DRC – Ebola/Measles/Cholera/Polio

Milestones :: Perspectives :: Research


DRC – Ebola/Measles/Cholera/Polio

Disease Outbreak News (DONs}
Ebola virus disease – Democratic Republic of the Congo
27 June 2019
The Ebola virus disease (EVD) outbreak in the North Kivu and Ituri provinces continues at a stable pace this week. Although response operations were temporarily interrupted in Beni following two days of insecurity in the surrounding areas, operations have largely resumed. However, in the town of Musienene, violent threats persist against healthcare workers (HCW) and local security forces providing assistance to the response efforts. Furthermore, response activities in Kambau health area, Manguredjipa health zone were also suspended following security incidents.
Of growing concern this week, are the current hotspots of Mabalako, particularly the Aloya health area, and Mandima (Figure 1), which were the first health zones to report EVD cases in August/September 2018. Sporadic reintroduction events in areas such as Vuhovi, which had not reported any new cases in the past 24 days, further compound the evolving situation. Other areas experiencing a similar resurgence in EVD cases after a period of prolonged absence include Komanda and Masereka…

47: Situation report on the Ebola outbreak in North Kivu
25 June 2019
…Implementation of ring vaccination protocol
:: As of 22 June 2019, 140 794 people at risk have consented to and received the rVSV-ZEBOV-GP Ebola vaccine. Of those, 37 373 are contacts and 67 756 contacts-of-contacts. The total number of vaccines includes 31 016 HCWs/FLWs and 34 522 children 1-17 years of age.

:: Five new rings were opened around nine confirmed cases on 18 June 2019, another four new rings were opened around seven new cases on 17 June 2019 and an additional ring around two cases reported on 22 June 2019.

:: Despite the challenges in the field and considering the cases reported between 30 April 2019 and 20 May 2019, only 31/337 (9.2%) of the cases do not have a ring defined and their contacts and contacts-of-contacts vaccinated. For 113/337 (33.5%) of the cases the ring vaccination was completed and for 193/337 (57.2%) ring vaccination was ongoing at the time of writing this report. This important progress is the result of the use of innovative delivery strategies (i.e. pop-up vaccination and targeted geographic vaccination) and strong community negotiations and engagement.

Risk communication, social mobilization and community engagement
:: Mass communication on the Ebola outbreak situation and the response activities are being aired on over 100 radio stations, particularly in outbreak hotspots to update the public on the situation in their localities and to urge their collaboration in stopping the outbreak. Discussions on Ebola are also regularly organized to address community concerns and clarify misinformation that may be spreading through various social media or other platforms.

:: Community Ebola committees have been actively engaged in the Ebola response in 20 localities in Butembo, Katwa and Vuhovi. These areas were previously difficult to reach due to security and other challenges.

:: To expand community ownership of the Ebola response to other Ebola-affected and non-affected areas in and around North Kivu and Ituri, a Community Animation Committee (CAC), which is a community participation platform for health, is being established in 1600 areas over the next weeks.

:: Social scientists are working with local communities in Mangina and other areas to better understand the local practices that can influence a community’s health./..

Polio this week as of 26 June 2019 – GPEI
:: Two new cVDPV2 emergences are reported this week in DR Congo; one from Sankuru province and one from Kasai province. Sankuru province is in the centre of the country and had previously not participated in mOPV2 outbreak response campaigns.  However, it is neighboring known infected provinces, where mOPV2 response continues to be implemented.  Kasai had already been participating in mOPV2 outbreak campaigns, as it had already been affected by a separate cVDPV2.  Currently, total six, genetically-distinct cVDPV2 outbreaks affecting the country.