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

Translation Google

Ituri: a person dies of Ebola in the city of Bunia

Posted on Sun, 09/06/2019 - 17:09 | Edited on Sun, 09/06/2019 - 17:09

A woman died Friday, June 7 of the Ebola virus disease in the city of Bunia (Ituri). According to Dr. Louis Tsulo, chief medical officer of health division in Ituri, who gives this news this Sunday, June 9, the victim came from the city of Beni in North Kivu where she was wanted by the response team.

"There is a body of a lady who has tested positive for Ebola. Going back in history, she went to Beni. She was the contact we were looking for there. She died at home, "said Dr. Louis Tsulo.

He added that all the measures are taken to contain the spread of this disease. He invites the people of Bunia to calm and respect hygiene measures.

"Since yesterday, Saturday, we are identifying all the contacts around the case. And in relation to these contacts, we will observe them for 21 days. Contacts will also benefit from vaccination. Our team disinfected the household where she was. In the city of Bunia all steps are being taken to quickly stop the circulation of the virus in the city, "says Dr. Louis Tsulo.

https://www.radiookapi.net/2019/06/...-personne-meurt-debola-dans-la-ville-de-bunia
 
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[TD="class: mcnTextContent"] EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Sunday, June 9, 2019


The epidemiological situation of the Ebola Virus Disease dated June 8, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,056, of which 1,962 confirmed and 94 probable. In total, there were 1,384 deaths (1,290 confirmed and 94 probable) and 564 people cured.
  • 271 suspected cases under investigation;
  • 9 new confirmed cases, including 4 in Mabalako, 2 in Butembo, 1 in Mangurujipa, 1 in Musienene and 1 in Beni;
  • 3 new confirmed cases deaths:
    • 1 community death in Mabalako;
    • 2 deaths at CTE Mabalako;
  • 8 new healed CTEs, including 6 in Katwa and 2 in Butembo.
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...
112 Contaminated health workers

One Mabalako health worker, vaccinated, is one of the new confirmed cases. The nurse accepted her transfer to the CTE as soon as the positive result was announced. He is the second health worker at the same Mabalako health clinic to be infected with Ebola after several infected patients have been admitted.

The cumulative number of confirmed / probable cases among health workers is 112 (5.4% of all confirmed / probable cases) including 37 deaths.
...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=bf7873c169
 
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[TD="class: mcnTextContent"]EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Monday, June 10, 2019


The epidemiological situation of the Ebola Virus Disease dated 9 June 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2.062, of which 1,968 are confirmed and 94 are probable. In total, there were 1,390 deaths (1,296 confirmed and 94 probable) and 569 people healed.
  • 280 suspected cases under investigation;
  • 6 new confirmed cases, including 3 in Mabalako, 1 in Mandima, 1 in Beni and 1 in Musienene;
  • 6 new confirmed case deaths:
    • 1 community death in Musienene;
    • 5 deaths at CTE, including 3 in Katwa and 2 in Butembo;
  • 5 new cures emerged from ETCs, including 3 in Butembo and 2 in Beni.
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113 Contaminated health workers

One Mabalako health worker, vaccinated, is one of the new confirmed cases.


The cumulative number of confirmed / probable cases among health workers is 113 (5.5% of all confirmed / probable cases), including 37 deaths.

https://us13.campaign-archive.com/?u...&id=abf2fe2bc2
 
Translation Google

BUNIA: A CONFIRMED EBOLA CASE REGISTERED IN HOHO DISTRICT

Posted By: Loikaon: June 10, 2019In: healthNo Comments Print Email
...
This is a woman from Beni in neighboring North Kivu who has spent 5 days interned since June 06, 2019 in the health center la Charit? located Hoho district, in the south-western periphery of the city.

"The woman arrived in our center, she showed no sign of Ebola. In her complaint, she told us about abdominal pain and acute gastritis. We interned for 5 days. Her temperature was normal, she had no bleeding, but she had diarrhea for only 1 day "testifies the nurse holding this medical structure, his words were collected by our confreres of radio channel revelation of Bunia.

According to the same source, it was on the 6th day that the patient's health deteriorated badly. The decision was then made to transfer to the Salama clinic for better care, but the victim died along the way.

Her body was then deposited in the morgue of the General Reference Hospital of Bunia where samples taken by the Ebola response team will reveal a positive result.

The response coordinator, interviewed by buniaactualite.com, said she quickly rushed to the scene, immediately alerted, to put in place all the provisions to list all the people who came into contact with the victim.

Editor

https://buniaactualite.com/bunia-un-...quartier-hoho/
 
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[TD="class: mcnTextContent"] EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Tuesday 11 June 2019


The epidemiological situation of the Ebola Virus Disease dated June 10, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,071, 1,977 confirmed and 94 probable. In total, there were 1,396 deaths (1,302 confirmed and 94 probable) and 575 people healed.
  • 284 suspected cases under investigation;
  • 9 new confirmed cases, including 3 in Musienene, 2 in Mabalako, 1 in Mandima, 1 in Katwa, 1 in Mangurujipa and 1 in Beni;
  • 6 new confirmed case deaths:
    • 2 community deaths, including 1 in Musienene and 1 in Mabalako;
    • 4 deaths at CTE, including 1 in Katwa, 1 in Butembo, 1 in Mabalako and 1 in Beni;
  • 6 new cures out of ETCs, including 4 in Mabalako and 2 in Butembo,
  • One of the non-vaccinated Musienene safe and dignified burial team is one of the new confirmed cases. He was a nurse to his late Ebola brother. He had not been vaccinated at the same time as the new recruits because, when he was recruited, he told his superiors that he had already been vaccinated.
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... Family of high-risk contacts found in Uganda
  • A family of high-risk contacts from Aloya, in the Mabalako Health Zone, was found in Uganda on Tuesday, June 11, 2019. Among these contacts is a five-year-old child who has been confirmed to have Virus Disease. Ebola and her family were isolated at the Ebola Treatment Unit in Bwera, Uganda.
  • The DRC Ministry of Health press release on this subject is available at the following link . The press release can also be downloaded in PDF format by clicking here .
...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=719bb64591
 
Translation Google

Ministry of Health
DRC
@ MinSanteRDC
3h 3 hours ago

The 5 year old boy suffering from # Ebola in Uganda died this morning. The results of the laboratory tests of the other 5 members of his family revealed that 2 other people are also contaminated by Ebola: his grandmother and his 3-year-old brother. They are all in isolation in Bwera.
...

Ministry of Health
DRC
@ MinSanteRDC

Among the six other family members who stayed in # DRC and who were transferred to the # Ebola Treatment Centre of # Beni , laboratory tests confirmed that 5 are also suffering from Ebola

4:39 AM - 12 Jun 2019
 
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[TD="class: mcnTextContent"] EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Wednesday, June 12, 2019


The epidemiological situation of the Ebola Virus Disease dated 11 June 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,084, including 1,990 confirmed and 94 probable. In total, there were 1,405 deaths (1,311 confirmed and 94 probable) and 579 people healed.
  • 339 suspected cases under investigation;
  • 13 new confirmed cases, including 7 in Mabalako, 4 in Beni, 1 in Kalunguta and 1 in Komanda;
  • 9 new confirmed case deaths:
    • 7 community deaths, including 5 in Mabalako, 1 in Kalunguta and 1 in Komanda;
    • 2 deaths at CTE, including 1 in Katwa and 1 in Butembo;
  • 4 new cures out of ETCs, 2 in Beni and 2 in Butembo.
INFO : All family members of the Ebola case in Uganda are not yet included in the caseload. The confirmed cases of the family, both on the Ugandan and Congolese side, will be officially added in the epidemiological situation that will be published this Thursday, June 13, 2019.

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... Case of Ebola Virus Disease in Uganda
  • The first confirmed case of Ebola in Uganda, a five-year-old boy, passed away on the morning of Wednesday, June 12, 2019. His dignified and safe burial will be on Thursday, June 13, 2019 in Kasese, the district where he resided with his parents. .
  • Laboratory tests have confirmed that of the six family members who have crossed the border, two others are also infected with Ebola. This is the 50 year old grandmother and the 3 year old brother of the deceased boy. Of the six family members left in Kasindi and transferred to the Beni Ebola Treatment Center, five were tested positive. Around this family, about 50 contacts were listed in Kasese on the Ugandan side and 80 contacts in Kasindi on the Congolese side. Kasindi's vaccination ring was opened on Wednesday.
  • On Wednesday, June 12, 2019, the Congolese and Ugandan health authorities also held a meeting in Kasese, about 140 kilometers from Beni, to discuss mechanisms for cross-border collaboration. The Ugandan Minister of Health, Dr Jane Ruth Aceng, led the Ugandan delegation while the Congolese side was led by Dr. Gaston Tshapenda, coordinator of Beni.
  • The main decisions taken are:
    • Strengthen surveillance at ports of entry, especially secondary roads;
    • Maintain continuous information sharing in real time between the two countries;
    • Start vaccinating the contacts as soon as possible. The DRC has already donated 400 doses of rVSV-ZEBOV vaccine to Uganda. The DRC is willing to send vaccination teams to Uganda to vaccinate all contacts more quickly if needed;
    • Repatriate all family members in the DRC after obtaining their informed consent. Since the father of the deceased child was Ugandan, the family was free to choose the place of hospitalization. Living family members have all agreed to return to the DRC for further medical treatment and 21-day follow-up. The advantage of continuing medical treatment in the DRC is the possibility of benefiting from new therapeutic molecules that are not yet available in Uganda;
    • Finalize the Memorandum of Understanding between Uganda and the DRC that will define the procedures for in-depth health collaboration between the two countries.
...
115 Contaminated health workers

Two Mabalako health workers, unvaccinated, are among the new confirmed cases. One of the health workers died in the health center where he was working (community death).

The cumulative number of confirmed / probable cases among health workers is 115 (5.5% of all confirmed / probable cases), including 38 deaths.

...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=52c167a0be
 
The Latest: Congo pastor likely behind Uganda's Ebola cases

ByTHE ASSOCIATED PRESS BWERA, Uganda ? Jun 13, 2019, 12:07 PM ET
...
Dr. Michael Ryan tells The Associated Press he does not believe the man, a pastor, was on a list of high-risk Ebola contacts in Congo.
...
The pastor spread the virus to at least three family members. His 5-year-old grandson was the first Ebola case in Uganda and the first death. The boy's grandmother also died.

Ryan says about 55% of new Ebola cases in Congo last week were previously identified as potential contacts, suggesting significant problems in health workers' ability to monitor where the virus is spreading.
...

? Jamey Keaten in Geneva

https://abcnews.go.com/Health/wireStory/latest-congo-starts-giving-ebola-vaccine-babies-63687810
 
Source: https://www.who.int/csr/don/13-june-2019-ebola-drc/en/
[h=1]Ebola virus disease ? Democratic Republic of the Congo[/h] Disease outbreak news: Update
13 June 2019

The Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo (DRC) continues to show a decrease in the number of new cases in hotspots such as Katwa, Beni and Kalunguta health zones. However, in other areas such as Mabalako and Butembo, moderate rates of transmission continue. With ongoing EVD transmission within communities in 12 health zones in North Kivu and Ituri provinces, factors such as persistent delays in case detection, approximately a third of cases dying outside of Ebola treatment or transit centres, and high population mobility, pose a high risk of geographical spread both within the DRC and to neighbouring countries. This was highlighted by the recent exportation of cases to Uganda ? the first confirmed cases detected outside of North Kivu and Ituri province since the onset of the outbreak over 10 months ago. For more information, please see Disease Outbreak News on EVD in Uganda
Weekly decrease in the incidence of new cases have been reported in several health zones; however, increase or a continuation of the outbreak has been observed in others (Figure 1). In the 21 days, between 22 May to 11 June 2019, 62 health areas within 12 health zones reported new cases, representing 9% of the 664 health areas within North Kivu and Ituri provinces (Figure 2). During this period, a total of 212 confirmed cases were reported, the majority of which were from the health zones of Mabalako (33%, n=69), Butembo (18%, n=39), Katwa (14%, n=30) Mandima (11%, n=23) and Beni (9%, n=20). Single confirmed cases were also reported from Rwampara and Komanda health zones this past week following a prolonged period since the last reported case, with both cases acquiring the infection in the aforementioned hotspots.
As of 11 June 2019, a total of 2084 EVD cases, including 1990 confirmed and 94 probable cases, were reported. A total of 1405 deaths were reported (overall case fatality ratio 67%), including 1311 deaths among confirmed cases. Of the 2084 confirmed and probable cases with known age and sex, 57% (1194) were female, and 29% (605) were children aged less than 18 years. Cases continue to rise among health workers, with the cumulative number infected rising to 118 (6% of total cases).
Taking these recent events into consideration, the WHO Director-General will convene the Emergency Committee under the International Health Regulations (IHR) on 14 June 2019. The independent group of public health experts will provide their views to the Director-General on whether the event constitutes a public health emergency of international concern (PHEIC). If the event is determined to constitute a PHEIC, the Director-General will issue Temporary Recommendations, which are usually health measures aimed at reducing the international spread of Ebola and avoiding unnecessary interference with international traffic. A statement giving an account of the meeting and its conclusions will be posted on the WHO website immediately after the meeting.
[h=4]Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 11 June 2019*[/h]
figure_1_20190613.PNG



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*Data in recent weeks are subject to delays in case confirmation and reporting, as well as ongoing data cleaning. Other health zones include: Alimbongo, Biena, Bunia, Kalunguta, Kayna, Komanda, Kyondo, Lubero, Mangurujipa, Masereka, Mutwanga, Nyankunde, Oicha, Rwampara and Tchomia.
[h=4]Figure 2: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 11 June 2019*[/h]
figure_2_20190613_2.PNG



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[h=4]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 11 June 2019*[/h]
table_1_20190613.PNG



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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 were observed from February through mid-May 2019, with lower though still substantial rates since then. A general deterioration of the security situation, and the persistence of pockets of community mistrust exacerbated by political tensions and insecurity, especially over the past four weeks, 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. In order to ensure staff safety and security, security mitigation measures are being enhanced, and procedural, operational, and physical security challenges are being addressed. 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 have likely increased capacity to rapidly detect cases and mitigate local spread. These efforts must continue to be scaled-up.
[h=3]WHO advice[/h] 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 travellers to/from the affected countries. 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, please see:
 
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[TD="class: mcnTextContent"] EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Thursday 13 June 2019


The epidemiological situation of the Ebola Virus Disease dated June 12, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2.108, of which 2.014 are confirmed and 94 are probable. In total, there were 1,411 deaths (1,317 confirmed and 94 probable) and 585 people healed.
  • 335 suspected cases under investigation;
  • 24 new confirmed cases, including 13 in Mabalako, 4 in Beni, 3 in Mandima, 1 in Katwa, 1 in Butembo, 1 in Mangurujipa and 1 in Rwampara;
    • Uganda's index case and 7 other family members were classified in Mabalako, the health zone where they began to develop symptoms. Of these 8 confirmed cases from the same family, 5 remained in the DRC and 3 had crossed the border.
  • 6 new confirmed case deaths:
    • 3 community deaths, 2 in Mandima and 1 in Mangurujipa;
    • 3 CTE deaths, including 1 in Mabalako and 2 in Bwera (Uganda);
      • The 2 deaths of Bwera are the 5-year-old boy and the 50-year-old grandmother who were classified in Mabalako;
  • Six new cures emerged from CTEs, including four in Katwa, one in Beni and one in Butembo.
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... Case of Ebola Virus Disease in Uganda
  • This Thursday, June 13, 2019, five family members were repatriated to the DRC. Returnees are the mother of the index case, the 3-year-old brother (who is a confirmed Ebola case), a 6-month-old baby, the father of Ugandan children, and the nanny. Thus, to date, no more cases of Ebola are found in Uganda.
...
116 Contaminated health workers

One Mabalako health worker, vaccinated, is one of the new confirmed cases.

The cumulative number of confirmed / probable cases among health workers is 116 (5.5% of all confirmed / probable cases), including 38 deaths.

...

https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=af58bb410d
 
Translation Google

Ebola in Butembo: These practices of the response agents which disturb the culture and the tradition

Friday, June 14, 2019 - 11:16

Since the declaration, ten months ago, of the first Ebola Virus outbreak in the North-North (Beni, Butembo and Lubero) of North Kivu province, the response teams are carrying out acts that offend the culture and tradition of the Yira community (majority people in this part of North Kivu).

Even though communities do not dare to be publicly outraged, they are still surprised and worried about what "Ebola brings to them".

Digging graves before the death of the sick
Among the Yira, including the Nande, it is not customary to dig the grave before the death of the patient, "even if it is in agony".

"Moreover, before the death of the patient, one even hesitates to speculate on the place of his burial. Unless it's the patient himself, feeling his impending death, which indicates where he wants to be buried, "Rachel Vanzwa, 30, told ACTUALITE.CD.

But with the arrival of the Ebola virus disease in Butembo (Nande reference city, Ed), communities are surprised to see the response team against the epidemic suddenly prepare "almost five graves (Bureau for example, even before the death of patients admitted to care in Ebola Treatment Centers (ETCs).

"They seem to know that our loved ones are going to die," said a participant at the Social Symposium held May 30 to June 1, in Butembo, by religious denominations.

"To dig a grave before the death of the patient is like wishing him a misfortune. In principle, we dig a grave for a specific person, that is to say we must know upstream who must be buried. Also, one only digs when the patient is dead. And we must not leave a grave without relatives watching over it. And if you want to bury the person somewhere else, you have to do some rituals of "moving the grave", and in the hole dug at the beginning, you have to plant a banana tree, to say that you did not dig for nothing ", explained to ACTUALITE.CD the journalist-anthropologist Christian Kahindo Muke, author of the book "The Yira Nation".

However, Mr. Nzuva Kihanda Jean Bosco, head of the urban registry office and the population at the Butembo mayor's office, said that the response teams digging the tombs in advance, is to prevent they are overwhelmed.

"There are times when the teams responsible for decent and secure burial (DHS) have about ten bodies to bury in the day. They are overwhelmed. This is how they prevent, digging ahead. Also, it is to shorten the time to bury a victim to avoid being attacked by protesters against the riposte, "he says.

Employ women in funeral activities

Sunday, May 12, 2019. Matanda Hospital. 11:00'. When Ms. Kasivika Sabina's relatives wanted to remove from the morgue of this hospital the remains of this former local civil society activist, presumed dead of Ebola, for her burial, they are "surprised to see the coffin containing the body of the deceased. 'illustrious gone to be carried by young girls'.

"They were 17-year-old girls, members of their dignified and safe burial team who brought us the body of our mother. It surprised us because growing up, we know that a woman can not carry a body. It's not because it's a job that you have to violate culture, "says Ms. Micheline Kalipi, who witnessed the event.

A member of the response team, who spoke to ACTUALITE.CD on condition of anonymity, reports that it is true that women are also employed in safe and dignified burial teams (DHS).

"But with the comments of the civil society and the anthropologists of the response, the question has stopped in the health zone of Katwa, but in that of Butembo, the girls continue to be employed in the teams of EDS, notably as hygienists in mortuaries, "he reveals.

"Among the Yira, a woman does not bury and can not, therefore, be used in the transport of remains. Because they are considered as easy gateways for spirits. We must move them away from the dead, "warns Christian Kahindo Muke.

Bury pregnant women with their children

It also happens to the response teams to bury pregnant women with the child. According to a member of the response team, "It is forbidden to manipulate the bodies of people who died of Ebola. Not easy, therefore, to separate them.

Specific cases reported at ACTUALITE.CD, are those recorded in December 2018 in the health zones of Kalunguta and Vuhovi, where pregnant women were buried with their children.

"It's not just about culture or tradition, but it's a general rule that you can not bury two people in the same grave, it's like putting them in a mass grave," says anthropologist Christian Kahindo Muke.

"A pregnant woman carries two people in herself: herself and the child. Each of them has ancestor protection. To bury them together is to violate ancestral taboos. This can sometimes be considered a source of misfortune in the family. In certain circumstances, this woman may not be welcomed in the village of the ancestors, "said Mr. Edgard Mateso, member of the Asbl Kyaghanda Yira.

Regarding the coordination of the response, the source replies that their "socio-anthropologists have conducted research that attest that there are rituals that are performed before these kinds of burials."

Bury "family and customary leaders" in public cemeteries

Response teams are able to bury some Ebola patients in public cemeteries while among them there are "great family and customary leaders" who should only be buried on their ancestral lands (amahero) .

"It's about distance, security and trust. This often happens for distant distances. When a family says they want to go and bury their relative who died of Ebola, for example, in Kipese, it is difficult to accept, because first of all, Kipese is far from Butembo (more than 60 km), so we have to cross insecure villages where militiamen are active. Which is dangerous for EDS teams. In addition, we can not deliver the body, because we fear that relatives can go handle it, which is a great public danger. In such a situation, the deceased is placed in a nearby public cemetery, "says Mbusa Kambalo Olivier, a former employee of the riposte.

It disturbs the culture because, according to Kahindo Muke Christian, among the Yira, to bury someone on his ancestral land, is to confirm its origin. "For example, in the event of land conflicts in our country, we ask each of the parties to prove that their ancestors were buried on this conflict land, so that we can recognize the origin, even the right of inheritance."

"But burying people in public cemeteries, while they still have their ancestral lands, is like decreeing their exclusion and creating for their offspring the difficulty of proving their right of inheritance", he explains to NEWS .CD.

Claude Sengenya

https://actualite.cd/2019/06/14/ebo...nts-de-riposte-qui-derangent-la-culture-et-la
 
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[TD="class: mcnTextContent"] EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Friday, June 14, 2019


The epidemiological situation of the Ebola Virus Disease dated June 13, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,120, 2,026 confirmed and 94 probable. In total, there were 1,420 deaths (1,326 confirmed and 94 probable) and 588 people cured.
  • 322 suspected cases under investigation;
  • 12 new confirmed cases, including 5 in Mabalako, 3 in Biena, 2 in Kalunguta, 1 in Rwampara and 1 in Mandima;
  • 9 new confirmed case deaths:
    • 2 community deaths at Biena;
    • 7 deaths at CTE, including 4 in Beni and 3 in Mabalako;
  • 3 new cures out of ETCs, 2 in Mabalako and 1 in Butembo.
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... Meeting of the Emergency Committee of the International Health Regulations
  • The meeting of the Emergency Committee for International Health Regulations , convened by the Director-General of WHO, was held on Friday, June 14, 2019. The Emergency Committee concluded that the Ebola outbreak in the provinces North Kivu and Ituri did not constitute a public health emergency of international concern, although it constitutes a health emergency for the Democratic Republic of Congo.
  • The Committee noted that epidemiological trends are evolving positively in the Butembo and Katwa epicentres. However, the response is beginning to face challenges related to community acceptance and security in areas such as Mabalako where the epidemic has resumed recently. On the other hand, the response continues to be limited by the lack of adequate funding and limited human resources.
  • The Committee commended the communication and collaboration between the DRC and Uganda that rapidly contained Ebola cases that crossed the border. Uganda's rapid response proves the importance of preparing border countries for DRC.
  • After lengthy discussions, the Committee considered that the criteria for declaring a public health emergency of international concern were not fulfilled. The Committee considered that all public health measures and recommendations needed to end the epidemic were already being implemented by WHO and the affected countries.
...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=4755d5fca1
 
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[TD="class: mcnTextContent"] EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Saturday, June 15, 2019


The epidemiological situation of the Ebola Virus Disease dated June 14, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,134, 2,040 confirmed and 94 probable. In total, there were 1,427 deaths (1,333 confirmed and 94 probable) and 588 people healed.
  • 363 suspected cases under investigation;
  • 14 new confirmed cases, including 5 in Mabalako, 3 in Mandima, 2 in Butembo, 2 in Katwa, 1 in Kalunguta and 1 in Lubero;
  • 6 new confirmed case deaths:
    • 4 community deaths, 2 in Mandima, 1 in Mabalako and 1 in Lubero;
    • 2 deaths at CTE, including 1 in Beni and 1 in Butembo.
  • The 3-year-old brother of the index case tested in Uganda died on his arrival at the CTE de Beni on Thursday, June 13, 2019.
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https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=b76be64a7d
 
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[TD="class: mcnTextContent"] EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Sunday June 16, 2019


The epidemiological situation of the Ebola Virus Disease dated June 15, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,148, 2,054 confirmed and 94 probable. In total, there were 1,440 deaths (1,346 confirmed and 94 probable) and 588 people cured.
  • 319 suspected cases under investigation;
  • 14 new confirmed cases, including 6 in Mabalako, 2 in Katwa, 2 in Kalunguta, 1 in Beni, 1 in Rwampara, 1 in Musienene and 1 in Mandima;
  • 13 new confirmed cases deaths:
    • 5 community deaths, including 3 in Mabalako, 1 in Beni and 1 in Musienene;
    • 8 deaths at CTE, including 3 in Mabalako, 3 in Beni, 1 in Butembo and 1 in Komanda.
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...
Destruction and arson of sanitary control at checkpoint Mudzipela in Ituri by strangers in the night of 15 to 16 June 2019.

This Sunday, June 16, 2019, a group of bikers tried to attack an Infection Control and Prevention (IPC) team that was cleaning up a confirmed case of Ebola in Hoho in the area. of Rwampara health. Urban authorities sent police reinforcements to disperse the bikers and allow the PCI team to return to coordination. No agents of the riposte were hurt.
...
118 Contaminated health workers

Two health workers, including one in Rwampara and one in Musienene, both unvaccinated (refusal), are among the new confirmed cases. The Musienene health worker is a community death.

The cumulative number of confirmed / probable cases among health workers is 118 (5.5% of all confirmed / probable cases), including 39 deaths.
...

https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=8b99cd4519
 
Translation Google

Bunia: third confirmed Ebola case, this is a 13-year-old boy


Posted By: Loikaon: June 15, 2019 In: health

The city of Bunia recorded Thursday its third confirmed case of Ebola, according to the provincial coordination of the response to this disease in Ituri.

This is a 13-year-old boy, after a 14-year-old girl, who was notified on June 12 in the Hoho district in the southwestern outskirts of Ituri. The first case was that of a 28-year-old woman from Beni who died on 06 June 2019 after having stayed in a health center after samples were taken to reveal the presence of Ebola. All of these people come from the same family.

The response coordination says to undertake several decontamination activities, mainly the health structures where the patients have stayed in this part of the city, epicenter of the contagion.

Vaccination of high-risk people, active search for people who come into contact with the sick are also part of the work of the response teams.

The provincial authorities, for their part, called on the population to strictly observe hygiene measures and to systematically check entries at the border with neighboring North Kivu.

Editor

https://buniaactualite.com/bunia-troisieme-cas-debola-confirme-il-sagit-dun-garcon-de-13-ans/
 
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[TD="class: mcnTextContent"]EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Monday, June 17, 2019


The epidemiological situation of the Ebola Virus Disease dated June 16, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,168, 2,074 confirmed and 94 probable. In total, there were 1,449 deaths (1,355 confirmed and 94 probable) and 596 people healed.
  • 297 suspected cases under investigation;
  • 20 new confirmed cases, including 14 in Mabalako, 1 in Musienene, 1 in Beni, 1 in Bunia, 1 in Rwampara, 1 in Kalunguta and 1 in Kyondo;
  • 9 new confirmed case deaths:
    • 4 community deaths, including 3 in Mabalako and 1 in Kalunguta;
    • 5 deaths at CTE / CT, including 3 in Mabalako, 1 in Katwa and 1 in Bunia;
  • 8 new healed CTEs, including 6 in Mabalako and 2 in Butembo;
  • The three Ebola cases tested in Uganda were reclassified to the Mutwanga Health Zone after extensive investigations revealed that this is the area in which their symptoms started after their stay in Mabalako.
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Epidemiological situation

Mabalako : The Mabalako response teams launched a few days ago the active search for Ebola cases in the community and health facilities. As Mabalako became the main hot spot of the epidemic, it was necessary to strengthen the level of epidemiological surveillance to detect Ebola cases and isolate them as quickly as possible in order to break the chain of transmission in the community.

Bunia : The new confirmed case detected in Bunia was cared for at a health post in Hoho, in the Rwampara health zone, together with a confirmed case notified on 7 June 2019. It had been listed as a contact but refused to be followed and vaccinated. He died at Bunia transit center and 23 of his contacts were listed. The new confirmed case of the day in Rwampara is also a co-patient of the confirmed case of June 7, 2019.
...
The dignified and safe Bunia burial team was attacked by young people from the Kindia district of Bunia while trying to bury the deceased patient at the Bunia Transit Center. The youths violently assaulted the team members and took away phones and money. All the agents of the team were found and were able to return to the coordination. The body of the deceased was brought back to the transit center of Bunia.
...

https://us13.campaign-archive.com/?u...&id=af145ced43
 
Translation Google

Bunia: Resistance against the Ebola response teams invited itself, in the manner of neighboring North Kivu

Posted By: Loikaon: June 17, 2019In: Health

The urban authorities of Bunia met on Monday, June 17, 2019 to take action against a resistance encountered at the weekend by the Ebola virus response teams in the Hoho district, where a total of 6 cases have already been reported.

The police had to shoot in the air to disperse a group of young people who wanted to attack these teams.

Among the decisions taken, the arrest of 5 of the youths who threatened the agents of the response as well as the reinforcement of the sensitization of the population to the measures of hygiene,

The same scenario was repeated on Monday this time in another neighborhood, in Kindia, where health teams who had been burying an Ebola victim in a secure way faced one of the young people who suspected them of burying an empty coffin.

Similar incidents are often recorded in neighboring North Kivu, armed groups and the civilian population, who have never believed in the existence of the disease, sometimes carry out attacks on Ebola treatment centers, killing health workers and setting fire to their facilities.

Editor

https://buniaactualite.com/bunia-la...ola-sinvite-a-la-maniere-du-nord-kivu-voisin/
 
Translation Google

Mai Mai militia threatened by Ebola virus disease in the outskirts of Beni

Beni, June 17, 2019 (ACP) .- The Deputy Mayor of the city of Beni, Modeste Bwanakawa, announced Monday to agents and officials of the State, a threat of Ebola virus disease that has already been declared in the maquis held by Mai Mai militia in the outskirts of the city of Beni.

The urban authority has put forward an assessment of twelve cases (12) cases confirmed and already admitted to the Center for treatment of Ebola virus disease, CTE / Beni since two days in addition to two other probable cases that would have volatilized in nature in the middle of the city, recalling that a systematic search was launched to find the fugitives.

Mayor Bakwanamaha, however, expressed his concern that most of the militia admitted to CTE / Beni are most likely to come from the nearby town of Butembo, a small portion of whom are from the Mabalako health zone.

According to the Number 2 of the city of Beni, the militia leaders who themselves took the initiative to alert the response teams through the Urban Authorities of Beni, are ready to contribute to the eradication of this deadly disease which, as of June 17, has killed 1430 victims with more than 722 confirmed cases having been admitted and treated at CTE / Beni.

For him, the fact that militiamen are attacked in their maquis is likely to bring back the counter to zero in a city of Beni where it was yet to the point of eradicating the Ebola virus disease.

It is suspected that the Mai Mai affected by Ebola were among those who participated actively in the various attacks against Katwa CTE and UCG / Butembo from where they would have taken mattresses and several other effects used by the interned patients. ACP / Kayu / DNM / Wet / JFM

https://acpcongo.com/les-miliciens-...e-a-virus-ebola-dans-les-peripheries-de-beni/
 
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EPIDEMIOLOGICAL SITUATION
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[TD="class: mcnTextContent"] EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Tuesday, June 18, 2019


The epidemiological situation of the Ebola Virus Disease dated June 17, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,181, of which 2,087 confirmed and 94 probable. In total, there were 1,459 deaths (1,365 confirmed and 94 probable) and 602 people healed.
  • 322 suspected cases under investigation;
  • 13 new confirmed cases, including 4 in Mandima, 3 in Mabalako, 2 in Butembo, 1 in Katwa, 1 in Kyondo, 1 in Beni and 1 in Kalunguta;
  • 10 new confirmed cases deaths:
    • 4 community deaths, 2 in Mabalako, 1 in Mandima and 1 in Butembo;
    • 6 deaths at CTE, including 3 in Mabalako, 2 in Katwa and 1 in Butembo;
  • 6 new cures emerged from CTEs, including 5 in Katwa and 1 in Butembo.
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...
119 Contaminated health workers

1 health worker in Mandima is one of the new confirmed cases.


The cumulative number of confirmed / probable cases among health workers is 119 (5.5% of all confirmed / probable cases), including 39 deaths.
...

https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=90d5d5ce4d
 
USAID ADMINISTRATOR MARK GREEN'S REMARKS AT PRESS ROUNDTABLE ON EBOLA

Remarks
For Immediate Release
Tuesday, June 18, 2019
Office of Press Relations
Telephone: +1.202.712.4320 | Email: press@usaid.gov

June 18, 2019
Sheraton Four Points
Nairobi, Kenya
...
First, I'm very pleased that the UN has responded to the donor community's call for a reset, and appointed David Gressly, a veteran of many crises, to lead the Ebola response in DRC. One of the most important things that we've heard from him, and had a very good discussion with him -- he said that, given all that he has seen in DRC and seen in other crises zones, there was nothing that he saw that was insurmountable. And, I agree with that optimistic assessment. And, I believe that as we move forward, when more order is brought to what has been a chaotic situation, I think that we will see progress. Steps need to be taken, but I believe they are steps that we can take.

Second, with over 2,168 cases and over 1,400 deaths, we need to turn distrust in the community, which has been well-reported by many of you, into an asset. We need to turn it into a community-based response. We need a response that engages all parts of the community not only to tackle the virus, but to rebuild the institutions that will be necessary so as not to leave the area vulnerable again for the next shock which could come its way. This includes a commitment to transparently communicating to the community all aspects of the response, from testing and treatment to finances and hiring.

And, there is no reason for information to be withheld from the community at all.
We want to see a continued and deepening engagement, and utilization of the NGO and faith-based community actors who, as they pointed out to us -- they have been there for years, and they will continue to be there, partnering with local leaders, long after everybody else has left.

We need to see vaccines deployed more broadly, and we need to see an application of the latest recommendations in that regard. And, we need to see an effective approach to addressing security concerns in the region, and that needs to be done without militarizing the response, which will only further alienate the local community.
...
Obviously, the crisis is far from over. I will have a few more announcements in coming weeks, as it relates to USAID's response efforts.
...

https://www.usaid.gov/news-informati...undtable-ebola
 
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