The latest case is in the baby in Bunia as DR Congo goes to fight Ebola

The Ebola outbreak in the Democratic Republic of Congo, which is now in the seventh month, has spread to another health zone, resulting in 19 new sites being reported in Bunia in Ituri province. conflict. t

“Bunia's case is the baby 6 months from Katwa's wife who fled to Bunia and was intercepted on her dead body in Komanda,” said the country's Ministry of Health. The child was transferred to the care center in Komanda, Ituri town where 33 cases and 17 deaths were declared.

The child now adds up to 829, according to a Thursday report from the ministry. The new total comprises 768 certified cases and 61 likely. A further 201 suspected cases are being investigated in one of the largest Ebola outbreaks in global history, following the 2014 West African outbreak. The death toll is 521.

Alimbongo in Northern Kivu has been added to the growing community list, with one suspected case but none confirmed. This makes for monitoring health zones 22 in the eastern Congo provinces which limit South Sudan and Uganda. These include 207 confirmed cases, 117 of which are fatal, in Katwa, with 24 suspected cases under investigation. Katwa has always been where the greatest number of deaths are behind Beni, which stabilized in recent weeks at 138 declared deaths and nine more suspected.

The new case highlights one that originates in Katwa, tracks to Bunia and ends in Komanda – the difficulty of tracing and spreading Ebola exposures in the hazardous region. Katwa and Butembo reported 72 per cent of cases in the last three weeks, updated on Tuesday of the World Health Organization, and smaller clusters continue to occur in a geographically dispersed area.

More than 79,000 people have received the approved rVSV-ZEBOV trial vaccine, with around 20,000 each in Beni and Katwa. The virus is contracted by at least 68 health workers, including new cases in Katwa, according to WHO's latest update. At least 21 health workers died.

Treatment of Ebola outbreak patients

Katwa and Butembo are communities where Doctors without Borders (MSF) are conducting clinical trials on four possible new treatments for the disease. “The trial, which was run in conjunction with the Ministry of Health, began in November 2018 initially in another treatment center in the region, and MSF facilities can now contribute to providing valuable information on these development drugs,”. 39, the NGO announced global health this week.

The treatments for the clinical trial are the drug remdesivir, mAb114, REGN-EB3 and ZMapp. They are being offered to patients since the start of the current Ebola protocol under Emergency Monitoring protocols for Unregistered Interventions and Investigation (MEURI), MSF said.

This is a special framework developed by WHO for cases where there is no proven treatment for people suffering from high-fat outbreaks such as the Ebola virus. Drugs that have shown a commitment, but without the rigorous clinical trials, can be used provided that health workers do so in a carefully monitored way – maximizing the risks, and communicating them to patients and carers. policy making.

But newer cases in Kyondo have been driving east into Virunga National Park, where nine forces are confirmed, and cases in Kayina showed a pattern of Ebola infections mapping to the south. While the five cases confirmed by Kayina are stable, it continues to raise concerns about the relentless spread of Ebola.

The Goma is close to the Rwandan border still under surveillance and eight suspected cases but none is confirmed. Health officials successfully made preparatory efforts ahead of any Ebola cases in Gaoma as it is a travel and trade hub that leads to a worse regional and international spread. Rwanda is about to begin vaccination with its health workers, after South Sudan and Uganda.

On Thursday, officers in the border crossing city Gatumba collected approximately 5,000 people daily between DR Congo and Burundi to reflect the Ebola filtration preparedness. Other countries involved in regional cooperation include the Central African Republic, Tanzania and the Congo Brazzaville.

Community, conflict and ongoing challenges

On Wednesday, Minister for Health Congolese, Dr. Oly Ilunga introduced the next phase of Ebola's response plan during a presentation in Kinshasa. It highlighted the response in the places where they were present, but also on high-risk areas where the teams of health workers find it difficult to access the terrain and infrastructure, ongoing conflict risks, lack of confidence. community, resource challenges or combinations of all. Recent incidents include an assault on health workers in Muchanga, the Katwa area, and the destruction of property in Mabuku's triage area, in the Kalunguta health zone.

Extending community maladministration this week to exchange the concerns of women who report sexual abuse and exploitation in exchange for vaccination or, in some cases, employment with health response teams. The allegations, reported by The Guardian and other media outlets, continued during a research presentation in Beni where NGOs described their findings.

The Congo health ministry responded by acknowledging that these concerns were described by a number of women and girls who participated in the International Rescue Committee (IRC) focus groups, but there are no specific cases of abuse. The IRC also outlined the growing pressure on women, whose responsibilities at home and caring mean that they cannot make allegations that they would not do enough to prevent Ebola in the family or community.

Image: WHO Africa File

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