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

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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

Friday, July 12, 2019

The epidemiological situation of the Ebola Virus Disease dated July 11, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,462, of which 2,368 are confirmed and 94 are probable. In total, there were 1,648 deaths (1,554 confirmed and 94 probable) and 683 people healed.
  • 412 suspected cases under investigation;
  • 11 new confirmed cases, including 7 in Beni, 3 in Katwa and 1 in Oicha;
  • 1 new death of confirmed cases:
    • 1 community death in Oicha;
    • Data on deaths of confirmed cases managed by CTEs and cured patients are not available this Friday.
Correction of bulletin of Wednesday, July 10, 2019: There were 4 community deaths and not 5 as presented. No community deaths were reported to Oicha on Tuesday, July 9, 2019.

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133 Contaminated health workers

Two health workers, vaccinated, are among the new confirmed cases in Beni.

The cumulative number of confirmed / probable cases among health workers is 133 (5% of all confirmed / probable cases), including 41 deaths.
...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=893d144374
 
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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

Saturday, July 13, 2019

The epidemiological situation of the Ebola Virus Disease dated July 12, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,477, of which 2,383 are confirmed and 94 are probable. In total, there were 1,655 deaths (1,561 confirmed and 94 probable) and 694 people healed.
  • 344 suspected cases under investigation;
  • 15 new confirmed cases, including 9 in Beni, 3 in Katwa, 1 in Alimbongo, 1 in Manguredjipa and 1 in Mandima;
  • 7 new confirmed case deaths:
    • 4 community deaths, including 2 in Beni, 1 in Alimbongo and 1 in Manguredjipa;
    • 3 deaths among confirmed cases, including 2 Beni and 1 in Mabalako;
  • 11 people recovered from ETCs, including 8 in Mabalako and 3 in Butembo.
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134 Contaminated health workers

One health worker (unspecified immunization status) is one of the new confirmed cases in Beni.

The cumulative number of confirmed / probable cases among health workers is 134 (5% of all confirmed / probable cases), including 41 deaths.

...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=47ac244969
 
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[TD="class: mcnTextContent"] EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Sunday, July 14, 2019

The epidemiological situation of the Ebola Virus Disease dated July 13, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,489, of which 2,395 confirmed and 94 probable. In total, there were 1,665 deaths (1,571 confirmed and 94 probable) and 698 people healed.
  • 335 suspected cases under investigation;
  • 12 new confirmed cases, including 6 in Mabalako, 4 in Beni, 1 in Katwa and 1 in Butembo;
  • 10 new deaths of confirmed cases:
    • 3 community deaths, including 1 in Mabalako, 1 in Beni and 1 in Katwa;
    • 7 deaths at CTE, including 4 in Beni, 2 in Mabalako and 1 in Butembo;
  • 4 people recovered from ETCs, including 3 in Butembo and 1 in Beni.
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Confirmed Ebola Patient from Butembo Supported at Goma Ebola Treatment Center
This Sunday, July 14, 2019, a pastor from South Kivu arrived in Goma after a short stay in Butembo. The 46-year-old pastor traveled from Bukavu to Butembo via Goma on Thursday, July 4 for an evangelistic mission. During his stay in Butembo, the pastor preached in seven churches where he regularly laid hands on Christians, including the sick. His first symptoms appeared on 9 July when he was still in Butembo. He was treated at home by a nurse until he left by bus for Goma on Friday, 12 July.

On the route between Butembo and Goma, the bus passed through 3 health checkpoints, namely Kanyabayonga, Kiwanja and OPRP. During the checks, he did not seem to show signs of the disease. In addition, at each checkpoint, he has written different names and surnames on the lists of travelers, probably indicating his desire to hide his identity and state of health.

As soon as he arrived in Goma on Sunday morning, he went to a health center because he did not feel well and started having a fever. No other patients were in the health center, reducing the risk of nosocomial infections of others. Nurses and doctors at the health center who recognized the symptoms of Ebola immediately alerted the response teams in Goma who transferred him to the Ebola Treatment Center (ETC). Around 15:00, the result of the lab test confirmed that he was Ebola positive. If his state of health permits, the patient will be transferred by ambulance to the CTE of Butembo to continue his care as of Monday, as provided by the procedure of the contingency plan.

It is important for people to stay calm. Due to the speed with which the patient has been identified and isolated, as well as the identification of all bus passengers from Butembo, the risk of spreading to the rest of the city of Goma remains low. Caution is still required. In order to avoid the contamination of additional people in Goma, it is urgent to break the chain of transmission by carrying out the following actions:
  1. Decontaminate the health center in which the patient has passed;
  2. Identify and vaccinate all contacts of the patient without exception;
  3. Track and limit contact movement for 21 days.
Since November 2018, the Ministry of Health and the World Health Organization (WHO) have put in place an Ebola response planning and preparation system in the city of Goma due to the large influx of travelers from affected by the epidemic. Rapid detection of the patient by medical teams at the Goma Health Center proves the effectiveness of the city's preparedness activities in dealing with the importation of potential Ebola patients. As part of this preparation, more than 3,000 health workers in Goma have been vaccinated and trained in the detection and management of Ebola patients.

In addition, the transport company has shown great professionalism in having a passenger register and making this register available to response teams to identify all passengers on the bus. The bus driver and the 18 other passengers have been identified and their vaccination will begin as early as Monday, July 15, 2019.

The collaboration of the entire population is necessary to prevent the spread of the epidemic in Goma. Beyond the medical arsenal, the Ministry of Health recalls that the response against Ebola is above all community.

As a reminder, the recommendations of the Ministry of Health are as follows:
  1. Follow basic hygiene practices, including regular hand washing with soap and water or ashes;
  2. If an acquaintance from an epidemic area comes to visit you and is ill, do not touch her and call the North Kivu civil protection hotline directly;
  3. If you are identified as an Ebola patient contact, agree to be vaccinated and followed for 21 days;
  4. If a person dies because of Ebola, follow the rules for safe and dignified burials. It is simply a funeral method that respects funerary customs and traditions while protecting the family and community from Ebola contamination.
  5. For all health professionals, observe the hygiene measures in the health centers and declare any patient with symptoms of Ebola (fever, diarrhea, vomiting, fatigue, anorexia, bleeding).
If all citizens comply with the health measures recommended by the Ministry of Health, it is possible to ensure that this case of Ebola detected in Goma is a sporadic case that does not cause a new outbreak.

...
Two response providers murdered at their home in Beni
  • Two agents of the Ebola response in Beni, including a Community Relay (RECO) and a street leader, were murdered, each at their home on the night of 13-14 July 2019 in the Mukulia health area. the border to Butembo. Both agents were part of the local response team.
  • These two providers had been threatened since December 2018. The RECO, a woman from the neighborhood, had already been attacked a few times a few weeks ago but she was saved because she had given money to the attackers.
  • According to several sources, the attackers are people from the same neighborhood as the two victims who envied their neighbors because they had found a job in the response to Ebola.
...

136 Contaminated health workers

Two health workers, including one vaccinated, are among the new confirmed cases (1 in Mabalako and 1 in Beni).

The cumulative number of confirmed / probable cases among health workers is 136 (5% of all confirmed / probable cases), including 41 deaths.
...

https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=74a1a272b6

 
Source: https://erccportal.jrc.ec.europa.eu/ECHO-Flash/ECHO-Flash-List/yy/2019/mm/7
  • 2,489 cases of Ebola Virus Disease (EVD) have been reported since the outbreak was declared on 1 August 2018. There are 1,665 reported deaths. 698 patients have recovered.
  • An EVD patient was reported in Goma on 14 July. The person had travelled from Butembo to Goma by bus. After consulting a health centre with fever, he was transferred to the Ebola treatment centre in Goma where a laboratory test confirmed EVD. The bus driver and 18 passengers are in the process of being vaccinated. There were no other patients in the health centre initially visited and it is now being decontaminated.
  • A total of 161,400 people have been vaccinated so far including health workers and other first responders, contacts of EVD cases and contacts of contacts.
  • In Beni, one of the hotspots of the epidemic, two local Ebola responders were killed on 13 and 14 July. Insecurity continues to hamper the response.
  • An international stocktaking event on the Ebola outbreak and response is being organised by the United Nations in Geneva today.
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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

Monday, July 15, 2019

The epidemiological situation of the Ebola Virus Disease dated July 14, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,501, of which 2,407 are confirmed and 94 are probable. In total, there were 1,668 deaths (1,574 confirmed and 94 probable) and 700 healed.
  • 292 suspected cases under investigation;
  • 12 new confirmed cases, including 7 in Beni, 1 in Oicha, 1 in Mutwanga, 1 in Kalunguta, 1 in Mandima and 1 in Goma;
    • The case of Goma will be reclassified as soon as thorough investigations have accurately determined the health zone where he started the symptoms.
  • 6 new confirmed case deaths:
    • 4 community deaths, including 3 in Beni and 1 in Oicha;
    • 2 deaths at CTE, including 1 in Beni and 1 in Katwa;
    • Note: Of the 7 deaths reported on July 13, 2019, 3 were non-cases and were removed from the database.
  • 2 people healed out of Butembo CTE.
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... High Level Meeting on Ebola in Geneva
  • On Monday, July 15, 2019, the Minister of Health, Dr. Oly Ilunga Kalenga, participated in the high-level meeting in Geneva to mobilize the international community to end the Ebola epidemic in the Democratic Republic of Congo. His statement is available by clicking here .
...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=f09f479a42
 
Ebola emergency meeting to go ahead as UNICEF warns of higher risk to very youngest children


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UNICEF/Vincent Tremeau
A caregiver at the Ebola Treatment Centre of Butembo, kisses a seven-month-old baby whose mother died of the Ebola just days earlier. North Kivu, Democratic Republic of Congo, 23 March 2019.

[FONT=&quot]16 July 2019

Ahead of a key expert meeting convened by the United Nations to decide whether to declare the ongoing Ebola outbreak in the Democratic Republic of the Congo (DRC) an international health emergency, the UN Children’s Fund UNICEF warned that the epidemic “is infecting more children” than earlier outbreaks.

Speaking in Geneva, UNICEF spokesperson Marixie Mercado said that “there have been 750 infections among children. This represents 31 per cent of total cases, compared with about 20 per cent in previous outbreaks…The latest data I have is that the case fatality ratio for that under-five group was 77 per cent.”

To date, there have been more than 2,500 cases of infection and nearly 1,670 people have died in the provinces of Ituri and North Kivu, according to WHO, making it the worst outbreak the country has ever faced and the second largest epidemic on record.
Highlighting the vulnerability of the very youngest children, Ms. Mercado added that of the 750 cases identified among youngsters, those under five years old represented 40 per cent of the total.

Health experts to discuss vaccinations, survivors

By her side, World Health Organization (WHO) spokesperson Fadela Chaib confirmed that an emergency meeting on the DRC Ebola virus disease outbreak will take place on Wednesday afternoon in Geneva.

Announced a day earlier by WHO Director-General Tedros Adhanom Ghebreyesus, the aim of the meeting is for DRC representatives, UN health experts and partners to decide whether the situation warrants declaring an international emergency, guided by International Health Regulations.

“They will talk about vaccinations, health workers, community engagement, epidemiological trends, the latest on survivors, you know, everything will be discussed,” Ms. Chaib said.

This is the fourth time the emergency panel will have met during the current outbreak, and it follows confirmation that the disease has been identified in Goma, a city of two million people that borders Rwanda.

Every month, an estimated 1,100 people cross the border into Rwanda, according to WHO.
Underscoring the significance of the emergency panel’s deliberations, Ms. Chaib noted that the Committee “would like to avoid putting a country in isolation…in a way that might impede the response”.

Regardless of the Committee’s decision, measures are already in place to prevent the transmission of Ebola from DRC across its vast borders.

“What we have for the neighbouring countries of DRC is preparedness plans, for nine countries around DRC,” Ms. Chaib said. “What we do is send teams to work with the national authorities, to check their stages of preparedness. For example, they will check if they have the ability to test Ebola cases in their laboratories.”

‘No shortage’ of vaccine that’s 97 per cent effective: WHO

At the same time, the WHO official confirmed the “97 per cent” efficacy of the Merck vaccine when it is administered to Ebola patients within 10 days of displaying signs of infection, adding that “we have not experienced any shortage of vaccines so far, during this outbreak”.

According to WHO’s Director-General on Monday, more than 161,000 people have received vaccinations, 140,000 contacts have been traced and 71 million travellers have been screened, at a cost of $250 million “and counting”.

UNICEF’s Ms. Mercado, when asked what more could be done to overcome the DRC outbreak, underscored the lack of basic services available to people, which left them ill-equipped to confront the disease.

‘Huge array of threats’ facing people in addition to Ebola

Those living in north-eastern DRC have to contend with “a huge array of threats”, she insisted, not least endemic malaria and measles, which have killed far more people than Ebola so far this year.

Cholera is also a particular threat to the thousands of children and families displaced into camps by violence linked to communal violence and numerous armed groups, she added.

“Health workers need to be equipped with the capacity and the resources to implement basic infection prevention and protection control, and that’s not happening enough, that’s one thing,” Ms. Mercado said. “We need to do more prevention at scale against all the other diseases that children are contending with: measles, malaria, cholera (and) their major nutritional problems.”

https://news.un.org/en/story/2019/07/1042531[/FONT]
 
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[TD="class: mcnTextContent"] EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Tuesday, July 16, 2019

The epidemiological situation of the Ebola Virus Disease dated July 15, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,512, 2,418 confirmed and 94 probable. In total, there were 1,676 deaths (1,582 confirmed and 94 probable) and 703 people healed.
  • 423 suspected cases under investigation;
  • 11 new confirmed cases, including 5 in Beni, 2 in Mandima, 1 in Mabalako, 1 in Vuhovi, 1 in Katwa and 1 in Komanda;
  • 8 new confirmed cases deaths:
    • 3 community deaths, 2 in Beni and 1 in Mandima;
    • 5 deaths at CTE / CT, including 4 in Beni and 1 in Goma;
  • 3 people cured out of ETCs including 2 in Butembo and 1 in Katwa.
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Follow-up of the situation of the pastor's contacts who traveled to Goma
  • On Monday, July 15, 2019, 37 high-risk contacts and 40 contacts of contacts of Goma confirmed case were vaccinated at the Afia Himbi health center where the patient had been isolated before being transferred to the CTE. In total, 97 contacts in the broad sense have already been listed to date. Vaccination will continue until all identified contacts have been vaccinated.
  • Among the contacts identified were two women from the pastor's family traveling with him. After the pastor's transfer to CTE, they hid in Goma and some people thought they fled to Bukavu in South Kivu province. Fortunately, the two women were found in Goma on Tuesday and will be vaccinated.

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Beni-Ebola: The laboratory technician at the Isonga health center threatened with death by armed men

Published Wed 17/07/2019 - 09:08
7sur7

Death threats are threatening health care workers engaged in the fight against Ebola in the Bashu chiefdom in Beni territory.

On the night of Monday, July 15 to Tuesday, July 16, 2019, a criminal operation targeted the Laborator at the Isonga Health Center.

Men carrying illegal arms arose at his home and seriously wounded his wife with knives.

The target was in hiding during the incursion, reports Moise Kiputulu human rights defender in Bashu.

He added that following the activism of armed groups in the region, those involved in the response to Ebola live in secret.

Militiamen commit several abuses against them.

Contacted, local forces call for the restoration of state authority in Bashu chiefdom.

Jo?l Kaseso from Butembo


https://7sur7.cd/index.php/2019/07/...te-isonga-menace-de-mort-par-des-hommes-armes
 
Translation Google

Ebola: DRC hopes WHO decision not the result of "many pressures" to "raise" funds

Wednesday, July 17, 2019 - 23:32

The Congolese Ministry of Public Health has taken note of the decision of the World Health Organization (WHO) to declare the Ebola outbreak affecting the provinces of North Kivu and Ituri as a health emergency. global reach.

In a comment released after the emergency committee meeting of the UN agency, the ministry of health said he hoped "this decision is not the result of the many pressures from different stakeholder groups."

These parties, he said, "wanted to use this statement as an opportunity to raise funds for humanitarian actors despite potentially damaging and unpredictable consequences for affected communities that rely heavily on cross-border trade for their survival."
...
Christine Tshibuyi

https://actualite.cd/2019/07/17/ebo...n-de-loms-nest-pas-le-resultat-des-nombreuses

---------------------------------
See also:

DRC Ebola outbreak now a Public Health Emergency, UN health agency declares - July 17, 2019
https://flutrackers.com/forum/forum...rgency-un-health-agency-declares-july-17-2019
 
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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

Wednesday, July 17, 2019

The epidemiological situation of the Ebola Virus Disease dated 16 July 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,522, 2,428 confirmed and 94 probable. In total, there were 1,698 deaths (1,604 confirmed and 94 probable) and 717 people cured.
  • 374 suspected cases under investigation;
  • 10 new confirmed cases, including 6 in Beni, 2 in Mabalako, 1 in Katwa and 1 in Mangurujipa;
  • 10 new confirmed cases deaths:
    • 5 community deaths, including 3 in Beni, 1 in Mabalako and 1 in Mangurujipa;
    • 5 deaths at CTE / CT including 4 in Beni and 1 in Katwa;
  • 7 people cured out of CTE Mabalako;
  • No health workers are among the newly confirmed cases. The cumulative number of confirmed / probable cases among health workers is 136 (5% of all confirmed / probable cases), including 41 deaths.
Deaths and cures data recorded in CTEs for the period 9-11 July 2019 are now available and have been added to the summary table.
  • In total, 12 deaths were recorded in CTEs during this period:
    • 7 deaths at the CTE de Beni
    • 3 deaths at Butembo CTE
    • 2 deaths at Katwa CTE
  • In total, 7 cures were discharged from CTE during this period:
    • 5 cured at Butembo CTE
    • 1 cured at the CTE of Beni
    • 1 cured at Katwa CTE
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Statement Ebola outbreak in DRC as a health emergency of international concern
  • Following the recommendations of the international expert committee, WHO declared on Wednesday, July 17, 2019, that the Ebola epidemic in the DRC was a health emergency of international concern.
  • The Ministry of Health accepts the evaluation of the expert committee. The ministry hopes that this decision is not the result of the many pressures from different stakeholder groups who wanted to use this statement as an opportunity to raise funds for humanitarian actors despite the potentially harmful and unforeseen consequences for the affected communities that depend on them. greatly from cross-border trade for their survival.
  • While the Government continues to openly share with partners and donors how it uses the funds received, we hope that there will be greater transparency and accountability of humanitarian actors in their use of funds to respond to this Ebola outbreak.
  • The Ebola epidemic is above all a public health crisis that requires a response by actors with real technical expertise. However, the main difficulty is that this epidemic occurs in an environment characterized by problems of development and shortcomings of the health system.
  • Furthermore, we regret that after spending almost a year in this epidemic, certain groups of people in the community continue to adopt irresponsible behavior that causes the geographical spread of the virus. It is important to remember that in the cases of Goma and Uganda, the patients knew that they were at risk but refused to respect the health recommendations and deliberately traveled to another area. The Government will consider what steps need to be taken to prevent these high-risk groups from continuing to spread the epidemic in the region.
Follow-up of the situation of the pastor's contacts who traveled to Goma
  • Vaccination around the confirmed Goma case continues at the Afia Himbi Health Center in the Goma Health Zone. All contacts in the city were found in less than 72 hours, including the motorcycle taxi driver that the pastor had used to get to the health center. The response teams from Beni and Butembo continue the investigations to trace the pastor's journey and identify his contacts in these two cities.
...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=e7fcb33424
 
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[TD="class: mcnTextContent"] EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Thursday 18 July 2019

The epidemiological situation of the Ebola Virus Disease dated 17 July 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,532, 2,438 confirmed and 94 probable. In total, there were 1,705 deaths (1,611 confirmed and 94 probable) and 718 people cured.
  • 402 suspected cases under investigation;
  • 10 new confirmed cases, including 4 in Beni, 2 in Butembo, 2 in Mandima, 1 in Vuhovi and 1 in Mutwanga;
  • 7 new confirmed case deaths:
    • 4 community deaths, 2 in Beni, 1 in Mandima and 1 in Vuhovi;
    • 3 CTE deaths including 1 in Beni, 1 in Katwa and 1 in Mabalako;
  • 1 person healed out of CTE Butembo.
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Cross-border collaboration
  • Uganda's health authorities have launched investigations to find the contacts of a patient who died at the CTE in Beni on July 15, 2019, who had spent a day in Kasese district in Uganda a few days earlier. The patient is a Beni shopkeeper who went to the Mpondwe market in Kasese on Thursday, July 11 before returning to Beni on Friday, July 12. She was a regular at the Kasese market where she bought her goods, including fish.
  • To enter Uganda, she did not go through a formal entry point where there was a health check, which did not allow health teams to detect her. However, after her admission to the CTE of Beni, she informed the medical teams of her trip to Kasese and the teams then alerted the Ugandan authorities. During her visit to the market, she would have vomited four times, increasing the risk of contamination of people who had been in direct contact with her. For example, the Ugandan Ministry of Health and WHO launched the investigation in Kasese to identify all contacts and vaccinate them.
Point of entry surveillance
  • From now on, the Port of Entry Monitoring Team will operate 24 hours a day at Goma International Airport. This surveillance began this Thursday, July 18, 2019.
  • Port of Entry monitoring teams work night and day to find contacts from confirmed cases traveling in the area. It was the teams at the OPRP Health Checkpoint in the Nyragongo Health Zone who intercepted two bikers who had transported the deceased pastor and his mother. The two bikers were then directed to the vaccination teams to protect themselves against the disease. In general, when contacts from affected areas attempt to travel to Goma or Bunia and are intercepted at a checkpoint, they are usually returned to their original health zone to complete their 21-day follow-up period.
Minister of Health on mission in Eastern DRC
  • The Minister of Health, Dr. Oly Ilunga Kalenga arrived in Goma this Thursday, July 18, 2019. He spent the day on the ground to meet the different teams responsible for protecting the city against the virus. He began his visit through the Great Northern Control Point, called the OPRP, located in the Nyragongo Health Zone where the pastor from Butembo passed. In the same health zone, he also visited the new Ebola treatment center (ETC) still under construction. This CTE, built by M?decins Sans Fronti?res (MSF), will have a capacity of 60 beds.
  • Its mission will continue throughout North Kivu and Ituri to ensure the proper conduct of the response.
Press Conference in Goma: Minister of Health reassured people
  • The coordination of the response held a press conference on Thursday in Goma following the WHO statement on the public health emergency of international concern.
  • The Minister of Health reassured the population that the response teams and health staff in Goma City had been preparing for the arrival of sick people from areas affected by the epidemic. . Thus the person was very quickly identified and isolated, he said, adding that all the people who were in contact with this case were found and vaccinated. He took the opportunity to congratulate the health center nurse Afia Himbi who had quickly recognized this case and promised to meet him during his stay in Goma.
  • He called on caregivers to remain vigilant and attentive. To the population, he recommended the respect of the measures of hygiene, the call of the green number if a relative is sick, the agreement to be vaccinated and to be followed during 21 days when one is identified like contact and the respect for safe and dignified burials.
  • During this press conference, Dr. Oly Ilunga also referred to the statement of the international expert committee on the public health emergency. For the Minister of Health, the DRC welcomed this statement, noting that for the DRC, the epidemic is a public health emergency with a risk of regional spread since its declaration in August 2018. " It is in this spirit coordinating the response has worked with international partners, such as WHO, UNICEF and others , "he said.
  • He also pointed out that this declaration is of greater importance for the neighboring countries of the DRC. He reassured his foreign counterparts of the intensification of surveillance in the DRC. He recalled that WHO has advised against closing borders and restricting international movements of the population. He hopes that this statement will not have too much impact on the lives of the people.
...

137 Contaminated health workers
One health worker, vaccinated, is one of the new confirmed cases of Mandima.
The cumulative number of confirmed / probable cases among health workers is 137 (5% of all confirmed / probable cases), including 41 deaths.
...

https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=c0fbfca105
 
[FONT=&quot]Ministry of HealthDRC @ MinSanteRDC3h3 hours ago3 hours ago 3h3 hours ago [/FONT]

[FONT=&quot]In this interview, the minister of health @ OlyIlunga explains why he refused to test a second vaccine against # Ebola in the heart of a complex epidemic despite the many pressures from donors and humanitarian organizations.
...
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Debate over whether to test a second Ebola vaccine turns acrimonious

By HELEN BRANSWELL JULY 17, 2019

An aggressive push to use a second experimental Ebola vaccine to try to help stop the nearly yearlong outbreak in the Democratic Republic of the Congo may have backfired, with the DRC?s health minister insisting the country will not allow use of the vaccine, made by pharmaceutical giant Johnson & Johnson.
...
?There?s a whole debate raging around vaccinations. And we need to close down this debate,? Ilunga said Monday at a World Health Organization meeting called to share updates on the outbreak with partners in the response and donor countries. ?We have an effective weapon. ? Let?s focus on that.?
...
?We are in the presence of a very, very dangerous situation. We have people who don?t want to discuss [their plans] with the government. People who have no respect for ethics. And they are ready to introduce a new vaccine and to create new communications problems and trust problems with the community,? he said. ?So I just made the decision to say no. We are not going to start a discussion again.?

...
https://www.statnews.com/2019/07/17/...ebola-vaccine/[/FONT]
 
Source: https://www.who.int/csr/don/18-july-2019-ebola-drc/en/
[h=1]Ebola virus disease ? Democratic Republic of the Congo[/h] Disease outbreak news: Update
18 July 2019

On 17 July 2019, the Director-General convened the Emergency Committee under the International Health Regulations (IHR) to review the situation on the Ebola outbreak in the Democratic Republic of the Congo (DRC). It was the fourth time the Director-General convened the Committee for this event since the declaration of the outbreak in August 2018 (previous meetings were held in October 2018, April 2019, and June 2019). The Director-General accepted the Emergency Committee?s recommendation that the outbreak constitutes a Public Health Emergency of International Concern (PHEIC). The decision was based on the recent developments in the outbreak, including the geographical expansion of the virus. The declaration of the PHEIC is not a reflection on the performance of the response team but rather a measure that recognizes the possible increased national and regional risks and the need for intensified and coordinated action to manage them. The Committee and WHO do not recommend any restrictions on travel or trade, which can hamper the fight against Ebola by affecting the movement of people and supplies. Further information, including temporary recommendations advised by the Emergency Committee, is available in the statement, speech by WHO Director General, and news release.
The outbreak of Ebola virus disease (EVD) in North Kivu and Ituri provinces continued this past week with similar transmission intensity to recent weeks. While the stability of the transmission intensity of the outbreak is an indication of the strong response efforts to limit local transmission in affected health zones, the spread of EVD into new geographical areas and continued insecurity in the affected regions continue to complicate the control of the outbreak.
A salient example of this is the confirmed case of EVD that was reported in Goma, a city of approximately two million inhabitants close to the Rwandan border, on 14 July 2019. The case was a man who travelled to the city from Beni by bus, visiting a local health centre on arrival where the alert was raised. He transferred the same day to the Ebola Treatment Centre (ETC) in Goma, and died while being transferred to the ETC in Butembo. The case?s full travel history is known, and all contacts are being identified and followed-up. Vaccination of his contacts, and contacts of contacts, in Goma commenced on 15 July 2019. The confirmation of a case of EVD in the city of Goma had been long anticipated. Preparation activities, including the vaccination of health workers, intensive training in infection prevention and control, and heightened surveillance have been ongoing for more than six months. Neighbouring Rwanda is also conducting preparedness activities. Rumours of his contacts travelling to Bukavu, South Kivu, have been investigated and ruled out by response teams.
In an unrelated event, two situation reports concerning Ebola Virus Disease in Uganda prepared and published by the Ugandan Ministry of Health, and posted on July 16 and July 17 on the WHO African Regional Office website, erroneously included unverified information. This information concerned the movements of a female fishmonger from Beni, who contracted EVD and travelled to a town in Uganda for one day, after which she returned to Beni, where she was admitted to the ETC. Ongoing investigations have suggested that the individual travelled to Uganda prior to onset of EVD. As it is not possible to conclusively rule out that she was infectious with EVD during her travels, both Ugandan and Democratic Republic of the Congo authorities are closely following potentially exposed contacts. There are currently no confirmed cases of EVD outside of the Democratic Republic of the Congo.
In the last week, two Democratic Republic of the Congo nationals involved in the response, a community leader and local volunteer, were killed in separate locations in Beni; the underlying motive and possible relationship between these two killings in separate locations remain unknown at this time. Security forces are currently conducting an investigation into these two fatalities.
In the 21 days from 26 June through 16 July 2019, 67 health areas within 20 health zones reported new cases, representing 10% of the 664 health areas within North Kivu and Ituri provinces (Figure 2). During this period, a total of 245 confirmed cases were reported, the majority of which were from the health zones of Beni (50%, n=123), Mabalako (15%, n=37), Katwa (7%, n=18), Mandima (4%, n=10) and Butembo (4%, n=9). As of 16 July 2019, a total of 2522 EVD cases, including 2428 confirmed and 94 probable cases, were reported (Table 1). Bunia, Kyondo and Musienene health zones all recently cleared 21 days since their last reported case. However, high risks remain for the virus to be reintroduced to these areas, requiring teams to remain fully resourced and vigilant.
A total of 1698 deaths were reported (overall case fatality ratio 67%), including 1604 deaths among confirmed cases. Of the 2522 confirmed and probable cases with known age and sex, 56% (1423) were female, and 29% (720) were children aged less than 18 years. Cases continue to increase among health workers, with the cumulative number infected rising to 135 (5% of total cases).
[h=4]Figure 1: Confirmed and probable Ebola virus disease cases by week of illness onset by health zone. Data as of 16 July 2019*[/h]
figure1_20190718.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, Ariwara, Biena, Bunia, Goma, 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 16 July 2019*[/h]
figure2_20190718.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 16 July 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 were observed from February through mid-May 2019, with lower but still substantial rates since then. The security situation is characterised by the resurgence of activities from non-state armed groups in areas within all the three major areas of operations (Butembo, Beni, and Mangina). Increased ADF activities also led to clashes with FARDC in the northeast part of Beni. Local security forces conducted clearing operations and response activities were facilitated thereafter. Pockets of community reticence were observed during the period. 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 facilitate staff safety and security, and continuity of activities, the operational area continues to be closely monitored and assessed, and security mitigation measures are implemented. 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 Ebola Treatment Centres (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 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. Further information is available here: WHO recommendations for international traffic related to the Ebola Virus Disease outbreak in the Democratic Republic of the Congo.
For more information, please see:

 
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[TD="class: mcnTextContent"] EVOLUTION DE L'EPIDEMIE D'EBOLA DANS LES PROVINCES DU NORD-KIVU ET DE L'ITURI

Vendredi 19 juillet 2019

La situation ?pid?miologique de la Maladie ? Virus Ebola en date du 18 juillet 2019 :
  • Depuis le d?but de l??pid?mie, le cumul des cas est de 2.546, dont 2.452 confirm?s et 94 probables. Au total, il y a eu 1.715 d?c?s (1.621 confirm?s et 94 probables) et 721 personnes gu?ries.
  • 478 cas suspects en cours d?investigation ;
  • 14 nouveaux cas confirm?s, dont 6 ? Beni, 5 ? Mandima, 1 ? Katwa, 1 ? Mabalako et 1 ? Mambasa ;
  • 10 nouveaux d?c?s de cas confirm?s :
    • 6 d?c?s communautaires, dont 2 ? Beni, 2 ? Mandima, 1 ? Mabalako et 1 ? Mambasa ;
    • 4 d?c?s au CTE dont 2 ? Butembo, 1 ? Katwa et 1 ? Mabalako ;
  • 3 personnes gu?ries sorties du CTE Beni.
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138 Contaminated health workers

One health worker, vaccinated, is one of the new confirmed cases of Mandima.
The cumulative number of confirmed / probable cases among health workers is 138 (5% of all confirmed / probable cases) including 41 deaths.
...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=fad9d7af01


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[TD="class: mcnTextContent"] EVOLUTION OF THE EBOLA EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI

Saturday, July 20, 2019

The epidemiological situation of the Ebola Virus Disease dated 19 July 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,564, 2,470 confirmed and 94 probable. In total, there were 1,728 deaths (1,634 confirmed and 94 probable) and 726 people healed.
  • 392 suspected cases under investigation;
  • 18 new confirmed cases, including 7 in Beni, 3 in Mandima, 3 in Mabalako, 1 in Vuhovi, 1 in Butembo, 1 in Mambasa, 1 in Lubero and 1 in Masereka;
  • 13 new confirmed cases deaths:
    • 8 community deaths, including 4 in Beni, 2 in Mandima, 1 in Mabalako and 1 in Masereka;
    • 5 CTE / CT deaths, 2 in Mabalako, 2 in Beni and 1 in Katwa;
  • 5 people recovered from ETCs, including 3 in Beni and 2 in Katwa.
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Minister of Health visits Beni
  • The Minister of Health, Dr. Oly Ilunga Kalenga spent the day of Friday, July 19, 2019 in Beni where he visited the various field teams and the transit center whose capacity will be increased in the coming days.
  • Following the resurgence of patients in Beni, Dr. Oly Ilunga said that one of the key lessons learned in this tenth epidemic is to rely on the health system. "If we really want to solve this epidemic and have a lasting impact, we need to strengthen the health system by working with the actors in this system and with the community," he said adding that this is how we can quickly stop this new outbreak in the city of Beni.
  • He recalled that the declaration of this epidemic as an international public health emergency requires other countries to strengthen border surveillance, while for the response, the declaration recognizes the work that is being done as well as the performance of the response. managed to contain the epidemic in an extremely complex context.
  • This statement also stresses the need for a response with greater coordination and consultation. Another point that Minister Oly Ilunga always insists on is the accountability of all actors on the ground, the sharing of information, the measurement of performance, and the use of data to guide and improve action. ground.
...
https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=69b1db64f5

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Translation Google

DRC-Ebola: the response goes under the direction of Felix Tshisekedi through a team led by Prof. Muyembe

Saturday, July 20, 2019 - 15:35

Following the WHO's decision to consider this epidemic as an international emergency, the Head of State led a meeting at the AU City on Friday for a strategic reassessment meeting.

Felix Tshisekedi has changed the configuration of the team to lead the response to the Ebola outbreak.

"The response to the Ebola outbreak is now under the direct supervision of His Excellency the President of the Republic. To this end, it is decided to entrust the responsibility of the technical secretariat of the multisectoral committee to a team of experts, under the direction of Professor Jacques Muyembe Tamfum, "said a statement signed by Vital Kamerhe, chief of staff of F?lix Tshisekedi transmitted to ACTUALITE.CD
...
https://actualite.cd/2019/07/20/rdc...rection-de-felix-tshisekedi-par-le-biais-dune

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DRC: Six experts will accompany Professor Muyembe in the new team that will coordinate the fight against Ebola

Saturday, July 20th, 2019 - 15:54
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Professor Jean Jacques Muyembe Tamfum is appointed Technical Secretary. He will be assisted by Dr. Benoit Kebela Ilunga. Professors Michel Kaswa, Steve Ahuka, Jean-Marie Kayembe, Patrick Kayembe and Dr. Dieudonn? Mwamba are the experts who will accompany Professor Muyembe.

Jean-Jacques Muyembe Tamfun was part of the research team investigating the first known outbreak of Ebola virus disease in 1976. He worked at the Institut Pasteur in Dakar (Senegal) in 1981 and at the Centers for Disease Control and Prevention of the United States of America, also in 1981, in the Special Pathogens section to study Ebola and Marburg viruses. He has chaired several international committees for the fight against Ebola outbreaks. He was appointed Dean of the Faculty of Medicine at the University of Kinshasa in 1978, after obtaining a Ph.D. in Virology at the University of Louvain, Belgium (1973), and his doctorate of Medicine at the University of Lovanium , in Kinshasa (1969).
...
https://actualite.cd/2019/07/20/rdc...mbe-dans-la-nouvelle-equipe-qui-va-coordonner

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Ebola: Tshisekedi gives full powers to Muyembe for "urgent innovative measures"

Sunday, July 21st, 2019 - 12:47
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This technical secretariat led by Dr. Jean-Jacques Muyembe has almost full powers. It will ensure the implementation of the response, the coordination of all activities for monitoring and evaluation of the implementation of the operational plan. It is also Muyembe and six other experts under his responsibility who will prepare the plan for resource mobilization and technical assistance and will animate the periodic consultation framework with the partners of the response. The communiqu? signed by Vital Kamerhe, chief of staff of the President of the Republic, adds that this secretariat is responsible for implementing "all urgent innovative measures".
...
However, this new setup is not yet clearly defined, let alone the role that the Ministry of Health will play in the coordination given that there is a risk of several approaches in the response: between the vision of the international humanitarian community involved in the response, that of the United Nations led, since May, by the Deputy Special Representative of the UN Secretary-General in the DRC, David Gressly - now UN Chief of Emergency Response for Ebola, EERC. There is also the vision of the Department of Health, which insists on a public health strategy that takes into account community aspects and focuses on the long term, such as access to drinking water.
...
https://actualite.cd/2019/07/21/ebo...-muyembe-pour-des-mesures-innovantes-urgentes
 
Translation Google

Beni: Unknown people burn two buildings at the Vuhesi health center

Posted on Sun, 21/07/2019 - 13:01 | Edited on Sun, 21/07/2019 - 13:01

Two buildings of the Vuhesi Health Center in the Vuhovi Zone in Bashu Chiefdom in the Beni Territory were set on fire on Saturday night, Sunday, July 21st.

According to the NGO Union of committed citizens for democracy and development, the burned buildings are those that house all the services of this health center. According to Moise Kiputulu, coordinator of this NGO, the authors of this act are not yet identified.

The same source said that for the past few days, the nurses at the Vuhesi health center have been threatened by strangers because of their involvement in the Ebola response.

The Ebola virus triage center installed in this facility was not affected by the fire.

https://www.radiookapi.net/2019/07/...ient-deux-batiments-du-centre-de-sante-vuhesi
 
Mambasa%252C%2BIturie%2B-%2BGoogle%2BMaps%2B-%2BMozilla%2BFirefox%2B26082011%2B160246.jpg

Credit RadioOkapi

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(From a blog)

Translation Google

JUL 21

3 cases of Ebola in Mambasa Center

The laboratory confirmed 3 cases of ebola in Mambasa Center in the last days. One was confirmed last Monday. It was an 8-year-old child who died at the Mambasa Reference General Hospital. The second confirmed case is an 18-year-old woman from Dome. She died on Wednesday still at the Mambasa Reference General Hospital. The third positive case was reported this Friday at the Mama wa Yezu hospital center belonging to the Catholic missionary priests of the Sacred Heart of Jesus congregation in Mambasa. The response team rushed to disinfect the hospitals. in the Komanda-Irumu laboratory add medical sources.

Johnson Vahwere

https://congoaujourlejour.blogspot.com/2019/07/3-cas-debola-mambasa-centre.html
 
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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

Sunday 21 July 2019

The epidemiological situation of the Ebola Virus Disease dated July 20, 2019 :
  • Since the beginning of the epidemic, the cumulative number of cases is 2,578, of which 2,484 are confirmed and 94 are probable. In total, there were 1,737 deaths (1,643 confirmed and 94 probable) and 729 people cured.
  • 361 suspected cases under investigation;
  • 14 new confirmed cases, including 9 in Beni, 4 in Oicha and 1 in Mandima;
  • 9 new confirmed case deaths:
    • 2 community deaths in Beni;
    • 7 CTE / CT deaths, including 4 in Beni and 3 in Mabalako;
  • 3 people healed out of CTE Butembo.
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https://us13.campaign-archive.com/?u=89e5755d2cca4840b1af93176&id=af1a3c0f8c
 
Translation Google

[FONT=&quot]Dr. Olymember @OlyIlunga 2h2 hours ago More[/FONT]

[FONT=&quot]Following the decision of the @ Presidence_RDC to manage the # Ebola epidemic, I resigned as Minister of Health on Monday. It was an honor to be able to put my expertise at the service of our Nation during these two important years of our History.
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Translation Google

Urgent: Minister of Health Oly Ilunga has resigned on Monday

Posted Mon 22/07/2019 - 14:36
7sur7

The announcement was made by Oly Ilunga this Monday, July 22, 2019 via his Twitter account. The Minister of Health has confirmed his resignation.

In his letter of resignation addressed to the head of state F?lix Antoine Tshisekedi, the minister of health indicates that there can not exist several centers of decision at the risk of creating confusions in the response against Ebola.

"As in any war, because that is what it is about in this fight, the lines of command must be clearly identified and defined.There can't be several decision centers at the risk of creating confusion and cacophony prejudicial to the riposte, "wrote Oly Ilunga.

According to him, the uniqueness in the management of such a response responds to the triple imperative of efficiency, coherence of decisions and accountability.

"Thus drawing the consequences of Your decision to place the response to the Ebola outbreak under your direct supervision, and anticipating the prejudicial cacophony of response that will inevitably result from this decision, I hereby come to submit my resignation as Minister of Health ", concludes Oly Ilunga

Jephtha Kitsita

https://www.7sur7.cd/2019/07/22/urg...sante-oly-ilunga-depose-sa-demission-ce-lundi
 
WORLD NEWSJULY 22, 2019 / 8:56 AM / UPDATED 3 HOURS AGO

Congo minister's resignation over Ebola snub could unblock new vaccine

Fiston Mahamba
3 MIN READ

GOMA, Democratic Republic of Congo (Reuters) -
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In his resignation letter, the minister criticised pressure by unnamed ?actors? to deploy the second vaccine, manufactured by Johnson & Johnson and backed by the WHO.
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Ilunga has said the J&J vaccine has not been proved effective and that deploying a second one would confuse people in eastern Congo, where health workers are struggling to overcome widespread misinformation about the haemorrhagic fever as well as sporadic hostility.
...
The WHO and other international donors including medical charity Medecins Sans Frontieres have publicly supported using the second vaccine, of which 1.5 million doses are available.

A WHO spokesman said the organisation was grateful for Ilunga?s leadership and dedication and looked forward to ?working closely with the new coordination team as we have with the previous one?.

https://www.reuters.com/article/us-...-snub-could-unblock-new-vaccine-idUSKCN1UH1L7
 
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