Ebola – Democratic Republic of the Congo

Ebola – Democratic Republic of the Congo
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15: Situation report on the Ebola outbreak in North Kivu
13 November 2018
[Excerpts]
Case management
ETCs continue to provide therapeutics under the monitored emergency use of unregistered and experimental interventions (MEURI) protocol, in collaboration with the MoH and the Institut National de Recherche Biomédicale (INRB) together with supportive care measures. WHO is providing technical clinical expertise on-site and is assisting with the creation of a data safety management board.
New patients continue to be treated in ETCs. As of 11 November 2018, 145 patients have been treated with a therapeutic under the MEURI framework after evaluation by clinical expert committee. All hospitalized patients received food and psychological support…

Implementation of ring vaccination protocol
As of 10 November 2018, 424 new contacts were vaccinated in 13 rings in affected health zones, bringing the cumulative number of people vaccinated to 28,727. Two new vaccination teams were trained in Butembo, with support from Médecins Sans Frontières, and vaccination teams were supervised in Beni, Vuhovi, Mutwanga, Kalunguta and Kyondo. The current stock of vaccine in Beni is 5870 doses.
Preparedness activities for vaccination and therapeutic readiness continue in four high risk neighbouring countries, including arrangement of the necessary supplies, human resources and regulatory approvals. Plans are in place to initiate health worker vaccination activities in Uganda at six priority health facilities starting 8 November 2018…

Conclusion
The EVD outbreak continues to be of grave concern: over the past two weeks the disease has spread to three new health zones around Beni and Butembo, and the number of confirmed cases is increasing. Among the persons affected by the EVD outbreak are pregnant and breastfeeding women, newborn and infants. The response, particularly the case management, is being adapted to these vulnerable groups of the population…

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DONs Ebola virus disease – Democratic Republic of the Congo
15 November 2018
[Excerpt]
WHO risk assessment
…This outbreak of EVD is affecting north-eastern provinces of the country, which border Uganda, Rwanda and South Sudan. Potential risk factors for transmission of EVD at the national and regional levels include: transportation links between the affected areas, the rest of the country, and neighbouring countries; the internal displacement of populations; and the displacement of Congolese refugees to neighbouring countries. The country is concurrently experiencing other epidemics (e.g. cholera, vaccine-derived poliomyelitis, malaria), and a long-term humanitarian crisis. Additionally, the security situation in North Kivu and Ituri at times limits the implementation of response activities. WHO’s risk assessment for the outbreak is currently very high at the national and regional levels; the global risk level remains low. WHO continues to advise against any restriction of travel to, and trade with, the Democratic Republic of the Congo…