CMRE has published Situation épidémiologique du 06 Octobre 2019. In addition to zero new cases on October 5, we also learn that the response shutdown in Lwemba seems to have been resolved. Excerpt from the Google translation:
EVOLUTION OF THE EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI OCTOBER 05, 2019
Sunday, October 06, 2019
Since the beginning of the epidemic, the cumulative number of cases is 3,204, of which 3,090 are confirmed and 114 are probable. In total, there were 2,142 deaths (2028 confirmed and 114 probable) and 1004 people healed.
• 414 suspected cases under investigation;
• No new cases confirmed;
• 1 new confirmed death at CTE in Ituri in Komanda;
• No one healed out of ETCs;
• No health workers are among the newly confirmed cases. The cumulative number of confirmed / probable cases among health workers is 161 (5% of all confirmed / probable cases), including 41 deaths.
• 19th day without response activities in Lwemba to Mandima health area in Ituri, where dialogue is ongoing in the community.
The data presented in this table are subject to change after extensive investigation and after redistribution of cases and deaths in their respective health areas.
NEWS
Reconciliation between displaced people from Lwemba to Biakato and communities left in Lwemba in Mandima in Ituri
The Lwemba communities who moved to Biakato in Mandima in Ituri reconciled on Sunday, October 06, 2019 with the communities that remained in Lwemba in the presence of the response team led by the Deputy General Coordinator, Dr. Justus Nsio Mbeta, Chief of Cheffery and the MCZ of Mandima, Coordinator of the Mangina Response Subordinate Coordination, as well as some partners the Ministry of Health, including WHO, MSF, UNICEF and the United Nations;
- From this meeting, follows the following recommendations: setting up a community committee to support the response, the local recruitment of sensitizers in the monitoring of community-based surveillance, decontamination and the workforce in the community; burning houses. The Ministry of Health has promised the next supply of drugs to Lwemba;
- The Deputy General Coordinator for the Ebola Response to the Epidemic, representing the Ministry of Health and the Technical Secretariat of the CMRE, Dr. Justus Nsio Mbeta, took this opportunity to recall the regulatory role of the Ministry Health and the role of each partner involved in the response;
- For the community victim of the fire, she asks for the guarantee of guarantee of their security, the emergency humanitarian aid, the compensation of their destroyed property and the reconstruction of their burned houses, the commitment or the hiring of all victims in the various services at all levels, the immediate arrest of all the alleged perpetrators of these uncivil acts and the care of the children affected; - These fires occurred following the death of a nurse from Lwemba, confirmed with Ebola Virus Disease. His death sparked the uprising of the population to burn down the houses and other property of all the unknowns of Lwemba. This remains the cause, even, the cessation of the activities of the response in this Health Area for more than 15 days;
- The leaders of the Lwemba community also asked for the construction of the houses for the displaced, the organization of an intercommunal dialogue session by the Administrator of the territory or his delegate and the rehabilitation of the road to Lwemba ;
- In the response, WHO is responsible for epidemiological surveillance, communication and prevention against infection (IPC) and immunization, UNICEF is in charge of communication, psychosocial care and PCI, MSF and ALIMA take care of the treatment of patients in the Ebola treatment center and the PCI and psychosocial support within CTE, WFP brings food products to contacts, IOM takes care of Entry and Control Points (water supply, soap and chlorine);
- As for the National Institute for Biomedical Research (INRB), Dr. Nsio stated that he is in charge of the diagnosis and gives MSF and ALIMA the medicines to treat patients with CTE.
- The World Health Organization has pledged to rebuild houses burned, to provide community surveillance (community watch) and investigations of all suspected cases, as well as to build a transit center in Lwemba, while UNICEF has pledged to improve communication and awareness through the use of space, to support ICH, decontamination and psychosocial, to provide water sources and to build latrines in 5 priority schools;
- On the other hand, Médecins Sans Frontières intends to help the community of Lwemba to resume primary health care, to organize triage in the Health Zones present in the village and to break the PCI, as well as to train sensitizers;
- At the end of this Lwemba meeting, all partners, including WHO, UNICEF and MSF, met around the Deputy General Coordinator at the Biakato Reference Health Center to review the joint and shared planning of activities in Lwemba.
VACCINATION
- Since vaccination began on August 8, 2018, 234,108 people have been vaccinated;
- The only vaccine to be used in this outbreak is the rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck, following approval by the Ethics Committee in its decision of 20 May 2018.
MONITORING AT ENTRY POINTS
- Three high-risk contacts were intercepted on Saturday 05 October 2019 at Maboya Checkpoint (PoC) in Butembo. They are all from the same family and came from the Kabasha Health Area to Kalunguta for Bunyuka in Vuhovi;
- They are all contacts of a confirmed case, died of the Ebola Virus Disease (EVD) of September 30, 2019 in Kabasha;
- The 1st contact is a little girl of 8 years old, unvaccinated who presented fever at 38 ° C. She was taken to the CTE of Butembo for the care after validation of the alert was validated;
- The 2nd contact is a 24 year old man vaccinated and asymptomatic. This is the biological father of the 1st contact;
- The 3rd contact, grandmother of the 1st contact, 54, unvaccinated and asymptomatic;
- Since the beginning of the epidemic, the cumulative number of travelers checked (temperature measurement ) at the sanitary control points is 102,840,774 ;
- To date, a total of 111 entry points (PoE) and sanitary control points (PoCs) have been set up in the provinces of North Kivu and Ituri to protect the country's major cities and prevent the spread of the epidemic in neighboring countries.
