In the past week, from 28 October to 3 November 2019, 10 new confirmed Ebola virus disease (EVD) cases were
reported from five health zones in two affected provinces in the Democratic Republic of the Congo. Though the
number of new confirmed EVD cases reported is lower this week, compared to the 20 cases reported last week,
security issues and poor access continue to slow response activities in certain health zones. This can prevent the
detection of cases in these hard to reach areas.
Depuis le début de l’épidémie, le cumul des cas est de 3.272, dont 3.156 confirmés et 117 probables. Au total, il y a eu 2.183 décès (2067 confirmés et 117 probables) et 1052 personnes guéries.
434 cas suspects en cours d’investigation ;
1 nouveau cas confirmé au Nord-Kivu à Mabalako ;
1 nouveau décès confirmé au CTE au Nord-Kivu à Mabalako ;
Aucune personne guérie n’est sortie des CTE ;
Aucun agent de santé ne figure parmi les nouveaux cas confirmés. Le cumul des cas confirmés/probables parmi les agents de santé est de 161 (5 % de l’ensemble des cas confirmés/probables), dont 41 décès ;
Poursuite de recherche de la patiente confirmée le 23 octobre 2019 à Mandima en Ituri et en fuite dans la communauté.
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.
During this reporting week, a total of 7,150 entrants were surveyed. Of these,
62.8% were South Sudanese nationals; 28.6% were from Uganda; 3.9% from Kenya; 2.4% from Democratic Republic of Congo; and a further 2.3% were from other countries. Entrants’ origin information is self-reported.
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.
UNICEF trained 211 parents, 11 caregivers and 15 partner organisation staff members on EVD prevention in ECD centres, including on child-sensitive discourse on EVD in families.
• Key health officials in 15 districts were trained and equipped to conduct infection prevention and control activities for Ebola.