ProMED Disease Outbreak Update

17 Jun 2019

By ProMED


Ebola in the DRC and Uganda, Lassa fever in Nigeria.

Information available within this Disease Outbreak Update is produced by Program for Monitoring Emerging Diseases (ProMED).

Note: Content may be edited for style and length.

 

Ebola

Location

Democratic Republic of Congo and Uganda

 

Outbreak Update

Fri 14 Jun 2019. Epidemiological situation report, DRC Ministry of Health

The epidemiological situation of the Ebola virus disease in the provinces of North Kivu and Ituri dated 13 Jun 2019:
Since the beginning of the epidemic, the cumulative number of cases is 2120, of which 2026 are confirmed and 94 are probable.
In total, there were 1420 deaths (1326 confirmed and 94 probable) and 588 people cured.
322 suspected cases under investigation;
12 new confirmed cases, including 5 in Mabalako, 3 in Biena, 2 in Kalunguta, 1 in Rwampara, and 1 in Mandima;
9 new deaths of confirmed cases: 2 community deaths in Biena; 7 deaths at CTEs, including 4 in Beni and 3 in Mabalako; and 3 new cures out of ETCs: 2 in Mabalako and 1 in Butembo.

 

Meeting of the Emergency Committee of the International Health Regulations

The meeting of the Emergency Committee for International Health Regulations, convened by the director-general of WHO, was held on Fri 14 Jun 2019. The committee concluded that the Ebola outbreak in the provinces of North Kivu and Ituri did not constitute a public health emergency of international concern, although it constitutes a health emergency for the Democratic Republic of Congo.

The committee noted that epidemiological trends are evolving positively in the Butembo and Katwa epicentres. However, the response is beginning to face challenges related to community acceptance and security in areas such as Mabalako where the epidemic has resumed recently. On the other hand, the response continues to be limited by the lack of adequate funding and limited human resources.

The committee commended the communication and collaboration between the DRC and Uganda that rapidly contained the Ebola cases that crossed the border. Uganda’s rapid response proves the importance of preparing border countries for DRC.

After lengthy discussions, the committee considered that the criteria for declaring a public health emergency of international concern were not fulfilled. The committee considered that all public health measures and recommendations needed to end the epidemic were already being implemented by WHO and the affected countries.

 

Outbreak Response

Fri 14 Jun 2019. Epidemiological situation report, DRC Ministry of Health

134 002 vaccinated persons
674 people vaccinated on 13 Jun 2019
Among those vaccinated, 36 999 are high-risk contacts (CHR), 66 814 are contacts of contacts (CC), and 30 189 are frontline providers (PPL)
Persons vaccinated by health zone: 34 071 in Katwa; 26 117 in Beni; 18 349 in Butembo; 11 691 in Mabalako; 6443 in Mandima; 4636 in Kalunguta; 3349 in Goma; 3098 in Komanda; 2973 in Musienene; 2569 in Oicha; 2381 in Masereka; 2045 to Vuhovi; 1998 to Lubero; 1980 to Kayna; 1905 to Kyondo; 1506 to Bunia; 1119 to Mutwanga; 1040 to Biena; 754 to Mangurujipa; 706 to Rwampara (Ituri); 690 to Rutshuru; 527 to Nyankunde; 494 in Alimbongo; 420 in Mambasa; 355 in Tchomia; 342 in Kirotshe; 333 in Lolwa; 250 in Mweso; 245 in Kibirizi; 161 in Nyiragongo; 97 in Watsa (Haut-Uele); and 13 in Kisangani.

65 970 951 people under control
80 entry points (PoE) and operational health checkpoints (PoC)
116 contaminated health workers
The cumulative number of confirmed/probable cases among health workers is 116 (5.5% of all confirmed/probable cases), including 38 deaths.

Following the recent outbreak of Ebola cases reported in Uganda, the African Union (AU) is collaborating with the Ministry of Health of the Republic of Uganda to mobilise support to ensure adequate response and implementation of prevention and control measures, including deployment of senior experts from the AU’s Africa Centres for Disease Control and Prevention (Africa CDC).

Africa CDC teams are also currently deployed to the Democratic Republic of Congo (DRC) and have been involved in implementing key interventions in partnership with the government and other partners. See more here.

 

See the full ProMED post here

 

Lassa fever

Location

Nigeria

 

Outbreak Update

Sun 2 Jun 2019, Nigeria Centre for Disease Control (NCDC) situation report

In the reporting Week 22 (27 May – 2 Jun 2019) 3 new confirmed cases were reported from 2 states Edo (2) and Zamfara (1) states with one new death from Zamfara state;
From 1 Jan – 2 Jun 2019, a total of 2639 suspected cases have been reported from 22 states. Of these, 581 were confirmed positive, 15 probable and 2043 negative (not a case);
Since the onset of the 2019 outbreak, there have been 130 deaths in confirmed cases. Case fatality ratio in confirmed cases is 22.4%;
22 States (Edo, Ondo, Bauchi, Nasarawa, Ebonyi, Plateau, Taraba, FCT, Adamawa, Gombe, Kaduna, Kwara, Benue, Rivers, Kogi, Enugu, Imo, Delta, Oyo, Kebbi, Cross River and Zamfara) have recorded at least one confirmed case across 83 Local Government Areas – Figure 1;
92% of all confirmed cases are from Edo (36%), Ondo (28%), Ebonyi (8%), Bauchi (7%), Taraba (7%) and Plateau (6%) states – Figure 1;
Predominant age-group affected is 21-40 years (Range: more than 1 month to 89 years, Median Age: 32 years) – Figure 6;
The male to female ratio for confirmed cases is 1.2:1 – Figure 6;
In the reporting week 22, no new health care worker was affected. A total of 18 health care workers have been infected since the onset of the outbreak in 9 States – Edo (7), Ondo (3), Ebonyi (2), Enugu (1), Rivers (1), Bauchi (1) Benue (1), Plateau (1) and Kebbi (1) with 2 deaths in Enugu and Edo States.

 

Outbreak Response

Sun 2 Jun 2019, Nigeria Centre for Disease Control (NCDC) situation report

5 patients are currently being managed at various treatment centres across the country: Irrua Specialist Teaching Hospital (ISTH) treatment Centre (3), Federal Teaching Hospital Abakaliki (1) and Federal Medical Centre, Owo (1)

A total of 7517 contacts have been identified from 21 States. Of these 498 (6.6%) are currently being followed up, 6943 (92.4%) have completed 21 days follow up, while 12 (0.2%) were lost to follow up. 126 (1.7%) symptomatic contacts have been identified, of which 64 (0.8%) have tested positive;

Outbreak emergency phase declared over based on composite indicators;
National Lassa fever multi-partner, multi-sectoral Technical Working Group (TWG) continues to coordinate response activities at all levels.

See the full ProMED post here

 

Information available within this Disease Outbreak Update is produced by Program for Monitoring Emerging Diseases (ProMED).

Note: Content may be edited for style and length.


ProMED

ProMED

The Program for Monitoring Emerging Diseases (ProMED), a program of the International Society for Infectious Diseases, is an internet-based reporting system) dedicated to rapid global dissemination of information on outbreaks of infectious diseases and acute exposures to toxins that affect human health, including those in animals and in plants grown for food or animal feed. Find out more on their website www.promedmail.org