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Ebola virus disease – Democratic Republic of Congo - WHO
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Author:  niman [ Wed Aug 27, 2014 9:39 am ]
Post subject:  Ebola virus disease – Democratic Republic of Congo - WHO

WHO has issued an Ebola update on DRC.

http://www.afro.who.int/en/clusters-a-p ... e-drc.html

Author:  niman [ Wed Aug 27, 2014 9:39 am ]
Post subject:  Re: Ebola virus disease – Democratic Republic of Congo - WHO

Ebola virus disease – Democratic Republic of Congo

26 August 2014

Epidemiology and surveillance

On 26 August 2014, the Ministry of Health, Democratic Republic of the Congo (DRC) notified the World Health Organization (WHO) of an outbreak of Ebola virus disease (EVD) in Equateur Province.

The index case was a pregnant woman from Ikanamongo Village who butchered a bush animal that had been killed and given to her by her husband. She became ill with symptoms of EVD and reported to a private clinic in Isaka Village. On 11 August 2014, she died of a then-unidentified haemorrhagic fever. Local customs and rituals associated with death meant that several health-care workers were exposed and presented with similar symptoms in the following week.

Between 28 July and 18 August 2014, a total of 24 suspected cases of haemorrhagic fever, including 13 deaths, have been identified. Human-to-human transmission has been established and includes the health-care personnel who were exposed to the deceased pregnant woman during surgery (one doctor and two nurses) in addition to the hygienist and a ward boy, all of whom developed symptoms and died. Other deaths have been recorded among the relatives who attended the index case, individuals who were in contact with the clinic staff, and those who handled the bodies of the deceased during funerals. The other 11 cases are currently being treated in isolation centres.

Samples have been sent to laboratories in Kinshasa and in Gabon for confirmation of EVD and to identify the strain. The index case and the 80 contacts have no history of travel to the EVD-affected countries in West Africa (Guinea, Liberia, Nigeria, or Sierra Leone) or history of contact with individuals from the affected areas. At this time, it is believed that the outbreak in DRC is unrelated to the ongoing outbreak in West Africa.

Health sector response

The Ministry of Health of DRC has dispatched field teams to the area to monitor and evaluate the situation. Contact tracing has begun and 80 individuals are currently being followed-up. Treatment of patients is ongoing and infection prevention and control measures are in place and are being supported by WHO with the delivery of personal protective equipment to the area.

WHO is currently monitoring the situation with the Government of DRC and awaiting confirmation of the disease strain from the laboratories. A rapid response team is poised to deploy and assist DRC, if needed. This is the seventh outbreak of EVD in the former Zaire / present DRC since 1976.

WHO does not recommend any travel or trade restrictions be applied except in cases where individuals have been confirmed or are suspected of being infected with EVD or where individuals have had contact with cases of EVD. (Contacts do not include properly-protected health-care workers and laboratory staff.) Temporary recommendations from the Emergency Committee with regard to actions to be taken by countries can be found at:

IHR Emergency Committee on Ebola outbreak in west Africa

Author:  niman [ Wed Aug 27, 2014 9:51 am ]
Post subject:  Re: Ebola virus disease – Democratic Republic of Congo - WHO

Point of information on the disease in Ecuador (DRC) No. Ebola virus. 2, August 25, 2014

from UN Office for the Coordination of Humanitarian Affairs
Published on 25 Aug 2014

Download PDF (184.73 KB)
French version

1.Disease situation

•Declaration of the epidemic by the Minister of public health on August 24, 2014


•13 people have died of disease (CFR 54%), including 5 health personnel on 24 suspected cases (16 women and 8 men)


•11 persons in isolation


•24 (16 women and 8 men) cases of Ebola virus identified in the area of health of Boende, from July 28 to August 18, 2014


•80 contacts identified for follow-up


•4 positive samples on for 8 after a second analysis to the INRB


•565 cases suspects investigated with gastroenteritis, diarrhea and vomiting.


•Case index identified in Ikanamongo (100 km from Boende): a woman died on 11 August after having consumed bushmeat hunted by her husband and has contaminated her doctor and her husband.


•Yet unidentified strain, between Zaire and Sudan. Waiting for the results from the laboratory of Franceville (Gabon).


•Aucun lien entre l'épidémie de l'Afrique de l'ouest, compte tenu de l'enclavement de la zone.


•7ème épidémie depuis 1976, date de la découverte de la maladie en RDC


•Aucun cas notifié à Kinshasa ni à Mbandaka



UN Office for the Coordination of Humanitarian Affairs:

To learn more about OCHA's activities, please visit http://unocha.org/.

http://www.microsofttranslator.com/BV.a ... uateur-rdc

Author:  niman [ Wed Aug 27, 2014 12:16 pm ]
Post subject:  Re: Ebola virus disease – Democratic Republic of Congo - WHO

From: <WorldHealthOrganizationNews@who.int>
Date: August 27, 2014 at 11:44:43 AM EDT
To: undisclosed-recipients:;
Subject: WHO Disease Outbreak News - Ebola virus disease – Democratic Republic of Congo

Dear journalists,

Please find below the latest WHO Disease Outbreak News (DON) regarding Ebola virus disease in Democratic Republic of Congo

The DON is published here: http://www.who.int/csr/don/2014_08_27_ebola/en/

Best regards
WHO Media Team



Ebola virus disease – Democratic Republic of Congo

Disease outbreak news
27 August 2014

Epidemiology and surveillance

On 26 August 2014, the Ministry of Health, Democratic Republic of Congo (DRC) notified the World Health Organization (WHO) of an outbreak of Ebola virus disease (EVD) in Equateur Province.

The index case was a pregnant woman from Ikanamongo Village who butchered a bush animal that had been killed and given to her by her husband. She became ill with symptoms of EVD and reported to a private clinic in Isaka Village. On 11 August 2014, she died of a then-unidentified haemorrhagic fever. Local customs and rituals associated with death meant that several health-care workers were exposed and presented with similar symptoms in the following week.

Between 28 July and 18 August 2014, a total of 24 suspected cases of haemorrhagic fever, including 13 deaths, have been identified. Human-to-human transmission has been established and includes the health-care personnel who were exposed to the deceased pregnant woman during surgery (one doctor and two nurses) in addition to the hygienist and a ward boy, all of whom developed symptoms and died. Other deaths have been recorded among the relatives who attended the index case, individuals who were in contact with the clinic staff, and those who handled the bodies of the deceased during funerals. The other 11 cases are currently being treated in isolation centres.

Samples have been sent to laboratories in Kinshasa and in Gabon for confirmation of EVD and to identify the strain. The index case and the 80 contacts have no history of travel to the EVD-affected countries in West Africa (Guinea, Liberia, Nigeria, or Sierra Leone) or history of contact with individuals from the affected areas. At this time, it is believed that the outbreak in DRC is unrelated to the ongoing outbreak in west Africa.

Health sector response

The Ministry of Health of DRC has dispatched field teams to the area to monitor and evaluate the situation. Contact tracing has begun and 80 individuals are currently being followed-up. Treatment of patients is ongoing and infection prevention and control measures are in place and are being supported by WHO with the delivery of personal protective equipment to the area.

WHO is currently monitoring the situation with the Government of DRC and awaiting confirmation of the disease strain from the laboratories. A rapid response team is poised to deploy and assist DRC, if needed. This is the seventh outbreak of EVD in the former Zaire / present DRC since 1976.

WHO does not recommend any travel or trade restrictions be applied except in cases where individuals have been confirmed or are suspected of being infected with EVD or where individuals have had contact with cases of EVD. (Contacts do not include properly-protected health-care workers and laboratory staff.) Temporary recommendations from the Emergency Committee with regard to actions to be taken by countries can be found at:

http://www.who.int/entity/mediacentre/n ... index.html

Author:  niman [ Wed Aug 27, 2014 2:00 pm ]
Post subject:  Re: Ebola virus disease – Democratic Republic of Congo - WHO

ORIGINAL REPORT:

Febrile gastroenteritis with hemorrhage
Health Zone Boende (Ecuador) | The Minister of Health, together with its experts Ministry, WHO, CDC, MSF mission
investigation in the affected areas since the Wednesday, August 20, 2014.

BACKGROUND & EPIDEMIOLOGY
The Health Zone Boende, located about 300 km east of Mbandaka (County town of Ecuador) known for epidemiological week 27 an outbreak cases febrile gastroenteritis detected initially in the health area Boende Moke, south of the Central Bureau of Health Zone (BCZS).
Health Zone Boende is located in the District health of Tshuapa, in Equateur province (Northwest). It includes a total estimated population 249,558 inhabitants; the superfi cie is 10,775 km with a density of 24 inhabitants per km in 33 health areas.
The first cases were reported in the area of health Boende Moke, located 25 km from the Central Bureau of Health Zone.
The epidemic then spread to the neighboring health areas (Lokolia, Watsikengo, Mondombe Ngele, Bokoto & Ikonge).
According to information received from the health area, the first case was recorded in a private clinic located Isaka in the village, roughly 2 km from the Health Centre Watsikengo. The area health Watsikengo is itself located approximately 100 km from Boende.
The first case above was a pregnant woman who showed signs of fever, diarrhea and vomiting, melenae and hematuria. Following a post mortem caesarean section performed on the latter, similar cases have been found among the team health care, including doctor and his entourage during the week following surgery.
Between week 27 and week 30, a total of 577 cases attributed to febrile gastroenteritis have been reported with 65 deaths (rate CFR: 11.3%). Of the deaths, it is reported five health professionals (1 doctor, 4 infi rmiers) and two orderlies in Service at facilities affected.
At week 33, 15 new cases with 5 deaths were reported by the Health District Tshuapa.

INTERVENTION IN PROGRESS
Leadership & Coordination | The Minister of Public Health, conducted from August 20, 2014 a joint team of experts
MSP-WHO-CDC-MSF field for investigation and assessment of the health situation mission. The Governor ad Acting Ecuador is also part of this mission.
Laboratory | Receiving four samples Boende; these will be sent by special flight on 22 August 2014
National Institute of Biomedical Research (INRB) Kinshasa;
◊ Health Zone Boende:
Management of cases and strengthening prevention
Febrile gastroenteritis with hemorrhage in the area of health
Boende (Ecuador): the Minister of Health in Mission to Investigate field with its partners (WHO, CDC, MSF).
Fig. 1 Map of the location of the DRC with Health Zone Boende
Boende
1
February 2
For further information, please contact:
Dr. Joseph Waogodo Caboré, WHO Representative in the DRC, email: caborej@who.int
Dr. Sama Rosine, Focal Point ODM, email: samak@who.int
Dr. Vital Mondonge, DPC have, email: mondongemakumav@who.int

Media Contact:
Eugene Kabambi, Communications Officer, email: kabambie@who.int
A set of personal protection (PPE) provided by WHO to the Ministry of Health was sent on site to Boende;
Setting up a crisis committee to handle the situation under the leadership of the Ministry of Health with the support of
partners (WHO, CDC, MSF etc.)
Strengthening of epidemiological surveillance
Enhancing communication through social mobilization of local community leaders
◊ National:
Preparedness activities and response were underway since July 2014.
actions carried
• Crisis Committee revived the national level and in all provinces
• Plan for Preparedness and Response developed
• Epidemiological surveillance and early warning reinforced at points of entry and throughout the country;
• information and education of the population program being put in place
• Kits pre protection positioned in all provinces
• Structure of taking identified load for the city of Kinshasa, in particular General Hospital Kinkole
◊ Next Steps
• Dissemination of the preparedness plan for resource mobilization;
• Measures of hospital hygiene and infection control strengthened;
• Recess capacity of health workers in the management of cases and monitoring
• Supervision and monitoring of activities in provinces
2

Author:  niman [ Wed Aug 27, 2014 2:33 pm ]
Post subject:  Re: Ebola virus disease – Democratic Republic of Congo - WHO

1st Public Report

WHO - Situation Report # 01 | Case hemorrhagic gastroenteritis and febrile Boende
  Print Email Category: Status Reports Date Published Views: 108
Febrile gastroenteritis with hemorrhage in the area of health Boende (Ecuador) | The Minister of Health, together with experts from his ministry, WHO, CDC, MSF investigative missions in areas affected since Wednesday, August 20, 2014.

BACKGROUND & EPIDEMIOLOGY
The Health Zone Boende, located about 300 km east of Mbandaka (County town of Ecuador) known for epidemiological week 28 outbreak cases of gastroenteritis and hemorrhagic fever, detected initially in the health area Boende Moke, south of the Central Board of health Zone (BCZS).
Health Zone Boende is part of Health District Tshuapa, in Equateur province (northwest).
It contains an estimated 249,558 residents total population; an area of 10,775 km with a density of 24 inhabitants per km in 33 health areas.
The first cases were reported in the area of health Boende Moke, located 25 km from BCZS. The epidemic then spread to the neighboring health areas (Lokolia, Watsikengo, Mondombe Ngele, Bokoto & Ikonge).

According to information received from the health area, the first case was recorded in a private facility located in Isaka village, roughly 2 km from the Health Centre Watsikengo. The area health Watsikengo turn is located approximately 100 km from Boende.
The first case above was a pregnant woman who showed signs of fever, diarrhea and vomiting, and hematuria melenae. Following a post mortem caesarean section performed on the latter, similar cases have been found among the care team, including the physician and his entourage during the week following surgery.
Between week 28 and week 30, a total of 577 cases attributed to febrile gastroenteritis have been reported with 65 deaths (CFR 11.3%). Of the deaths, it is reported five health professionals (1 doctor, 4 nurses) and two waiters on duty at facilities affected. This reinforces the hypothesis of human transmission.
At the 33rd week (period from 11 to 17 August 2014), 15 new cases with 5 deaths were reported by the Health District Tshuapa.

http://www.rdc-humanitaire.net/index.ph ... e-a-boende

Author:  niman [ Wed Aug 27, 2014 2:44 pm ]
Post subject:  Re: Ebola virus disease – Democratic Republic of Congo - WHO

Here’s How Ebola Spread in the Democratic Republic of Congo: WHO
Alexandra Sifferlin @acsifferlin 2:27 PM ET
A suspected Ebola outbreak in the Democratic Republic of Congo may have no connection to the outbreak in West Africa

On Tuesday, the Democratic Republic of Congo reported to the World Health Organization (WHO) that the country is having an outbreak of Ebola, which appears to be separate and unrelated to the outbreak in West Africa.

According to the information given to the WHO and provided to media, here’s how it spread: The first person to contract Ebola in the Democratic Republic of Congo was a pregnant woman who butchered a bush animal given to her by her husband. She was taken to a clinic after she started displaying symptoms of Ebola virus disease and died on Aug. 11 of a hemorrhagic fever, that at the time, was not yet identified as Ebola. The woman died, and was dealt with by health care workers.

The health care workers who cared for the woman, which included one doctor, two nurses, a hygienist and a ward boy, all developed similar symptoms and died. Similar deaths were discovered among relatives of the first pregnant woman, people who were in contact with the health care workers, and people who were involved in the burial process of all the men and women who died. According to the WHO, from July 28 to August 18 there have been 24 suspected cases of the disease there, which includes 13 deaths.

Currently, samples of those infected are being tested for Ebola.

The Democratic Republic of Congo Ministry of Health is currently monitoring the situation and is undergoing contact tracing with support from WHO.

http://time.com/3195734/heres-how-ebola ... congo-who/

Author:  niman [ Wed Aug 27, 2014 3:27 pm ]
Post subject:  Re: Ebola virus disease – Democratic Republic of Congo - WHO

WHO: Dozens Monitored for Possible Ebola in DRC

August 27, 2014 2:48 PM

The World Health Organization says 80 people are now being monitored for Ebola in the Democratic Republic of Congo, where officials reported an outbreak of the disease this week.

The United Nations agency said Wednesday it was awaiting lab results to confirm that the disease was definitely Ebola.

The WHO said the outbreak began with a pregnant woman in Equateur province who fell sick with Ebola-like symptoms after butchering an animal killed by her husband.

The WHO said she died August 11 at a private clinic in the village of Isaka. Since then, the agency said, 12 people who had close contact with the woman have died, including relatives, clinic staff and those who handled the bodies of the deceased during funerals.

The agency statement said it appeared the outbreak was unrelated to the Ebola epidemic in four West African countries that has killed more than 1,400 people in recent months.

It said the deceased and their contacts have no history of traveling to or meeting any people from those countries.

Meanwhile, the U.S. Agency for International Development is providing an additional $5 million to fight the Ebola outbreak in West Africa.

The new funding will be used for health equipment, training of health care workers and support of public outreach campaigns.

USAID has now committed nearly $20 million to combat Ebola since the outbreak was first reported in March.

A shortage of protective equipment is one of the factors contributing to the epidemic.

On Wednesday, a Senegalese epidemiologist was flown to Germany after contracting the virus from an Ebola testing lab in Sierra Leone. After the infection, the WHO said Tuesday it had shut the lab in Kailahun and withdrawn its staff.

The worst affected countries are Sierra Leone, Guinea and Liberia, where the government has sealed off an entire slum in the capital, Monrovia.

In Liberia, where the highest number of deaths have been reported, some government officials are fleeing the country or just not reporting for work. The situation drove President Ellen Johnson Sirleaf on Tuesday to order all ministers to return to their duties. Liberian officials say several ministers who defied the order have been fired.

Medical aid group Doctors Without Borders said the number of cases in Liberia was rising rapidly and overstretching its staff.

The group's emergency coordinator, Lindis Hurum, said an Ebola treatment center the group opened last week was already full.

http://www.voanews.com/content/dozens-m ... 30146.html

Author:  niman [ Wed Aug 27, 2014 8:28 pm ]
Post subject:  Re: Ebola virus disease – Democratic Republic of Congo - WHO

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

Author:  niman [ Thu Aug 28, 2014 6:08 am ]
Post subject:  Re: Ebola virus disease – Democratic Republic of Congo - WHO

WHO reports Ebola deaths in DRC
Kai is a contributing correspondent for Science magazine based in Berlin, Germany.

Image
Bushmeat can spread the Ebola virus.

By Kai Kupferschmidt 27 August 2014 4:15 pm
International aid organizations, already stretched to the limit by the biggest Ebola outbreak on record, are facing a second, probably unrelated cluster of cases in the Democratic Republic of the Congo (DRC). DRC’s Ministry of Health yesterday notified the World Health Organization (WHO) of the outbreak in the north of the country. It said 13 of the 24 people suspected to have contracted Ebola have died.

“At this time, it is believed that the outbreak in DRC is unrelated to the ongoing outbreak in West Africa,” says a WHO statement issued today. None of the patients had traveled to the regions in West Africa where Ebola is now spreading or had contact with persons from those regions. Early results from a lab in DRC also indicate that the disease was not caused by Ebola-Zaire, the virus species causing the outbreak in West Africa. Since December, Ebola-Zaire has sickened at least 2615 people in Liberia, Sierra Leone, Guinea, and Nigeria and killed 1427 them. It is the biggest Ebola outbreak on record.

While that outbreak is the first in that region, the new outbreak in DRC comes in a region more used to dealing with the virus. “This is the country that has the most experience of dealing with the virus and that gives me some hope,” says Stephan Günther, a virologist at the Bernhard Nocht Institute for Tropical Medicine in Hamburg, Germany, who is currently working in a mobile lab in Nigeria. DRC (formerly Zaire) has seen seven outbreaks including the first one on record in 1976.

“It is important to understand that this outbreak has come to the attention of the government quite early and is being dealt with by a group of people who know how to control an Ebola outbreak,” says David Heymann, an epidemiologist at the London School of Hygiene & Tropical Medicine. At the same time, Heymann adds, “It’s impossible to know at this point what the country will request and what they can do on their own.”

According to WHO, the index case of the new outbreak was a pregnant woman in the Ikanamongo Village in northern DRC. She was probably infected when she butchered a bush animal given to her by her husband. Jonathan Epstein, a veterinary epidemiologist at EcoHealth Alliance in New York City, calls it “almost a classic case.” It is known that chimpanzees, bats, and other animals can carry the deadly Ebola virus, and the pathogen often spills over into the human population when people eat infected animals. The new outbreak shows “that we also need to pay attention to the broader situation,” Epstein says. “There is a need for more outreach and education.” Reducing risky behavior like eating bushmeat is an important public health goal, Heymann agrees. “It’s a sign that we need to really look seriously at how to prevent these outbreaks from occurring,” he says.

The infected woman was treated in a private clinic in Isaka Village and died on 11 August. A doctor and two nurses who treated the woman, as well as the hygienist and a ward attendant, infected themselves at the hospital and all later died. “Other deaths have been recorded among the relatives who attended the index case, individuals who were in contact with the clinic staff, and those who handled the bodies of the deceased during funerals,” the WHO statement notes. Some 80 people who have had contact with the patients are being monitored, and more contacts are being traced.

Samples from the current outbreak in DRC are being tested at a WHO collaborating center in Gabon and the results are expected later today, according to a WHO representative. Apart from Zaire ebolavirus, there are four other species of Ebolavirus: Sudan, Reston, Bundibugyo, and Taï Forest.

Of those four, Sudan is by far the most common. Reston virus infection has been documented in humans without causing illness, and the only case of Taï Forest virus infection in a human is a scientist who had conducted an autopsy on an infected chimpanzee. Sudan ebolavirus, on the other hand, has caused several outbreaks and sickened close to 800 people since it was discovered after an outbreak in Sudan in 1976. About half the patients died.

The only other Ebola virus that has caused large outbreaks is Bundibugyo ebolavirus. It was first discovered in an outbreak in Uganda that started in December 2007 and killed 37 people. Two years ago, it caused an outbreak in DRC.

Posted in Africa, Health Ebola
http://news.sciencemag.org/africa/2014/ ... deaths-drc

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