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PostPosted: Tue Aug 26, 2014 9:50 am 
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MSF cites four lab confirmed Ebola cases in DRC.

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PostPosted: Tue Aug 26, 2014 9:52 am 
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26.08.2014
Médecins Sans Frontières/Doctors Without Borders (MSF) has launched a response to the confirmed Ebola viral hemorrhagic fever outbreak in Equateur Province, Democratic Republic of Congo (DRC). The medical organisation, present in DRC for more than 30 years, is sending doctors, nurses, logistics experts and hygiene specialists to the epicenter of this outbreak.

“We received confirmation on Sunday that four of the samples our team took last week have tested positive for Ebola virus,” says Jeroen Beijnberger, MSF Medical Coordinator in DRC.

Quick response

“We are responding fast to try to isolate the suspect and confirmed patients and to start the work of contact tracing.”

Working with the Congolese Ministry of Health, MSF is setting up an Ebola management centre in Lokolia, the area most affected by the outbreak in the Boende health zone.

“Our key objective for now is to do all we can to stop the outbreak spreading and to protect other people from catching the virus,” says Beijnberger.

No link with the Ebola outbreak in West Africa has been established, although that cannot be categorically discounted.

“For now, we consider this outbreak as an unfortunate coincidence,” says Beijnberger.

“We are trying to confirm the origin of the outbreak, but at this time nothing points to a direct link with the epidemic in Guinea, Liberia and Sierra Leone.”

First phase of response

In the first phase of response to a new hemorrhagic fever outbreak, protection of patients and health workers is the top priority.

Good coordination is also required to ensure that all levels of leadership - from the highest government levels to the local community leaders and village chiefs – pass accurate and constructive information to the population, that burial teams are organised with proper infection control measures, and that contact tracing and epidemiological monitoring are done swiftly and efficiently to avoid the spread of the outbreak.

“Usually we would be able to mobilise specialist hemorrhagic fever teams, but we are currently responding to a massive epidemic in West Africa,” says Beijnberger.

“This is limiting our capacity to respond to the epidemic in Equateur Province. We need other organisations to step up and joint the efforts to support the Ministry of Health: we will not be able to do this one alone.”

http://www.msf.org.uk/article/democrati ... -confirmed

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PostPosted: Tue Aug 26, 2014 10:34 am 
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MSF Sending Ebola Specialists and Supplies to DRC

August 26, 2014
KINSHASA — Doctors Without Borders/Médecins Sans Frontières (MSF) has launched a response to the confirmed Ebola viral hemorrhagic fever outbreak in Equateur Province, Democratic Republic of Congo (DRC). The medical organization, present in DRC for more than 30 years, is sending doctors, nurses, logistics experts, and hygiene specialists to the epicenter of this outbreak.

“We received confirmation on Sunday that four of the samples our team took last week have tested positive for Ebola virus,” says Jeroen Beijnberger, MSF Medical Coordinator in DRC. “We are responding fast to try to isolate the suspected and confirmed patients and to start the work of contact tracing.”

Working with the Congolese Ministry of Health, MSF is setting up an Ebola management center in Lokolia, the area most affected by the outbreak in the Boende health zone. “Our key objective for now is to do all we can to stop the outbreak spreading and to protect other people from catching the virus,” says Beijnberger.

No link with the Ebola outbreak in West Africa has been established, although that cannot be categorically discounted. “For now, we consider this outbreak as an unfortunate coincidence,” says Beijnberger. “We are trying to confirm the origin of the outbreak, but at this time nothing points to a direct link with the epidemic in Guinea, Liberia, and Sierra Leone.”

In the first phase of response to a new hemorrhagic fever outbreak, protection of patients and health workers is the top priority. Good coordination is also required to ensure that all levels of leadership—from the highest government levels to the local community leaders and village chiefs—pass accurate and constructive information to the population, that burial teams are organized with proper infection control measures, and that contact tracing and epidemiological monitoring are done swiftly and efficiently to avoid the spread of the outbreak.

“Usually, we would be able to mobilize specialist hemorrhagic fever teams, but we are currently responding to a massive epidemic in West Africa,” says Beijnberger. “This is limiting our capacity to respond to the epidemic in Equateur Province. We need other organizations to step up and joint the efforts to support the Ministry of Health. We will not be able to do this one alone.”

http://www.doctorswithoutborders.org/ne ... Updates%29

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PostPosted: Tue Aug 26, 2014 10:40 am 
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KINSHASA, Dem. Rep. of Congo (DRC) August 26, 2014/African Press Organization (APO)/ -- Médecins Sans Frontières (MSF) has launched a response to the confirmed Ebola viral hemorrhagic fever outbreak in Equateur Province, Democratic Republic of Congo (DRC). The medical organization, present in DRC for more than thirty years, is sending doctors, nurses, logistics experts and hygiene specialists to the epicenter of this outbreak.

“We received confirmation on Sunday that four of the samples our team took last week have tested positive for Ebola virus,” says Jeroen Beijnberger, MSF Medical Coordinator in DRC. “We are responding fast to try to isolate the suspect and confirmed patients and to start the work of contact tracing.”

Working with the Congolese Ministry of Health, MSF is setting up an Ebola management centre in Lokolia, the area most affected by the outbreak in the Boende health zone. “Our key objective for now is to do all we can to stop the outbreak spreading and to protect other people from catching the virus,” says Beijnberger.

No link with the Ebola outbreak in West Africa has been established, although that cannot be categorically discounted. “For now, we consider this outbreak as an unfortunate coincidence,” says Beijnberger. “We are trying to confirm the origin of the outbreak, but at this time nothing points to a direct link with the epidemic in Guinea, Liberia and Sierra Leone.”

In the first phase of response to a new hemorrhagic fever outbreak, protection of patients and health workers is the top priority. Good coordination is also required to ensure that all levels of leadership - from the highest government levels to the local community leaders and village chiefs – pass accurate and constructive information to the population, that burial teams are organised with proper infection control measures, and that contact tracing and epidemiological monitoring are done swiftly and efficiently to avoid the spread of the outbreak.

“Usually we would be able to mobilise specialist hemorrhagic fever teams, but we are currently responding to a massive epidemic in West Africa,” says Beijnberger. “This is limiting our capacity to respond to the epidemic in Equateur Province. We need other organisations to step up and joint the efforts to support the Ministry of Health: we will not be able to do this one alone.”

http://www.modernghana.com/news/565751/ ... -repu.html

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PostPosted: Tue Aug 26, 2014 10:44 am 
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Congo declared an Ebola outbreak on Sunday and announced plans to quarantine the area around the town of Djera where a high number of suspected cases has been reported. It is Congo’s seventh outbreak since the deadly haemorrhagic fever was discovered in 1976 in the same isolated north-western jungle province, Equateur.
MSF said that four of its samples had tested positive for the virus, without specifying whether these were in addition to two cases already confirmed by the government at the weekend.
“Usually, we would be able to mobilise specialist haemorrhagic 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.”
The charity will nevertheless send doctors, nurses and logistics experts to the region and will work with the government to open an Ebola case management centre in Lokolia.
MSF said that the timing of the Congo outbreak was likely an “unfortunate coincidence”, although it did not entirely discount a link with the outbreak currently raging in West Africa that has already killed at least 1,427 people, reports Reuters.
Congo’s Health Minister Felix Kabange Numbi said on Sunday that the outbreak in Equateur was a different strain of the virus from the deadly Zaire version detected in Sierra Leone, Liberia, Guinea and Nigeria.
The World Health Organization, which also plans to send protective equipment to protect medical staff from the highly contagious virus, initially said that an outbreak of haemorrhagic gastroenteritis had killed at least 70 people.
A WHO spokesman said on Monday that several illnesses are thought to exist in the area including malaria, and shigellosis, an intestinal disease.

http://newtelegraphonline.com/msf-can-o ... -outbreak/

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PostPosted: Tue Aug 26, 2014 10:49 am 
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(Reuters) - Medicins Sans Frontieres (MSF), the leading organization in fighting Ebola, said on Tuesday it could provide only limited support to tackle a new outbreak in Democratic Republic of Congo as it was already overstretched by the worst ever epidemic.

Congo declared an Ebola outbreak on Sunday and announced plans to quarantine the area around the town of Djera where a high number of suspected cases has been reported. It is Congo's seventh outbreak since the deadly hemorrhagic fever was discovered in 1976 in the same isolated northwestern jungle province, Equateur.

MSF said that four of its samples had tested positive for the virus, without specifying whether these were in addition to two cases already confirmed by the government at the weekend.


"Usually, we would be able to mobilize 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."

The charity will nevertheless send doctors, nurses and logistics experts to the region and will work with the government to open an Ebola case management center in Lokolia.

MSF said that the timing of the Congo outbreak was likely an "unfortunate coincidence", although it did not entirely discount a link with the outbreak currently raging in West Africa that has already killed at least 1,427 people.

Congo's Health Minister Felix Kabange Numbi said on Sunday that the outbreak in Equateur was a different strain of the virus from the deadly Zaire version detected in Sierra Leone, Liberia, Guinea and Nigeria.

The World Health Organization, which also plans to send protective equipment to protect medical staff from the highly contagious virus, initially said that an outbreak of hemorrhagic gastroenteritis had killed at least 70 people.

A WHO spokesman said on Monday that several illnesses are thought to exist in the area including malaria, and shigellosis, an intestinal disease.

(Reporting by Media Coulibaly and Emma Farge; Editing by Daniel Flynn)

http://uk.reuters.com/article/2014/08/2 ... 7920140826

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PostPosted: Tue Aug 26, 2014 4:22 pm 
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POINT OF INFORMATION ON THE DISEASE IN ECUADOR EBOLA (DRC)
No. 2
August 25, 2014
1 Location of the disease
 Declaration of the epidemic by the Minister of Public Health August 24, 2014
 13 people died of the disease (CFR 54%), including five health workers, about 24 cases
suspects (16 women and 8 men)
 11 people segregated
 24 cases (16 women and 8 men) of Ebola virus disease outbreak in the area of health
Boende, from July 28 to August 18, 2014
 80 contacts identified for monitoring
 4 positive samples from eight after a second analysis INRB
 565 suspected cases investigated with gastroenteritis, diarrhea and vomiting.
 Index case identified Ikanamongo (100 km Boende): a woman who died on August 11 after
consuming bushmeat hunted by her husband and that has contaminated your doctor and
husband.
 yet unidentified strain between Zaire and Sudan. Awaiting the results from the
laboratory in Franceville (Gabon).
 No link between the epidemic of West Africa, given the remoteness of the area.
 7th epidemic since 1976, when the discovery of the disease in the DRC
 No cases reported in Kinshasa or Mbandaka
2 information on the disease
 Case fatality rate can reach 90%.
 Transmission to humans from wild animals and then spread in populations
by human transmission
 No vaccine or specific treatment approved, either for humans or animals.
3 Geography places
 Zone enclave, surrounded by two rivers
 four health areas involved in the health zone Boende at 1200 km from Kinshasa
4 Needs and gaps
 Partner support for various components
 Health: taking care of patients
 Food Security: Food for banned people hunting
 Water and sanitation: drinking water, hygiene awareness, chlorination
 Logistics: transport personnel, inputs and accommodation and assembly areas
isolation
 Funding contingency plan (see below)
5 Response and system set up
5.1. activities carried out
 Establishing a quarantine area of 100 km around Djera, place of origin of the disease:
travel ban for 30 000 to 40 000 people
 Sending a flight MSF cargo loaded this August 25 to Boende
 Distribution WHO PPE Kit in four health areas, the general referral hospital
Boende and Mbandaka, capital of the province
Office for the Coordination of Humanitarian Affairs of the United Nations
Losonia building, Boulevard du 30 Juin, BP 7248 Kin1, Common Gombe, Kinshasa, Democratic Republic of Congo
www.rdc-humanitaire.net
2
 Setting up a Technical and Scientific International Committee (CITS)
 Installing a mobile laboratory Boende
 Committee revived crisis
 Plan for Preparedness and Response developed (contingency) developed by the Ministry of Health
Public and partners
 Epidemiological surveillance and early warning reinforced at points of entry and throughout the country
 personal protective kits pre-positioned in all provinces (County seat)
 Prohibition of hunting throughout the entire District Tshuapa
5.2. Current Actions
 Installing a thermal laser at all airports in the country to measure the temperature of
passengers
 Installation of a mobile laboratory in the epicenter of Lokolia, about 200 km from Mbandaka
diagnose the virus in real time
 Printing posters for extension for hygiene
 Acquisition of additional inputs for the next 3 months: 25 Emergency Health Kits; 100
Additional PPE kits; Barrels 45 5 kg of chlorine; 10 sampling kits; 1000 triple
Class A packaging; Inputs laboratory
 information and population education program implementation
 Measures of hospital hygiene and infection control strengthened
 Deploying additional national experts
 Setting up a call center (with toll)
 Establishment of a focal humanitarian point coordinated by OCHA with WHO and UNICEF
6 Financing contingency plan
 USD 1.5 million from the Government of the DRC (Free)
 USD 1,500,000 million from the Pooled Fund (Free)
 USD 1.5 million CERF Rapid Response (call)
 USD 200,000 to UNICEF (Free)
 USD 200,000 UNDP (call)
 Amount to be determined by the World Bank
7 Security
 UNDSS is in discussions with WHO to take the necessary steps to
movement of UN officials.
8 Stakeholders
 Ministry of Public Health
 Ministry of Interior, Decentralization and customary Affairs
 Ministry of Social Affairs, Humanitarian Action and National Solidarity
 ECHO (PUC funding MSF)
 DFID (PUC funding MSF)
 WHO
 UNICEF
 OCHA
 MSF
 UNDP
 World Bank

http://www.rdc-humanitaire.net/attachme ... %2025%20août%202014%20-%20No.%202_26082014.pdf

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PostPosted: Tue Aug 26, 2014 4:30 pm 
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1 Introduction
The term "viral hemorrhagic fever (VHF)" defines a set of serious illnesses, sometimes associated with signs of bleeding caused by different viruses including the "Ebola virus".
Ebola hemorrhagic fever (Ebola FHV) occurs primarily in remote Central Africa and West Africa, near tropical rainforest villages. After incubation for 2 to 21 days (5 to 12 days in most cases), the disease begins with a high fever, bloody diarrhea, which may be and vomiting. Headache, hiccups, nausea and abdominal pain are common. Other symptoms may occur: conjunctival injection, dysphagia, bleeding symptoms (epistaxis, gingival bleeding, hematemesis, melena or purpura). Mortality was high and ranges between 50-90%.
The Ebola virus is transmitted by direct contact with infected body fluids such as blood, saliva, vomit, feces and perhaps sweat. Contact with contaminated equipment is associated with a risk of infection.
Diagnosis is difficult without the aid of a laboratory, but epidemiological elements must be thinking (Ebola-endemic area, high CFR adults, etc.).
There is no specific treatment. However, severe dehydration causes high mortality during an Ebola outbreak. Patients are given symptomatic treatment, taking care to maintain hydration and minimizing trauma - especially injections or parenteral interventions.
The observance of the general hygiene is the way to prevent this disease and infection control.
The first outbreak of Ebola was reported in FHV DRC Yambuku in Equateur province in 1976 Another isolated case occurred in June 1977 in a little 9 year old girl living in Tandala, a town in the DRC, located 325 km Yambuku.
In 1995, the epidemic reappeared in the town of Kikwit and surrounding areas in the province of Bandundu. It was of greater magnitude, characterized by a high mortality and prevalence because it occurs in a densely populated city where promiscuity was conducive to interpersonal contamination. Since then, several other outbreaks have plagued the health zones of Mweka (Kasai Occidental), the District of Haut-Uele (Eastern Province) and other countries of the world as shown in the table below.
http://rdc-humanitaire.net/attachments/ ... 082014.pdf

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PostPosted: Wed Aug 27, 2014 8:19 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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