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PostPosted: Tue Aug 26, 2014 10:53 am 
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New outbreak of Ebola virus disease in Democratic Republic of the Congo likely unrelated to the west African outbreak
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25 Aug 2014
​On 24 August 2014, the Minister of Health in the Democratic Republic of the Congo (DRC) confirmed an outbreak of Ebola virus disease (EVD) in the area of Djera, outside Boende, Equateur province, northern DRC. According to the official statement quoted by media, 13 patients have died since August 11 2014, 11 patients are presently sick in isolation and 80 contacts are being followed. Samples from two of the patients have tested positive for Ebola virus at the National Institute of Biomedical Research (INRB) in Kinshasa. The samples have been sent to a reference laboratory in Gabon for confirmatory testing and further analysis.

The outbreak is taking place in a remote rural area of DRC (800 km from the capital Kinshasa and 300 km from the regional capital Mbandaka), in a country where seasonal outbreaks of EVD have previously taken place. This is the seventh recorded EVD outbreak in the country since the disease was first recognised in the country (then Zaire) in 1976. Available epidemiological data, as well as preliminary laboratory findings, indicate a low likelihood that the DRC outbreak is related to the much larger ongoing outbreak in west Africa, but only the final laboratory analysis can shed more definite light on this.

ECDC will continue to monitor and update its information on the outbreak as more facts become available.

http://ecdc.europa.eu/en/press/news/_la ... 68&ID=1049

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PostPosted: Tue Aug 26, 2014 11:20 am 
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After analyzing samples INRB: Ecuador, Ebola confirmed Djera!
The 25/08/2014

Dr. Felix Kabange Numbi, Minister of Public Health, confirmed that there was indeed Ebola in DRC. 'So I said to this day, the outbreak of the Ebola virus disease in Sector Djera, Boende territory, district Tshuapa, Province of Ecuador', said Dr Felix Kabange Numbi last night on public television. Indeed, after analysis of eight samples collected in the field, the National Institute of Biomedical Research (INRB) has confirmed that two samples are positive for Ebola virus. A sample is positive for Sudan strain and one positive sample in a cross strain, Sudan Zaire. The disease, according to him, has killed 13 people, including five health workers, patients were 11 people in isolation and over 80 contacts were identified and monitored by a specialized team. Dr. Felix Kabange also points out that the epidemic is confined to the area Djera, located about 600 kilometers from Mbandaka. As if to say that there is no Ebola in the City-Province of Kinshasa, capital of DRC, much less Mbandaka County town of Ecuador. However, the Government invited the population to remain calm and respect the protection measures including regular hand washing with soap. During a crisis meeting yesterday, the Matata Government has taken a number of measures, including: quarantining sector Djera; sorting and filtering will be from Lomela River, located 16 kilometers from Boende and security services will be put to use; the establishment of a processing center Lokolia, staffing of all ports and airports in Ecuador Laser thermometer; the prohibition of hunting throughout the Expanse District Tshuapa.

Below, the entire communication from the Minister of Health, Dr Felix Kabange Numbi, as he delivered yesterday on RTNC, while giving full details of the reported presence of the Ebola virus to Djera, Ecuador. With all the usual caveats, this statement indicates, however, the threat to the latent impulses of the virus against the Congolese people. This justifies the efforts made since the weekend, to quell with the utmost seriousness and caution, the attempts of the virus which has already made about him in other places, especially in the western and northern part Africa. Ebola, without effects on Central Africa! Such, in any case, the great prayer and especially the kill the Congolese from all walks.



Dear compatriots,

Since December 2013, the outbreak of the Ebola virus disease, prevalent in West Africa, including Liberia, Guinea, Sierra Leone and Nigeria. In those days, more than 2,000 cases were reported, of which 1,145 deaths. Faced with this public health emergency of international concern, the Democratic Republic of Congo has raised the alert threshold at entry points and the level of supervision of all hemorrhagic fevers within the country.

Before the occurrence of haemorrhagic fever of undetermined origin, served in the Health Zone Boende in the Province of Ecuador, the President of the Republic, His Excellency Joseph Kabila, head of state, instructed the Government to hold two crisis meetings on Tuesday 19 and Friday, August 22, 2014, chaired by the Prime Minister.

It was decided during the first meeting, sent a delegation led by the Minister of Public Health in the territory of Boende.

The facts on ground shows that the disease has killed 13 people, including five health workers, patients were 11 people in isolation and over 80 contacts were identified and monitored by a specialized team.

The Government of the Republic presents its condolences to all the bereaved families.

After analyzing eight samples field, the National Institute of Biomedical Research (INRB) has confirmed that two samples were positive to Ebola. A sample is positive for Sudan strain and one positive sample in a cross strain, Sudan Zaire. Of aligots were sent to the International Center for Medical Research in Franceville, Gabon, for the determination of strain in the coming hours.

'So I said to this day, the outbreak of the Ebola virus disease in Sector Djera, Boende territory, district Tshuapa, Equator Province in the DRC'.

This epidemic has no connection with that outbreak in West Africa and is the 7 th epidemic in the DRC since the Great Yamboko occurred in 1976 in the province of Ecuador.

The experience gained from previous epidemics 6 Ebola will be put to use to contain the disease.

'I recall that the epidemic is confined to the area Djera, located about 600 kilometers from Mbandaka, Chief town of the Province of Ecuador, is over 1,200 km from the city-province of Kinshasa DRC capital. Actions are already underway on land with the contribution of local authorities, health personnel and the Government of the Republic.

The Government of the Republic invites the public to remain calm and respect the protection measures including regular hand washing with soap after critical moments.

Before the disease Ebola in the area Djera, the Government of the Republic met this afternoon of Sunday, August 24, 2014, in crisis meeting with the Prime Minister, on the instruction of the President of the Democratic Republic of Congo.

And the Government of the DRC announced the following measures:

Quarantining sector Djera. Sorting and filtering will be from Lomela River, located 16 kilometers from Boende and security services will be involved;
The establishment of a processing center Lokolia;
Installation of the International Technical Coordination Committee and Scientific acronym CICTS to Lokolia. A camp will be built for this purpose, for multiple interventions;
The installation of a mobile laboratory Lokolia, the epicenter of the epidemic for the laboratory diagnosis in real time;
The deployment of experts to Lokolia and its surroundings, including all skills. It should be noted that health workers who managed the previous outbreaks in DRC will be involved and deployed in the field.
Staffing all ports and airports in Ecuador Laser thermometer;
The prohibition of hunting on the entire range of the district Tshuapa;
Strengthening all the measures already announced to date, including the equipping of protection to all medical personnel, active case finding and monitoring of all cases contacted, secure confirmed cases and funerals unexplained deaths in the community, awareness, isolation of all cases, disinfecting homes of all confirmed cases or deaths in the community, staffing of all essential drug industry structures of Djera and free care for the entire period of the epidemic, staff motivation and the motivation of the response team, the psychosocial care of all those infected and affected people, building capacity of local service providers throughout the territory of Boende.
'The leadership of the response to the outbreak of the Ebola virus disease is provided by the President of the Republic, Head of State, His Excellency Joseph Kabila and Prime Minister, His Excellency Matata Ponyo Mapon hold regular crisis meetings with all concerned Ministries'.

The Government of the DRC remains available to all support of National as well as international community. An Information Point will be open, from this Monday, August 25, 2014, the Ministry of Public Health to regularly inform the public and the international community. A hotline will be announced in the coming hours to answer all the questions here.

I remember that there is no Ebola in the City-Province of Kinshasa, capital of DRC, much less Mbandaka, Chief town of the Province of Ecuador, and the epidemic is restricted to date , sector Djera in Boende territory and that all measures have been taken by the Government to contain this epidemic in the Territory Boende.

http://www.laprosperiteonline.net/affi_ ... hp?id=3743

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PostPosted: Tue Aug 26, 2014 11:23 am 
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A New Strain Of Ebola Emerges In Democratic Republic Of Congo
by NURITH AIZENMAN
August 25, 2014 4:06 PM ET
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A new outbreak of Ebola is being reported in the Democratic Republic of Congo. But scientists say it's not related to the Ebola epidemic going on in West Africa.

Copyright © 2014 NPR. For personal, noncommercial use only. See Terms of Use. For other uses, prior permission required.

ROBERT SIEGEL, HOST:

Another country is reporting deaths from the Ebola virus. The government in the Democratic Republic of Congo has confirmed that two people there have died and many more are infected. The outbreak appears unrelated to the epidemic now sweeping through West Africa. NPR's Nurith Aizenman is in Monrovia, the capital of Liberia. And she joins us now with the latest. And first, Nurith, what's known about what's happening in Congo?

NURITH AIZENMAN, BYLINE: Well, as you said, Robert, there are these confirmed death. And Congolese officials say they suspect more have died and there are many more infected with Ebola. This is in a remote northwestern region of that country. They sent out samples and two have come back positive for Ebola. But it's important to stress that the strain of Ebola identified in Congo is not the same one that's causing the epidemic in West Africa. It doesn't appear that it was brought in from West Africa. It's a different strain that seems to have popped up in Congo of its own accord. And while that may sound alarming, it is useful to understand that that is the region where Ebola first originated in the 1970s. The virus has emerged there six more times since and unlike West Africa, we're not talking about an area where people are constantly streaming in and out. Congolese officials also have experience dealing with Ebola. And each time it's reared its head there, they have managed to quash it before it could get out of the area. So there is reason to hope that this Congo outbreak can be contained more quickly and more easily than the one in West Africa.

SIEGEL: Well, turning to West Africa, there have been some high-level visitors to the region in the last couple of days - officials of the United Nations, also the head of the U.S. Centers for Disease Control and Prevention. What seems to be coming off these visits?

AIZENMAN: Yes. There's certainly signs of a ramp-up in the international response. Today, the U.N.'s recently appointed coordinator for Ebola and a top official of the World Health Organization were in Sierra Leone, another country affected by the outbreak. And just a few days ago they were in Monrovia, Liberia, where I am. And also here Monrovia right now is Dr. Tom Frieden, the director of the CDC. He's here through Wednesday. I spoke with him just now and he said he's come because he wants to see firsthand what the needs are, what the U.S. and other countries can be providing. And WHO officials are already promising to add 500 beds to care centers for people with Ebola in Liberia over the next six weeks. And that's because right now the number of available beds for Ebola patients is totally outstripped by the demand. And those care centers are absolutely key, partly because if somebody can get supportive care, their chances of surviving are much higher, but just as importantly because until people see that there's somewhere they can go if they're sick, it's going to be hard to convince them to come forward and remove themselves from their homes and communities, which is what really it's going to take to reduce the chance that they'll infect others.

SIEGEL: Now, there is word today that a Liberian doctor who was infected and who was given the experimental treatment serum ZMapp has died. Is that right?

AIZENMAN: Yes. And on top of that, a British doctor working in a government-run Ebola care center in Sierra Leone has tested positive. He's been evacuated to the U.K. And then another health worker from Senegal who was working at a different facility in Sierra Leone now has Ebola. He was employed by the World Health Organization. They're working on getting him to another country for care.

SIEGEL: Now, Nurith, last week, you described for us the riot that you witnessed in Monrovia's West Point neighborhood after the government imposed a quarantine there. I understand the quarantine is still in place. Are residents of West Point still upset about it?

AIZENMAN: Yes, but things are calmer. The government has started to make deliveries of food and water and other supplies, though certainly not on the scale required to feed the tens of thousands of people who live there. Earlier today, Liberia's president, Ellen Johnson Sirleaf, visited West Point for just half an hour, that's the neighborhood. She walked through the main street. She spoke to several people. Her staff handed out packets of cash to them. She also stopped to speak with a mother of a teenage boy who was shot by security forces during the riot. He died shortly thereafter. And we called this mother later today and she said that President Sirleaf had told her that she was sorry for what happened and the mother said she felt the shooting was unintentional and that she appreciated the president coming to her. She said I felt proud, a poor woman like me for the president to talk to me.

SIEGEL: That's NPR's Nurith Aizenman speaking to us from Monrovia, Liberia. Nurith, thank you.

AIZENMAN: You're welcome.

Copyright © 2014 NPR. All rights reserved. No quotes from the materials contained herein may be used in any media without attribution to NPR. This transcript is provided for personal, noncommercial use only, pursuant to our Terms of Use. Any other use requires NPR's prior permission. Visit our permissions page for further information.

NPR transcripts are created on a rush deadline by a contractor for NPR, and accuracy and availability may vary. This text may not be in its final form and may be updated or revised in the future. Please be aware that the authoritative record of NPR's programming is the audio.

http://www.npr.org/2014/08/25/343172439 ... c-of-congo

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PostPosted: Tue Aug 26, 2014 11:22 pm 
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Ebola outbreak in DRC: same virus, but different
New cases of Ebola in the Democratic Republic of the Congo are raising fears that the virus will spread further across Africa. Yet the variety found in Central Africa might be of a different kind.
Ebola Virus
The Ebola River is a small stream running through the forests of the Equateur province in the northwest of the Democratic Republic of the Congo. It is in this region that the deadly disease was first recognized by Belgian scientists, who named the worm-looking virus after the river in 1976. Now, the virus has once again returned to the Equateur province with two confirmed cases of people who died from Ebola.
"In this region especially, the Ebola virus is circulating and has caused some smaller and larger outbreaks in the past", says Dr. Schmidt-Chanasit, head of the viral diagnostic unit at Hamburg's Bernhard-Nocht-Institute. "So this outbreak, most probably, is not associated with the outbreak in West Africa."
Less deadly
Jonas Schmidt-Chanasit
Jonas Schmidt-Chanasit is an expert in virology
Almost 1,500 people have died so far in Liberia, Sierra Leone, Guinea and Nigeria in what has become the deadliest outbreak of Ebola in history. Yet the virus that has now caused an outbreak in the Democratic Republic of the Congo differs substantially from the one in Western Africa.
"Case fatality rate is much lower when we compare this to West Africa - it's around 20 percent," says Schmidt-Chansit. "So it might be possible that this is a different strain of the Ebola virus that is less pathogenic."
Some Ebola strains are even harmless for humans and will only cause disease in monkeys. The so-called Reston virus is such a mutation of Ebola. It has been found in China and the Philippines. The current strain that is wreaking havoc across West Africa, on the other hand, has a case fatality rate of up to 90 percent.
25.08.2014 DW online Ebola-Fälle in West- und Zentralafrika ENG
The Ebola disease has killed nearly 1,500 in West Africa
Confidence in Kinshasa
It might take another one or two days until laboratories have identified the exact strain of the virus that caused the two deaths in the Equateur province in northern Congo. The newest outbreak of Ebola would be the seventh recorded so far for the Democratic Republic of the Congo.
It is the country's history of Ebola outbreaks that makes Felix Kabange Numbi, health minister of the Democratic Republic of the Congo, confident.
"The experience we have gathered during the last six Ebola outbreaks will be helping us contain this disease now," he said in a televised speech on Sunday.
Numbi announced a multitude of measures to counter the outbreak, listing protective equipment for all medical personnel as a top priority. Moreover, he said his government would make sure "all burials are securely done for those confirmed cases, but also those unexplained deaths in the communities."
Experts needed at home
A virus scan in a laboratory in Hamburg
Laboratory tests are needed in order to identify the virus strain
A country plagued by ongoing armed conflicts and a continual fight over natural resources, the Democratic Republic of Congo might be a place where one would suspect the disease to spread quickly - ever more so since it is a country the size of Western Europe with little developed infrastructure, be it roads of hospitals.
Yet this might not be fueling the disease, says Schmidt-Chanasit. Authorities have already imposed quarantine around the affected area in Jera in the Équateur province. "They are very well prepared. They know how to isolate the patients."
He adds that the outbreak occurred in a remote region, "So there is no chance that this outbreak will come into a capital like Kinshasa, because it is hundreds of kilometers away."
Just last week, Health Minister Numbi announced plans to send experts from Kinshasa to West Africa in order to help quell the Ebola epidemic there.
Now, it looks as if the Democratic Republic of the Congo will first have to deal with its own outbreak of the disease.

http://www.dw.de/ebola-outbreak-in-drc- ... a-17875656

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PostPosted: Tue Aug 26, 2014 11:36 pm 
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CONGO OUTBREAK

With its resources stretched by the West African outbreak, medical charity Medicins Sans Frontieres (MSF) said on Tuesday it could provide only limited help to tackle Congo's outbreak.

A report from the U.N. mission in Congo on Tuesday said 13 people there had died from Ebola, including five health workers.

Congo said on Sunday it would quarantine the area around the town of Djera, in the isolated northwestern jungle province of Equateur, where a high number of suspected cases has been reported. It is Congo's seventh outbreak since Ebola was discovered in 1976 in Equateur, near the Ebola river.

Congo's Health Minister Felix Kabange Numbi said on Sunday the outbreak in Equateur was a different strain of the virus from the deadly Zaire version in West Africa, although further tests are planned in a German laboratory.

"Usually, we would be able to mobilise specialist hemorrhagic fever teams, but we are currently responding to a massive epidemic in West Africa," said Jeroen Beijnberger, MSF medical coordinator in Congo. "This is limiting our capacity to respond to the epidemic in Equateur Province."

However, the charity said it would send doctors, nurses and logistics experts to the region and would work with the government to open an Ebola case management centre in Lokolia.

Louise Roland-Gosselin, deputy head of mission for MSF in Congo, said Congolese Ebola experts working in West Africa should return to their own country to assist with the outbreak there. "MSF can't do it alone," she said.

http://www.trust.org/item/2014082621061 ... =fiTheWire

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PostPosted: Wed Aug 27, 2014 6:20 pm 
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DRC: UN mobilized to finance the fight against Ebola
published there 3 hours, 40 minutes | Last Update August 27, 2014 at 8:38 |

John Bompengo

The UN mobilized to finance the fight against the epidemic of Ebola reported in Djera in Equateur province. The Pooled Fund, a funding mechanism managed by OCHA to meet humanitarian needs in DRC, has already spent 1.5 million USD. Last Monday, the DRC government had sought financial support from its national and international partners to contain the epidemic.

"At the United Nations system, 1 and a half million [American dollars] will come from what is called the Pooled Fund is a financing mechanism where donors put money to meet humanitarian needs DRC and c ela is managed by OCHA. That's already available, "said Wednesday, Aug. 27 Carlos Araujo, spokesman for MONUSCO.

According to the same source, the same amount is being requested from the CEFR rapid response , another funding mechanism based in New York run by UNDP and OCHA. This mechanism is designed to meet the humanitarian needs in the world.
"We have high hopes that we will have as one and a half million that side", said Carlos Araujo.

In addition, UNICEF has also paid 200,000 USD to fund the fight against Ebola in DRC. For its part, UNDP is calling for the same amount. "The call is in progress," said the spokesman for MONUSCO.

The World Bank has also promised to provide funding it has not specified the amount.
Besides the initial contingency plan valued at USD 2 500 000, the Congolese government needs to 2,000,000 USD to fight back against the Ebola epidemic. The overall plan thus requires approximately 4 500 000 USD.

6 confirmed cases of Ebola
The Minister of Health announced Thursday that the updated figures show 42 cases of hemorrhagic fever with 6 confirmed cases of Ebola, 13 probable and 23 suspect cases.
Felix Kabange Numbi says the number of deaths is still 13 dead, including five health workers.
Eleven people are segregated. Six new samples were taken outside the eight already analyzed.
Expertise of Congolese doctors
In this epidemic, the National Medical Union (SYNAMED) ensures that the Congolese doctors have the expertise to fight against Ebola.

Dr. Mankoy general secretary SYNAMED invites doctors to respect the Hippocratic oath.
It ensures that the Ebola outbreak in the DRC is often circumscribed in the area where it is declared. The country is experiencing its 7th Ebola outbreak.

https://translate.google.com/translate? ... tre-ebola/

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PostPosted: Wed Aug 27, 2014 8:17 pm 
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WHO: Dead game animal sparked DRC Ebola outbreak
Filed Under: Ebola
Robert Roos | News Editor | CIDRAP News | Aug 27, 2014

Democratic Republic of Congo's (DRC's) Ebola outbreak started with a pregnant woman who butchered a game animal, leading to a total of 24 suspected cases and 13 deaths, the World Health Organization (WHO) announced today.

The woman, other patients, and their contacts had no history of travel to West Africa or contact with people from that region, the WHO said, making it unlikely that the DRC outbreak is linked to the big Ebola virus disease (EVD) epidemic there.

"At this time, it is believed that the outbreak in DRC is unrelated to the ongoing outbreak in West Africa," the agency said.

The first case-patient in the DRC outbreak was a pregnant woman from Ikanamongo village, Equateur province, who butchered a bush animal that her husband had killed, the WHO statement said. She fell ill and reported to a private clinic in Isaka village, and on Aug 11 she died of a then-unidentified hemorrhagic fever.

As a result of local customs and rituals associated with death, several healthcare workers were exposed and got sick with similar symptoms in the following week, the agency said.

Tracking 24 suspected cases
The 24 suspected cases occurred between Jul 28 and Aug 18, the statement said. Five healthcare workers who were exposed to the pregnant woman succumbed to fatal illnesses: a doctor and two nurses who were involved in surgery on the woman, plus a hygienist and a ward boy.

Others who died were relatives who tended to the index patient, people who had contact with the clinic staff, and those who handled the bodies of other victims during funerals, the WHO said.

The 24 suspected cases and 13 deaths reported by the WHO match up with numbers given by DRC Health Minister Felix Kabange Numbi on Aug 24, as reported by the media.

The WHO said samples have been sent to laboratories in Kinshasa (the DRC capital) and Gabon to confirm EVD and identify the strain, and results were still being awaited.

The 11 surviving patients were being treated in isolation centers, the agency reported. Meanwhile, the DRC has sent field teams to the area to evaluate the situation, and 80 contacts of the sick and deceased are being monitored.

A WHO rapid response team is ready to deploy and help the DRC if needed, the statement said.

The agency did not mention anything about earlier reports of 70 deaths in the outbreak area, the Boende region. Last week the WHO said those deaths were caused by hemorrhagic gastroenteritis unrelated to Ebola, but on Aug 24 WHO spokesman Gregory Hartl said that that conclusion had been based on premature information and that samples had tested positive for Ebola in a DRC lab.

$1.5 million in UN aid
Today the United Nations mission in the DRC said the UN has allocated $1.5 million to help the country fight the outbreak, according to an Agence France-Presse (AFP) report. The amount, which comes from a fund for humanitarian needs, could double in the near future, the story said.

The current outbreak is the seventh in the DRC since EVD was discovered there in 1976.

See also:

Aug 27 WHO statement

Related Aug 25 CIDRAP News story

Aug 27 AFP story
http://www.cidrap.umn.edu/news-perspect ... a-outbreak

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