Department of Defense Armed Forces Health Surveillance Branch Integrated Biosurveillance Section Northeastern DRC Ebola Surveillance Summary
Abstract
From 30 APR 2018 to 22 JAN 2019, the Democratic Republic of the Congo (DRC) Ministry of Health (MOH) has reported 713 (+50) confirmed and probable Ebola virus disease (EVD) cases, from 18 (+1, Kayna) health zones (HZs) in North Kivu and Itu provinces in northeastern DRC with an additional 203 suspected cases are under investigation. While EVD cases initially peaked in early AUG 2018, a second and third peak occurred in mid-and late-NOV 2018, with an increase in incidence throughout NOV compared to previous months (see WHOs epidemic curve). Katwa HZ continues to account for the majority of newly confirmed and probable cases; from 15-22 JAN 2019, this HZ has reported 60% of all newly confirmed and probable cases. According to the MOH, families from confirmed EVD cases in Katwa HZ are reluctant to be vaccinated; this may explain why the HZ continues to report the majority of new cases. Among the confirmed and probable cases, there have been 439 (+32) deaths (case fatality proportion 62%). As of 22 JAN 2019, confirmed and probable cases have been reported from Beni(226 (+1)), Katwa(146 (+30)), Mabalako (106 (+1)), Kalunguta(53 (+1)), Butembo (52 (+2)), Oicha(27 (+2)), Kyondo(12 (+1)), Vuhovi(11 (+2)), Masereka (8), Musienene(7(+1)), Kayna(5), Biena(4(+2)), Manguredjipa(3 (+2)) and Mutwanga(3) HZsin North Kivu Province. In Ituri Province, cases have been reported from Komanda(27), Mandima(20), Tchomia(2), and Nyankunde(1) HZs. From 1 DEC 2018 to 14 JAN 2019, 36% of newly confirmed cases have occurred in children <15 years of age, according to WHO. As of 23 JAN 2019, no confirmed EVD cases have been reported outside of the DRC; however, the high level of population movement between the affected areas and neighboring countries continues to create opportunities for cross-border disease transmission. As of 28 SEP 2018, WHO assessed the risk of EVD spread at the national and regional levels as very high and the global risk as low.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jan 25, 2019
- Accession Number
- AD1097328
Entities
Organizations
- Defense Health Agency