H5N1

DRC Ebola: 24 new cases, 6 deaths (3 in community), 2,108 total

The Ministry of Health has published EBOLA DRC - Evolution of the response to the Ebola outbreak in the provinces of North Kivu and Ituri on Thursday, June 13, 2019. Another double-digit day for new cases, and another vaccinated healthcare worker infected nonetheless. Excerpt from the Google translation:

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; 

º 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:  

º 3 community deaths, 2 in Mandima and 1 in Mangurujipa; 

º 3 CTE deaths, including 1 in Mabalako and 2 in Bwera (Uganda); 

º 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.

 

/! \  The data presented in this table are subject to change later, after extensive investigations and after redistribution of cases and deaths in their health areas.

NEWS

Response operations  

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.

FIGURES OF THE RESPONSE  

133,328 vaccinated  persons   

• 649 people vaccinated on 12/06/2019. 

• Of those vaccinated, 36,803 are high-risk contacts (CHRs), 66,377 are contacts of contacts (CC), and 30,148 are front-line providers (PPLs).  

• Persons vaccinated by health zone: 34,052 in Katwa, 25,998 in Beni, 18,330 in Butembo, 11,540 in Mabalako, 6,443 in Mandima, 4,619 in Kalunguta, 3,329 in Goma, 3,048 in Komanda, 2,895 in Musienene, 2,569 in Oicha, 2,351 in Masereka , 2,045 to Vuhovi, 1,998 to Lubero, 1,980 to Kayna, 1,888 to Kyondo, 1,487 to Bunia, 1,040 to Biena, 1,062 to Mutwanga, 706 to Rwampara (Ituri), 690 to Rutshuru, 676 to Mangurujipa, 527 to Nyankunde, 494 to Alimbongo, 420 to Mambasa, 355 to Tchomia, 342 to Kirotshe, 333 to Lolwa, 250 to Mweso, 245 to Kibirizi, 161 to Nyiragongo, 97 to Watsa (Haut-Uélé) and 13 to 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. 

Health checkpoints

65,720,401 people under control 

• 80 entry points (PoE) and operational health checkpoints (PoC). 

Infected healthcare workers

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.

DRC Ebola: 13 new cases, 9 deaths (7 in community) and a destroyed family

The Ministry of Health has published EBOLA DRC - Evolution of the response to the Ebola outbreak in the provinces of North Kivu and Ituri on Wednesday, June 12, 2019. Apart from being a bad day, June 11 was aggravated by the cases in a Congolese-Ugandan family that managed to cross the border back into Uganda. Excerpt from the Google translation:

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:  

 º 7 community deaths, including 5 in Mabalako, 1 in Kalunguta and 1 in Komanda; 

º 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.

  

/! \  The data presented in this table are subject to change later, after extensive investigations and after redistribution of cases and deaths in their health areas.

NEWS   

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: 

º Strengthen surveillance at ports of entry, especially secondary roads; 

º Maintain continuous information sharing in real time between the two countries; 

º 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; 

º 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; 

º Finalize the Memorandum of Understanding between Uganda and the DRC that will define the procedures for in-depth health collaboration between the two countries.

FIGURES OF THE RESPONSE

132,679 people vaccinated

• 415 people vaccinated on 11/06/2019.

• Of those vaccinated, 36,595 are high-risk contacts (CHRs), 65,944 are contacts of contacts (CC), and 30,140 are front-line providers (PPLs).

• Persons vaccinated by health zone: 33,990 in Katwa, 25,890 in Beni, 18,234 in Butembo, 11,387 in Mabalako, 6,443 in Mandima, 4,619 in Kalunguta, 3,329 in Goma, 3,048 in Komanda, 2,835 in Musienene, 2,569 in Oicha, 2,351 in Masereka , 2,045 to Vuhovi, 1,998 to Lubero, 1,980 to Kayna, 1,888 to Kyondo, 1,487 to Bunia, 1,040 to Biena, 1,012 to Mutwanga, 690 to Rutshuru, 666 to Rwampara (Ituri), 596 to Mangurujipa, 527 to Nyankunde, 494 to Alimbongo, 420 to Mambasa, 355 to Tchomia, 342 to Kirotshe, 333 to Lolwa, 250 to Mweso, 245 to Kibirizi, 161 to Nyiragongo, 97 to Watsa (Haut-Uélé) and 13 to 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.

Health checkpoints

65,448,742 people under control

• 80 entry points (PoE) and operational health checkpoints (PoC).

Infected healthcare workers

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.

DRC Ebola: 9 new cases, 6 deaths (2 in community), 6 recoveries

It's been an amazing news day for Ebola, and now the MoH has published EBOLA DRC - Evolution of the response to the Ebola outbreak in the provinces of North Kivu and Ituri to Tuesday 11 June 2019. A lot of relatively good news (cases still in single digits) and some bad news (a burial team member has contracted Ebola). Excerpt from the Google translation:

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; 

ª 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:  

º 2 community deaths, including 1 in Musienene and 1 in Mabalako; 

º 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.

/! \  The data presented in this table are subject to change later, after extensive investigations and after redistribution of cases and deaths in their health areas.

NEWS   

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.

FIGURES OF THE RESPONSE  

132,264 vaccinated  persons   

• 404 people vaccinated on 10/06/2019. 

• Of those vaccinated, 36,518 are high-risk contacts (CHRs), 65,625 are contacts of contacts (CC), and 30,121 are front-line providers (PPLs).  

• Persons vaccinated by health zone: 33,887 in Katwa, 25,870 in Beni, 18,146 in Butembo, 11,377 in Mabalako, 6,425 in Mandima, 4,619 in Kalunguta, 3,319 in Goma, 3,048 in Komanda, 2,795 in Musienene, 2,569 in Oicha, 2,351 in Masereka , 2,045 to Vuhovi, 1,998 to Lubero, 1,980 to Kayna, 1,858 to Kyondo, 1,487 to Bunia, 1,040 to Biena, 1,012 to Mutwanga, 690 to Rutshuru, 630 to Rwampara (Ituri), 536 to Mangurujipa, 527 to Nyankunde, 494 to Alimbongo, 420 to Mambasa, 355 to Tchomia, 342 to Kirotshe, 333 to Lolwa, 250 to Mweso, 245 to Kibirizi, 161 to Nyiragongo, 97 to Watsa (Haut-Uélé) and 13 to 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: 6 new cases, 6 deaths (1 in community)

The Ministry of Health has published EBOLA DRC - Evolution of the response to the Ebola outbreak in the provinces of North Kivu and Ituri at Monday, June 10, 2019. Excerpt from the Google translation:

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:  

º 1 community death in Musienene; 

º 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.

 

/! \  The data presented in this table are subject to change later, after extensive investigations and after redistribution of cases and deaths in their health areas.

FIGURES OF THE RESPONSE  

131,860 vaccinated  persons   

• 379 people vaccinated on 09/06/2019. 

• Of those vaccinated, 36,424 are high-risk contacts (CHR), 65,341 are contacts of contacts (CC), and 30,095 are front-line providers (PPL).  

• Persons vaccinated by health zone: 33,810 in Katwa, 25,870 in Beni, 18,002 in Butembo, 11,367 in Mabalako, 6,418 in Mandima, 4,596 in Kalunguta, 3,299 in Goma, 3,048 in Komanda, 2,755 in Musienene, 2,569 in Oicha, 2,351 in Masereka , 2,045 to Vuhovi, 1,998 to Lubero, 1,980 to Kayna, 1,858 to Kyondo, 1,487 to Bunia, 1,040 to Biena, 1,012 to Mutwanga, 690 to Rutshuru, 587 to Rwampara (Ituri), 527 to Nyankunde, 496 to Mangurujipa, 494 to Alimbongo, 420 to Mambasa, 355 to Tchomia, 342 to Kirotshe, 333 to Lolwa, 250 to Mweso, 245 to Kibirizi, 161 to Nyiragongo, 97 to Watsa (Haut-Uélé) and 13 to 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. 

Health checkpoints

64,841,584 people under control 

• 80 entry points (PoE) and operational health checkpoints (PoC). 

Infected healthcare workers

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.

DRC Ebola: 9 new cases, 3 deaths (1 in community), 8 recoveries

The Ministry of Health has published EBOLA RDC - Evolution de la riposte contre l'épidémie d'Ebola dans les provinces du Nord Kivu et de l'Ituri au Dimanche 9 juin 2019. Excerpt from the Google translation:

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 case deaths:  

º 1 community death in Mabalako; 

º 2 deaths at CTE Mabalako; 

• 8 new healed CTEs, including 6 in Katwa and 2 in Butembo.

 

/! \  The data presented in this table are subject to change later, after extensive investigations and after redistribution of cases and deaths in their health areas.

FIGURES OF THE RESPONSE  

131,481 people vaccinated   

• 214 people vaccinated on 08/06/2019. 

• Of those vaccinated, 336,328 are high-risk contacts (CHRs), 65,065 are contacts of contacts (CC), and 30,088 are front-line providers (PPLs).  

• Persons vaccinated by health zone: 33,740 in Katwa, 25,738 in Beni, 17,904 in Butembo, 11,367 in Mabalako, 6,418 in Mandima, 4,595 in Kalunguta, 3,299 in Goma, 3,048 in Komanda, 2,770 in Musienene, 2,569 in Oicha, 2,351 in Masereka , 2,045 to Vuhovi, 1,998 to Lubero, 1,980 to Kayna, 1,858 to Kyondo, 1,487 to Bunia, 1,040 to Biena, 1,012 to Mutwanga, 690 to Rutshuru, 557 to Rwampara (Ituri), 527 to Nyankunde, 496 to Mangurujipa, 494 to Alimbongo, 420 to Mambasa, 355 to Tchomia, 342 to Kirotshe, 333 to Lolwa, 250 to Mweso, 245 to Kibirizi, 161 to Nyiragongo, 97 to Watsa (Haut-Uélé) and 13 to 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. 

Health checkpoints

64,626,316 people under control 

• 80 entry points (PoE) and operational health checkpoints (PoC). 

Infected healthcare workers

112 

• One Mabalako health worker, vaccinated, is one of the new confirmed cases. The nurse accepted his 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.

DRC Ebola: 8 new cases, 6 deaths (5 in community)

The Ministry of Health has published EBOLA DRC - Evolution of the response to the Ebola outbreak in the provinces of North Kivu and Ituri to Friday, June 7, 2019. Excerpt from the Google translation:

EVOLUTION OF THE EBOLA EPIDEMIC  IN THE PROVINCES OF NORTH KIVU AND ITURI 

Friday, June 7, 2019 

The epidemiological situation of the Ebola Virus Disease  dated June 6, 2019: 

• Since the beginning of the epidemic, the cumulative number of cases is 2,039, 1,945 confirmed and 94 probable. In total, there were 1,373 deaths (1,279 confirmed and 94 probable) and 552 people healed. 

• 283 suspected cases under investigation; 

• 8 new confirmed cases, including 3 in Mabalako, 2 in Mandima, 1 in Beni, 1 in Butembo and 1 in Katwa; 

• 6 new confirmed case deaths:  

º 5 community deaths, 2 in Mabalako, 2 in Mandima and 1 in Beni; 

º 1 death at the CTE of Butembo.

   

/! \  The data presented in this table are subject to change later, after extensive investigations and after redistribution of cases and deaths in their health areas.

FIGURES OF THE RESPONSE  

131,004 vaccinated  persons   

• 293 people vaccinated on 06/06/2019. 

• Of those vaccinated, 36,174 are high-risk contacts (CHR), 64,785 are contacts of contacts (CC), and 30,045 are front-line providers (PPL).  

• Persons vaccinated by health zone: 33,704 in Katwa, 25,719 in Beni, 17,742 in Butembo, 11,266 in Mabalako, 6,353 in Mandima, 4,584 in Kalunguta, 3,259 in Goma, 3,048 in Komanda, 2,684 in Musienene, 2,569 in Oicha, 2,331 in Masereka , 2,045 to Vuhovi, 1,998 to Lubero, 1,980 to Kayna, 1,858 to Kyondo, 1,487 to Bunia, 1,040 to Biena, 1,012 to Mutwanga, 690 to Rutshuru, 557 to Rwampara (Ituri), 527 to Nyankunde, 496 to Mangurujipa, 494 to Alimbongo, 420 to Mambasa, 355 to Tchomia, 342 to Kirotshe, 333 to Lolwa, 250 to Mweso, 245 to Kibirizi, 161 to Nyiragongo, 97 to Watsa (Haut-Uélé) and 13 to 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. 

Health checkpoints

64,058,741 people under control 80 entry points (PoE) and operational health checkpoints (PoC). 

Infected healthcare workers

111 Contaminated health workers  

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

• The cumulative number of confirmed / probable cases among health workers is 111 (5.4% of all confirmed / probable cases), including 37 deaths.

ECDC rapid risk assessment: Regional outbreak of New Delhi metallo-betalactamase-producing carbapenem-resistant Enterobacteriaceae, Italy, 2018–2019

ECDC has published Rapid risk assessment: Regional outbreak of New Delhi metallo-betalactamase-producing carbapenem-resistant Enterobacteriaceae, Italy, 2018–2019. The summary:

A large outbreak of New Delhi metallo-beta-lactamase (NDM)-producing carbapenem-resistant Enterobacteriaceae (CRE) has been reported from the Tuscany region in Italy. Between November 2018 and May 2019, seven Tuscan hospitals notified a total of 350 cases.

DR Congo: Ebola virus disease - External Situation Report 44

Via ReliefWeb, WHO AFRO has published Democratic Republic of Congo: Ebola Virus Disease - External Situation Report 44. The situation update:

As the Ebola virus disease (EVD) outbreak surpasses the 2000 case mark, indicators over the past two weeks provide early signs of an easing of the transmission intensity. This follows a period of improved security and therefore access to communities, allowing response teams to operate more freely. 

A total of 88 confirmed cases were reported each week for the past two weeks, down from a peak of 126 cases per week observed in April 2019. Declines in the incidence of new cases have been most apparent in hotspots such as Katwa, Mandima and Beni health zones. Concurrently, improvements in the proportion of cases among contacts registered prior to onset (up from 30% three weeks ago to 55% last week), and a lower proportion of cases resulting from transmission within community health facilities (from 31% during the first week of April 2019 to 9% during the last week of May 2019), are encouraging, although both indicators are below where we would aim to be. 

The outbreak continues to be contained to 13 active health zones in North Kivu and Ituri provinces. However, substantive rates of transmission continue within affected communities, and further waves of the outbreak would be expected. An increase in the incidence of new cases has been reported from Mabalako Health Zone this past week, and high infection rates continue within Butembo metropolitan. 

Times between detecting, reporting and admission of cases at Ebola treatment/transit centres (ETCs) remain too long (median 6 days, interquartile range 49 days in the past 3 weeks), with about a third (34% in the past 3 weeks) of cases dying outside ETCs. Collectively these indicators highlight that the risks associated with this outbreak remain very high. 

In the 21 days between 13 May to 2 June 2019, 82 health areas within 13 health zones reported new cases, representing 46% of the 179 health areas affected to date (Table 1 and Figure 2). During this period, a total of 297 confirmed cases were reported, the majority of which were from the health zones of Mabalako (27%, n=79), Butembo (22%, n=64), Katwa (15%, n=46) and Beni (12%, n=35).  

As of 2 June 2019, a total of 2008 EVD cases, including 1914 confirmed and 94 probable cases, were reported. A total of 1346 deaths were reported (overall case fatality ratio 67%), including 1252 deaths among confirmed cases. Of the 2008 confirmed and probable cases with known age and sex, 58% (1159) were female, and 29% (585) were children aged less than 18 years. Cases continue to rise among health workers, with the cumulative number infected rising to 110 (6% of total cases).

DRC Ebola: 12 new cases, 8 deaths (6 in community)

The Ministry of Health has published EBOLA RDC - Evolution de la riposte contre l'épidémie d'Ebola dans les provinces du Nord Kivu et de l'Ituri au Mardi 4 juin 2019. Excerpt from the Google translation: 

EVOLUTION OF THE EBOLA EPIDEMIC  IN THE PROVINCES OF NORTH KIVU AND ITURI 

Tuesday, June 4, 2019 

The epidemiological situation of the Ebola Virus Disease  dated June 3, 2019: 

• Since the beginning of the epidemic, the cumulative number of cases is 2,020, 1,926 confirmed and 94 probable. In total, there were 1,354 deaths (1,260 confirmed and 94 probable) and 542 people healed. 

• 305 suspected cases under investigation; 

• 12 new confirmed cases, including 4 in Mandima, 2 in Katwa, 2 in Mabalako, 2 in Butembo, 1 in Beni and 1 in Kalunguta; 

• 8 new confirmed case deaths:  

º 6 community deaths, including 3 in Mandima, 1 in Butembo, 1 in Katwa and 1 in Beni; 

º 2 deaths at CTE, including 1 in Mabalako and 1 in Katwa;  

• 3 new healings from the CTE, 2 in Beni and 1 in Butembo. 

/! \  The data presented in this table are subject to change later, after extensive investigations and after redistribution of cases and deaths in their health areas. 

NEWS

• A new health zone did not report new cases for 21 days: Alimbongo . In total, 10 of the 22 affected health zones did not report new confirmed cases for at least 21 days.   

• The epidemiological curve since January 2019 shows a downward trend over the last 4 weeks. 

Security situation

• The Komanda lab was robbed overnight on June 3-4, 2019. The thieves took away two laptops, a GeneXpert device used to test samples and other materials found in the lab. 

• A dozen people were killed by suspected rebels during an armed incursion in the neighborhood of Rwangoma, in Beni, which occurred on the night of June 3, 2019. Exchanges of fire began in the evening, shortly after the response teams left Rwangoma where they organized a community dialogue. This Tuesday morning, hundreds of protesters took to the streets and several commercial activities were paralyzed in the city. The Beni response teams worked slowly and cautiously, but no response activity was temporarily suspended.  

FIGURES OF THE RESPONSE  

130,039 vaccinated persons   

• 443 people vaccinated on 03/06/2019. 

• Of those vaccinated, 35,894 are high-risk contacts (CHR), 64,159 are contacts of contacts (CC), and 29,986 are front-line providers (PPL).  

• Persons vaccinated by health zone: 33,407 in Katwa, 25,680 in Beni, 17,474 in Butembo, 11,130 in Mabalako, 6,310 in Mandima, 4,573 in Kalunguta, 3,219 in Goma, 3,048 in Komanda, 2,654 in Musienene, 2,569 in Oicha, 2,251 in Masereka , 2,045 to Vuhovi, 1,998 to Lubero, 1,980 to Kayna, 1,837 to Kyondo, 1,487 to Bunia, 1,040 to Biena, 1,012 to Mutwanga, 690 to Rutshuru, 557 to Rwampara (Ituri), 527 to Nyankunde, 496 to Mangurujipa, 494 to Alimbongo, 420 to Mambasa, 355 to Tchomia, 342 to Kirotshe, 333 to Lolwa, 250 to Mweso, 245 to Kibirizi, 161 to Nyiragongo, 97 to Watsa (Haut-Uélé) and 13 to 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. 

Health checkpoints

63,273,242 people under control 

• 80 entry points (PoE) and operational health checkpoints (PoC). 110 

Contaminated health workers 

• 1 Beni health worker, vaccinated, was among the new confirmed cases of the day of 1 June 2019. 

• The cumulative number of confirmed / probable cases among health workers is 110 (5.4% of all confirmed / probable cases) including 37 deaths.

DRC Ebola: 14 new cases, 7 deaths (6 in community), 2,008 cases and 1,346 deaths total

The Ministry of Health has published EBOLA DRC - Evolution of the response to the Ebola outbreak in the provinces of North Kivu and Ituri at Monday, June 3, 2019. Excerpt from the Google translation:

EVOLUTION OF THE EBOLA EPIDEMIC  IN THE PROVINCES OF NORTH KIVU AND ITURI 

Monday 3 June 2019 

The epidemiological situation of the Ebola Virus Disease  dated June 2, 2019: 

• Since the beginning of the epidemic, the cumulative number of cases is 2,008, 1,914 confirmed and 94 probable. In total, there were 1,346 deaths (1,252 confirmed and 94 probable) and 539 people cured. 

• 281 suspected cases under investigation; 

• 14 new confirmed cases, including 7 in Mabalako, 3 in Butembo, 2 in Katwa, 1 in Mandima and 1 in Kalunguta; 

• 7 new confirmed case deaths:  

º 6 community deaths, including 4 in Mabalako, 1 in Katwa and 1 in Butembo; 

º 1 death at the CTE of Butembo;  

•6 new cures out of the CTE, including 3 in Mabalako, 2 in Butembo and 1 in Beni. 

/! \  The data presented in this table are subject to change later, after extensive investigations and after redistribution of cases and deaths in their health areas.

NEWS   

Evolution of the Ebola epidemic 

• The bar of 2,000 cases was passed Sunday, June 2, 2019. Despite this course, developments in recent weeks are positive although vigilance remains in place. Among the positive developments, we count:  

º Slight improvement in the security situation: The last armed attack on the teams and operations of the Ebola response, which cost the life of Dr. Richard Valery Mouzoko Kiboung, dates back more than a month. Although threats against the response remain high, the reduction in targeted attacks has allowed teams to catch up with the spread of the epidemic. However, the security situation remains volatile and unpredictable. With respect to incidents of reluctance or community resistance, the majority of these incidents are resolved through the involvement of community leaders, sensitizers and psychosocial experts.  

º Geographic containment of the epidemic Despite the difficulties of the response teams in doing their job because of the security situation, the epidemic continues to be contained geographically, thus protecting the rest of the country and neighboring countries. To date, no cases of Ebola have crossed the borders of the Democratic Republic of Congo and the epidemic has not spread to the most risky major urban centers, namely Goma, Bunia and Kisangani. However, the risk remains high given the significant movement of the population. In addition, since the beginning of the epidemic, 188 health areas in 22 health zones across the provinces of North Kivu and Ituri have recorded at least one case of Ebola. As of 2 June 2019, nine health zones, including 106 health areas (56% of the total), have spent more than 21 days without notifying new confirmed cases. The nine health zones concerned are Kyondo, Oicha, Kayna, Mutwanga, Komanda, Bunia, Rwampara, Nyankunde and Tchomia.  

• The main challenges to be met to end this epidemic are:  

º Epidemiological surveillance: In order to break the chain of transmission, all contacts of confirmed cases must be listed and followed for 21 days. Now, among the 911 new confirmed cases reported from 1st  January and May 7, 2019, only 398 (44%) were registered as regular contacts. Thus, listing and follow-up of contacts needs to be strengthened by involving more the authorities and community leaders.  

º Infection Prevention and Control (ICP): Infection  prevention and control measures need to be strengthened in community health facilities to reduce the rate of nosocomial infection. Between 25 and 30% of infections occur in health facilities.  

º Community deaths: The community death  rate remains high. Between 28 and 43% of deaths reported each week occur outside of an Ebola treatment center or transit center. These deaths occur either in private hospitals and clinics, in community health centers or at home. However, the contagiosity of a patient being maximum after his death, dignified and secure burials can limit the community spread of the virus. What is positive is that the majority of community deaths have a dignified and secure burial.   

• A comprehensive analysis of the evolution of the ongoing Ebola outbreak is available in a scientific article written by Dr. Oly Ilunga Kalenga, Dr. Tedros A. Ghebreyesus and Dr. Matshidiso Moeti. 

FIGURES OF THE RESPONSE

129,596 vaccinated persons

• 595 people vaccinated on 02/06/2019.

• Of those vaccinated, 35,768 are high-risk contacts (CHR), 63,852 are contacts of contacts (CC), and 29,976 are front-line providers (PPL).

• Persons vaccinated by health zone: 33,316 in Katwa, 25,663 in Beni, 17,257 in Butembo, 11,066 in Mabalako, 6,290 in Mandima, 4,573 in Kalunguta, 3,209 in Goma, 3,048 in Komanda, 2,640 in Musienene, 2,569 in Oicha, 2,241 in Masereka , 2,045 to Vuhovi, 1,998 to Lubero, 1,980 to Kayna, 1,837 to Kyondo, 1,487 to Bunia, 1,040 to Biena, 1,012 to Mutwanga, 690 to Rutshuru, 557 to Rwampara (Ituri), 527 to Nyankunde, 496 to Mangurujipa, 494 to Alimbongo, 420 to Mambasa, 355 to Tchomia, 342 to Kirotshe, 333 to Lolwa, 250 to Mweso, 245 to Kibirizi, 161 to Nyiragongo, 97 to Watsa (Haut-Uélé) and 13 to 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.