and the road network is relatively well developed and maintained. Mangina is only thirty kilometers from Beni. When the response teams arrived in August 2018, the disease had already spread to Beni. And it is this constant mobility of the population that is also at the root of the spread of the epidemic to Butembo and other health areas in the region.

L.C.K. : The effectiveness of the rVSV-Zebov-GP vaccine is estimated at 97.5% to control the spread of the Ebola outbreak. What exactly is this vaccine?

O.I. : For the moment, we have sufficient stocks of vaccine. His producer had confirmed that 300,000 doses of vaccine were already available and that additional doses could be produced. But the reaction of the population to the Ebola vaccine is ambivalent. On the one hand, high-risk contacts refuse to be vaccinated and, on the other, the population demands that we organize a mass campaign for everyone; which is not possible. In general, however, we have managed to vaccinate the majority of targeted people (about 91%).

L.C.K. : On April 12, the Emergency Committee of the World Health Organization (WHO) concluded that the Ebola outbreak is not a "public health emergency of international concern"? How do you analyze this conclusion?

O.I. First of all, we must know that the DRC does not fight this epidemic alone. Since its declaration on August 1, 2018, all the major international partners of the Ministry of Health have joined us, including WHO, UNICEF, Gavi, Monusco and international NGOs such as M?decins sans fronti?res and Alima. With the spread of the epidemic in the region, new international actors have also joined us.

The WHO Emergency Committee is a committee of international scientific experts convened by the Director General of this UN agency, Dr. Tedros Adhanom. Their role was to assess the effectiveness of the current response from a public health perspective to contain the epidemic. International experts have decided to declare that this epidemic does not constitute "a public health emergency of international concern" because, from a public health point of view, all measures are taken to contain it. They acknowledged that region-specific factors, such as insecurity, have slowed down the work of the response teams. But recent adjustments to the response that place greater emphasis on community engagement are beginning to bear fruit in reducing the incidence of violence against field teams.

L.C.K. What are the problems that the country faces in this response?

O.I. : Many factors make this Ebola disease the most complex epidemic to manage in the history of the world. Of course, there are hundreds of armed groups in the area, making some areas inaccessible. Then, the population, having faced violence for more than twenty years, has developed mechanisms of self-defense compared to anyone outside the community. Gaining the trust of a population that has long felt neglected by the government and the international community is an ongoing challenge that our teams on the ground have to face. The only solution is to listen to the local people, respect their traditions and make sure they take ownership of the response. This community engagement approach allowed us access to areas controlled by armed groups that understood the danger of the disease and accepted our help to protect their population.

L.C.K. : What about another epidemic, that of chikungunya that would also be declared in the DRC, particularly in Kinshasa and central Kongo?

O.I. : Indeed, several cases of chikungunya have been detected in Kinshasa and central Kongo but it is not a public health emergency, since it is a disease that is rarely fatal. To protect themselves, the population must respect the same preventive measures as those applicable in the case of malaria.

L.C.K. : How to eradicate Ebola completely in the DRC and avoid a new appearance of this disease?

O.I. : Ebola is a natural virus whose reservoir is found in the equatorial forest that covers more than half of the territory of the DRC. Viruses are not eliminated. In the entire history of mankind, only one virus, that of smallpox, has been eliminated. All others continue to exist and resurface every year, such as the flu virus.

When faced with a naturally-occurring virus, the goal of government action is not to eliminate it, but to improve the ability to monitor, detect, and contain it by rapid action to prevent it. any risk of national and international spread. So, Ebola will always be part of our lives but, over time, new public health tools, including vaccines and therapeutic molecules, and better training of Congolese health workers will enable us to ensure that sporadic cases of Ebola is no longer an epidemic.



Interviewed by Patrick Ndungidi

http://www.adiac-congo.com/content/...le-permis-deviter-quebola-ne-se-transforme-en
 
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[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

Saturday, April 20, 2019

The epidemiological situation of the Ebola Virus Disease dated April 19, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 1,327, of which 1,261 are confirmed and 66 are probable. In total, there were 859 deaths (793 confirmed and 66 probable) and 387 people cured.
  • 250 suspected cases under investigation;
  • 10 new confirmed cases, including 3 in Katwa, 2 in Butembo, 2 in Kalunguta, 1 in Masereka, 1 in Vuhovi, and 1 in Beni;
  • 4 new confirmed case deaths, including
    • 3 community deaths, including 1 in Katwa, 1 in Kalunguta and 1 in Vuhovi;
    • 1 death at the CTE of Butembo;
  • 4 new cures, including 2 from the CTE of Beni and 2 CTE of Butembo.
/! \ 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 .



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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.
  • Deaths occurring at the level of the CTEs are provisionally recorded in the health zones of CTE implantation pending reclassification in the health zone of case notification.
  • 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​

Mass of thanksgiving in memory of Dr. Richard Mouzoko in Butembo
  • A Mass of thanksgiving was held this Saturday, April 20, 2019 at the Butembo hostel in memory of the Cameroonian epidemiologist deployed by WHO, Dr. Richard Mouzoko Kibound, who died the day before in an attack on health clinics. the Catholic University of Graben (UCG). This mass was said by the chaplain of UCG University Clinics, Father Christian Tandari, who revealed that if God reminded him of Dr. Richard Mouzoko on Good Friday, it is to show that Richard is good in Christ and like Christ as a physician, Richard gave his life for his brothers, men. The body of the deceased arrived this afternoon in Goma from which he will be repatriated to his country of origin.
  • Dr Aruna, National Response Coordinator, on behalf of the Minister of Health, regretted this act and urged members of the national and international response not to give in to discouragement, but rather to continue their efforts until the end. at the end of this epidemic in order to honor the memory of their missing colleague.
  • In addition, another attack took place this Saturday around 3 am in the Katwa sub-coordination office located at the Katwa Reference General Hospital. This attack was mastered by the police in Katwa and the death toll is a dead assailant and three wounded still on the side of the attackers.

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https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=1cb5fc2471
 
Translation Google

BUTEMBO: Honored homage to the late Dr. MOUZOKO KIBOUNG

Posted on: 20/04/2019 at 18h01min50s
By Radio Moto Butembo-Beni

The last tributes were made this Saturday, April 20th, 2019 to the late Dr. MOUZOKO KIBOUNG Richard-Val?ry of WHO. Mass and related circumstances took place at the Hotel Auberge in Butembo.

This Mass was attended by agents of the response team, some curious and city authorities. The Eucharist was presided over by Father Christian TANDARI. The chaplain at Graben University Clinics was surrounded by three other priests. In his homily, Father TANDARI made it known that the late Dr. Richard is entering life.

"Jesus is showing us today that death does not have the last word on man. And our brother, Dr. Richard is not dead, he enters the life with Jesus rather than serving his brothers. Remember that the incident that caused the death of our brother Richard occurred yesterday. Good Friday, "said the celebrant.

WHO still committed to ending Ebola

During this Mass, several words were spoken. Among the moving speeches, let us return to that of Dr. Michel YAHO, who spoke on behalf of the World Health Organization. He promised that the agents of the response team remain committed to ending Ebola despite this loss.

"Were we wrong to believe in our humanity and humanitarian principles? No Richard. We made the right choice. We are proud of that alongside Richard. And Richard is a hero. On the other hand we sinners, we Butembo community, we Butembo authorities, Richard we could not protect you. We are all guilty. We who intoxicate the population, we who ignore and trampled the memory of more than 800 people died of Ebola, we are guilty, "said DOCTOR YAHO.

After the requiem mass, the body of the late Dr. MOUZOKO KIBOUNG Richard-Val?ry is on his way to his homeland, Cameroon. This is where the funeral is scheduled for next Saturday.

At 41 years old, this doctor has a shiny course. He leaves a widow and four orphans, the first of whom is 12 years old. Recall that Dr. Richard was shot dead Friday, April 19, during an attack by armed men against UCG clinics in Butembo.

https://radiomotofm.info/lirearticle.php?billet=5736
 
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[TD="class: mcnTextContent"] EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI

Sunday, April 21, 2019

The epidemiological situation of the Ebola Virus Disease dated April 20, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 1,336, of which 1,270 are confirmed and 66 are probable. In total, there were 870 deaths (804 confirmed and 66 probable) and 387 people cured.
  • 107 suspected cases under investigation;
  • 9 new confirmed cases, including 2 in Musienene, 1 in Katwa, 1 in Butembo, 1 in Beni, 1 in Mabalako, 1 in Mandima, 1 in Vuhovi, and 1 in an unspecified health zone;
  • 11 new confirmed case deaths, including
    • 4 community deaths, 2 in Musienene, 1 in Mabalako and 1 in Beni;
      • The community death in Beni is a 10-month-old infant living in Biakato Mine, Mandima, who died on arrival at the CTE de Beni. Any death at CTE less than 24 hours after admission is also classified as a community death.
    • 7 deaths at CTE, including 4 in Butembo, 2 in Katwa and 1 in Beni.
No response activities in the health zones covered by the Butembo sub-coordination on Saturday 20 April 2019 following the death of our colleague, Dr. Richard Mouzoko.



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