H5N1

Ebola DRC - Evolution of the response to the Ebola epidemic in North Kivu and Ituri on Tuesday February 19 2019

The Ministry of Health has published Ebola DRC - Evolution of the response to the Ebola epidemic in North Kivu and Ituri on Tuesday February 19 2019. Excerpt from the Google translation:

EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI 

Tuesday, February 19, 2019   

The epidemiological situation of the Ebola Virus Disease  dated February 18, 2019:   

• Since the beginning of the epidemic, the cumulative number of cases is 844, 779 confirmed and 65 probable. In total, there were 528 deaths (463 confirmed and 65 probable) and 255 people cured. 

• 196 suspected cases under investigation; 

• 4 new confirmed cases, including 3 in Katwa and 1 in Butembo;  

• 2 new deaths from confirmed cases in Katwa, all are community deaths; 

• 2 new people healed out of Butembo CTE.

 

 /! \  Cleaning up the current database: changes in deaths of confirmed cases and cures. 

News of the response 

 Mastering the Ebola outbreak in Beni  

• This Tuesday, February 19, 2019 marks the 21 th  day with no new confirmed cases of Ebola in the Beni area of health. This is a major breakthrough after the outbreak that peaked between September and November 2018. We can consider that the Ebola outbreak is currently under control in Beni. Other health zones that have not reported a new confirmed case of Ebola in the last 21 days are Kayina, Mandima, Musienene, Nyankunde and Tchomia.  

• However, there is still a risk of resumption of the epidemic in Beni because of frequent population displacements between Beni and neighboring areas where the epidemic remains active, including Butembo and Katwa.  

• The health zones of Katwa and Butembo remain the main focus of the epidemic at present. In the last 21 days, 92 new confirmed Ebola cases were reported, of which 58 (or 63%) were in Katwa and 16 (or 17%) were in Butembo.  

• As a reminder, the epidemic will be officially over when the country has not registered any new cases of Ebola for 42 days, ie twice 21 days (the incubation period of the virus).  

Vaccination    

• Since the start of vaccination on 8 August 2018, 81,306 persons have been vaccinated , including 20,664 in Katwa, 20,547 in Beni, 9,769 in Butembo, 6,109 in Mabalako, 2,746 in Kalunguta, 2,501 in Goma, 2,280 in Komanda, 2,053 in Oicha, 1,663 to Mandima, 1,325 to Kyondo, 1,283 to Kayina, 1,187 to Karisimbi, 1,094 to Bunia, 1,064 to Vuhovi, 920 to Masereka, 772 to Mutwanga, 767 to Biena, 700 to Lubero, 590 to Rutshuru, 576 to Musienene, 527 in Nyankunde, 496 in Mangurujipa, 355 in Tchomia, 376 in Rwampara (Ituri), 254 in Alimbongo, 230 in Mambasa, 207 in Kirotshe, 141 in Nyiragongo, 97 in Watsa (Haut-Uélé) and 13 in Kisangani.  

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

WHO AFRO: External Situation Report 29: 19 February 2019

WHO AFRO has published Situation Report: Democratic Republic of Congo Ebola Virus Disease Outbreak External Situation Report 29: 19 February 2019. The summary:

The Ebola virus disease (EVD) outbreak in North Kivu and Ituri provinces, Democratic Republic of the Congo, continues to prove challenging to contain as ongoing security incidents and pockets of community mistrust hamper response efforts. Following our last report on 12 February 2019, 24 new EVD cases have been reported, including 20 confirmed and four probable cases. The four probable cases were all deaths that occurred in November and December 2018 in Komanda Health Zone, with a clinical history consistent with EVD but without the opportunity to be tested.

From the beginning of the outbreak to 17 February 2019, a total of 840 EVD cases, including 775 confirmed and 65 probable cases, were reported from 19 health zones in the North Kivu and Ituri provinces. A total of 537 deaths were reported (overall case fatality ratio 64%), including 472 deaths among confirmed cases. To date, 294 people have been discharged from Ebola Treatment Centres (ETCs) and enrolled in a dedicated monitoring and support programme. Of confirmed and probable cases with reported age and sex, 57% (481/841) were female, and 30% (253/842) were children aged less than 18 years. No new cases among healthcare workers were reported in the last week, leaving the number of healthcare workers infected to 68 with 21 deaths.

Thirteen (13) of the 19 affected health zones have active virus transmission, reporting at least one confirmed case in the last 21 days (28 January to 17 February 2019). Over this period, a total of 88 confirmed cases were reported from Katwa (55), Butembo (15), Kyondo (4), Vuhovi (4), Kalunguta (2), Biena (1), Komanda (1), Mabalako (1), Manguredjipa (1), Masereka (1), Mutwanga (1), Oicha (1), and Bunia (1) – a newly affected health zone. The major urban centres of Katwa and Butembo remain notable areas where most cases were reported, with 80% (70/88) of cases reported in the last three weeks. Beni did not report cases in the last three weeks and dropped off the list of health zones with active transmission. Overall, cases have been reported from 119 of 309 (39%) health areas (a subdivision of health zones) across 19 health zones. Thirty-five health areas have reported at least one case in the last 21 days. Trends in case incidence show that the outbreak is continuing, with lower transmission intensity across these geographically dispersed areas.

The Ministry of Health (MoH), WHO and partners continue to monitor and investigate all alerts in affected areas, in other provinces in the Democratic Republic of the Congo and in neighbouring countries. To date, all reported alerts outside the outbreak affected areas have been investigated or laboratory tested to rule out EVD.

WHO AFRO: Ebola update, week 7

WHO AFRO has published its Weekly Bulletin on Outbreaks and Other Emergencies for week 7 (February 11-17). Excerpt from the Ebola update:

The Ebola virus disease (EVD) outbreak in North Kivu and Ituri provinces, Democratic Republic of the Congo continues. Since the last report on 11 February 2019 (Weekly Bulletin 6), 27 new probable and confirmed EVD cases have been reported, and 24 deaths among cases. Among these cases, four probable cases were included who died in November and December 2018 in Komanda Health Zone with a history consistent with EVD but without the opportunity to be tested, and reported following a retrospective re-classification of cases.

As of 16 February 2019, a total of 838 EVD cases, including 773 confirmed and 65 probable cases have been reported. To date, confirmed
cases have been reported from 19 health zones: Beni (225), Biena (5), Butembo (66), Kalunguta (42), Katwa (211), Kayna (5), Kyondo (14), Mabalako (90), Manguredjipa (5), Masereka (8), Musienene (6), Mutwanga (4), Oicha (30), and Vuhovi (13) in North Kivu Province; and Komanda (28), Mandima (17), Nyankunde (1), Tchomia (2), and Bunia (1) – a newly affected health zone - in Ituri Province. Fourteen of the 19 affected health zones reported at least one new confirmed case in the previous 21 days (27 January to 16 February 2019). Katwa and Butembo health zones remain the main hot spot areas, reporting 76% (68/90) of the new confirmed cases in the past 21 days.

A total of 534 deaths were recorded, including 469 among confirmed cases, resulting in a case fatality ratio of 61% (469/773) among confirmed cases. To date, 283 people have been discharged from Ebola Treatment Centers (ETCs) and enrolled in a dedicated monitoring and support programme. One healthcare worker was among the newly confirmed cases in the last week, bringing the number of health workers infected to 68, with 21 deaths. Of confirmed and probable cases with reported gender, 57% (476/837) were female.

Contact tracing is ongoing in 16 health zones and remains challenging due to insecurity and continuing pockets of community reluctance. The number of contacts being followed as of 16 February 2019 was 6 772, of whom 5 633 (83%) had been seen in the previous 24 hours. The proportion of contacts followed in the previous 24 hours ranged from 55% (Bunia) to 100% (Alimbogo, Karisimbi, and Rutshuru).

Ebola DRC - Evolution of the response to the Ebola epidemic in North Kivu and Ituri on Monday February 18 2019

The Ministry of Health has published Ebola DRC - Evolution of the response to the Ebola epidemic in North Kivu and Ituri on Monday February 18 2019. Excerpt from the Google translation:

EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI 

Monday, February 18, 2019   

The epidemiological situation of the Ebola Virus Disease  dated February 17, 2019:   

• Since the beginning of the epidemic, the cumulative number of cases is 840, 775 confirmed and 65 probable. In total, there were 537 deaths (472 confirmed and 65 probable) and 294 people cured. 

• 185 suspected cases under investigation; 

• 2 new confirmed cases, including 1 in Katwa and 1 in Butembo;  

• 3 new confirmed deaths, including: 

º 1 community death in Butembo;  

º 2 deaths at Katwa CTE; 

• No new people healed out of CTE.

  

 /! \  The data presented in this table is subject to further changes after thorough investigation and after redistribution of cases and deaths in their health areas. 

News of the response    

Vaccination  

• Since the start of vaccination on 8 August 2018, 80,989 people have been vaccinated , including 20,593 in Katwa, 20,547 in Beni, 9,713 in Butembo, 6,109 in Mabalako, 2,746 in Kalunguta, 2,501 in Goma, 2,270 in Komanda, 2,053 in Oicha, 1,663 to Mandima, 1,325 to Kyondo, 1,283 to Kayina, 1,157 to Karisimbi, 1,094 to Bunia, 1,064 to Vuhovi, 920 to Masereka, 772 to Mutwanga, 727 to Biena, 700 to Lubero, 590 to Rutshuru, 576 to Musienene, 527 in Nyankunde, 496 in Mangurujipa, 376 in Rwampara (Ituri), 355 in Tchomia, 254 in Alimbongo, 207 in Kirotshe, 141 in Nyiragongo, 120 in Mambasa, 97 in Watsa (Haut-Uélé) and 13 in Kisangani.  

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

DRC - Ebola: No new case confirmed in Beni in three weeks

 Via 7sur7.cd: DRC - Ebola: No new case confirmed in Beni in three weeks. The Google translation:

According to Dr. Maza, interim coordinator of the Ebola response in the city of Beni, North Kivu, newly confirmed cases of Ebola in this part of the country are becoming increasingly rare.  

It was before the local press on Sunday, February 17, that the interim coordinator of the Ebola response delivered this information. 

"The Beni health zone that is in Beni's under-coordination is on the twentieth day without confirmed cases of the Ebola virus disease," he said. 

In addition, Dr. Maza invited local people to take ownership of community-based surveillance to eradicate the tenth Ebola epidemic that has rocked the Democratic Republic of Congo since last August. 

Further clarification that surveillance is to bring the positive cases of Ebola to health facilities for medical care.  

As of Sunday, February 17, 2019, a total of 534 people died as a result of the outbreak and 294 were cured.

Ebola DRC - Evolution of the response to the Ebola epidemic in North Kivu and Ituri on Sunday February 17 2019

The Ministry of Health has published Ebola DRC - Evolution of the response to the Ebola epidemic in North Kivua and Ituri on Sunday February 17 2019. Excerpt from the Google translation:

EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI 

Sunday February 17, 2019   

The epidemiological situation of the Ebola Virus Disease dated February 16, 2019:   

• Since the beginning of the epidemic, the cumulative number of cases is 838, 773 confirmed and 65 probable. In total, there were 534 deaths (469 confirmed and 65 probable) and 294 people cured. 

• 135 suspected cases under investigation; 

• 1 new confirmed case in Katwa;  

• 1 new case death confirmed at Butembo CTE;  

• 3 new healed people, including 1 exit from the Katwa CTE and 2 from the Butembo CTE.

 /! \  The data presented in this table is subject to further changes after thorough investigation and after redistribution of cases and deaths in their health areas. 

News of the response   

Vaccination  

• Since the beginning of vaccination on 8 August 2018, 80,491 persons have been vaccinated , including 20,547 in Beni, 20,390 in Katwa, 9,641 in Butembo, 6,076 in Mabalako, 2,746 in Kalunguta, 2,481 in Goma, 2,200 in Komanda, 2,053 in Oicha. , 1,663 in Mandima, 1,325 in Kyondo, 1,283 in Kayina, 1,157 in Karisimbi, 1,094 in Bunia, 1,064 in Vuhovi, 920 in Masereka, 772 in Mutwanga, 700 in Lubero, 657 in Biena, 590 in Rutshuru, 527 in Nyankunde, 546 in Musienene, 496 in Mangurujipa, 355 in Tchomia, 376 in Rwampara (Ituri), 254 in Alimbongo, 207 in Kirotshe, 141 in Nyiragongo, 120 in Mambasa, 97 in Watsa (Haut-Uélé) and 13 in Kisangani.  

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

Ebola DRC - Evolution of the response to the Ebola epidemic in North Kivu and Ituri on Saturday February 16 2019

The Ministry of Health has published Ebola DRC - Evolution of the response to the Ebola epidemic in North Kivu and Ituri on Saturday February 16 2019. Very interesting to see that Martin Fayulu, the defeated presidential candidate, is in Butembo urging people to take steps against the outbreak. Also of note: Now over 80,000 vaccinations. Excerpt from the Google translation:

EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI 

Saturday, February 16, 2019   

The epidemiological situation of the Ebola Virus Disease  dated February 15, 2019:   

• Since the beginning of the epidemic, the cumulative number of cases is 837, of which 772 are confirmed and 65 are probable. In total, there were 533 deaths (468 confirmed and 65 probable) and 291 people cured. 

• 155 suspected cases under investigation; 

• 2 new confirmed cases including 1 in Katwa and 1 in Vuhovi;  

• 3 new confirmed cases deaths: 

º 2 community deaths, 1 in Katwa and 1 in Vuhovi; 

º 1 death at the CTE of Butembo;  

• 4 new people healed, including 3 exits from the CTE of Beni and 1 from the CTE of Katwa.

 

 /! \  The data presented in this table is subject to further changes after thorough investigation and after redistribution of cases and deaths in their health areas. 

News of the response    

Martin Fayulu sensitizes the population of Butembo on Ebola 

• Martin Fayulu arrived in Butembo this Friday, February 15, 2019. During his popular rally, he called on the entire population to get involved by observing hygiene measures to end the Ebola outbreak.  

• This Saturday, February 16, 2019, he went to coordinate the response in Butembo where the national coordinator, Dr. Aaron Aruna, presented the situation of the epidemic as well as the challenges facing the response teams, more particularly the reluctance of the community. He then visited the Ebola Treatment Center in Katwa where he expressed his satisfaction with the level of patient care and the level of organization of the response in general. He praised the competence and commitment of the national and international teams he met. He emphasized his commitment in the fight against Ebola to sensitize the population to understand that the disease exists. He recalled the preventive measures, namely to wash his hands regularly, not to touch each other while greeting each other, and go to the health center as soon as the first symptoms appear. Finally, he encouraged community leaders to lend a hand to the response teams. 

Vaccination  

• Since the start of vaccination on 8 August 2018, 80,104 persons have been vaccinated , including 20,547 in Beni, 20,241 in Katwa, 9,555 in Butembo, 6,076 in Mabalako, 2,746 in Kalunguta, 2,481 in Goma, 2,200 in Komanda, 2,007 in Oicha. , 1,663 in Mandima, 1,325 in Kyondo, 1,283 in Kayina, 1,157 in Karisimbi, 1,094 in Bunia, 1,064 in Vuhovi, 920 in Masereka, 772 in Mutwanga, 700 in Lubero, 590 in Rutshuru, 567 in Biena, 546 in Musienene, 527 in Nyankunde, 496 in Mangurujipa, 376 in Rwampara, 355 in Tchomia, 254 in Alimbongo, 207 in Kirotshe, 125 in Nyiragongo, 120 in Mambasa, 97 in Watsa (Haut-Uélé) and 13 in Kisangani.  

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

Ebola DRC - Evolution of the response to the Ebola epidemic in North Kivu and Ituri on Friday February 15 2019

The Ministry of Health has published Ebola DRC - Evolution of the response to the Ebola epidemic in North Kivu and Ituri on Friday February 15 2019. Excerpt from the Google translation:

EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI 

Friday, February 15, 2019   

The epidemiological situation of the Ebola Virus Disease dated February 14, 2019:   

• Since the beginning of the epidemic, the cumulative number of cases is 835, of which 770 are confirmed and 65 are probable. In total, there were 530 deaths (465 confirmed and 65 probable) and 287 people cured. 

• 221 suspected cases under investigation; 

• 2 new confirmed cases in Katwa;  

5 new confirmed case deaths: 

º 1 community death in Katwa; 

º 4 deaths in CTEs, including 3 in Katwa and 1 in Bunia;  

* Correction: The 6 month old baby from Bunia could not be transferred to the Komanda CTE due to his critical condition. He remained at the Bunia Transit Center (CT) where he died. 

• 4 new probable cases (historical deaths) validated in Komanda; 

• 1 new person healed out of Katwa CTE.

  

 /! \  The data presented in this table is subject to further changes after thorough investigation and after redistribution of cases and deaths in their health areas.

News of the response    

Vaccination  

• Since the start of vaccination on 8 August 2018, 79,774 persons have been vaccinated , including 20,547 in Beni, 20,185 in Katwa, 9,351 in Butembo, 6,076 in Mabalako, 2,746 in Kalunguta, 2,441 in Goma, 2,200 in Komanda, 2,007 in Oicha. , 1,663 in Mandima, 1,325 in Kyondo, 1,283 in Kayina, 1,157 in Karisimbi, 1,094 in Bunia, 1,064 in Vuhovi, 920 in Masereka, 772 in Mutwanga, 700 in Lubero, 590 in Rutshuru, 567 in Biena, 546 in Musienene, 527 in Nyankunde, 496 in Mangurujipa, 355 in Tchomia, 346 in Rwampara (Ituri), 254 in Alimbongo, 207 in Kirotshe, 125 in Nyiragongo, 120 in Mambasa, 97 in Watsa (Haut-Uélé) and 13 in Kisangani.  

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

Ebola DRC - Evolution of the response to the Ebola epidemic in North Kivu and Ituri on Thursday February 14 2019

The Ministry of Health has published Ebola DRC - Evolution of the response to the Ebola epidemic in North Kivu and Ituri on Thursday February 14 2019. Excerpt from the Google translation:

EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI 

Thursday 14 February 2019   

The epidemiological situation of the Ebola Virus Disease  dated February 13, 2019:   

• Since the beginning of the epidemic, the cumulative number of cases is 829, of which 768 are confirmed and 61 are probable. In total, there were 521 deaths (460 confirmed and 61 probable) and 286 people healed. 

• 201 suspected cases under investigation. 

• 6 new confirmed cases, including 3 in Katwa, 2 in Butembo and 1 in Bunia;  

º New health area reporting a confirmed case.  A total of 19 health zones have been affected since the beginning of the epidemic. 

• The case of Bunia is the 6-month-old baby of a woman from Katwa who fled to Bunia and whose dead body was intercepted in Komanda. The baby was transferred to the Komanda CTE.  

• 4 new confirmed cases deaths: 

º community deaths, 2 in Katwa and 1 in Butembo; 

º 1 death at the CTE of Butembo 

• 3 new people healed from the CTE, including 1 in Butembo and 2 in Beni.

  

 /! \  The data presented in this table is subject to further changes after thorough investigation and after redistribution of cases and deaths in their health areas. 

News of the response    

Vaccination  

• Since the start of vaccination on 8 August 2018, 79,146 people have been vaccinated , including 20,547 in Beni, 19,971 in Katwa, 9,214 in Butembo, 6,076 in Mabalako, 2,746 in Kalunguta, 2,421 in Goma, 2,200 in Komanda, 1,937 in Oicha. , 1,663 in Mandima, 1,325 in Kyondo, 1,283 in Kayina, 1,157 in Karisimbi, 1,094 in Bunia, 1,064 in Vuhovi, 920 in Masereka, 772 in Mutwanga, 700 in Lubero, 590 in Rutshuru, 567 in Biena, 546 in Musienene, 527 in Nyankunde, 496 in Mangurujipa, 355 in Tchomia, 279 in Rwampara (Ituri), 254 in Alimbongo, 207 in Kirotshe, 125 in Nyiragongo, 97 in Watsa (Haut-Uélé) and 13 in Kisangani.   

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

Ebola DRC - Evolution of the response to the Ebola epidemic in North Kivu and Ituri on Wednesday February 13 2019

The Ministry of Health has published Ebola DRC - Evolution of the response to the Ebola epidemic in North Kivu and Ituri on Wednesday February 13 2019. Excerpt from the Google translation:

EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI 

Wednesday, February 13, 2019   

The epidemiological situation of the Ebola Virus Disease  dated February 12, 2019:   

• Since the beginning of the epidemic, the cumulative number of cases is 823, of which 762 are confirmed and 61 are probable. In total, there were 517 deaths (456 confirmed and 61 probable) and 283 people cured. 

• 177 suspected cases under investigation. 

• 4 new confirmed cases, 2 in Katwa and 2 in Butembo;  

• 1 new confirmed case death at Katwa CTE; 

• 5 new people healed from the CTE, including 2 in Butembo, 2 in Katwa and 1 Beni.

  

 /! \  The data presented in this table is subject to further changes after thorough investigation and after redistribution of cases and deaths in their health areas. 

News of the response    

Vaccination  

• Since the start of vaccination on August 8, 2018, 78,464 people have been vaccinated , including 20,512 in Beni, 19,621 in Katwa, 9,007 in Butembo, 6,076 in Mabalako, 2,746 in Kalunguta, 2,411 in Goma, 2,200 in Komanda, 1,937 in Oicha. , 1,663 in Mandima, 1,325 in Kyondo, 1,283 in Kayina, 1,157 in Karisimbi, 1,094 in Bunia, 1,064 in Vuhovi, 920 in Masereka, 772 in Mutwanga, 700 in Lubero, 590 in Rutshuru, 567 in Biena, 546 in Musienene, 527 in Nyankunde, 496 in Mangurujipa, 355 in Tchomia, 254 in Alimbongo, 207 in Kirotshe, 199 in Rwampara (Ituri), 125 in Nyiragongo, 97 in Watsa (Haut-Uélé) and 13 in Kisangani.  

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