Medical systems Collaboration and Communications (C2) blog

January 4, 2009

DR Congo Humanitarian Assistance Update

Filed under: Current Operations — dandeakin @ 08:08
Tags: ,

Source:

UN Office for the Coordination of Humanitarian Affairs

 

- Exactions and pillaging by armed groups in IDP zones continue.

                - IDPs return to Kibati camp after their transfer to

                Mugunga III camp

 

                - 2,039 households require food assistance in Kiwandja

 

                - WFP finalized the dispatching of food for the

                distribution to IDPs

 

                POLITICAL AND SECURITY CONTEXT

 

                - Protection continues to deteriorate in Kiwandja. Three

                axes were identified as zones infested by the presence of

                armed groups and bandits: the axes Kiwandja-Mabenga-Rwindi

                and Vitsumbi, Kiwandja-Nyamilima-Ishasha and Burayi-Rubare.

 

                - Barriers have been established on the road between Goma

                and Rutshuru where exactions were perpetrated against

                private transporters and civilians.

 

                - Local sources reported that the security situation in

                Kibirizi deteriorated and that its inhabitants vacate the

                village during the night to hide in the bush.

 

                - The North-Kivu Brigade of MONUC reported pillaging by

                Mayi-Mayi in Nyamilima, Rwindi and Vitshumbi during the

                weekend of 27-28 December 2008. MONUC patrols have been

                established.

 

                - According to MONUC, exchanges of fire between National

                Police officers occurred during the night of 28 December

                2008 in Goma, in the vicinity of SunCity, towards the exit

                to Sake.

 

                - On 29 December 2008, a fire was reported in Bambu camp,

                in the North of Tongo, and in Nyanzale.

 

                - According to NRC, on 29 December, a vehicle of a

                religious organisation was attacked by unidentified armed

                persons on the axis Rutshuru-Burai.

 

                - On 31 December 2008, confrontations between CNDP and

                PARECO in Mwezo occurred following theft of cattle.

 

                COORDINATION

 

                CPIA NK (Meeting of 29 December 2009)

 

                - The situation in the Kibati IDP camps was discussed. The

                CCCM working group reported the transfer of 3,830 persons

                to Mugunga III. However, the persons that were transferred

                to Mugunga III returned to Kibati. The CPIA will discuss

                next Tuesday, 6 January 2009, an assistance strategy for

                Kibati.

 

                - UNHCR continues the revision of the camp management and

                coordination strategy (CCCM). A presentation on the latest

                version will be held during the next CPIA, on 6 January

                2009.

 

                HUMANITARIAN SITUATION

 

                GOMA

 

                Food

 

                - WFP finalized on 25 December the dispatching of food for

                distribution to IDPs in North-Kivu, except for Lubero

                territory. NRC, operational partner of WFP, faced multiple

                constraints which lead to delays in the process. NRC

                requested WFP food stocks for the reinstallation of IDPs in

                Lubero, particularly in the localities of Kirumba and

                Kayna. The food stocks will be distributed at the beginning

                of January.

 

                Protection

 

                - The local NGO, Fondation Prime Mundu Ngawe, visited the

                transit centre for street children and adults in the south

                of Goma, in Kinyangote. 185 persons were registered, 90 of

                which were children (14 girls). The gaps to cover are:

                mattresses, medicine, blankets, food, generators, clothes,

                hygiene produce, 60 jerry cans and water treatment

                products. The NGO also visited the prison in Munzenze and

                registered 658 prisoners, of which 17 children.

 

                - The care center, Le Progrès, started its activities for

                displaced children in Mugunga III on 29 December 2008. The

                center also distributed 6,700 clothes for children and

                adults in Kibati. Among the gaps are the need for

                tarpaulins and school materials for 572 children in Mugunga

                III and 537 children in Kibati.

 

                GRAND NORD

 

                Protection

 

                - During the week of 22 December, CRN, under the

                supervision of the provincial inspector and in partnership

                with the NGO GESOM in Goma, started a programme for the

                treatment of fistulas in Beni at the IGL sanitary structure

                (Imagerie des Grands Lacs).

 

                - SC-UK reported on 26 December the presence of 45 children

                formerly associated with armed groups in the CTO of Beni

                and of 15 others in host families in Lubero and Beni.

 

                - ICRC reported that Red Cross personnel are present in

                South Lubero for the identification of unaccompanied

                children and their reunification with their families.

                Unaccompanied children, whose parents are in the red zones

                in Rutshuru where security is currently insufficient, will

                be taken care of by SC-UK.

 

                - A local NGO in Kanyabayonga reported that the Mayi-Mayi

                PARECO group launched new recruitment of children in

                Kikubo, a village 15 Km east of Kirumba, on the road to

                Kamandi. Save the Children will verify this information.

 

                NFI

 

                - Solidarités reported the distribution of NFI kits, BP5

                and mosquito nets to IDPs on the west side of Lake Edouard

                on 24 December. Overall, 2,063 households received

                assistance: 1,170 at the Lunyasenge distribution site and

                893 at the site in Taliha.

 

                RUTSHURU TERRITORY

 

                Population Movements

 

                - Kiwandja: CARITAS assessed that 2,039 households require

                food assistance at the beginning of the 2009. Other

                (non-verified) reports indicated the arrival of new IDPs in

                Kiwandja, notably at the MONUC site.

 

                Food

 

                - WFP will provide 90 tonnes of food to IDPs at the Bambu

                camp, in Rutshuru territory, 70% of which had been

                destroyed during a fire. 1,150 IDPs live in the camp.

 

                Protection

 

                - Local authorities in Rutshuru committed to respond to

                preoccupations about exactions against civilians and

                humanitarian access restrictions.

 

                - 10 children formerly associated with armed groups turned

                themselves in to MONUC through MONUC’s child protection

                section and the synergy of local NGOs.

 

                Health

 

                - MERLIN continues its support to health structures through

                the distribution of essential medicine in Rutshuru health

                zone.

 

                - MERLIN envisages to launch a programme to fight HIV/AIDS

                in partnership with the Global Fund in Rutshuru health

                zone. The complete package of ad hoc activities will be

                offered.

 

                - According to MERLIN, during the 51st epidemiological week

                12 cases of cholera were registered at the health centre in

                Vitshumbi and 14 cases during the 52nd week. The zone

                remains inaccessible for the moment.

 

                Education

 

                - 17 schools are targeted by JRS for scholastic assistance.

                Scholastic activities have not yet entirely resumed in

                Kiwandja. In Rutshuru all schools are functional.

 

                Food Security

 

                - Catholic Relief is conducting evaluations in Rumangabo,

                Giseza, Konkwe, Katale, Biruma as a basis for food security

                support for displaced or returnee households which were not

                able to resume agricultural activities. This programme will

                benefit approximately 11,120 households in Rutshuru

                territory.

 

                - Catholic Relief is supporting IDPs in preparations for

                the upcoming agricultural season.

 

                Water, hygiene and sanitation

 

                - Solidarités will increase the quantity of the

                distribution of drinking water (water trucking) at the

                MONUC site in Kiwandja and will also improve the water

                infrastructure in Mbigo and Kiwandja. Chloration points are

                currently being reinforced by MERLIN in Kiwandja to prevent

                a cholera epidemic.

 

                MASISI TERRITORY

 

                The Kanyatsi-Nyamitaba-Kiroliwe Zone

 

                Protection

 

                - Insecurity at the site in Kanyatsi due to incursions by

                PARECO elements.

 

                - IDPs hesitate to return to their villages due to fear of

                retaliatory actions by CNDP. Some persons were abducted by

                PARECO while tending to their fields.

 

                - Non respect of civil character of IDP sites: CNDP

                presence in uniforms and carrying arms.

 

                Population Movements

 

                - Kanyatsi: 3,081 households 3,000 of which are old and 81

                newly arrived since 22 December. – Insufficient water at

                the site: one singe faucet has to serve 3,081 households; -

                Non scholarisation of numerous displaced children;

 

                - Nyamitaba: 1,200 returned households according to the

                administration of Mihanga. – No access to potable water;

 

                - Difficult access to medical care: the health centre in

                Nyamitaba which had completely been pillaged in October 07

                was rehabilitated by SCUK.

 

                - Kirolirwe: 1260 old households, 669 new households.

 

                - Obsolescence of tarpaulins that serve as shelter for

                IDPs.

 

                Kitchanga Zone

 

                Protection

 

                - Family reunification of approximately 80 non-accompanied

                children is foreseen for later this week due to

                inaccessibility and insecurity in the zone. SC-UK in

                collaboration with its local partner BENANFACE installed

                three presences in the Mongote, Kahe and Mweso camps to

                reinforce child protection activities.

 

                - SC-UK installed its protection team in Kitchanga to

                ensure continuity in child protection activities in the

                zone (sensitization, tracing and family reunification).

 

                - The CNDP continues to sensitize IDPs to return to their

                zones of origin. IDPs are worried about this pressure to

                return, since security has not yet been established in

                these zones. Advocacy for protection and respect of

                voluntary return need to be reinforced towards CNDP

                authorities.

 

                Population Mouvements

 

                - The Committee of IDPs at the Mongote camp reported: 5,400

                households. In Kahe: 3,300 households, in Burungu approx.

                3,016 households and in Mweso 760 households, i.e. in total

                12,476 households, half of which have arrived since

                September 2008. A new registration of IDPs is necessary to

                ensure proper consideration of the newly arrived IDPs

                during the provision of assistance.

 

                Health – Nutrition

 

                - Cholera: Cases declined in the zone since the start of

                the joint efforts: medical care by MSF-H and WATSAN

                reinforcement by IRC, ICRC, PPSSP). During the 52nd

                epidemiologic week, the CTC St Benoît in Kitchanga

                registered 17 cases.

 

                - Measles: two cases are under observation at the CTC St

                Benoît in Kitchanga.

 

                - Malnutrition: SC-UK registered in December 2008 more than

                152 cases of severe malnutrition in four health areas

                (Burungu, Busumba, Mokoto, Rugarama).

 

                NFI and emergency shelter

 

                - Tarpaulins and other NFI of IDPs in Kitchanga are

                obsolescent. A new distribution should be envisaged.

 

                Education

 

                - More than 2,600 displaced children were registered by the

                committee of parents in the camps of Mongote, Kahe, and

                support for emergency education was requested.

 

                Water, hygene and sanitation

 

                - IRC finalized 80 latrine blocs at the camps in Mongote

                and Kahe over the foreseen 104, which corresponds to 416

                latrines.

 

                - PPSSP constructed 12 water sources at Kizimba and

                Rugarama in the health zone of Mweso. The establishment of

                4 others is foreseen in Burungu.

 

                WALIKALE TERRITORY

 

                Population Movements

 

                - IDPs arrived in Mandje, Burungi, Hombo North and Hombo

                South. The local NGO GRADECO reported the presence of 420

                families originating from Masisi. The administrator of

                Walikale dispatched a team to register these families.

 

                Health

 

                - Sexually transmittable diseases/HIV-AIDS. The chief

                doctor at the general hospital in Walikale reported that

                the proportion of sexually transmittable diseases is

                worrisome in Walikale: approximately 80% of married women

                that consult the hospital are concerned. The same applies

                to other localities in the health zone of Walikale.

 

                For further information please visit the website:

                http://www.rdc-humanitaire.net

 

                Contacts :

 

                - Narciso Rosa-Berlanga, Humanitarian Affairs Officer,

                rosa-berlanga@un.org , +243 819 889 196

 

                - Ivo Brandau, Information Officer, brandau@un.org, +243

                815 142 956

 

                - Noel Tsekouras, Desk Officer OCHA New York,

                tsekouras@un.org, + 1 917 367 93 67

 

December 27, 2008

EBOLA HEMORRHAGIC FEVER – Update – DEMOCRATIC REPUBLIC OF CONGO: (KASAI OCCIDENTAL), WHO

Filed under: Current Operations, Disease — dandeakin @ 18:51
Tags: , , ,

Ebola haemorrhagic fever, Democratic Republic of the Congo

———————————————————-

The Ministry of Health (MoH) of the Democratic Republic of the Congo [Congo DR] declared on 25 Dec 2008 an outbreak of Ebola haemorrhagic fever in Mweka District, Kasai Occidental province based on laboratory results from the Centre International de Recherches Medicales de Franceville (CIRMF) in Gabon. CIRMF confirmed the presence of Ebola virus in 2 samples from 2 of the patients in the outbreak by antigen detection. In addition, laboratory tests conducted by the Institut National de Recherches Biologiques (INRB) in Kinshasa, also confirmed the presence of _Shigella_.

As of Fri 26 Dec 2008, WHO is aware of 34 suspected cases including 9 deaths (CFR [case fatality rate] 26 percent) associated with the ongoing event. Additional samples have been collected and are en route to INRB.

The WHO Country Office, Regional Office, and Headquarters are supporting the MoH in Kinshasa and in the field at the location of the outbreak. In addition, the WHO Country Office is supporting the operational costs of the investigation and response teams and has deployed 4 vehicles to the field. Additional staff, outbreak response equipment, and supplies, including personal protective equipment (PPE), are also being sent to the area. An enhanced team of national and international experts is being mobilized to implement control strategies for Ebola haemorrhagic fever and to support outbreak field response in the province.

WHO is working together with laboratory partners to provide comprehensive laboratory services, and to support the MoH in the control and investigation of the outbreak. WHO is unaware of any reports signaling the international spread of disease and advises against the application of any travel or trade restrictions upon the Democratic Republic of the Congo

Communicated by:

ProMED-mail Rapporteur Marianne Hopp

[Maps of the Democratic Republic of the Congo DR can be accessed at <http://www.lib.utexas.edu/maps/africa/congo_demrep_pol98.jpg>

and the HealthMap/ProMED-mail interactive map at <http://healthmap.org/promed/en?g=214139&v=-4.5,22,5>.

The location of Mweka District can be found at <http://en.wikipedia.org/wiki/Mweka,_Democratic_Republic_of_the_Congo>.

Mweka is a town in southern-central Democratic Republic of the Congo, situated on the Kasai railway line between Kananga (250 km/155 mi

away) and the Kasai River port of Ilebo (172 km/107 mi away). Mweka is the headquarters of the Territoire de Mweka (administrative

district) of Kasai-Occidental province. According to the Wikipedia website, although "remote" is the default international media description for any Congo DR town outside Kinshasa, Mweka is relatively accessible by the standards of the country. Mweka Airport is 372 nm (690 km/428 mi) east of Kinshasa.

Beginning in late August 2007, the Territoire de Mweka was the site of an outbreak of Ebola hemorrhagic fever, which had killed more than 100 people by 30 Aug 2007, including all those who attended the funerals of 2 village chiefs (see <http://www.smh.com.au/news/world/mourners-die-as-fever-grips-congo/2007/08/30/1188067243698.html>).

The number fatalities and the number of suspected cases in the current outbreak have not increased since the previous report form the region. A new observation of unknown significance is the presence of _Shigella_ in samples sent to the INRB Kinshasa for investigation.

Further information and clarification is awaited. - Mod.CP]

[see also:

Undiagnosed illness - Congo DR (02): (KS), Ebola conf. 20081225.4068 Undiagnosed illness - Congo DR: (Kasai) RFI 20081222.4027 Undiagnosed illness - Congo DR: Kasai Occ, Ebola susp, RFI 20081009.3200 Hemorrhagic fever, fatal - Congo DR: (KA), RFI 20080823.2630 Monkeypox - Congo DR (Bokungu) 20080714.2141 Ebola hemorrhagic fever, suspected - Congo DR (02) 20080702.2017 Ebola hemorrhagic fever - Congo DR: susp., corr. 20080604.1790 Ebola hemorrhagic fever - Congo DR: susp., corr. 20080604.1789 Ebola hemorrhagic fever - Congo DR: susp. 20080603.1779

2007

----

Ebola hemorrhagic fever - Congo DR (13): 20071121.3758 Ebola hemorrhagic fever - Congo DR (11): WHO 20071003.3270 Ebola hemorrhagic fever - Congo DR (10) 20071003.3265 Ebola hemorrhagic fever - Congo DR (09) 20071001.3245 Ebola hemorrhagic fever - Congo DR (09): WHO 20070927.3204 Ebola hemorrhagic fever - Congo DR (08) 20070926.3191 Ebola hemorrhagic fever - Congo DR (07) 20070923.3156 Ebola hemorrhagic fever - Congo DR (06) 20070921.3138 Ebola hemorrhagic fever - Congo DR (05): WHO 20070920.3132 Ebola hemorrhagic fever - Congo DR (04) 20070916.3076 Ebola hemorrhagic fever - Congo DR (03): WHO 20070914.3049 Ebola hemorrhagic fever - Congo DR (02) 20070912.3026 Ebola hemorrhagic fever - Congo DR 20070910.2996 Undiagnosed illness - Congo DR (Kasai Occidental): WHO, RFI 20070901.2882 Viral hemorrhagic fever - Congo DR (Kasai Occidental): susp. 20070829.2837

2006

----

Ebola, primates - Congo Rep.: 20061208.3462 Ebola hemorrhagic fever - Gabon/Congo Rep: prediction 20061119.3308 Ebola hemorrhagic fever - Congo DR: susp. 20060315.0806

2005

----

Ebola virus, bats - Central Africa 20051201.3467 Ebola Zaire virus - Africa: wave-like spread 20051029.3158 Ebola hemorrhagic fever - Congo Rep. (07) 20050622.1756 Ebola hemorrhagic fever - Congo Rep. 20050520.1382 Undiagnosed deaths - Congo Rep. (04): Ebola confirmed 20050518.1358 Undiagnosed deaths - Congo Rep. (03): Ebola susp 20050514.1321 Ebola hemorrhagic fever, wildlife - Gabon/Congo Rep. 20050215.0511

2004

----

Ebola, primates - Congo Rep.: susp. 20040827.2400

2003

----

Ebola hemorrhagic fever, apes - Congo Rep. (04) 20030404.0824 Ebola hemorrhagic fever, apes - Congo Rep. (03) 20030321.0705 Ebola hemorrhagic fever - Congo Rep. (17) 20030310.0587 Ebola hemorrhagic fever - Congo Rep. (16) 20030307.0565 Ebola hemorrhagic fever - Congo Rep. (15) 20030304.0543 Ebola hemorrhagic fever - Congo Rep. (12) 20030227.0489 Ebola hemorrhagic fever - Congo Rep: suspected 20030205.0315

2002

----

Ebola hemorrhagic fever - Gabon: suspected 20020624.4593 Ebola hemorrhagic fever - Congo Rep: confirmed 20020613.4492 Ebola hemorrhagic fever - Gabon/Congo Rep (05) 20020107.3189

2001

----

Ebola hemorrhagic fever - Gabon: dead wildlife (03) 20011220.3079 Ebola hemorrhagic fever - Gabon: dead wildlife 20011216.3041 Viral hemorrhagic fever, suspected - Congo, DR (03) 20011210.2991] ……………………………..cp/mj/lm

Zimbabwe child malnutrition rises

Filed under: Current Operations — dandeakin @ 16:13
Tags: , , , ,

14 December 2008

Some five million Zimbabwean rely on food aid, the aid agency says

Acute child malnutrition in parts of Zimbabwe has increased by almost two-thirds compared with last year, aid agency Save the Children says.

In a report, the UK-based agency concluded that some children were “wasting away from lack of food”.

It said there was a shortage of 18,000 tonnes of food needed for January and urged world donors to increase aid.

The agency said innocent Zimbabweans should not suffer because of a political crisis out of their control.

“There is no excuse for failing to provide this food,” said Lynn Walker, programmes director for Save the Children in Zimbabwe.

The agency said some five million people in Zimbabwe – or about 50% of the country’s population – were now in need of food aid.

Zimbabwe’s farming sector collapsed after President Robert Mugabe launched a controversial land reform programme more than five years ago.

As well as suffering economic meltdown, Zimbabwe is experiencing a cholera outbreak, fuelled by the collapse of its health, sanitation and water services.

Aid agencies have warned that the disease, which has already claimed more than 1,100 lives, could infect more than 60,000 unless its spread is halted.

President Mugabe has blamed the West for his country’s problems.

December 26, 2008

Weekly Situation Report on Cholera in Zimbabwe No. 07, 24 Dec 2008

Filed under: Current Operations, Disease — dandeakin @ 20:34
Tags: , ,


Full_Report (pdf* format – 594.6 Kbytes)


Summary

The cholera emergency continues to be a key challenge and major humanitarian crisis in Zimbabwe. The latest outbreak, as of 23 December 2008 has been reported in Binga district in Matabeleland North. Until recently, Matabeleland North had been spared of the outbreak.

Cumulatively, as of 23 December 2008, 24,792 suspected cases and 1,400 deaths with a case fatality rate of 5.6% have been reported. The latest summary of cholera outbreaks is tabulated below:

Province
Suspected Cases
Total Deaths
Case Fatality Rate (%)
Community Deaths (part of total)
Community Deaths as % of total
Harare
9,943
331
3.33
16
4.83
Mashonaland Central
2,029
130
6.41
74
56.92
Mashonaland East
620
78
12.58
69
88.46
Mashonaland West
5,041
245
6.06
140
57.14
Matabeleland South
3,622
104
2.87
30
28.85
Manicaland
1,668
136
8.25
112
82.35
Masvingo
1,226
153
10.85
102
76.69
Bulawayo
419
15
3.58
10
66.67
Midlands
224
31
26.4
29
93.55
Grand Total
24,792
1400
5.6
582
48.38
Note: Community deaths data are not complete for all locations.

I. Situation analysis As highlighted on the table above, the outbreak continues to expand geographically and in terms of numbers. The Matabeleland North Province outbreak statistics are not included on the table because WHO is still investigating in order to establish the scale and dimension of the outbreak. Specific areas affected by cholera outbreak countrywide are shown on the map below and the 3Ws and Donor response matrix are annexed to this report.

II. Response

Health response

The health cluster is responding through provision of drugs and overall coordination of health response in collaboration with the MoH. Recently, WHO flew into Harare 21mt of medical supplies, including 8 diarrhoeal disease kits, and it also plans to airlift 10mt of Ringer lactate which could be expected in the country in the last week of December 2008.

MDM has been supporting cholera control activities in Chipinge. It has since distributed 47 cholera kits to 47 CTCs. MSF Spain, Holland and Luxembourg have established three rapid assessments/response/monitoring teams with a medical officer, logistician and Environmental Health Officer to follow-up on alerts and communication from crisis centres.

Noted Health urgent needs and areas of focus during the Christmas and New Year holidays;

- Need to strengthen cholera prevention and control due to anticipated increased movements during festive holidays

- Ensure adequate staffing and capacity for response during the festive holiday

- Reinforce capacity within WHO office for cholera response.


Full_Report (pdf* format – 594.6 Kbytes)

Pakistani doctors arrive in Darfur to boost UN-AU force, set up hospital for civilians

Filed under: Current Operations — dandeakin @ 20:29
Tags: , , , , ,


The joint African Union-United Nations peacekeeping mission in the war-torn Darfur region of Sudan got a boost with the arrival of 156 military personnel from Pakistan, including 29 doctors and paramedics, bringing advanced medical expertise and equipment as well as logistics and administrative experts.

The mission, known as UNAMID, reported today that the contingent from the Pakistani Level-III Hospital arrived in South Darfur over the weekend and has already broken ground on construction of the hospital there, which will be operating soon.

The medical staff will perform major operations and provide advanced medical treatment to civilians in Darfur, where an estimated 300,000 people have been killed and another 2.7 million displaced from their homes during five years of fighting between Government forces, allied militiamen, know as the Janjaweed, and rebel groups.

Last year, the Security Council authorized the joint peacekeeping force of about 26,000 uniformed personnel. Some 12,240 have been deployed so far, and senior UN officials have repeatedly called on countries to supply the remaining troops and equipment needed.

Congo government declares Ebola outbreak in south

Filed under: Current Operations, Disease — dandeakin @ 20:25
Tags: , ,


KINSHASA, Dec 25 (Reuters) – The disease that has killed nine people in southern Democratic Republic of Congo has been identified as the deadly Ebola virus, the country’s health minister said on Thursday.

The virus appeared in southern Western Kasai province on Nov. 27, and blood and stool samples were sent to laboratories in Gabon and South Africa for identification.

“Following the analysis of samples taken in (the village of) Kalwamba, it is now recognised that we are facing an epidemic of the viral haemorrhagic fever Ebola,” said Health Minister Auguste Mopipi Mukulumanya.

There is no cure or treatment for Ebola, which kills 50 to 90 percent of its victims.

Mukulumanya said an Ebola epidemic in the same area last year was originally believed to have killed 174 out of more than 400 suspected cases. Medical experts now think the death toll may have been much lower.

“The country has had to face similar situations in the past. But this is the first time that an epidemic has hit the same area twice,” he said. “Measures have already been taken to avoid the spreading of this epidemic to other locations.”

Health ministry officials are monitoring 92 people believed to have been in contact with the nine victims or who have shown signs of the disease, which is spread by contact with the blood and bodily fluids of infected people.

Medical charity Medecins Sans Frontieres sent a team of doctors, nurses and logisticians to Western Kasai earlier this week. Haemorrhagic fever specialists and epidemiologists are also expected in the area.

Symptoms of Ebola begin with fever and muscle pain, followed by vomiting, diarrhoea and in some cases, both internal and external bleeding.

A major outbreak of Ebola in Congo, then known as Zaire, in 1995 killed 250 of the 315 people infected.

(Reporting by Joe Bavier; Editing by Daniel Magnowski and Nita Bhalla)

December 22, 2008

Haemorrhagic Fever in DR Congo? 9 Dead

Filed under: Current Operations, Disease — dandeakin @ 19:43
Tags: , , ,

UNDIAGNOSED ILLNESS – DEMOCRATIC REPUBLIC OF THE CONGO: (KASAI), REQUEST FOR INFORMATION

****************************************************************************************

A ProMED-mail post

<http://www.promedmail.org>

ProMED-mail is a program of the

International Society for Infectious Diseases <http://www.isid.org>

Date: 20 Dec 2008

Source: Independent online, SAPA-AP report [edited] <http://www.iol.co.za/index.php?

set_id=1&click_id=136&art_id=nw20081220081743104C680784>

Haemorrhagic fever hits the Democratic Republic of the Congo

————————————————————

Medical authorities in Congo [Democratic Republic of the Congo] say 9 people are dead from what could be haemorrhagic fever. District Medical Inspector Edmond Mulamba says it is too early to label the illness. It is also too early to say if the deaths are due to Ebola, a type of haemorrhagic fever. He says tests were being run to determine the cause of the deaths in remote Kasai Province.

At least 14 other people are suffering from symptoms of haemorrhagic fever, including high temperature and violent vomiting. Mulamba says a team of doctors from the World Health Organisation are travelling to the province.

In 2007, at least 167 people died of Ebola [haemorrhagic fever] in the same district where the current illness is being reported, around 700 kilometres [435 miles] south-east of Congo’s capital, Kinshasa.

Communicated by:

ProMED-mail

<promed@promedmail.org>

[It is not clear whether this outbreak is an extension of the outbreak of undiagnosed illness reported in ProMED-mail which occurred in the same in the same area in early October (see:

Undiagnosed illness - Congo DR: Kasai Occ, Ebola susp, RFI 20081009.3200), and which presumably has not since been confirmed as an outbreak of Ebola haemorrhagic fever. The description of the illness and the cause of death in the current outbreak are not described in detail and haemorrhage is not mentioned. The location of the outbreak, however, is in that part of the Kasai province of the Democratic Republic of the Congo where a large outbreak of Ebola haemorrhagic fever occurred in 2007, and on that basis a diagnosis of Ebola haemorrhagic fever must be given serious consideration. Further information from the region is requested.

A map of the Democratic Republic of the Congo can be accessed at:

<http://www.lib.utexas.edu/maps/africa/congo_demrep_pol98.jpg>. The precise location of the current outbreak of undiagnosed illness is not stated, other than it is occurring in the same district of Kasai province where the 2007 outbreak of Ebola haemorrhagic fever occurred. A map of the province of Kasai Occidental can be viewed at:

<http://www.reliefweb.int/rw/fullMaps_Af.nsf/luFullMap/B83B46E4973E96258525735A0054E6E2/$File/ocha_HLT_cod070918.pdf?OpenElement>,

which identifies the site of the 2007 outbreak of Ebola haemorrhagic fever. - Mod.CP]

[see also:

Undiagnosed illness - Congo DR: Kasai Occ, Ebola susp, RFI 20081009.3200 Hemorrhagic fever, fatal - Congo DR: (KA), RFI 20080823.2630 Monkeypox - Congo DR (Bokungu) 20080714.2141 Ebola hemorrhagic fever, suspected - Congo DR (02) 20080702.2017 Ebola hemorrhagic fever - Congo DR: susp., corr. 20080604.1790 Ebola hemorrhagic fever - Congo DR: susp., corr. 20080604.1789 Ebola hemorrhagic fever - Congo DR: susp. 20080603.1779

2007

----

Ebola hemorrhagic fever - Congo DR (13): 20071121.3758] Ebola hemorrhagic fever – Congo DR (11): WHO 20071003.3270 Ebola hemorrhagic fever – Congo DR (10) 20071003.3265 Ebola hemorrhagic fever – Congo DR (09) 20071001.3245 Ebola hemorrhagic fever – Congo DR (09): WHO 20070927.3204 Ebola hemorrhagic fever – Congo DR (08) 20070926.3191 Ebola hemorrhagic fever – Congo DR (07) 20070923.3156 Ebola hemorrhagic fever – Congo DR (06) 20070921.3138 Ebola hemorrhagic fever – Congo DR (05): WHO 20070920.3132 Ebola hemorrhagic fever – Congo DR (04) 20070916.3076 Ebola hemorrhagic fever – Congo DR (03): WHO 20070914.3049 Ebola hemorrhagic fever – Congo DR (02) 20070912.3026 Ebola hemorrhagic fever – Congo DR 20070910.2996 Undiagnosed illness – Congo DR (Kasai Occidental): WHO, RFI

20070901.2882

Viral hemorrhagic fever – Congo DR (Kasai Occidental): susp.

20070829.2837

2006

—-

Ebola, primates – Congo Rep.: 20061208.3462 Ebola hemorrhagic fever – Gabon/Congo Rep: prediction 20061119.3308 Ebola hemorrhagic fever – Congo DR: susp. 20060315.0806

2005

—-

Ebola virus, bats – Central Africa 20051201.3467 Ebola Zaire virus – Africa: wave-like spread 20051029.3158 Ebola hemorrhagic fever – Congo Rep. (07) 20050622.1756 Ebola hemorrhagic fever – Congo Rep. 20050520.1382 Undiagnosed deaths – Congo Rep. (04): Ebola confirmed 20050518.1358 Undiagnosed deaths – Congo Rep. (03): Ebola susp 20050514.1321 Ebola hemorrhagic fever, wildlife – Gabon/Congo Rep. 20050215.0511

2004

—-

Ebola, primates – Congo Rep.: susp. 20040827.2400

2003

—-

Ebola hemorrhagic fever, apes – Congo Rep. (04) 20030404.0824 Ebola hemorrhagic fever, apes – Congo Rep. (03) 20030321.0705 Ebola hemorrhagic fever – Congo Rep. (17) 20030310.0587 Ebola hemorrhagic fever – Congo Rep. (16) 20030307.0565 Ebola hemorrhagic fever – Congo Rep. (15) 20030304.0543 Ebola hemorrhagic fever – Congo Rep. (12) 20030227.0489 Ebola hemorrhagic fever – Congo Rep: suspected 20030205.0315

2002

—-

Ebola hemorrhagic fever – Gabon: suspected 20020624.4593 Ebola hemorrhagic fever – Congo Rep: confirmed 20020613.4492 Ebola hemorrhagic fever – Gabon/Congo Rep (05) 20020107.3189

2001

—-

Ebola hemorrhagic fever – Gabon: dead wildlife (03) 20011220.3079 Ebola hemorrhagic fever – Gabon: dead wildlife 20011216.3041 Viral hemorrhagic fever, suspected – Congo, DR (03) 20011210.2991] ………………………cp/ejp/lm

December 20, 2008

DR Congo: Dungu, Orientale Province Situation Report No. 3, 19 Dec 2008

Filed under: Current Operations — dandeakin @ 19:58
Tags: , ,

Source:

UN Office for the Coordination of Humanitarian Affairs

- Deployment of Ugandan militaries in Dungu and Isiro since 14/15 December

- Joint military operations, aerial strikes

on LRA positions

- 13 humanitarian organizations present in

Dungu

- Food distribution in Dungu continuing

since 18 December

Security/Military Context

On 14 December, DRC, Uganda and Sudan

launched joint military operations against

positions of the Lord’s Resistance Army

(LRA) in the district of Haut-Uélé. The

deployment of Ugandan UPDF troops via air

started on 14 December to Dungu and on 15

December to Isiro. The strength of these

deployments is foreseen to total 1,500

troops.

The operations against LRA started with

aerial bombardments of LRA positions by the

Ugandan army in Bawezi (camp Kiswahili) in

Garamba Park, and continued in Bitima,

Bayote, Duru, Pilipili and Suke, about 80

to 100 km north of Dungu town.

The air lift of the logistics cluster for

the transportation of food and NFI from

Entebbe to Dungu has been suspended since

15 December due to the aerial strikes.

The security situation in Dungu town and

the southern part of Dungu, where most of

the IDPs are congregated, remains calm for

the moment.

Advocacy

The civil society of Dungu expressed

dissenting views on the military offensive:

while the military offensive if successful

could bring about a definitive solution to

the LRA question, it at the same time puts

the civil society at risk, notably through

the aerial bombardments.

Humanitarian organizations are deeply

concerned about civilians that have been

abducted by the LRA and risk to be caught

in the crossfire during the attacks.

LRA combatants could retaliate against the

civilian population that is still present

in areas of LRA camps in the north of

Dungu.

The civil society requested OCHA to

advocate for the adoption of measures to

minimize collateral damage.

Protection

FARDC picked up at least six children that

had been abducted by the LRA and deployed

in Kiliwa (65 km north of Dungu). The

children, four boys and two girls, had been

abducted during the September attacks in

Dungu territory. According to the

spokesperson of the UPDF, the children fled

during the aerial bombardment of the

Kiswahili camp in Garamba Park, on Sunday,

14 December.

One of the girls, 11 yeas old, had been

forced to marry an LRA fighter. And the

other girl, 17 years old, is currently

pregnant. UNHCR has taken over these cases

and intends to refer them to COOPI for

medical and psycho-social care.

IDPs

The series of armed attacks of LRA elements

on villages in Dungu territory (Haut-Uele

district) has provoked numerous population

displacements since 17 September. The

majority of IDPs are in Dungu and Niangara

territories.

The estimated number of IDPs in Dungu and

its environment is assessed at 20,000 to

30,000 persons. According to an assessment

of Caritas-Dungu of end November, the

number of IDPs in the 30 km perimeter

around Dungu could exceed 10,000 families.

In addition to that Caritas reported 383

displaced families in Isiro and 571

displaced families in Niangara. For the

moment, no reliable estimations for the

number of displaced persons in Bangadi and

Ngilima are available.

Access

The airlift between Entebbe and Dungu has

been temporarily suspended due to increased

air traffic caused by the deployment of the

Ugandan troops. Furthermore the aircraft

chartered by the Logistic Cluster to

transport humanitarian assistance has been

confiscated by the Ugandan army to

transport military equipment.

The date for the resumption of the airlift

has not been confirmed yet. Out of the 16

flight rotations initially scheduled for

the first phase of the airlift, 5 are still

outstanding. OCHA requested a meeting for

20 December with MONUC AirOps/Movcon in

Bunia to determine the date for the

resumption of the humanitarian airlift.

There is no access problem for the time

being to the Logistics Cluster Warehouse

situated at the MONUC base in the airport.

Humanitarian response

Thirteen humanitarian organizations are

present in Dungu. ADSSE, Caritas-Dungu and

WFP are covering the food sector,

Caritas-Dungu, UNHCR,

UNICEF/Solidarités-RRM, MSF-Switzerland

carry out NFI distributions, MEDAIR and

MSF-Switzerland are active in the Health

Sector, COOPI provides Nutrition, CESVI and

LWF undertake WASH interventions, Save the

Children and UNHCR provide protection and

OCHA coordinates the response.

Before the suspension of the airlift, which

is financed by the Rapid Response

Mechanism, 11 humanitarian flights were

organized from Entebbe to Dungu. A total of

42 tons of food, 1,000 NFI kits and 5,000L

of fuel were airlifted.

On December 18, WFP, through his local

partner ADSSE, began the distribution of 20

tons of food for 1,877 displaced families

(8,500 persons), in the town of Dungu. Each

household received a one week ration

consisting of 10.5 kg of maize meal, 2.5 kg

of peas, 700 grams of oil and 150 grams of

salt. The second phase of the

distributions, which should be carried out

by Caritas-Dungu on December 20, will take

place on the southern axis of Dungu and

will target displaced families who have

lost their harvests as well as families

hosting at least 15 people.

During the meeting of the Core Group of

Haut-Uele (the crisis structure established

within the framework of the Contingency

Plan for the Haut-Uele) on 15 December, it

was decided that the distribution of food

will be made before the NFI distribution in

order to prevent that the latter are sold

or exchanged for food.

For further information please refer to :

http://www.rdc-humanitaire.net

Contacts:

Jean-Charles Dupin, Head of Office, OCHA

Bunia, dupin@un.org, Tél.: +243 998 604 325

Ivo Brandau, Chargé d’information OCHA-RDC,

brandau@un.org, Tél. : + 243 815 142 956

Noel Tsekouras, Desk Officer OCHA New York,

tsekouras@un.org, Tél.: + 1 917 367 93 67

December 19, 2008

Death toll passes 1,000 as Zimbabwe continues to battle cholera

Filed under: Current Operations, Disease — dandeakin @ 19:12
Tags: , ,

Since the start of a massive cholera outbreak that has spread throughout Zimbabwe, the cholera death toll has increased to 1,123 and the number of cases has risen to 20,896, according to figures from the World Health Organization (WHO) as of Friday (December 19). The country’s capital, Harare, has reported the highest number of cases, with 224 casualties and 9,072 thought to be afflicted by the disease, The News said. In response, the International Committee of the Red Cross announced that it has begun disinfecting home of cholera patients in Harare, the Agence France-Presse (AFP) said. The UN health agency is attributing the continued spread of the disease in Zimbabwe to the badly maintained sanitation systems, rampant inflation that has affected doctors and nurses and a lack of clean drinking water.  Dominique Legros, a cholera expert with the WHO, told the AFP that the situation would remain the same unless the WHO and Zimbabwe’s government determine a way to improve salaries for local health workers. Zimbabwe’s cholera fatality rate is at 5.4 percent, the WHO reports, but the UN agency said it needs to be below one percent for the outbreak to be under control. Additionally, the Associated Press (AP) reported that the outbreak has spread to neighboring countries, with South Africa treating hundreds of Zimbabwean cholera victims at the border. Health authorities in Mozambique told the AP on Thursday (December 18) that cholera cases had been detected in six of the country’s 11 provinces, saying that in provinces bordering Zimbabwe, the suspected source was believed to have been Zimbabweans or Mozambicans traveling to Zimbabwe. However, cholera does surface in Mozambique regularly due to poor sanitation and lack of clean drinking water as well. Cholera treatment centers were being mobilized by the International Organization for Migration near borders with South Africa and Botswana to prevent the disease from spreading across borders, the AFP said. Meanwhile, Xinhua news agency reported on Thursday that the Zimbabwe government welcomed a US$19 million Cholera Outbreaks Coordinated Preparedness and Operation Plan, enabling the country to conduct a predictable and coordinated response to the epidemic. The Zimbabwe Health Cluster produced this plan, which was constituted by Zimbabwe’s Ministry of Health and Child Welfare and agencies such as the WHO, UN Children’s Fund, UN Office for the Coordination of Humanitarian Affairs, and local non-governmental organizations. US$3.8 million is an estimated earmark for surveillance, information management and coordination, US$11.2 million for stockpiling and responding to cholera and other health emergencies, US$348,000 for the procurement of equipment and supplies to strengthen outbreak investigation, monitoring and evaluation capacity, and US$4 million will be allocated to water, sanitation, hygiene and infection control in health facilities, Xinhua reported. To assist in Zimbabwe’s worst cholera epidemic yet, this plan mandates the humanitarian and development agencies with mobilization of funds for emergency interventions, while the Cholera Command and Control Center will establish reserve funds to provide any operational support.

http://news.yahoo.com/s/ap/20081218/ap_on_re_af/un_un_zimbabwe_cholera
http://www.khaleejtimes.com/DisplayArticle.asp?xfile=data/international/2008/December/international_December1260.xml§ion=international&col=
http://news.xinhuanet.com/english/2008-12/18/content_10524721.htm

December 17, 2008

Cholera has infected 18,000 people in Zimbabwe – SkyNews

Filed under: Current Operations, Disease — dandeakin @ 21:47
Tags: , ,

Cholera has infected 18,000 people in Zimbabwe and £4m in donations is desperately needed for it to be stopped, a charity has said.

Two Zimbabwean men rest in a cholera rehydration tent

Two Zimbabwean men rest in a cholera rehydration tent

The British charity Oxfam is asking the public and international donors for nearly £4m to fight cholera and hunger in Zimbabwe.

The disease is affecting nine out of the country’s ten provinces and is likely to spread further if, as expected, there are more heavy rains in the next month.

Oxfam Zimbabwe Country Director Peter Mutoredzanwa said: “The average Zimbabwean woman can only expect to live 33 years.

The tragic fact is that unless we respond now, many more people will not live to see their 30s.

Oxfam Zimbabwe Country Director Peter Mutoredzanwa

“Zimbabweans are no strangers to food shortages but we have now reached desperate levels.

“Some children only eat a meagre portion of food once every three days and people scavenge in rubbish dumps for anything they can eat.”

The charity has recently been forced to cut the amount of food rations it gives out after a fall in the amount of donations it receives.

Humanitarian Director of Oxfam Jane Cocking said: “The rapid deterioration of the situation in Zimbabwe makes this an extremely grave humanitarian crisis which could deteriorate even further in 2009.

“While the international community battles for a political solution in the country, millions of Zimbabweans are going hungry.

“Oxfam is able to get clean water and food through to people who need it most. We need to respond now, there is no time to lose.”

The charity is currently handing out water purification tablets and soap to 620,000 people as well as providing food rations for 250,000.

Latest figures from the United Nations show cholera, which is a waterborne disease, has infected 18,000 people and killed about 800 in Zimbabwe with many more deaths and infections believed to have gone unrecorded.

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