06: Situation report on the Ebola outbreak in North Kivu :: Ebola virus disease – Democratic Republic of the Congo

Milestones :: Perspectives

Ebola – Democratic Republic of the Congo

WHO – 06: Situation report on the Ebola outbreak in North Kivu 11 September 2018
[Excerpts]
Situation update
…Recent trends (Figure 1) suggest that control measures are working; however, these trends must be interpreted with caution. The outbreak remains active in Beni, Mabalako and Mandima health zones, and additional risks remain following the movement of several cases from these areas to Butembo and Masereka in recent weeks.
Since our last situation report on 4 September 2018 (External situation report 5), an additional 10 new confirmed or probable EVD cases have been reported from Butembo (2), Beni (5) Mabalako (1), Mandima (1), and Masereka (1) and nine new deaths. Currently there are nine suspected cases under investigation (Table 1).
As of 9 September 2018, a total of 132 confirmed and probable EVD cases, including 91 deaths and 36 cases who have recovered, have been reported. Among the 132 cases, 101 are confirmed and 31 are probable. Of the 91 deaths, 60 occurred in confirmed cases…

Case management
ETCs [Ebola Treatment Centers] continue to provide therapeutics under the monitored emergency use of unregistered and experimental interventions (MEURI) protocol in collaboration with the MoH and the Institut National de Recherche Biomédicale (INRB). WHO is providing technical clinical expertise onsite and is assisting with the creation of a data safety management board.
As of 6 September 2018, 29 patients have received investigational Ebola therapeutics, including: mAb114 (14 patients), Remdesivir (9 patients) and ZMapp (6 patients). Of the 20 patients, 14 have been discharged and nine have died. All the deaths were among patients with advanced organ failure on admission.
Médicines sans Frontièrs (MSF) Swiss and the Ministry of Health are building a 10 bed ETC in Butembo, which is expected to be operational by the end of this week…

Implementation of ring vaccination protocol
The SDB Commission plan for hard-to-reach areas started training on civil protection teams on 9 September 2018 with, the support of the Red Cross.
As of 10 September 2018, 48 vaccination rings have been defined, in addition to 13 rings of healthcare and other frontline workers. These rings notably include the contacts (and their contacts) of the confirmed cases from the last three weeks. To date, 8229 people consented and were vaccinated, including 2526 healthcare and front line workers, and 1968 children.    There is one area in Ndindi, where the implementation of vaccination is hampered by community resistance.
The ring vaccination teams are currently active in three health areas in North Kivu and one in Ituri.

Ebola virus disease – Democratic Republic of the Congo
Disease Outbreak News (DONs) – 14 September 2018