the Congo Ebola virus disease

Ebola virus disease

Democratic Republic of the Congo

the Congo Ebola virus disease  

Emergencies preparedness, response

Ebola disease affects a country

Reduction of biological risks

Disease Ebola virus - Democratic Republic of the Congo

On May 25, 2017, WHO reported a group of undiagnosed illnesses and deaths, including symptoms of bleeding in the Likati health province of Bas-Uélé, northern Democratic Republic of Congo (DRC). Since April 22, nine cases have been reported, including three deaths. Six cases are currently hospitalized.

On May 11, 2017, the Ministry of Health of the Democratic Republic of the Congo informed the WHO of the samples collected five suspected cases, a positive effect demonstrated by RT-PCR for the Ebola Zaire virus subtype at the Institute National Biomedical research (INRB) of Kinshasa. Test additional samples and results are expected, including sequencing, to describe the epidemic.

On May 10, 2017 a multidisciplinary team led by the Ministry of Health and supported by WHO and its partners has been deployed in the field and is expected to reach the 12th or 13th May 2017 touchdown for the deep area research area.

The investigation is ongoing and we have only three suspect cases: the first case (and possibly the index case), a 39-year-old man presented symptoms on 22 April 2017 and died to reach the Health institutions. He presented hematuria, epistaxis, bloody diarrhea and hematemesis. They investigate two contacts of this case: a person who took care of him during transport to the health center (has since developed similar symptoms) and a motorcycle taxi driver (deceased) who transported the patient to the health center .

Personal protective equipment (PPE) for health workers sent on 12 May 2017 to Kisangani. They prepare extra kits and send them as soon as they are available.

Context and epidemiological situation

On 20 November 2014, according to WHO recommendations, the Ministry of Health of the Democratic Republic of Congo and WHO declared an end to the EVD epidemic that began on 24 August 2014 and resulted in a Total of 38 laboratory-confirmed cases and 28 probable cases in the province. This was the beginning of the seventh EVD since its discovery in 1976 in the Democratic Republic of Congo.

2014: 66 cases of EVD including 49 deaths originally diagnosed in the Equateur province (Watsi Kengo, Lokolia, Boende Boende and muke).

2012: 36 cases including 13 deaths in Orientale - Isiro province (Bundibugyo virus).

2008-2009: 32 cases including 15 deaths in Kasai-Occidental (Zaire virus).

2007: 264 cases including 187 deaths in Kasai-Occidental (Zaire virus).

1995: 315 cases and 250 deaths were recorded in Kikwit and its surroundings.

1977: 1 case (Zaire virus).

1976: 318 cases including 280 deaths in Yambuku (Zaire virus).

There are five identified subtypes of the Ebola virus. Are named after the subtypes of where they first detected. Three of the five subtypes have been associated with outbreaks of Ebola haemorrhagic fever (EHF) in Africa. Ebola-Zaire, Ebola-Sudan and Ebola-Bundibugyo. Is a febrile hemorrhagic fever that causes death in 25-90% of cases.

Public Health Response

Have implemented the following public health intervention measures:

The national committee against viral haemorrhagic fever has been reactivated and will continue to meet every day to coordinate the response.

The strengthening of surveillance and research, including the search for contacts, is ongoing.

WHO will provide technical and support assistance. At present, the deployment of an additional multidisciplinary WHO team in the Democratic Republic of Congo supports the response of national authorities.

It has enabled the Global Alerting and Response Network (GOARN) to provide additional support where necessary.

He discusses the need and feasibility of possible Ebola ring vaccination.

WHO Risk Assessment

To date, the epidemic has been reported in a remote and difficult to reach region and appears to be geographically quite limited. However, surveys are under way to assess the extent of the epidemic and must therefore remain vigilant.

WHO does not recommend restrictions on trade and travel to the Democratic Republic of the Congo on the basis of information currently available.