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

December 26, 2008

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 25, 2008

Web tool maps Congo conflict

Digital Planet
Alka Marwaha
BBC World Service

A Congolese army soldier inspects a truck in the rebel zone

Violence in DR Congo has caused misery in the country for 15 years

A web-based reporting tool is allowing Africans caught up in political unrest to report incidents of killing, violence and displacement.

The website is called Ushahidi, which means ”testimony” in Swahili and was first developed to map reports of violence in Kenya after the post-election fallout.

Ushahidi is now being used in the Democratic Republic of Congo, to report on the war that has torn the country apart for the last 15 years.

Its goal is to create a simple way of aggregating information from the public for use in crisis response.

The site is a free open-source mash-up which can be run by anybody, anywhere in the world to to gather distributed data via SMS, email or web and visualise it on a map or timeline.

Democratic Republic of Congo

“This is a tool specifically made for the ordinary person,” said Erik Hersman, the creator of Ushahidi.

“Anybody who uses this free open-source tool can download it and run it off your own servers.

“It allows you to use Google Maps, Microsoft Maps, Yahoo Maps or Open Street Map.

“In the DRC, we are using some NGOs [non-governmental organisations] to help with that data gathering and the main focus for us is to get ordinary people’s stories up,” he added.

Users can report an incident by filling in a very simple form with a description of what happened, when it took place and put it in a category.

A Red Cross worker waits to distribute buckets to displaced people

Ushahidi is used to identify areas where aid is required

The incident data is colour coded on the website into categories for things such as riots, looting, illness and sexual assault.

When you click on one of the categories it will identify on a map of DR Congo where these incidents are happening.

Audio, video and images can also be uploaded but identifying yourself is optional as fears for people’s safety is top priority.

Hot spots

Currently there is a cluster of these spots around DR Congo’s eastern border.

“Goma in the DRC has been an area that has had a lot of action over the last couple of weeks,” said Mr Hersman.

“You’ll see that most of the data and stories we have are coming from that area.

“We are already starting to see news being spread out, so you’ll see a few dots further away now.

The violence has gone into a dark hole of information
Lyn Lusi

“When you click on the coloured dots, you get news reports in French and in English, which are compiled by non-governmental organisations and aid groups.

“Right now a lot of them are from different NGOs, people out in the field in the eastern Congo.”

With web access being limited in much of rural Africa, people can also post incidents to the website using text messages sent from their mobile phones.

Lyn Lusi is the founder and programme manager of an NGO called HEAL Africa and has been involved in putting the Ushahidi project into action on the ground.

“It started off with quite a lot of information because the violence was all around Goma,” she said.

“The fighting has moved up north to a very rural area where cell phone network coverage is very sporadic and where people are extremely poor.

“The violence has gone into a dark hole of information, we are just coming into the technological age in Congo,” she added.

Verifying information

Although technology can limit information getting out in some areas, she feels that everything must be done to raise awareness of the conflict in DR Congo.

“If we can regularly bring in information from the conflict zones, information about human rights abuses and community action to rebuild peace, then we will keep this problem on the front burner,” she said.

“We have set up a network with two telephones that will always be in the hands of people who can pick up SMS messages sent by people from their mobile phones

“They will have access to the internet – even if it is sporadic, as we want to be able to get this information to the Ushahidi website,” she added.

The information must get out if we are ever going to reach a solution
Lyn Lusi

Reports that are posted on the website are verified by local NGOs and are also given a credibility rating.

“It is also very important that this information should be verified because this is also an information war,” said Ms Lusi.

“On the night of the shooting in Goma, SMS messages went around saying that the UN has given orders to the national army to put down their arms and that the town is now effectively in the hands of the [rebel] CNDP,” she said.

That turned out to be false information and caused a number of demoralised troops to run away.

People posting information on the website and passing it on via text messages are putting themselves at risk, although they do not have to identify themselves when doing so.

“We have to be very careful to conceal identity, it is a big risk,” said Ms Lusi.

“But if you can’t get the information out, then you cannot call for help either.

“People want the international community to be aware of what’s going on have it on the political agenda.

“The information must get out if we are ever going to reach a solution,” she added.

Map

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

Medical NGO’s list of top 10 humanitarian crises highlights dangers of aid work

The non-governmental organization (NGO), Medecins Sans Frontieres (MSF), on Sunday (December 21) released its annual list of the 10 worst humanitarian crises.  The group said that this year aid organizations have had to work in increasingly hazardous environments in many countries.  Nicholas de Torrente, an executive director with the charity, says that it is becoming difficult for aid workers to get help to civilians in conflict zones, the Australian Broadcasting Corporation (ABC) reported. ”We find that there are many obstacles.  Governments don’t want us to be present.  They want to deny assistance to these populations and increasingly we see attacks, directed attacks against aid workers.  This really underscores the need to reinforce the independence of humanitarian assistance and the need for respect for humanitarian workers and what they’re trying to do,” ABC quoted him as saying. The group said that direct attacks and threats against aid workers in Pakistan and Somalia had forced it to curtail its operations in those countries. Fighting in Sudan’s Darfur region and in the Democratic Republic of Congo had left it unable to reach vulnerable populations. In Myanmar and Zimbabwe, aid organizations were either limited to the type of assistance they could provide or were left to deal with health crises alone, Reuters news agency reported MSF as saying.  In Myanmar, MSF says hundreds of thousands were dying from AIDS because the government was failing to act, according to the BBC.  The list also included childhood malnutrition around the world as one of the top crises.  “With the release of this list, we hope to focus much needed attention on the millions of people who are trapped in conflict and war, affected by medical crises, whose immediate and essential health needs are neglected and whose plight often goes unnoticed,” Reuters quoted MSF as saying.
http://alertnet.org/thenews/newsdesk/122990048845.htm
http://www.abc.net.au/news/stories/2008/12/22/2453261.htm?section=world
http://news.bbc.co.uk/2/hi/africa/7795036.stm

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 18, 2008

ReliefWeb Headlines

The following documents are currently featured as Headlines on the ReliefWeb Home Page. If you do not have Web access and wish to receive the full Headline documents via Email, simply reply to this email and paste into the body the reference to a document you wish to retrieve (including the link). Note that only one document can be retrieved at a time.

Sudan: Insecurity prevents UNHCR access to refugee sites Source : Miraya FM Date : 18 Dec 2008 URL :

http://www.reliefweb.int/rw/rwb.nsf/db900SID/ASAZ-7MFHCZ?OpenDocument

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

Afghanistan: UN beefs up its assistance mission Source : Integrated Regional Information Networks Date : 18 Dec 2008 URL :

http://www.reliefweb.int/rw/rwb.nsf/db900SID/ASAZ-7MFDZQ?OpenDocument

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

oPt: UN agency suspends food distribution in Gaza Source : UN Relief and Works Agency for Palestine Refugees in the Near East Date : 18 Dec 2008 URL :

http://www.reliefweb.int/rw/rwb.nsf/db900SID/FBUO-7MFDMR?OpenDocument

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

Zimbabwe: Aid agencies step up appeals on eve of Christmas Source : Deutsche Presse Agentur Date : 18 Dec 2008 URL :

http://www.reliefweb.int/rw/rwb.nsf/db900SID/TUJA-7MF4EP?OpenDocument

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

Sri Lanka: Heavy fighting between army and rebels, concern for civilians Source : Missionary International Service News Agency Date : 17 Dec 2008 URL :

http://www.reliefweb.int/rw/rwb.nsf/db900SID/CJAL-7MEPYD?OpenDocument

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

Haiti: Blue helmets raise funds and help rebuild schools damaged in hurricanes Source : UN News Service Date : 17 Dec 2008 URL :

http://www.reliefweb.int/rw/rwb.nsf/db900SID/EGUA-7MEM6Q?OpenDocument

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

DR Congo: Red Cross concerned about cholera outbreak in south-eastern regions Source : IFRC Date : 16 Dec 2008 URL :

http://www.reliefweb.int/rw/rwb.nsf/db900SID/EDIS-7MEM7V?OpenDocument

CHOLERA, DIARRHEA & DYSENTERY UPDATE 2008 (54)

In this update:

Africa

[1] Cholera – Zimbabwe

[2] Cholera – South Africa (Western Cape province) NOT ex Zimbabwe [3] Cholera – Uganda (Arua) [4] Cholera – Nigeria (Niger state) [5] Cholera – Congo DR (eastern provinces) [6] Cholera – Malawi (Central Region) [7] Cholera – Botswana (Northeast, Central provinces) ex Zimbabwe Americas [8] Shigellosis, day care centers – USA (Ohio)

*****

[1] Cholera – Zimbabwe

Date: Thu 18 Dec 2008

Source: Associated Press [edited]

<http://www.google.com/hostednews/ap/article/ALeqM5hv0mXrSPZaqaNrRGTYuxAu1cBPWAD9552O1O0>

The cholera death toll in Zimbabwe has risen above 1000, the United Nations said Thursday [18 Dec 2008]. A total of 1111 deaths were recorded by Wednesday [17 Dec 2008], an increase of 133 in 2 days, the UN humanitarian office in Geneva said.

The latest figures, which are compiled by the WHO, also show that the number of cases has risen to 20 581 since the start of the cholera outbreak in August 2008. On Monday [15 Dec 2008], health officials had spoken of 18 413 cases and 978 deaths.

Communicated by:

ProMED-mail

<promed@promedmail.org>

[The number of cases of cholera in this catastrophic situation in Zimbabwe continues to rise dramatically, underscoring the need for rapid intervention. Since the last posting on 15 Dec 2008, there were

2168 more cases reported, with 133 more deaths.

[A map of Zimbabwe with provinces can be found at:

<http://www.un.org/Depts/Cartographic/map/profile/zimbabwe.pdf>.

The HealthMap/ProMED-mail interactive map of Zimbabwe is available at:

<http://healthmap.org/promed/en?v=-19,29.9,6>. - Mod.LL]

*****

[2] Cholera – South Africa (Western Cape province) NOT ex Zimbabwe

Date: Thu 18 Dec 2008

Source: Independent Online [edited]

<http://www.iol.co.za/index.php?set_id=1&click_id=125&art_id=nw20081218161227791C711028>

A 4-month-old baby is being treated for cholera at the Karl Bremer Hospital in Western Cape, the province’s health department said on Thursday [18 Dec 2008]. Spokesperson Faiza Steyn said the child from Wallacedene informal settlement in Kraaifontein had been stabilized.

He was admitted on 6 Dec 2008.

“The specimen of this case was forwarded to the National Institute for Communicable Diseases (NICD) for further laboratory analysis, to ascertain the strain of cholera that was identified,” said Steyn.

The child had no history of recent travel to Zimbabwe and or close contact with a cholera case. Laboratory investigations on contacts of this case were negative for the disease, said Steyn.

“It is not known at this stage where he could have got the disease from; but hot weather and poor environmental living conditions could be some of the factors,” she said.

Communicated by:

ProMED-mail

<promed@promedmail.org>

[In the report of cholera in South Africa, the Western Cape province was not included. This case appears clearly to have been acquired in the province which can be seen on a map of the country at:

<http://www.un.org/Depts/Cartographic/map/profile/southafr.pdf>.

The HealthMap/ProMED-mail interactive map of South Africa can be seen at:

<http://healthmap.org/promed/en?g=1085597&v=-26,29.5,5>. - Mod.LL]

*****

[3] Cholera – Uganda (Arua)

Date: Wed 17 Dec 2008

Source: The Monitor Online [edited]

<http://www.monitor.co.ug/artman/publish/health-and-living/Arua_battling_cholera_outbreak_76996.shtml>

The poor Arua residents are grappling with endemic cholera as the Oli Division in the Municipality is facing an outbreak of the disease in low-income neighborhoods.

In just a month, over 38 cases have been registered, mainly in the division, including 3 deaths district-wide. Statistics indicate that

28 people have been admitted at Oli Health Centre with one death case. “Oli Health Centre has become Arua’s referral hospital with overcrowding of patients,” the Municipal Health officer Dr Paul Onzubo said.

[Byline: Warom Felix Okello]

Communicated by:

ProMED-mail

<promed@promedmail.org>

[The Arua district is in northwestern Uganda and can be seen on a map at:

<http://www.un.org/Depts/Cartographic/map/profile/uganda.pdf>. The area borders with eastern Congo DR where cholera has also been occurring. - Mod.LL]

*****

[4] Cholera – Nigeria (Niger state)

Date: Thu 18 Dec 2008

Source: Nigerian Tribune [edited]

<http://www.tribune.com.ng/18122008/news/news16.html>

An outbreak of cholera in the Egbagi Majin village in Kede district of Mokwa Local Government Area of Niger State has reportedly claimed

8 lives, one of them being the wife of the village head. A majority of those who died, according to a report from the village, were women.

Nigerian Tribune has learned that about 15 others were hospitalized as a result of the outbreak. According to a source in the area, the outbreak could have been as a result of contaminated water being drunk by the villagers who were just relocating after a flood disaster 2 months ago.

Communicated by:

ProMED-mail

<promed@promedmail.org>

[The Niger state of Nuigeria is in the west-central part of the country and can be seen on a map at:

<http://www.un.org/Depts/Cartographic/map/profile/nigeria.pdf>. - Mod.LL]

*****

[5] Cholera – Congo DR (eastern provinces)

Date: Tue 16 Dec 2008

Source: Int Fed of Red Cross And Red Crescent Societies (IFRC) [edited] <http://reliefweb.int/rw/rwb.nsf/db900SID/EDIS-7MEM7V?OpenDocument>

Since early October 2008, high morbidity and mortality rates associated with a cholera epidemic outbreak have been registered in the Maniema, Katanga, North and South Kivu provinces. Ministry of Health (MoH) statistics show that more than 25 503 cholera cases had been registered, including 515 deaths in the localities mentioned below. The following are statistics from the MoH.

In Katanga province, more than 10 214 cases and 229 deaths have been registered and Red Cross efforts will be concentrated on towns such as Lubumbashi, Likasi, Kolwezi, Bukama and Kasenga localities where the mortality rate is very high. In the last week of November 2008, the Kipushi health zone was noted as one of the most affected, with several cases registered. A Red Cross team was sent to the field to assess the situation in the Kipushi health zone which is also reported to be badly affected.

In Maniema province the focus is on the Kailo, Alunguli, Kindu and Basoko health zones, where according to the Maniema provincial committee of the RCDRC, 189 cases and 11 deaths have been registered over the past weeks. This information has been confirmed by the World Health Organization (WHO).

In North Kivu, where ICRC is working, the health zones of Binza, Bwambizo, Goma, Karisimbi, Kirotche, Masisi, Rutchuru and Walikale are most affected, with nearly 8826 cases and more than 229 deaths registered out of a total population of 1 272 981 inhabitants. The possibility to carry out sensitization, disinfection, environmental hygiene and water chlorination is more difficult in this region due to the ongoing conflict. The numbers registered are those recorded in the local hospital and do not include those occurring in other health centres or at home. By the same period, well more than 5000 cases have been registered in South Kivu, with the most affected health zones including Minova (which shares boundaries with North Kivu), Nundu, Baraka/Fizi (which is an endemic zone), Kalehe, Ruzizi, Katana, Kabare, the town of Bukavu, Kadutu and Bagira. 1229 cases have been registered so far in these localities alone, and there are indications that this number is growing rapidly.

Overall, there is clear concern that the numbers are of a significant level and there is a serious risk of the disease further spreading in the 4 provinces already affected and also beyond. In which case, the RCDRC, supported by the International Federation, needs to be prepared to respond in those provinces not supported by the ICRC.

Communicated by:

ProMED-mail

<promed@promedmail.org>

[The provinces involved are along the eastern border of Congo DR and can be found on a map at:

<http://www.un.org/Depts/Cartographic/map/profile/drcongo.pdf>. - Mod.LL]

*****

[6] Cholera – Malawi (Central Region)

Date: Wed 17 Dec 2008

Source: African Press Agency [edited]

<http://www.apanews.net/apa.php?page=show_article_eng&id_article=83244>

(subscription required)

Cholera in Malawi has claimed 5 lives and more than 80 cases have been recorded at the country’s privately-run Likuni Hospital owned by the Catholic Church in the capital Lilongwe, Director for Preventive Health in the Ministry of Health, Stone Kabuluzi, confirmed here on Wednesday [17 Dec 2008].

He told APA during an interview that the disease was fast spreading among the rural community and that the number of cholera cases had doubled at the hospital since the onset of the rainy season. “Today

[17 Dec 2008] the hospital has received 8 cases to increase the number to 88 cholera cases with 5 deaths,” he said.

Communicated by:

ProMED-mail

<promed@promedmail.org>

[The area is located in the Central Region of Malawi and can be seen on a map at:

<http://www.un.org/Depts/Cartographic/map/profile/malawi.pdf>. - Mod.LL]

*****

[7] Cholera – Botswana (Northeast, Central provinces) ex Zimbabwe

Date: Thu 18 Dec 2008

Source: Daily News Online [edited]

<http://www.mcst.gov.bw/dailynews/newsdetails.php?id=11842>

Botswana has so far recorded 8 suspected cases of cholera. Speaking at a media briefing at the Ministry of Health, Mrs. Shenaz El-Halabi, Director of Public Health said of the 8, only 3 have been confirmed to be cholera not 4 as reported in the media.

She said 1 case was confirmed in the Serowe/ Palapye area (Sekgoma

hospital) while the remaining 2 cases were confirmed in Francistown (Nyangabwe Hospital). All 3 cholera victims are from neighbouring Zimbabwe.

[Bylines: Kesentse Ketumile and Tshegofatso Sentsho]

Communicated by:

ProMED-mail

<promed@promedmail.org>

[Francistown is in the Northeast and Serowe in the Central Province of Botswana and can be seen on a map at:

<http://www.mapsofworld.com/botswana/maps/botswana-map.jpg>. - Mod.LL]

*****

[8] Shigellosis, day care centers – USA (Ohio)

Date: Tue 16 Dec 2008

Source: Dayton (OH) Daily News [edited]

<http://www.daytondailynews.com/n/content/oh/story/news/local/2008/12/16/ddn121608shigellaweb.html>

The Greene County Combined Health District is tracking an outbreak of the intestinal illness shigellosis that has hit several city daycare centers. The county had 36 cases of the bacterial infection so far in 2008. 20 of those have been reported since 1 Nov 2008 in a handful of Xenia daycare centers, said Amy Schmitt, communicable disease nurse for the health district.

Health officials are working with day care operators to combat the spread of the infections. “It’s never our mission to close anyone down,” Schmitt said. “We work with day cares to decrease transmission and prevent further infection.”

Greene County’s 3 dozen cases also seem minuscule compared with Montgomery County where 325 cases were reported in 2008, Schmitt said. Greene saw 8 cases of Shigella in 2007 and only 2 in 2006.

Warren County has had 4 cases reported in 2008, none of them in the past 2 months.

[Byline: Christopher Magan]

Communicated by:

ProMED-mail

<promed@promedmail.org>

[Greene county in Ohio is located in the southwestern part of this east-central state and can be found on a map at:

<http://quickfacts.census.gov/qfd/maps/ohio_map.html>. - Mod.LL]

[see also:

Cholera, diarrhea & dysentery update 2008 (53) 20081216.3949 Cholera, diarrhea & dysentery update 2008 (52) 20081215.3940 Cholera, diarrhea & dysentery update 2008 (51) 20081212.3906 Cholera, diarrhea & dysentery update 2008 (50) 20081208.3854 Cholera, diarrhea & dysentery update 2008 (49) 20081203.3803 Cholera, diarrhea & dysentery update 2008 (48) 20081201.3776 Cholera, diarrhea & dysentery update 2008 (47) 20081125.3716 Cholera, diarrhea & dysentery update 2008 (46) 20081124.3708 Cholera, diarrhea & dysentery update 2008 (45) 20081120.3662 Cholera, diarrhea & dysentery update 2008 (40) 20081014.3253 Cholera, diarrhea & dysentery update 2008 (30) 20080702.2019 Cholera, diarrhea & dysentery update 2008 (20) 20080404.1240 Cholera, diarrhea & dysentery update 2008 (10) 20080212.0563 Cholera, diarrhea & dysentery update 2008 (01) 20080104.0047

2007

----

Cholera, diarrhea & dysentery update 2007 (67) 20071231.4200 Cholera, diarrhea & dysentery update 2007 (60) 20071126.3824 Cholera, diarrhea & dysentery update 2007 (50) 20071023.3450 Cholera, diarrhea & dysentery update 2007 (40) 20070924.3164 Cholera, diarrhea & dysentery update 2007 (30) 20070830.2856 Cholera, diarrhea & dysentery update 2007 (20) 20070511.1509 Cholera, diarrhea & dysentery update 2007 (10) 20070302.0737 Cholera, diarrhea & dysentery update 2007 (01) 20070105.0047

2006

----

Cholera, diarrhea & dysentery update 2006 (52) 20061229.3646 Cholera, diarrhea & dysentery update 2006 (50) 20061215.3528 Cholera, diarrhea & dysentery update 2006 (40) 20061006.2862 Cholera, diarrhea & dysentery update 2006 (30) 20060724.2037 Cholera, diarrhea & dysentery update 2006 (20) 20060512.1352 Cholera, diarrhea & dysentery update 2006 (10) 20060303.0675 Cholera, diarrhea & dysentery update 2006 (01) 20060106.0040] ……………………………..ll/ejp/dk

December 17, 2008

DR Congo: OCHA Humanitarian Situation Update No. 19 – North Kivu, 06 – 16 Dec 2008

Filed under: Current Operations — dandeakin @ 04:02
Tags: ,

Source:

UN Office for the Coordination of Humanitarian Affairs

- A humanitarian staff was killed on Monday, 15 December in Burai, 3 km outside of Rutshuru town.

- A humanitarian vehicle was shot at by an FARDC

soldier close to Kibati and another one has been

confiscated by CNDP for military transportation

purposes.

- Confrontations between different armed groups took

place in different locations.

- More than 2,600 children do not have access to

schooling in Kichanga due to the lack of class rooms

or financial means.

- 10,332 cholera cases have been registered in

North-Kivu in 2008.

- 250 tonnes of food have been distributed to more

than 297,000 beneficiaries in North and South Kivu

between 01 and 15 December.

Political and Security Context

- Confrontations between CNDP and a coalition of

Mayi-May/FDLR have been reported on 7 December in

Mukongo, 5 km from Kiwanja in Rutshuru territory.

Other incidents were reported on 9 December between

CNDP and PARECO in Kashogo, in Masisi territory as

well as on 8 December in Birundule and Mirangi, in

Lubero territory.

- Local sources in Kanyabayonga reported the

pillaging of about thirty houses during the night of

9 to 10 December by unidentified armed men. Local

sources in Kirumba reported theft of goats by armed

men during the night of 8 to 9 December. These

sources and humanitarian organizations that were

conducting missions in Kanyabayonga confirmed the

presence of numerous FARDC soldiers in the

peripheral zones of the city. The traumatized

population limits its agricultural activities which

leads to a lack of produce in the city.

- Following a mission to the zone of

Rwindi-Vitshumbi on 15 December, OCHA’s mobile

antenna reported that the security situation between

the mayi mayi PARECO and the CNDP is very tense.

- NRC reported that the displaced families which

benefited from food aid in Lubero during the week of

8 to 13 December were pillaged by armed men after

the distributions.

Acces

- Several road axes are no longer accessible due to

permanent insecurity linked to the presence of armed

groups in Rutshuru territory, notably the axes of

Kiwanja ? Ishasha, Kiwanja ? Vitsumbi, Rutshuru ?

Mutabo ? Karambi ? Busanza and Burayi ? Bunagana.

Incidents against humanitarians

- A humanitarian staff from the NGO AVSI was killed

on Monday, 15 December 2008 in Burai, a few km

outside of Rutshuru town. The AVSI vehicle was

attacked by a group of unidentified armed men.

According to the driver of the vehicle, who was

injured during the attack, the men came out of the

bush and immediately started to shoot at the

vehicle.

- A FARDC military shot at a SC-UK vehicle on 11

December 800 meters from Kibati. The driver and the

two passengers managed to duck down on time.

- A staff member from the NGO Norwegian Church Aid

(NCA) was attacked on 10 December by FARDC elements

in Nzulo, in Masisi territory, on the road towards

Sake. The victim was hospitalized and is in critical

condition.

- CNDP confiscated on 6 December in Kibumba, in

Nyirangongo territory, a vehicle of the NGO Mercy

Corps for military transport purposes.

- OXFAM GB reported harrassments in Kirumba, in

Lubero territory, where the NGO was forced to pay

illegal fees for each time that it wanted to deliver

supplies to the city of Kanyabayonga.

Population Movements

Grand Nord

- Presence of IDPs was reported in Lusogha, Bulindi

and Kanyabayonga following a series of

confrontations between CNDP and PARECO in Birundule

and Mirangi.

- The NGO Solidarités arrived in Kitsumbiro, in

Lubero territory, on 10 December to conduct the

verification of IDP lists in the entire zone.

Nyirangongo Territory

- The transfer of IDPs from Kibati to the new camp

Mugunga III started on Monday, 8 décembre. Upon

arrival, the households receive blankets as well as

sticks and a lot of land for the construction of

their hut. Families that are not able to construct

their own shelter spend the first night in common

shelters where they receive fire wood for cooking.

The transfer towards Mugunga I and II had already

started on 28 November, and until today a total of

616 households, i.e. 1,780 persons, were transferred

towards the two sites according to UNHCR. The

question of IDPs that refuse to transfer remains to

be solved.

Masisi Territory

- A large part of the population of Buabo, which was

recently displaced towards Masisi centre, has

returned to its original locations. IDPs from

Kaniro, Mashaki, Shugi and Muhanga still await the

improvement of security conditions before returning

to their villages.

Rutshuru Territory

- The IDP site close to the MONUC base in Kiwanja

continues to receive IDPs from the Kiwanja ?

Nyamilima axis and other localities.

- Confrontations between CNDP and a coalition of

Mayi-Mayi/FDLR in Mukongo caused populations

displacements from Kiwanja towards Rutshuru.

Gaps

Education

- More than 2,600 displaced children do not have

access to schools in Kitchanga, due to the lack of

financial resources and space in classrooms.

According to an OCHA mission, schools in Kanyanja,

in Kibati region, are not functional. Save the

Children/UK reported that a significant number of

displaced children in Kitshumbiro zone, in South

Lubero, do not attend school. An evaluation is

currently being conducted aiming at the organization

of schooling for these children.

Health

- No assistance programme for primary health care is

currently in place for the IDPs in Beni which

arrived from Rutshuru territory and South Lubero.

- Solidarités reported the exhaustion of medical

stocks at the health center of Kitsumbiro, where

2,400 displaced households seek refuge.

NFI

- An NFI distribution by the local Red Cross was

interrupted on 6 December in Butembo by a

demonstration of military dependents which also

demanded to be assisted. The ICRC initiated on 8

December contacts with authorities of the town for

the continuation of its distributions.

Shelter

- The IDP site of Kahe in Kichanga houses 3,013

households and the camp of Mungote houses 5,400

households. There is a need for blankets for these

IDPs.

Water and Sanitation

- There is a need for shower construction and the

improvement of water provision at the IDP site close

to the MONUC base in Kiwanja in order to combat the

cholera epidemic.

Logistics

- The road axis Sake – Masisi centre will no longer

be accessible starting this week due to MONUC and

UNOPS construction on the road section between

Mema-Kisuma.

- IOM continues construction on the road to

Kobokoko. The axis will be reopened around 20

December to allow humanitarian organizations to

provide assistance to Ngungu. The road will then be

reclosed on 27 December for a period of one or two

months.

Assistance

Food

- WFP reported the distribution of 4,250 tonnes of

food in North and South Kivu between 01 and 15

December, to more than 297,000 beneficiaries. The

distribution was delayed in Beni territory, where

WPF’s distribution partner NRC experienced problems

with the identification of IDPs and dependants of

militaries demanded food assistance.

- CEPAC/Läkarmissionen distributed on 8 December

food to 360 newly displaced households in Lubero

town. These households are among the 800 households

that benefited from NFI kits distributed by Caritas

on 3 December.

NFI

- UNHCR distributed NFI kits to 16,612 persons in

the zone of Rutshuru. 15,000 persons further

benefited of 3,000 kits distributed in Tongo, in the

east of Rutshuru. In Kishishe, Nyanzale and

Kashilira, 7,612 kits were distributed to 40,000

persons. In Beni, 79 displaced households in the

Kimbanguistes camp also received kits.

- PEAC distributed on 6 December NFIs to 517

displaced households in Butembo.

- Solidarités distributed NFI kits to 2,161 newly

displaced households in Kitsumbiro zone, in South

Lubero.

Health

- According to WHO, 10,332 cholera cases were

reported in North-Kivu since the beginning of the

year until end of November. The epidemic persists in

the province. WHO provides technical and logistical

assistance through the provision of medicine kits to

humanitarian actors.

- UNFPA provided medicines and materials to partners

for emergency obstetrical interventions, medical

treatment of rape and HIV/AIDS prevention. The UN

agency provided kits to IRC for 180,000 displaced

persons and host families which are served by health

structures in Rwanguba health zone, to the hospital

center Heal Africa for 150,000 displaced persons and

host families in Goma, and to the local NGO GAD for

800 pregnant displaced women in the camps of Kibati

2 and Mugunga 3. The distribution is continuing.

- Six health centers in Goma, which receive medical

stocks from MERLIN, started this week to provide

gratis health care to displaced and vulnerable

persons. MERLIN further provided stocks to three

health structures in Kayna health zone. The health

center in Lubiriya, in Lubero territory, also

received medicine.

- Nine cases of choleriforme diarrhea, all amongst

children of less than 5 years of age, were reported

in Lubero. MERLIN provided medical care for these

cases at the hospital of Lubero.

- WHO and the International Medical Corps (IMC)

provided two basic kits, 400 bags of Oral

Rehydration Solution (ORS) and 200 liters of ringer

lactate to health structures in charge of IDPs.

Food Security

- The NGO Diakonie Katastrophenhilfe restarted its

activities in the Kayna health zone, to serve 10,000

displaced households and host families. Seed trays

and tree nurseries were reestablished after the

evacuation of humanitarians from the zone in

November.

Nutrition

- LWF provided on 10 December, 50 mattresses, 100

blankets and other inputs to Kayna for the restart

of nutritional activities at the Therapeutic

Nutrition Center (TNC) in Kayna, which had been

pillaged in November.

- LWF, implementation partner of UNICEF, changed its

strategy of providing for severely malnourished in

the Grand Nord. Instead of the fixed TNC in Kayna,

five ambulatory therapeutic centers will provide

assistance to malnutrition cases in the community.

The most serious cases will be transferred to the

general hospital of Kayna. In the meantime, in

cooperation with UNICEF, LWF provides training on

nutritional surveillance in Beni and will start a

nutrition assessment of the Mutwanga and Beni health

zones on 15 December.

Education

- In the framework of its emergency education

project, Solidarités is constructing six class rooms

with six latrines at the primary school Kasuka in

Kasugho, in Lubero territory. Education kits and

recreation kits will be provided to displaced

children that attend the school.

- SC-UK, in cooperation with educational authorities

of Lubero territory, is planning to reorganize four

schools in Kitsumbiro in order to be able to provide

education to displaced children in the afternoon

hours. The sensitization of displaced families and

the identificatin of displaced teachers in the zone

has started.

Water and Sanitation

- OXFAM-GB distributed on 9 décembre 75 m3 water

(water trucking programme) to the population of

Kanyabayonga.

Protection

- UNICEF reported two cases of rape in the IDP camp

of Kibati and assessed that prostitution and rapes

are increasing in various IDP sites. The local NGO

Alfa Ujavi, a UNICEF partner, provides sensitization

against sexual violence.

- UNICEF carries out emergency vaccination on the

axes Mueto ? Kirolirwe ? Kichanga and Mushaki ?

Ngungu. 10,200 children are targeted.

Coordination

- The Provincial Inter-Ageny Committee (CPIA)

recommended to UNHCR to equally distribute the lots

in the new Mugunga III IDP site among IDPs from

Kibati and those that are located in different

quarters of Goma.

- World Vision (WVI), NRC, UNHCR and Save The

Children UK (SC-UK) met on 13 December in Beni to

discuss the provision of assistance to IDPs in the

town. WVI and UNHCR can provide NFI kits and NRC can

distribute WFP food stocks. SC-UK can provide NFI

kits for children.

For more information please refer to :

http://www.rdc-humanitaire.net

Contacts :

Gloria Fernandez, Head of Office, OCHA RDC,

fernandez11@un.org, +243 813 330 146

Christophe Illemassene, Information Manager, OCHA

RDC, illemassene@un.org, +243 819 889 195

Noel Tsekouras, Desk Officer, OCHA New York,

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

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