15 October 2019
DE FAAKTO OUTBREAK INTELLIGENCE
SITUATION-UPDATE-DEMOCRATIC REPUBLIC OF CONGO
BACKROUND-EBOLA VIRUS DISEASE OUTBREAK
Update from the World Health Organization & DRC Ministry of Health
Key Points
- During the reporting period of 15 October 2019
- 3207 Ebola Virus Disease cases
- 2144 deaths (overall case fatality ratio: 67%)
- 157 (5% overall cases) healthcare workers have been infected to date
- 34 healthcare worker deaths reported
- 156 851 persons have been vaccinated with rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck
WHO Risk Assessment
- National and regional risk levels remain very high
- Global risk levels remain low
- The Ebola Virus Disease outbreak in Democratic Republic of the Congo remains challenged by continued insecurity, unrest, pockets of community resistance and funding shortfalls
- Although there is a slight declining trend in the overall number of new confirmed cases reported this week, the disease continues to spread to new health zones (WHO)
Challenges-Key Points
- High proportion of community deaths
- Existence of transmission chains linked to nosocomial infection
- Persistent delays in detection and isolation
- Challenges in accessing some communities due to insecurity and pockets of community reticence
- increased likelihood of further chains of transmission in affected communities (WHO)
De Faakto intelligence forecast on 12 October 2018, noted the security situation would directly impact the response of authorities and the procedures required to counter the Ebola Virus. Inadequate infection control continues to be a challenge. Key mitigation strategies include, improved security, surveillance, screening and infection control.
Without implementation of these strategies and quality assurance the risk of transmission to other immediate regions remains high.
About Ebola
- Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness in humans
- The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission
- The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks
- The first EVD outbreaks occurred in remote villages in Central Africa, near tropical rainforests. The 2014–2016 outbreak in West Africa involved major urban areas as well as rural ones
- Community engagement is key to successfully controlling outbreaks. Good outbreak control relies on applying a package of interventions, namely case management, infection prevention and control practices, surveillance and contact tracing, a good laboratory service, safe and dignified burials and social mobilization
- Early supportive care with re-hydration, symptomatic treatment improves survival. There is as yet no licensed treatment proven to neutralize the virus but a range of blood, immunological and drug therapies are under development (WHO)
World Health Organization https://www.who.int/csr/don/10-october-2019-ebola-drc/en/
_______________________________________________________________________________________
15 September 2019
DE FAAKTO OUTBREAK INTELLIGENCE
SITUATION-UPDATE-DEMOCRATIC REPUBLIC OF CONGO
BACKROUND-EBOLA VIRUS DISEASE OUTBREAK
Update from the World Health Organization & DRC Ministry of Health
Key Points
- During the reporting period of 15 September 2019
- 3091 Ebola Virus Disease cases
- 2074 deaths (overall case fatality ratio: 67%)
- 157 (5% overall cases) healthcare workers have been infected to date
- 34 healthcare worker deaths reported
- 156 851 persons have been vaccinated with rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck
WHO Risk Assessment
- National and regional risk levels remain very high
- Global risk levels remain low
- The Ebola Virus Disease outbreak in Democratic Republic of the Congo remains challenged by continued insecurity, unrest, pockets of community resistance and funding shortfalls
- Although there is a slight declining trend in the overall number of new confirmed cases reported this week, the disease continues to spread to new health zones (WHO)
Challenges-Key Points
- High proportion of community deaths
- Existence of transmission chains linked to nosocomial infection
- Persistent delays in detection and isolation
- Challenges in accessing some communities due to insecurity and pockets of community reticence
- increased likelihood of further chains of transmission in affected communities (WHO)
De Faakto intelligence forecast on 12 October 2018, noted the security situation would directly impact the response of authorities and the procedures required to counter the Ebola Virus. Inadequate infection control continues to be a challenge. Key mitigation strategies include, improved security, surveillance, screening and infection control.
Without implementation of these strategies and quality assurance the risk of transmission to other immediate regions remains high.
About Ebola
- Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness in humans
- The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission
- The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks
- The first EVD outbreaks occurred in remote villages in Central Africa, near tropical rainforests. The 2014–2016 outbreak in West Africa involved major urban areas as well as rural ones
- Community engagement is key to successfully controlling outbreaks. Good outbreak control relies on applying a package of interventions, namely case management, infection prevention and control practices, surveillance and contact tracing, a good laboratory service, safe and dignified burials and social mobilization
- Early supportive care with re-hydration, symptomatic treatment improves survival. There is as yet no licensed treatment proven to neutralize the virus but a range of blood, immunological and drug therapies are under development (WHO)
World Health Organization https://www.who.int/csr/don/12-september-2019-ebola-drc/en/
________________________________________________________________________________________
08 September 2019
DE FAAKTO OUTBREAK INTELLIGENCE
SITUATION-UPDATE-DEMOCRATIC REPUBLIC OF CONGO
BACKROUND-EBOLA VIRUS DISEASE OUTBREAK
Update from the World Health Organization & DRC Ministry of Health
Key Points
- During the reporting period of 08 September 2019
- 3054 Ebola Virus Disease cases
- 2052 deaths (overall case fatality ratio: 67%)
- 156 (5% overall cases) healthcare workers have been infected to date
- 34 healthcare worker deaths reported
- 156 851 persons have been vaccinated with rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck
WHO Risk Assessment
- National and regional risk levels remain very high
- Global risk levels remain low
- The Ebola Virus Disease outbreak in Democratic Republic of the Congo remains challenged by continued insecurity, unrest, pockets of community resistance and funding shortfalls
- Although there is a slight declining trend in the overall number of new confirmed cases reported this week, the disease continues to spread to new health zones (WHO)
Challenges-Key Points
- High proportion of community deaths
- Existence of transmission chains linked to nosocomial infection
- Persistent delays in detection and isolation
- Challenges in accessing some communities due to insecurity and pockets of community reticence
- increased likelihood of further chains of transmission in affected communities (WHO)
De Faakto intelligence forecast on 12 October 2018, noted the security situation would directly impact the response of authorities and the procedures required to counter the Ebola Virus. Inadequate infection control continues to be a challenge. Key mitigation strategies include, improved security, surveillance, screening and infection control.
Without implementation of these strategies and quality assurance the risk of transmission to other immediate regions remains high.
About Ebola
- Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness in humans
- The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission
- The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks
- The first EVD outbreaks occurred in remote villages in Central Africa, near tropical rainforests. The 2014–2016 outbreak in West Africa involved major urban areas as well as rural ones
- Community engagement is key to successfully controlling outbreaks. Good outbreak control relies on applying a package of interventions, namely case management, infection prevention and control practices, surveillance and contact tracing, a good laboratory service, safe and dignified burials and social mobilization
- Early supportive care with re-hydration, symptomatic treatment improves survival. There is as yet no licensed treatment proven to neutralize the virus but a range of blood, immunological and drug therapies are under development (WHO)
World Health Organization https://www.who.int/csr/don/06-september-2019-ebola-drc/en/
________________________________________________________________________________________
28 August 2019
DE FAAKTO OUTBREAK INTELLIGENCE
SITUATION-UPDATE-DEMOCRATIC REPUBLIC OF CONGO
BACKROUND-EBOLA VIRUS DISEASE OUTBREAK
Update from the World Health Organization & DRC Ministry of Health
Key Points
- During the reporting period of 11 August 2019
- 2927 Ebola Virus Disease cases
- 1961 deaths (overall case fatality ratio: 67%)
- 154 (5% overall cases) healthcare workers have been infected to date
- 34 healthcare worker deaths reported
- 156 851 persons have been vaccinated with rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck
WHO Risk Assessment
- National and regional risk levels remain very high
- Global risk levels remain low
- The Ebola Virus Disease outbreak in Democratic Republic of the Congo remains challenged by continued insecurity, unrest, pockets of community resistance and funding shortfalls
- Although there is a slight declining trend in the overall number of new confirmed cases reported this week, the disease continues to spread to new health zones (WHO)
Challenges-Key Points
- High proportion of community deaths
- Existence of transmission chains linked to nosocomial infection
- Persistent delays in detection and isolation
- Challenges in accessing some communities due to insecurity and pockets of community reticence
- increased likelihood of further chains of transmission in affected communities (WHO)
De Faakto intelligence forecast on 12 October 2018, noted the security situation would directly impact the response of authorities and the procedures required to counter the Ebola Virus. Inadequate infection control continues to be a challenge. Key mitigation strategies include, improved security, surveillance, screening and infection control.
Without implementation of these strategies and quality assurance the risk of transmission to other immediate regions remains high.
About Ebola
- Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness in humans
- The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission
- The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks
- The first EVD outbreaks occurred in remote villages in Central Africa, near tropical rainforests. The 2014–2016 outbreak in West Africa involved major urban areas as well as rural ones
- Community engagement is key to successfully controlling outbreaks. Good outbreak control relies on applying a package of interventions, namely case management, infection prevention and control practices, surveillance and contact tracing, a good laboratory service, safe and dignified burials and social mobilization
- Early supportive care with re-hydration, symptomatic treatment improves survival. There is as yet no licensed treatment proven to neutralize the virus but a range of blood, immunological and drug therapies are under development (WHO)
World Health Organization https://www.who.int/csr/don/22-august-2019-ebola-drc/en/
_______________________________________________________________________________________
11 August 2019
DE FAAKTO OUTBREAK INTELLIGENCE
SITUATION-UPDATE-DEMOCRATIC REPUBLIC OF CONGO
BACKROUND-EBOLA VIRUS DISEASE OUTBREAK
Update from the World Health Organization & DRC Ministry of Health
Key Points
- During the reporting period of 11 August 2019
- 2781 Ebola Virus Disease cases
- 1866 deaths (overall case fatality ratio: 67%)
- 135 (5% overall cases) healthcare workers have been infected to date
- 34 healthcare worker deaths reported
- 156 851 persons have been vaccinated with rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck
WHO Risk Assessment
- National and regional risk levels remain very high
- Global risk levels remain low
- Substantial rates of transmission continue
- Demonstrated extension to new (high risk) areas and across borders in recent months
- The security situation is characterized by the resurgence of activities from non-state armed groups within all major areas of operations (WHO)
Challenges-Key Points
- High proportion of community deaths
- Existence of transmission chains linked to nosocomial infection
- Persistent delays in detection and isolation
- Challenges in accessing some communities due to insecurity and pockets of community reticence
- increased likelihood of further chains of transmission in affected communities (WHO)
De Faakto intelligence forecast on 12 October 2018, noted the security situation would directly impact the response of authorities and the procedures required to counter the Ebola Virus. Inadequate infection control continues to be a challenge. Key mitigation strategies include, improved security, surveillance, screening and infection control.
Without implementation of these strategies and quality assurance the risk of transmission to other immediate regions remains high.
About Ebola
- Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness in humans
- The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission
- The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks
- The first EVD outbreaks occurred in remote villages in Central Africa, near tropical rainforests. The 2014–2016 outbreak in West Africa involved major urban areas as well as rural ones
- Community engagement is key to successfully controlling outbreaks. Good outbreak control relies on applying a package of interventions, namely case management, infection prevention and control practices, surveillance and contact tracing, a good laboratory service, safe and dignified burials and social mobilization
- Early supportive care with re-hydration, symptomatic treatment improves survival. There is as yet no licensed treatment proven to neutralize the virus but a range of blood, immunological and drug therapies are under development (WHO)
World Health Organization https://www.who.int/csr/don/08-august-2019-ebola-drc/en/
________________________________________________________________________________________
26 July 2019
DE FAAKTO OUTBREAK INTELLIGENCE
SITUATION-UPDATE-DEMOCRATIC REPUBLIC OF CONGO
BACKROUND-EBOLA VIRUS DISEASE OUTBREAK
Update from the World Health Organization & DRC Ministry of Health
Key Points
- During the reporting period of 26 July 2019
- 2612 Ebola Virus Disease cases
- 1756 deaths (overall case fatality ratio: 67%)
- 135 (5% overall cases) healthcare workers have been infected to date
- 34 healthcare worker deaths reported
- 156 851 persons have been vaccinated with rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck
WHO Risk Assessment
- National and regional risk levels remain very high
- Global risk levels remain low
- Substantial rates of transmission continue
- Demonstrated extension to new (high risk) areas and across borders in recent months
- The security situation is characterized by the resurgence of activities from non-state armed groups within all major areas of operations (WHO)
Challenges-Key Points
- High proportion of community deaths
- Existence of transmission chains linked to nosocomial infection
- Persistent delays in detection and isolation
- Challenges in accessing some communities due to insecurity and pockets of community reticence
- increased likelihood of further chains of transmission in affected communities (WHO)
De Faakto intelligence forecast on 12 October 2018, noted the security situation would directly impact the response of authorities and the procedures required to counter the Ebola Virus. Inadequate infection control continues to be a challenge. Key mitigation strategies include, improved security, surveillance, screening and infection control.
Without implementation of these strategies and quality assurance the risk of transmission to other immediate regions remains high.
About Ebola
- Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness in humans
- The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission
- The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks
- The first EVD outbreaks occurred in remote villages in Central Africa, near tropical rainforests. The 2014–2016 outbreak in West Africa involved major urban areas as well as rural ones
- Community engagement is key to successfully controlling outbreaks. Good outbreak control relies on applying a package of interventions, namely case management, infection prevention and control practices, surveillance and contact tracing, a good laboratory service, safe and dignified burials and social mobilization
- Early supportive care with re-hydration, symptomatic treatment improves survival. There is as yet no licensed treatment proven to neutralize the virus but a range of blood, immunological and drug therapies are under development (WHO)
World Health Organization https://www.who.int/csr/don/25-july-2019-ebola-drc/en/
_________________________________________________________________________________________
19 July 2019
DE FAAKTO OUTBREAK INTELLIGENCE
SITUATION-UPDATE-DEMOCRATIC REPUBLIC OF CONGO
BACKROUND-EBOLA VIRUS DISEASE OUTBREAK
Update from the World Health Organization & DRC Ministry of Health
Key Points
- During the reporting period of 19 July 2019
- 2522 Ebola Virus Disease cases
- 1698 deaths (overall case fatality ratio: 68%)
- 135 (5% overall cases) healthcare workers have been infected to date
- 34 healthcare worker deaths reported
- 156 851 persons have been vaccinated with rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck
- Emergency Committee under the International Health Regulations (IHR) reviewed the situation on the Ebola outbreak in the Democratic Republic of the Congo (DRC)
- The Emergency Committee recommended that the outbreak constitutes a Public Health Emergency of International Concern
- The decision was based on the recent developments in the outbreak, including the geographical expansion of the virus to the city of Goma
World Health Organization-RISK ASSESSMENT
- National and regional risk levels remain very high
- Global risk levels remain low
- Weekly increases in the number of new cases has been ongoing since late February 2019
- Deterioration of the security situation, and the persistence of pockets of community reluctance, refusal, and resistance due to mistrust exacerbated by political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions
- Political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions
- Recent community dialogue, outreach initiatives, and restoration of access to certain hotspot areas have resulted in some improvements in community acceptance of response activities and case investigation efforts
- Additional risks are posed by the long duration of the current outbreak, fatigue among response staff, and ongoing strain on limited resources (WHO)
De Faakto intelligence forecast on 12 October 2018, noted the security situation would directly impact the response of authorities and the procedures required to counter the Ebola Virus. Inadequate infection control continues to be a challenge. Key mitigation strategies include, improved security, surveillance, screening and infection control.
Without implementation of these strategies and quality assurance the risk of transmission to other immediate regions remains high.
About Ebola
- Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness in humans
- The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission
- The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks
- The first EVD outbreaks occurred in remote villages in Central Africa, near tropical rainforests. The 2014–2016 outbreak in West Africa involved major urban areas as well as rural ones
- Community engagement is key to successfully controlling outbreaks. Good outbreak control relies on applying a package of interventions, namely case management, infection prevention and control practices, surveillance and contact tracing, a good laboratory service, safe and dignified burials and social mobilization
- Early supportive care with re-hydration, symptomatic treatment improves survival. There is as yet no licensed treatment proven to neutralize the virus but a range of blood, immunological and drug therapies are under development (WHO)
WHO https://www.who.int/csr/don/18-july-2019-ebola-drc/en/
_________________________________________________________________________________________
12 July 2019
DE FAAKTO OUTBREAK INTELLIGENCE
SITUATION-UPDATE-DEMOCRATIC REPUBLIC OF CONGO
BACKROUND-EBOLA VIRUS DISEASE OUTBREAK
Update from the World Health Organization & DRC Ministry of Health
Key Points
- During the reporting period of 12 July 2019
- 2437 Ebola Virus Disease cases
- 1646 deaths (overall case fatality ratio: 68%)
- 132 (5% overall cases) healthcare workers have been infected to date
- 34 healthcare worker deaths reported
- 156 851 persons have been vaccinated with rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck
World Health Organization-RISK ASSESSMENT
- National and regional risk levels remain very high
- Global risk levels remain low
- Weekly increases in the number of new cases has been ongoing since late February 2019
- Deterioration of the security situation, and the persistence of pockets of community reluctance, refusal, and resistance due to mistrust exacerbated by political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions
- Political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions
- Recent community dialogue, outreach initiatives, and restoration of access to certain hotspot areas have resulted in some improvements in community acceptance of response activities and case investigation efforts
- Additional risks are posed by the long duration of the current outbreak, fatigue among response staff, and ongoing strain on limited resources (WHO)
De Faakto intelligence forecast on 12 October 2018, noted the security situation would directly impact the response of authorities and the procedures required to counter the Ebola Virus. Inadequate infection control continues to be a challenge. Key mitigation strategies include, improved security, surveillance, screening and infection control.
Without implementation of these strategies and quality assurance the risk of transmission to other immediate regions remains high.
About Ebola
- Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness in humans
- The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission
- The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks
- The first EVD outbreaks occurred in remote villages in Central Africa, near tropical rainforests. The 2014–2016 outbreak in West Africa involved major urban areas as well as rural ones
- Community engagement is key to successfully controlling outbreaks. Good outbreak control relies on applying a package of interventions, namely case management, infection prevention and control practices, surveillance and contact tracing, a good laboratory service, safe and dignified burials and social mobilization
- Early supportive care with re-hydration, symptomatic treatment improves survival. There is as yet no licensed treatment proven to neutralize the virus but a range of blood, immunological and drug therapies are under development (WHO)
WHO https://www.who.int/csr/don/11-july-2019-ebola-drc/en/
_________________________________________________________________________________________
06 July 2019
DE FAAKTO OUTBREAK INTELLIGENCE
SITUATION-UPDATE-DEMOCRATIC REPUBLIC OF CONGO
BACKROUND-EBOLA VIRUS DISEASE OUTBREAK
Update from the World Health Organization & DRC Ministry of Health
Key Points
- During the reporting period of 06 July 2019
- 2389 Ebola Virus Disease cases
- 1613 deaths (overall case fatality ratio: 68%)
- 130 (6% overall cases) healthcare workers have been infected to date
- 34 healthcare worker deaths reported
- 151 911 persons have been vaccinated with rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck
World Health Organization-RISK ASSESSMENT
- National and regional risk levels remain very high
- Global risk levels remain low
- Weekly increases in the number of new cases has been ongoing since late February 2019
- Deterioration of the security situation, and the persistence of pockets of community reluctance, refusal, and resistance due to mistrust exacerbated by political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions
- Political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions
- Recent community dialogue, outreach initiatives, and restoration of access to certain hotspot areas have resulted in some improvements in community acceptance of response activities and case investigation efforts
- Additional risks are posed by the long duration of the current outbreak, fatigue among response staff, and ongoing strain on limited resources (WHO)
De Faakto intelligence forecast on 12 October 2018, noted the security situation would directly impact the response of authorities and the procedures required to counter the Ebola Virus. Inadequate infection control continues to be a challenge. Key mitigation strategies include, improved security, surveillance, screening and infection control.
Without implementation of these strategies and quality assurance the risk of transmission to other immediate regions remains high.
About Ebola
- Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness in humans
- The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission
- The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks
- The first EVD outbreaks occurred in remote villages in Central Africa, near tropical rainforests. The 2014–2016 outbreak in West Africa involved major urban areas as well as rural ones
- Community engagement is key to successfully controlling outbreaks. Good outbreak control relies on applying a package of interventions, namely case management, infection prevention and control practices, surveillance and contact tracing, a good laboratory service, safe and dignified burials and social mobilization
- Early supportive care with re-hydration, symptomatic treatment improves survival. There is as yet no licensed treatment proven to neutralize the virus but a range of blood, immunological and drug therapies are under development (WHO)
WHO https://www.who.int/csr/don/04-july-2019-ebola-drc/en/
________________________________________________________________________________________
25 June 2019
DE FAAKTO OUTBREAK INTELLIGENCE
SITUATION-UPDATE-DEMOCRATIC REPUBLIC OF CONGO
BACKROUND-EBOLA VIRUS DISEASE OUTBREAK
Update from the World Health Organization & DRC Ministry of Health
Key Points
- During the reporting period of 25 June 2019
- 2247 Ebola Virus Disease cases
- 1510 deaths (overall case fatality ratio: 67%)
- 122 (6% overall cases) healthcare workers have been infected to date
- 34 healthcare worker deaths reported
- 141 754 persons have been vaccinated with rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck
- Two response teams were attacked on 24 June 2019 in Beni [North Kivu]
- A vaccination team was attacked in the Tamende health area
- A psychosocial support team was attacked in the Madrandelle health area
- The teams were attacked by young people, including bikers following the death of their friend
- 2 policemen were also wounded
Reports from the United Nations & FOX 13 News,
Key Points
- 7,500 Congolese fleeing violence have arrived in Uganda since the beginning of June
- The refugees are running away from clashes between two ethnic groups – the Hema and the Lendu
- Recent arrivals from Congo speak of extreme brutality
- Armed groups are said to be attacking villages, torching and looting houses, and killing men, women and children
- Uganda has long said it keeps its doors open to all refugees
World Health Organization-RISK ASSESSMENT
- National and regional risk levels remain very high
- Global risk levels remain low
- Weekly increases in the number of new cases has been ongoing since late February 2019
- Deterioration of the security situation, and the persistence of pockets of community reluctance, refusal, and resistance due to mistrust exacerbated by political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions
- Political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions
- Recent community dialogue, outreach initiatives, and restoration of access to certain hotspot areas have resulted in some improvements in community acceptance of response activities and case investigation efforts
- Additional risks are posed by the long duration of the current outbreak, fatigue among response staff, and ongoing strain on limited resources (WHO)
De Faakto intelligence forecast on 12 October 2018, noted the security situation would directly impact the response of authorities and the procedures required to counter the Ebola Virus. Inadequate infection control continues to be a challenge. Key mitigation strategies include, improved security, surveillance, screening and infection control.
Without implementation of these strategies and quality assurance the risk of transmission to other immediate regions remains high.
About Ebola
- Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness in humans
- The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission
- The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks
- The first EVD outbreaks occurred in remote villages in Central Africa, near tropical rainforests. The 2014–2016 outbreak in West Africa involved major urban areas as well as rural ones
- Community engagement is key to successfully controlling outbreaks. Good outbreak control relies on applying a package of interventions, namely case management, infection prevention and control practices, surveillance and contact tracing, a good laboratory service, safe and dignified burials and social mobilization
- Early supportive care with re-hydration, symptomatic treatment improves survival. There is as yet no licensed treatment proven to neutralize the virus but a range of blood, immunological and drug therapies are under development (WHO)
WHO https://www.who.int/csr/don/20-june-2019-ebola-drc/en/
DRC Ministry of Health https://mailchi.mp/sante.gouv.cd/ebola_kivu_24juin19?e=77c16511ad
FOX 13 News https://www.fox13memphis.com/news/un-says-thousands-flee-congo-violence-seek-asylum-in-uganda/961321850
________________________________________________________________________________________
14 June 2019
DE FAAKTO OUTBREAK INTELLIGENCE
SITUATION-UPDATE-DEMOCRATIC REPUBLIC OF CONGO
BACKROUND-EBOLA VIRUS DISEASE OUTBREAK
Update from the World Health Organization
Key Points
- During the reporting period of 14 June 2019
- 2084 Ebola Virus Disease cases
- 1405 deaths (overall case fatality ratio: 67%)
- 118 (6% overall cases) healthcare workers have been infected to date
- 34 healthcare worker deaths reported
- 130 254 persons have been vaccinated with rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck
- Ebola Virus Disease has spread from DRCongo to Uganda
- The Uganda Ministry of Health has declared an outbreak of Ebola Virus in Uganda
- There are 2 deaths in Uganda due to Ebola Virus Disease
- There are 98 Ebola contacts being investigated in Uganda
De Faakto Outbreak Intelligence Report Uganda https://defaakto.com/2019/06/14/ebola-spreads-to-uganda-from-drcongo/
World Health Organization-RISK ASSESSMENT
- National and regional risk levels remain very high
- Global risk levels remain low
- Weekly increases in the number of new cases has been ongoing since late February 2019
- Deterioration of the security situation, and the persistence of pockets of community reluctance, refusal, and resistance due to mistrust exacerbated by political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions
- Political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions
- Recent community dialogue, outreach initiatives, and restoration of access to certain hotspot areas have resulted in some improvements in community acceptance of response activities and case investigation efforts
- Additional risks are posed by the long duration of the current outbreak, fatigue among response staff, and ongoing strain on limited resources (WHO)
De Faakto intelligence forecast on 12 October 2018, noted the security situation would directly impact the response of authorities and the procedures required to counter the Ebola Virus. Inadequate infection control continues to be a challenge. Key mitigation strategies include, improved security, surveillance, screening and infection control.
Without implementation of these strategies and quality assurance the risk of transmission to other immediate regions remains high.
About Ebola
- Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness in humans
- The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission
- The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks
- The first EVD outbreaks occurred in remote villages in Central Africa, near tropical rainforests. The 2014–2016 outbreak in West Africa involved major urban areas as well as rural ones
- Community engagement is key to successfully controlling outbreaks. Good outbreak control relies on applying a package of interventions, namely case management, infection prevention and control practices, surveillance and contact tracing, a good laboratory service, safe and dignified burials and social mobilization
- Early supportive care with re-hydration, symptomatic treatment improves survival. There is as yet no licensed treatment proven to neutralize the virus but a range of blood, immunological and drug therapies are under development (WHO)
WHO https://www.who.int/csr/don/13-june-2019-ebola-drc/en/
WHO https://www.who.int/csr/don/13-june-2019-ebola-uganda/en/
_______________________________________________________________________________________
07 June 2019
DE FAAKTO OUTBREAK INTELLIGENCE
SITUATION-UPDATE-DEMOCRATIC REPUBLIC OF CONGO
BACKROUND-EBOLA VIRUS DISEASE OUTBREAK
Update from the World Health Organization
Key Points
- During the reporting period of 31 May 2019
- 2025 Ebola Virus Disease cases
- 1357 deaths (overall case fatality ratio: 67%)
- 110 (5% overall cases) healthcare workers have been infected to date
- 34 healthcare worker deaths reported
- 130 254 persons have been vaccinated with rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck
From the Daily Journal,
Key Points
- The World Health Organization says it may be missing a quarter of all Ebola cases in eastern Congo as violent unrest complicates detection
- That estimate by WHO emergencies chief Dr. Michael Ryan on Thursday comes after aid groups expressed concern this week that the rate of new cases has been picking up speed
- Ryan told journalists in Geneva that WHO believes it is probably detecting only 75 percent of all Ebola cases
- Health teams have been unable to reach some areas because of violence by rebel groups
- The teams also have come under attack by locals who mistrust foreigners and government officials in a long-volatile region far from the capital
World Health Organization-RISK ASSESSMENT
- National and regional risk levels remain very high
- Global risk levels remain low
- Weekly increases in the number of new cases has been ongoing since late February 2019
- Deterioration of the security situation, and the persistence of pockets of community reluctance, refusal, and resistance due to mistrust exacerbated by political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions
- Political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions
- Recent community dialogue, outreach initiatives, and restoration of access to certain hotspot areas have resulted in some improvements in community acceptance of response activities and case investigation efforts
- Additional risks are posed by the long duration of the current outbreak, fatigue among response staff, and ongoing strain on limited resources (WHO)
De Faakto intelligence forecast on 12 October 2018, noted the security situation would directly impact the response of authorities and the procedures required to counter the Ebola Virus. Inadequate infection control continues to be a challenge. Key mitigation strategies include, improved security, surveillance, screening and infection control.
Without implementation of these strategies and quality assurance the risk of transmission to other immediate regions remains high.
About Ebola
- Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness in humans
- The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission
- The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks
- The first EVD outbreaks occurred in remote villages in Central Africa, near tropical rainforests. The 2014–2016 outbreak in West Africa involved major urban areas as well as rural ones
- Community engagement is key to successfully controlling outbreaks. Good outbreak control relies on applying a package of interventions, namely case management, infection prevention and control practices, surveillance and contact tracing, a good laboratory service, safe and dignified burials and social mobilization
- Early supportive care with re-hydration, symptomatic treatment improves survival. There is as yet no licensed treatment proven to neutralize the virus but a range of blood, immunological and drug therapies are under development (WHO)
WHO https://www.who.int/csr/don/06-june-2019-ebola-drc/en/
Daily Journal http://www.dailyjournal.net/2019/06/06/af-congo-ebola-4/
________________________________________________________________________________________
31 MAY 2019
DE FAAKTO OUTBREAK INTELLIGENCE
SITUATION-UPDATE-DEMOCRATIC REPUBLIC OF CONGO
BACKROUND-EBOLA VIRUS DISEASE OUTBREAK
Update from the World Health Organization
Key Points
- During the reporting period of 31 May 2019
- 1945 Ebola Virus Disease cases
- 1302 deaths (overall case fatality ratio: 67%)
- 108 (6% overall cases) healthcare workers have been infected to date
- 34 healthcare worker deaths reported
- 116 233 persons have been vaccinated with rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck
World Health Organization-RISK ASSESSMENT
- National and regional risk levels remain very high
- Global risk levels remain low
- Weekly increases in the number of new cases has been ongoing since late February 2019
- Deterioration of the security situation, and the persistence of pockets of community reluctance, refusal, and resistance due to mistrust exacerbated by political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions
- Political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions
- Recent community dialogue, outreach initiatives, and restoration of access to certain hotspot areas have resulted in some improvements in community acceptance of response activities and case investigation efforts
- Additional risks are posed by the long duration of the current outbreak, fatigue among response staff, and ongoing strain on limited resources (WHO)
De Faakto intelligence forecast on 12 October 2018, noted the security situation would directly impact the response of authorities and the procedures required to counter the Ebola Virus. Inadequate infection control continues to be a challenge. Key mitigation strategies include, improved security, surveillance, screening and infection control.
Without implementation of these strategies and quality assurance the risk of transmission to other immediate regions remains high.
About Ebola
- Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness in humans
- The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission
- The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks
- The first EVD outbreaks occurred in remote villages in Central Africa, near tropical rainforests. The 2014–2016 outbreak in West Africa involved major urban areas as well as rural ones
- Community engagement is key to successfully controlling outbreaks. Good outbreak control relies on applying a package of interventions, namely case management, infection prevention and control practices, surveillance and contact tracing, a good laboratory service, safe and dignified burials and social mobilization
- Early supportive care with re-hydration, symptomatic treatment improves survival. There is as yet no licensed treatment proven to neutralize the virus but a range of blood, immunological and drug therapies are under development (WHO)
WHO https://www.who.int/csr/don/06-june-2019-ebola-drc/en/
________________________________________________________________________________________
25 MAY 2019
DE FAAKTO OUTBREAK INTELLIGENCE
SITUATION-UPDATE-DEMOCRATIC REPUBLIC OF CONGO
BACKROUND-EBOLA VIRUS DISEASE OUTBREAK
Update from the World Health Organization
Key Points
- During the reporting period of 25 May 2019
- 1866 Ebola Virus Disease cases
- 1241 deaths (overall case fatality ratio: 67%)
- 105 (6% overall cases) healthcare workers have been infected to date
- 34 healthcare worker deaths reported
- 116 233 persons have been vaccinated with rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck
World Health Organization-RISK ASSESSMENT
- National and regional risk levels remain very high
- Global risk levels remain low
- Weekly increases in the number of new cases has been ongoing since late February 2019
- Deterioration of the security situation, and the persistence of pockets of community reluctance, refusal, and resistance due to mistrust exacerbated by political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions
- Recent community dialogue, outreach initiatives, and restoration of access to certain hotspot areas have resulted in some improvements in community acceptance of response activities and case investigation efforts
- Additional risks are posed by the long duration of the current outbreak, fatigue among response staff, and ongoing strain on limited resources (WHO)
De Faakto intelligence forecast on 12 October 2018, noted the security situation would directly impact the response of authorities and the procedures required to counter the Ebola Virus. Inadequate infection control continues to be a challenge. Key mitigation strategies include, improved security, surveillance, screening and infection control.
Without implementation of these strategies and quality assurance the risk of transmission to other immediate regions remains high.
About Ebola
- Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness in humans
- The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission
- The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks
- The first EVD outbreaks occurred in remote villages in Central Africa, near tropical rainforests. The 2014–2016 outbreak in West Africa involved major urban areas as well as rural ones
- Community engagement is key to successfully controlling outbreaks. Good outbreak control relies on applying a package of interventions, namely case management, infection prevention and control practices, surveillance and contact tracing, a good laboratory service, safe and dignified burials and social mobilization
- Early supportive care with re-hydration, symptomatic treatment improves survival. There is as yet no licensed treatment proven to neutralize the virus but a range of blood, immunological and drug therapies are under development (WHO)
WHO https://www.who.int/csr/don/23-may-2019-ebola-drc/en/
________________________________________________________________________________________
16 May 2019
DE FAAKTO OUTBREAK INTELLIGENCE
SITUATION UPDATE-DEMOCRATIC REPUBLIC OF CONGO
BACKGROUND-EBOLA VIRUS DISEASE OUTBREAK
Update-Republic Democratic Du Congo-Direction General De Lutte Contre La Maladie & World Health Organization
Key Points
- During the reporting period of 14 May 2019
- 1739 Ebola Virus Disease cases
- 1147 deaths (overall case fatality ratio: 67%)
- 101 (6% overall cases) healthcare workers have been infected to date
- 34 healthcare workers deaths
- 116 233 persons have been vaccinated with rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck
World Health Organization-RISK ASSESSMENT
- National and regional risk levels remain very high
- Global risk levels remain low
- Weekly increases in the number of new cases has been ongoing since late February 2019
- Deterioration of the security situation, and the persistence of pockets of community reluctance, refusal, and resistance due to mistrust exacerbated by political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions
- Recent community dialogue, outreach initiatives, and restoration of access to certain hotspot areas have resulted in some improvements in community acceptance of response activities and case investigation efforts
- Additional risks are posed by the long duration of the current outbreak, fatigue among response staff, and ongoing strain on limited resources (WHO)
De Faakto intelligence forecast on 12 October 2018, noted the security situation would directly impact the response of authorities and the procedures required to counter the Ebola Virus. Inadequate infection control continues to be a challenge. Key mitigation strategies include, improved security, surveillance, screening and infection control.
Without implementation of these strategies and quality assurance the risk of transmission to other immediate regions remains high.
About Ebola
- Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness in humans
- The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission
- The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks
- The first EVD outbreaks occurred in remote villages in Central Africa, near tropical rainforests. The 2014–2016 outbreak in West Africa involved major urban areas as well as rural ones
- Community engagement is key to successfully controlling outbreaks. Good outbreak control relies on applying a package of interventions, namely case management, infection prevention and control practices, surveillance and contact tracing, a good laboratory service, safe and dignified burials and social mobilization
- Early supportive care with re-hydration, symptomatic treatment improves survival. There is as yet no licensed treatment proven to neutralize the virus but a range of blood, immunological and drug therapies are under development (WHO)
WHO https://www.who.int/csr/don/09-may-2019-ebola-drc/en/
Republic Democratic Du Congo-Direction General De Lutte Contre La Maladie https://mailchi.mp/sante.gouv.cd/ebola_kivu_15mai19?e=f96cddba3b
________________________________________________________________________________________
10 MAY 2019
DE FAAKTO OUTBREAK INTELLIGENCE
SITUATION UPDATE-DEMOCRATIC REPUBLIC OF CONGO
BACKGROUND-EBOLA VIRUS DISEASE OUTBREAK
Update-The World Health Organization
Key Points
- The Ebola response continues to be hampered by insecurity
- 03 May in Katwa, a Safe and Dignified Burial (SDB) team was violently attacked following a burial
- Response activities were repeatedly halted due to a number of serious security incidents
- On 8 May, a group of over 50 armed militia infiltrated the city centre
- Security forces repelled the attack following intense gunfire in close proximity to response staff accommodations
- Threats of further attacks against response teams and facilities remain prevalent
- These security incidents remain a major impediment to the response
- Teams are unable to perform robust surveillance, provide treatment and immunizations
- The ongoing violent attacks sow fear, perpetuate mistrust, and further compound the multitude of challenges already faced by front-line healthcare workers
- Without commitment from all groups to cease these attacks, it is unlikely that this Ebola outbreak can remain successfully contained (WHO)
- During the reporting period of 10 May 2019
- 1600 Ebola Virus Disease cases
- 1069 deaths (overall case fatality ratio: 67%)
- 97 (6% overall cases) healthcare workers have been infected to date
- 33 healthcare workers deaths
- 91 286 persons have been vaccinated with rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck
World Health Organization-RISK ASSESSMENT
- National and regional risk levels remain very high
- Global risk levels remain low
- Weekly increases in the number of new cases has been ongoing since late February 2019
- Deterioration of the security situation, and the persistence of pockets of community reluctance, refusal, and resistance due to mistrust exacerbated by political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions
- Recent community dialogue, outreach initiatives, and restoration of access to certain hotspot areas have resulted in some improvements in community acceptance of response activities and case investigation efforts
- Additional risks are posed by the long duration of the current outbreak, fatigue among response staff, and ongoing strain on limited resources (WHO)
De Faakto intelligence forecast on 12 October 2018, noted the security situation would directly impact the response of authorities and the procedures required to counter the Ebola Virus. Inadequate infection control continues to be a challenge. Key mitigation strategies include, improved security, surveillance, screening and infection control.
Without implementation of these strategies and quality assurance the risk of transmission to other immediate regions remains high.
About Ebola
- Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness in humans
- The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission
- The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks
- The first EVD outbreaks occurred in remote villages in Central Africa, near tropical rainforests. The 2014–2016 outbreak in West Africa involved major urban areas as well as rural ones
- Community engagement is key to successfully controlling outbreaks. Good outbreak control relies on applying a package of interventions, namely case management, infection prevention and control practices, surveillance and contact tracing, a good laboratory service, safe and dignified burials and social mobilization
- Early supportive care with re-hydration, symptomatic treatment improves survival. There is as yet no licensed treatment proven to neutralize the virus but a range of blood, immunological and drug therapies are under development (WHO)
WHO https://www.who.int/csr/don/09-may-2019-ebola-drc/en/
______________________________________________________________________________________
03 MAY 2019
DE FAAKTO OUTBREAK INTELLIGENCE
SITUATION UPDATE-DEMOCRATIC REPUBLIC OF CONGO
BACKGROUND-EBOLA VIRUS DISEASE OUTBREAK
Update-The World Health Organization
Update-The United Nations-WHO VIA ABC NEWS
From The World Health Organization,
Key Points
- The operating environment has become increasingly insecure and socio-politically complex
- Insecurity remains a major impediment to ensuring timely response interventions in the affected communities
- Ebola virus disease (EVD) response activities in effected areas remained limited
- Response is gradually resuming following a comprehensive reinforcement of security measures and community engagement efforts
- The overall security situation remains volatile
- While no significant injuries or damages are reported this week activities remain irregular due to the presence of armed groups and other security concerns
- New Ebola cases are expected to continue to increase, in tandem with incidents of insecurity in hotspot areas over the coming weeks, placing significant strain on response teams and the security resources available to secure their movements (WHO)
- During the reporting period of 03 May 2019
- 1495 Ebola Virus Disease cases
- 984 deaths (overall case fatality ratio: 66%)
- 92 (6% overall cases) healthcare workers have been infected to date
- 33 healthcare workers deaths
- 91 286 persons have been vaccinated with rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck
World Health Organization-RISK ASSESSMENT
- National and regional risk levels remain very high
- Global risk levels remain low
- Weekly increases in the number of new cases has been ongoing since late February 2019
- Deterioration of the security situation, and the persistence of pockets of community reluctance, refusal, and resistance due to mistrust exacerbated by political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions
- Recent community dialogue, outreach initiatives, and restoration of access to certain hotspot areas have resulted in some improvements in community acceptance of response activities and case investigation efforts (WHO)
From ABC News,
Key Points
- Ebola treatment centers have come under repeated attack
- An attack on Thursday at the Butembo ebola clinic was repelled
- Insecurity has become a major impediment
- 119 attacks have been recorded since January, 42 of them directly against health facilities, with 85 health workers wounded or killed
- Dozens of rebel groups operate in the region, and community rejection of health workers has been driven in part by political rivalries
- Every time the UN-WHO have managed to regain control over the virus and contain its spread, the organizations have suffered major, major security events
- Ebola responders are anticipating a scenario of continued intense transmission” of the disease (ABC)
De Faakto intelligence forecast on 12 October 2018, noted the security situation would directly impact the response of authorities and the procedures required to counter the Ebola Virus. Inadequate infection control continues to be a challenge. Key mitigation strategies include, improved security, surveillance, screening and infection control.
Without implementation of these strategies and quality assurance the risk of transmission to other immediate regions remains high.
About Ebola
- Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness in humans
- The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission
- The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks
- The first EVD outbreaks occurred in remote villages in Central Africa, near tropical rainforests. The 2014–2016 outbreak in West Africa involved major urban areas as well as rural ones
- Community engagement is key to successfully controlling outbreaks. Good outbreak control relies on applying a package of interventions, namely case management, infection prevention and control practices, surveillance and contact tracing, a good laboratory service, safe and dignified burials and social mobilization
- Early supportive care with re-hydration, symptomatic treatment improves survival. There is as yet no licensed treatment proven to neutralize the virus but a range of blood, immunological and drug therapies are under development (WHO)
WHO https://www.who.int/csr/don/02-may-2019-ebola-drc/en/
ABC News https://abcnews.go.com/Health/wireStory/congo-exceed-1000-ebola-deaths-friday-62800888
_______________________________________________________________________________________
25 APRIL 2019
DE FAAKTO OUTBREAK INTELLIGENCE
SITUATION UPDATE-DEMOCRATIC REPUBLIC OF CONGO
BACKGROUND-EBOLA VIRUS DISEASE OUTBREAK
Update-The World Health Organization
Key Points
- There is a notable escalation of security incidents surrounding the Ebola virus disease (EVD) response efforts
- On 19 April, an attack on a hospital in Katwa by armed militia resulted in the tragic death of Dr Richard Mouzoko Kiboung, a WHO epidemiologist, and the injury of two other healthcare workers
- To ensure the safety of all outbreak responders, Ebola response activities have been temporarily halted in some high-risk health areas until security measures can be reinforced
- WHO, the UN, and the government of the Democratic Republic of the Congo are actively collaborating to review current strategic and operational security measures to ensure the protection of healthcare workers in the field, and improve effective coordination and information sharing amongst all security elements covering the response
- Existing operational security measures continue to be implemented and strengthened as well, including the establishment of security perimeters around the residences of EVD response personnel, increasing security at fixed locations, enhancing the joint quick response team (QRT) capacities of local police and UN security forces, and ensuring staff compliance with tracking procedures and adherence to curfew
- These measures and other security risk management processes will be continually updated to reflect the needs of the evolving security situation on the ground (WHO)
- During the reporting period of 25 April 2019
- 1367 Ebola Virus Disease cases
- 885 deaths (overall case fatality ratio: 65%)
- 90 (7% overall cases) healthcare workers have been infected to date
- 33 healthcare workers deaths
- 91 286 persons have been vaccinated with rVSV-ZEBOV vaccine, manufactured by the pharmaceutical group Merck
World Health Organization-RISK ASSESSMENT
- National and regional risk levels remain very high
- Global risk levels remain low
- Weekly increases in the number of new cases has been ongoing since late February 2019
- Deterioration of the security situation, and the persistence of pockets of community reluctance, refusal, and resistance due to mistrust exacerbated by political tensions and insecurity, have resulted in recurrent temporary suspension and delays of case investigation and response activities in affected areas, reducing the overall effectiveness of interventions
- Recent community dialogue, outreach initiatives, and restoration of access to certain hotspot areas have resulted in some improvements in community acceptance of response activities and case investigation efforts (WHO)
De Faakto intelligence forecast on 12 October 2018, noted the security situation would directly impact the response of authorities and the procedures required to counter the Ebola Virus. Inadequate infection control continues to be a challenge. Key mitigation strategies include, improved security, surveillance, screening and infection control.
Without implementation of these strategies and quality assurance the risk of transmission to other immediate regions remains high.
About Ebola
- Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness in humans
- The virus is transmitted to people from wild animals and spreads in the human population through human-to-human transmission
- The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks
- The first EVD outbreaks occurred in remote villages in Central Africa, near tropical rainforests. The 2014–2016 outbreak in West Africa involved major urban areas as well as rural ones
- Community engagement is key to successfully controlling outbreaks. Good outbreak control relies on applying a package of interventions, namely case management, infection prevention and control practices, surveillance and contact tracing, a good laboratory service, safe and dignified burials and social mobilization
- Early supportive care with re-hydration, symptomatic treatment improves survival. There is as yet no licensed treatment proven to neutralize the virus but a range of blood, immunological and drug therapies are under development (WHO)
