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DR Congo: Ebola Outbreak - Aug 2018

DR Congo
Disaster types

The Government of [DR Congo (DRC)] announced on 1 Aug 2018 that preliminary laboratory results indicate a cluster of cases of Ebola virus in North Kivu province. The announcement was issued little more than a week after the Ministry of Health declared the end of an outbreak in Equateur Province in the far western part of the country, some 2500 km from North Kivu. (WHO, 1 Aug 2018)

The Ministry of Public Health of [DRC] today [8 August] announced the launch of Ebola vaccinations for high risk populations in North Kivu province. The vaccinations have begun just one week after the announcement of a second outbreak of Ebola this year in the country. A total of 44 cases have been reported so far, of which 17 have been confirmed. (WHO, 8 Aug 2018)

The 1 September 2018 marks one month since the declaration of the [EVD] outbreak in North Kivu and Ituri provinces...As of 2 September 2018, a total of 122 confirmed and probable EVD cases, including 82 deaths, have been reported. Of the 122 cases, 91 are confirmed and 31 are probable...The epicentre of the outbreak remains Mabalako Health Zone in North Kivu Province, reporting 70% (86/122) of all cases and 76% (62/82) deaths, including 65 confirmed and 21 probable cases...Additionally, four other health zones in North Kivu Province and one in Ituri Province have reported confirmed and probable cases...Of concern is an apparent increase in transmission in Beni Health Zone, where the number of confirmed and probable cases has increased from eight on 23 August 2018 to 19 cases on 2 September 2018. (WHO, 4 Sep 2018)

While substantial progress has been made to limit the spread of the disease to new areas and the situation in Mangina (Mabalako Health Zone) is stabilizing, the cities of Beni and Butembo have become the new hotspot...As of 18 September 2018, a total of 142 EVD cases (111 confirmed and 31 probable), including 97 deaths (66 confirmed and 31 probable) have been reported in seven health zones in North Kivu Province (Beni, Butembo, Kalunguta, Mabalako, Masereka, Musienene and Oicha), and Mandima Health Zone in Ituri Province. (WHO, 20 Sep 2018)

[EVD] outbreak in [DRC] is becoming increasingly undermined by security challenges in at-risk areas, particularly Beni...Since the last Disease Outbreak News (data as of 9 October), 29 new confirmed EVD cases were reported: 23 from Beni, four from Butembo, one from Mabalako, and one from Masereka Health Zones in North Kivu Province. (WHO, 11 Oct 2018)

The meeting of the Emergency Committee convened by the WHO Director-General under the International Health Regulations (IHR) (2005) regarding the [EVD] outbreak in [DRC] took place on...17 October 2018...It was the view of the Committee that a Public Health Emergency of International Concern (PHEIC) should not be declared at this time. But the Committee remains deeply concerned by the outbreak and emphasized that response activities need to be intensified and ongoing vigilance is critical. The Committee also noted the very complex security situation. (WHO, 17 Oct 2018)

As of 19 January 2019, there have been a total of 685 EVD cases, including 636 confirmed and 49 probable cases. To date, confirmed cases have been reported from 18 health zones: Beni (218), Biena (2), Butembo (52), Kalunguta (40), Katwa (122), Kyondo (10), Mabalako (89), Masereka (7), Musienene (6), Mutwanga (3), Oicha (25), Vuhovi (9), Mangurujipa (2) and Kayna (4) in North Kivu Province; and Komanda (27), Mandima (17), Nyankunde (1), and Tchomia (2) in Ituri Province. Thirteen of the 18 affected health zones reported at least one new confirmed case in the previous 21 days. A total of 419 deaths were recorded, including 370 among confirmed cases, resulting in a case fatality ratio among confirmed cases of 58% (370/636). The number of infected healthcare workers remains at 56, with 18 deaths.
The hot spots of the outbreak are Katwa and Butembo. Oicha is the third hotspot area, where response resistance and insecurity pose significant challenges. The newly affected health zone of Kanya is situated on the national road to Goma. It has been 18 days since the last confirmed was reported in Beni. (WHO, 18 Jan 2019)

From the beginning of the outbreak to 3 February 2019, a total of 785 EVD cases, including 731 confirmed and 54 probable cases, were reported from 18 health zones in the provinces of North Kivu and Ituri. Twelve of the 18 affected health zones have ongoing active transmission, reporting at least one confirmed case in the last 21 days (14 January 2019 to 3 February 2019). Over this period, a total of 123 confirmed cases were reported and the majority of the cases occurred in urban centres and towns including Katwa (78), Butembo (10), Beni (9), Kayna (5), Kyondo (5), Manguredjipa (4), Oicha (4), Biena (3), Kalunguta (2), Mabalako (1), Mutwanga (1), and Vuhovi (1). Katwa, Butembo, and Beni remain notable hotspots for the outbreak, with 97/123 (79%) of cases reported in the last three weeks originating from these areas. Trends in case incidence reflect an increase in the number of cases since the start of this year and continuation of the outbreak across a geographically widely dispersed area. Mabalako, Kalunguta, and Vuhovi are back in the list of health zones that have reported newly confirmed cases in the past 21 days. As of 3 February 2019, a total of 484 deaths were reported, including 431 deaths among confirmed cases. The case fatality ratio among confirmed cases is 59% (431/731). The sex ratio among confirmed cases is 1.4 (454 females to 331 males). (WHO, 5 Feb 2019)