Ebola – DRC+
Public Health Emergency of International Concern (PHEIC)
Ebola Outbreak in DRC 89: 21 April 2020
Situation Update WHO Health Emergencies Programme Page 2
From 13 to 19 April 2020, four new confirmed cases of Ebola virus disease (EVD) were reported in the Democratic Republic of the Congo, all from Beni Health Zone in North Kivu Province. Three out of four cases were registered as contacts, though none were regularly followed by the response team because of insecurity and ongoing challenges with community reticence.
In total, six cases have been reported since 10 April, four of whom have passed away. Currently there is one confirmed case receiving care at an Ebola treatment centre and one who remains in the community; response teams are engaging with the community in order to address this.
Prior to the emergence of this cluster in Beni, the last person confirmed to have EVD tested negative twice and was discharged from a treatment centre on 3 March 2020…
…An urgent injection of US$ 20 million is required to ensure that response teams have the capacity to maintain the appropriate level of operations through to the beginning of May 2020.
The new confirmed cases identified 40 days after the last person tested negative and was discharged from care are not unexpected. The WHO recommended criteria for declaring the end of the EVD outbreak includes a 42-day waiting period because undetected chains of transmission or new flare-ups may arise. Findings from the genetic sequencing analysis will be critical to inform the investigation of the source of infection of the new cases and to help detect any missed cases in the chain of transmission that led to the current cluster in Beni Health Zone. It is essential to remain vigilant and maintain appropriate levels of surveillance to rapidly detect and respond to relapse, re-introduction or new emergence events, to implement effective control measures, as well as continue to engage community leaders to address or mitigate community mistrust in affected areas.