The Ebola outbreak in Congo is a public health emergency of international concern, according to the WHO



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"The time has come for the international community to show solidarity with the people of the DRC."

"The fight has been going on for a year now," committee chair Robert Steffen said Wednesday at a news conference.

This was the fourth time the committee had met to review the epidemic. During a deliberation on Friday, it was decided that the outbreak did not constitute a public health emergency of international concern.
"This emergency situation in Congo has lasted for almost a year and is a very serious emergency and has been treated as our highest emergency level since the beginning – but the difference the committee is: do we need to tell the rest of the world to start taking action, and if so, what are we going to tell them to do? "Dr. Margaret Harris, who is responsible for WHO communication for Ebola emergency in DRC, said in a video posted on Twitter before the meeting on Wednesday

"They make their decision by consensus," she said. "They will also define what this international public health emergency should be of concern to other countries, so they will have to make recommendations to the affected country, the Congo, to these countries and make recommendations to neighboring countries, the most vulnerable. will also have recommendations for the rest of the world. "

The consensus and recommendations of the committee are then presented to the Director-General of WHO, who decides whether or not to agree and adopts the decisions of the committee.

Global health emergencies are usually only announced in what the WHO calls "extraordinary" circumstances, and this is only the fifth such statement.

With its latest statement, WHO do not recommend any travel or exchange restrictions, but rather the organization released recommendations for affected countries, which include continuing to build community awareness and projections, among other actions.
Fast facts of Ebola

WHO's decision to declare a public health emergency of international concern will not significantly alter the DRC's strategy to fight the deadly epidemic, said the country's health minister, Oly Ilunga Kalenga.

"There is only one strategy for fighting the Ebola virus," Kalenga said Thursday at a press conference in Goma. "It's a series of actions around each case, we need to identify the contacts, vaccinate, disinfect and respect them, as well as respect the general hygiene rules." These measures help contain the epidemic. change is the context. "

Funding is insufficient

Committee members were disappointed by the funding delays that limited the response, according to WHO, despite the outbreak that has plagued for nearly a year and confirmed cases of Ebola. in constant expansion.

WHO field managers were disappointed by the amount of pledges that were insufficient to meet their needs – for several months.

Although serious, this epidemic has not yet received the level of global attention that the outbreak in West Africa has generated, where more than 11,000 people have died. There has also been no significant spread outside the DRC – something according to health authorities has led to a complacent form of donors.

This complacency was also compounded by the belief that an experimental vaccine would help stop this epidemic in the first weeks of the response, according to several UN officials and NGOs with whom CNN met in the field in June.

Some donor fatigue was also created because of the perception that their money was not being spent as efficiently as possible, according to a CNN report last month.

WHO is currently developing its fourth strategic plan to try to eliminate the epidemic, claiming that it will cost hundreds of millions of dollars.

This is why, in part, many public health experts have specifically called for emergency designation several months ago – in order to refocus attention and release the much needed funds.

Yet, after Wednesday's announcement, Ghebreyesus wrote in a post on Twitter that "a public health emergency of international concern is not aimed at raising funds, but preventing the spread of disease". The World Health Organization "is not aware of any donor who has withheld funds because the emergency was not declared, but if it was an excuse, it could not be used anymore" .

The humanitarian group Mercy Corps hopes that the WHO statement "will result in urgent and concrete action, including increased funding from international donors," said Laura Miller, Acting National Director of Mercy Corps for the DRC , in a written statement after the announcement of the WHO.

"Every day, women, men and children are dying of the Ebola virus and it is too easy to forget that the ever-increasing number of cases is about people," she said in part. "The WHO statement suggests that neighboring countries may react by blocking or restricting access to borders in such a way as to restrict trade, which would be devastating for the economy of the world. region and would have repercussions on the food security of a large number of people. "

More than 1600 dead

This Ebola outbreak began last summer. On the first day of the month of August 2018, the Ministry of Health of the Democratic Republic of Congo declared the outbreak of Ebola Virus Disease in North Kivu Province.
The World Health Organization has announced that 2,012 cases of Ebola and 1,676 deaths will be linked to the epidemic, starting Monday.
On Monday, the United Nations organized a high-level meeting to discuss efforts to respond to the current epidemic in Congo. The meeting is held after the confirmation of the first case of Ebola Sunday in the city of Goma, capital of the province of North Kivu and a transit hub where about 1 million people reside at the border Rwandan.
Ebola: DRC confirms first case in Goma town on the border with Rwanda

This case has raised fears that the virus will spread beyond the porous border into a still uninfected Rwanda – something that health experts are desperately trying to prevent. Health officials and humanitarian organizations are fearing the arrival of Ebola in Goma for months and are working to prepare for this eventuality, which partly explains why the case has was immediately arrested and isolated.

These readiness measures include an emergency response team who performed epidemic simulation exercises, teams from WHO that control travelers at each point of entry. and Goma exit and workers who control the city's health centers every morning to detect suspected cases, according to WHO officials.

Congolese Health Minister Kalenga said Thursday that the newly confirmed Ebola case of a person traveling to Goma was a pastor, in the same way as other recent cases. Thus, he said, the practice of placing hands on people during religious ceremonies was a factor in spreading the disease. He called on pastors to be responsible and put an end to this practice.

Help fight the Ebola crisis
It has been difficult to get ahead of the epidemic because the current violence in the region has had an impact on the response efforts. Since January, there have been 198 attacks against health workers and patients in areas affected by the Ebola virus, leaving seven dead and 58 injured, according to WHO.

The Congolese Ministry of Health released Wednesday on its official Twitter account a statement in which he accepted the World Health Organization's designation that the Ebola epidemic in the Democratic Republic of the Congo "is now a public health emergency of international concern".

The statement cited that the first difficulty in containing the epidemic is the result of "development problems" in the region and a "fragile health system".

The ministry added that "the government is studying measures" to prevent people considered high-risk "from spreading the epidemic in the region".

The rare but deadly Ebola virus disease can include fever, headache, muscle aches, vomiting, diarrhea and unexplained bleeding. The virus was first identified in 1976, when epidemics occurred near the Ebola River in the DRC.
Scientists believe that the virus first infected humans through close contact with an infected animal, such as a bat, and then that it was spread from one person to the other.

The virus is transmitted between humans through direct contact with the body fluids of an infected person, including infected blood, stool or vomit, or through direct contact with contaminated objects, such as needles and syringes.

The experimental vaccine against the Ebola virus could change the epidemic in Congo

Yet, hope takes the form of progress in research. Experimental treatments and vaccines have been used in Congo. To date, at least 585 patients have recovered from the disease and more than 133,000 vaccines have been administered, which, according to many, has helped to limit the spread of the epidemic.

The experimental vaccine rVSV-ZEBOV, manufactured by Merck, was approved by the ethics committee of the Congo Ministry of Health for use in the country in May 2018.

At its previous meeting on Friday, the Emergency Committee recommended all countries at risk to put in place the necessary authorizations to use experimental drugs and vaccines as part of their preparation.

Correction: An earlier version of this story incorrectly indicated the number of times WHO had previously declared a public health emergency of international concern.

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