In the week of 25 November to 1 December 2019, 10 new confirmed EVD cases were reported from two health zones in two affected provinces in the Democratic Republic of the Congo. The confirmed cases in this week came from Mabalako (50%, n=5) and Mandima (50%, n=5) Health Zones.
In the past week, violence, widespread civil unrest, and targeted attacks have severely disrupted the Ebola response and restricted access to affected communities in multiple locations.
Depuis le début de l’épidémie, le cumul des cas est de 3.296, dont 3.178 confirmés et 118 probables. Au total, il y a eu 2.197 décès (2079 confirmés et 118 probables) et 1074 personnes guéries.
• 544 cas suspects en cours d’investigation ;
• Aucun nouveau cas confirmé ;
• 1 nouveau décès de cas confirmés, dont :
o Aucun nouveau décès communautaire n’a été enregistré ;
o 1 nouveau décès des cas confirmés dans le CTE au Nord-Kivu à Beni ;
• 4 personnes guéries sorties du CTE au Nord-Kivu à Mabalako ;
• Aucun agent de santé ne figure parmi les nouveaux cas confirmés. Le cumul des cas confirmés/probables parmi les agents de santé est de 163 (5 % de l’ensemble des cas confirmés/probables), dont 41 décès
Over the last three months, there has been a steady decrease in the incidence of confirmed Ebola Virus Disease (EVD) cases in Democratic Republic of the Congo (DRC). In the week of 11 to 17 November 2019, nine new confirmed EVD cases were reported from three health zones in two affected provinces, compared to 126 cases reported at the peak of the epidemic in the last week of April 2019. No cases were reported from both Mandima and Mambasa health zones. After over 30 days with no new cases, Oicha Health Zone reported a new confirmed community death with links to Kalunguta, Oicha and Mandima health zones. Following initial resistance from family members and the community, a multidisciplinary team has now commenced investigations around this case. So far, the source of exposure is yet to be identified. All other cases reported in Beni and Mabalako health zones in the past week have been linked to known chains of transmission.
The ongoing Ebola virus disease (EVD) outbreak in North Kivu and Ituri provinces saw a stabilization in the number of new cases this past week, with 19 confirmed cases reported in the past week (23-29 Oct 2019), essentially equivalent to the 20 confirmed cases the week before. The majority (63%) of newly confirmed cases link back to chains of transmission in Biakato Mine Health Area, Mandima Health Zone, including a further 3 cases detected outside of Mandima in individuals who recently travelled from Biakato.
Onward local transmission has been observed in a limited number of towns and villages within family/social networks or health centers where cases visited prior to their detection and admission to treatment. In Mabalako, 7 new cases were reported, of which 2 were linked to Biakato, 2 reported local family contact, and 2 were contacts within local health facilities, suggesting possible nosocomial exposure; investigations are ongoing for the remaining case. In Mambasa Health Zone, one additional case was reported, linked to a large cluster of cases. In Butembo, after over 21 days with no cases, 2 were reported this week. Both were residents of Kalunguta Health Zone where they were likely exposed. Thus far, there is no evidence of onward transmission in Butembo; nonetheless, these events demonstrate the high risks of reintroduction and resurgence in previously cleared health zones.
In the 21 days from 7 to 27 October 2019, the number of affected health areas has remained the same, with 16 health areas and nine health zones reporting cases (Table 1, Figure 3). During this period, a total of 56 confirmed cases were reported, with the majority coming from the health zones of Mandima (54%; n=30 cases) and Mabalako (18%; n=10 cases).
As of 27 October 2019, a total of 3264 EVD cases were reported, including 3147 confirmed and 117 probable cases, of which 2181 cases died (overall case fatality ratio 67%). Of the total confirmed and probable cases, 56% (1838) were female, 28% (926) were children aged less than 18 years, and 5% (163) were healthcare workers.