The Ministry of Health (WHO), WHO and partners continue to respond to the outbreak of Ebola virus disease (EVD), despite the persistent problems with security and public distrust affecting response. A relatively large number of cases were reported in recent weeks (Figure 1). large-scale response. Smaller clusters continue to be reported outside of Katwa Health Area, including Ben and Oicha; however, teams have responded quickly and systematically to these clusters to prevent further transmission and prevent further geographic expansion of the outbreak. Teams are also actively working to strengthen public confidence and participation in all affected areas.
Approximately 752 EVD cases1 (698 confirmed and 54 plausible), including 465 deaths (total mortality rate: 62%), have been reported as early as January 29, 2019, as of six months since the outbreak was reported. 259 people have been released from Ebola treatment centers (ETCs) and are included in a specific program for monitoring and supporting survivors. In cases of age and gender, 59% (439/750) were female and 30% (224/749) were under 18 years of age; including 115 children up to 5 years old.
In the last 21 days (from January 9 to January 29, 2019), 118 new cases of 11 health zones have been reported (Figure 2), including: Katwa (80), Beni (9), Butembo (7), Kayina (5) Manguredype (4), Oicha (4), Biena (3), Kyondo (2), Musienene (2), Team (1) and Wuhovi (1). In addition, five historic incidents were reported last week from the Team Health Zone, and the onset of the disease began in November 2018.
The outbreak of the health zones in Katwa and Butembo is partly caused by disease transmission events in private and public health centers. Since 1 December 2018, 86% (125/145) of these cases had been visited or worked in a health care facility before or after the onset of the disease. Of these, 21% (30/145) reported contact with a healthcare facility prior to the onset of the disease, suggesting a possible transmission of the disease. In the last 3 weeks (since January 9), Katwa has identified 49 healthcare facilities that have been admitted to hospital, including nine health centers where the disease was possibly transmitted. In addition, Katwa reported eight new HCW infections during the same period; A total of 65 HCWs have been infected so far. Response teams follow the designated health care facilities to address the gaps in triage, case detection and infection prevention and control measures.
Public health protection
MoW continues to strengthen its response efforts with the support of WHO and partners. For more information on public health measures taken by WHO and partners, please refer to the latest situation reports published by the WHO Regional Office for Africa:
WHO risk assessment
WHO reviewed the risk assessment for outbreaks and the risk is still very high at national and regional level; the global risk level is still low. This Ebola outbreak affects the north-eastern provinces of the Democratic Republic of Congo, bordered by Uganda, Rwanda and South Sudan. The risk of transmission of Ebola at national and regional level may be due to widespread travel between affected areas, the rest of the country and neighboring countries for economic and personal reasons as well as insecurity. The country is experiencing other epidemics (such as cholera, polio from vaccines, malaria) and a long-standing humanitarian crisis. In addition, the security situation in North Kivu and Ituri sometimes limits the implementation of response measures.
As the risk of national and regional distribution is very high, it is important for neighboring countries and countries to improve monitoring and preparedness measures. International Health Regulations (IHR 2005) The Emergency Committee has pointed out that the failure to increase these preparedness and monitoring activities would lead to worsening of conditions and further spread. The WHO will continue to work with neighboring countries and partners to ensure that health authorities are alerted and ready to respond.
International Traffic: The WHO recommends not restricting travel to and trade in the Democratic Republic of Congo based on currently available information. There are currently no licensed vaccines to protect people from Ebola. Therefore, any requirement for Ebola vaccination certificates is not a sufficient basis for limiting cross-border movements or issuing visas to passengers leaving the Democratic Republic of Congo. The WHO continues to closely monitor and, if necessary, check travel and trade events for this event. At present, no country has implemented travel arrangements that seriously disrupt international traffic to and from the Democratic Republic of Congo. Travelers should contact their doctor before traveling and do well.