Ebola Congo 2018: CDC workers are safe



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"They are not in any hot spot," said the manager.

Since the beginning of the latest outbreak on August 1, there have been 211 cases of Ebola, including 135 deaths on Sunday, confirmed WHO spokesman Tarik Jasarevic. Fifty-five patients recovered from the disease. He added that there had recently been an increase in the number of cases due to "difficulties experienced by the intervention team".

"For a few days, we have not been able to really function and in recent weeks we could not run 100%," Jasarevic said. Challenges include an outbreak of violence that has resulted in a change of venue for CDC stakeholders.

"The recent outbreak of violent incidents makes the response more difficult and increases the risk of spread not only in the DRC, but also in neighboring countries," Jasarevic said in an email.

Another reason for the increase in the number of reported cases is "better notification from the community," Jasarevic said. About half of the new cases reported in the last two weeks come from the list of contacts (relatives, friends and others who had contact with an infected person) made by health workers, while the other cases required new investigations. , according to Jasarevic.

WHO will hold an emergency committee meeting Wednesday in Geneva "to determine if the epidemic is a public health emergency of international concern and what recommendations should be made to manage the epidemic" , according to an announcement published Monday.

Two weeks ago, Dr. Tedros Adhanom Ghebreyesus, WHO Director General, said at a meeting of the UN Security Council that his assessment of the risks of regional spread had gone from "high" "to" very high ".

However, at that time, the risk of international spread outside Africa was considered "low," he said. "We are very concerned about the risk of spreading the virus in Uganda, but also in Rwanda, South Sudan and Burundi, and we are working very closely with these governments on operational readiness for Ebola."

Ebola continues to ravage northeastern Congo

The province of North Kivu is the epicenter of the current epidemic, although some cases have been reported in the neighboring province of Ituri, according to WHO. The two provinces, which are among the most populous in the country, are bordering on Uganda, Rwanda and South Sudan.

On average, Ebola – which causes fever, severe headaches and, in some cases, haemorrhage – kills about half of infected people, but the case fatality rate in different epidemics ranges from 25% to 90%.

In addition to the spread of the deadly Ebola virus, Congo is also experiencing a long-lasting humanitarian crisis that includes intermittent armed conflict, according to WHO. The WHO estimated that more than one million refugees and internally displaced persons are in North Kivu and Ituri, and their movements across the provinces. constitute a potential risk factor for the spread of the Ebola virus.

Dr. Peter Salama, Deputy Director General of Emergency Preparedness and Response to the WHO, said in a tweet published on Saturday that "every violent incident in the north-east of In Congo, the community was losing confidence and "more cases and contacts were losing track". This "vicious circle" increases the risk of spreading the disease, he added.

Salama also described in a tweet that "the toxic mix of factors leading to the increasing force of infection". These include security issues that limit health workers' access to affected communities and families, "chronic mistrust of the community after years of conflict" and "fears and rumors" about 39; Ebola.

For example, last week, members of the community stole the body of a dead woman at the Ebola treatment center while she was going to the cemetery, according to a newsletter released Thursday by the Department of Health. of the DRC.

Previously, the woman's family had asked for concessions regarding her burial, including that the hearse be driven by one of their acquaintances and that five family members be allowed to carry the casket with personal protective equipment. However, as the procession made its way to the cemetery, the driver suddenly changed course.

Several youths "violently pursued the police and kept the body with them," according to the bulletin. Later, "panicking and realizing their mistake", they allowed the deceased to be delivered to the cemetery.

The next day, several family members volunteered to be vaccinated and an apology was presented to the intervention team. "Young people in the neighborhood have promised that they will not let such a situation happen again in their neighborhood," according to the newsletter.

According to the WHO, this is the second epidemic in Congo this year. A previous outbreak began in May and ended in July; he touched a region in the west of the country, where 54 cases were recorded, including 33 deaths. Since the discovery of the Ebola virus in 1976 in a region that is now the Democratic Republic of Congo, the country has experienced 10 outbreaks, including those of this year.
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