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Disease Outbreak News

Chikungunya – Chad

From July through 20 September 2020, a total of 27 540 cases were reported in three provinces, distributed as follows: 24 302 cases in the health district of Abéché, 3237 cases in the health district of Biltine, and one case in the health district of Abdi. One death has been reported to date in district of Abéché. After a few hours of treatment in a health facility, patients continue with outpatient treatment. The most affected age group are those aged 15 years and over. More than three-quarters of cases developed a high fever, headache, and joint pain, while one-third developed maculopapular rashes. In July 2020 health authorities were alerted to the occurrence of a disease-causing high fever, headache, intense and disabling joint pain, and sometimes associated with vomiting. It was event...

Yellow fever – Togo

On 20 April 2020, WHO received information regarding a confirmed yellow fever case in Galangashie health area, located 30 km from Mango village, Oti district, Savanes region in the northern part of Togo. The case is a 55-year-old woman with no vaccination history for yellow fever. She had onset of symptoms on 31 January 2020 and presented to a health facility on 3 February 2020 with fever and aches. The following day she developed jaundice and a blood sample was taken. On 7 February , the blood sample was transported to the national laboratory. On 10 February , the sample from the case was received at the national laboratory and test results on 17 March were Immunoglobulin M (IgM) positive for yellow fever. The positive yellow fever result was confirmed by the Institute Pasteur in Dakar Se...

Ebola virus disease – Democratic Republic of the Congo

North Kivu, South Kivu and Ituri outbreak No new confirmed cases of Ebola virus disease (EVD) have been reported in Ituri, North Kivu and South Kivu Provinces of the Democratic Republic of the Congo since 27 April 2020 (Figure 1). The source of infection of the cluster reported in April 2020 remains unconfirmed. From 27 May to 2 June 2020, an average of 2870 alerts were reported per day, of which 2867 (over 99%) were investigated within 24 hours. Of these, an average of 438 alerts were validated as suspected cases each day, requiring specialized care and laboratory testing to rule-out EVD. The number of reported and validated alerts has remained stable in recent weeks. Timely testing of suspected cases continues to be provided from eight laboratories. From 25 to 31 May 2020, 3017 samples w...

Ebola virus disease – Democratic Republic of the Congo

On 31 May 2020, WHO received information that between 18 and 30 May, four deaths were reported from the same quarter (quartier Air Congo) in Mbandaka Health Zone, Mbandaka city, Equateur Province, the Democratic Republic of the Congo. All cases had experienced fever and bleeding prior to their deaths. Of the four patients who died, two of them visited the General Reference Hospital (HGR) in Wangata; a sample (swab) was taken from one of them who died on 30 May. Safe and dignified burials were not performed for these four patients. On 31 May, the brother of the probable case who died on 22 May and his wife presented to HGR Wangata; both had fever, non-bloody diarrhoea and vomiting. They were placed in isolation after blood samples were collected. The three samples including two blood sample...

Ebola virus disease – Democratic Republic of the Congo

From 20 to 26 May 2020, no new cases of Ebola virus disease (EVD) have been reported from the Democratic Republic of the Congo (Figure 1). Since the resurgence of the outbreak on 10 April 2020, seven confirmed cases have been reported from Kasanga, Malepe and Kanzulinzuli Health Areas in Beni Health Zone. Investigations into the origin of the last cluster of cases in Beni Health Zone are ongoing. To date, no definitive source of infection has been identified. From 20 to 26 May 2020, an average of 2715 alerts were reported per day, of which 2709 (over 99%) were investigated within 24 hours. Of these, an average of 404 alerts were validated as suspected cases each day, requiring specialized care and laboratory testing to rule-out EVD. In the past two weeks, there was a slight decrease in ove...

Dracunculiasis (Guinea worm disease) – Ethiopia

Between 2 and 8 April 2020, six suspected human cases of dracunculiasis in Duli village, Gog district, Gambella region, Ethiopia, were reported to WHO. As of 27 April 2020, the Ethiopian Dracunculiasis Eradication Program (EDEP) had detected one additional person with an emerged worm, morphologically consistent with human guinea worm, bringing the total to seven suspected cases. This report comes after more than two consecutive years of zero reporting, as the last cases were reported in December 2017. Since its establishment in 1993, the EDEP has made remarkable progress towards interruption of disease transmission in humans despite the existence of low-level transmission of the parasite in non-human hosts such as dogs and peri-domestic baboons. Of the seven suspected cases, five were dete...

Ebola virus disease – Democratic Republic of the Congo

From 13 to 19 May 2020, no new cases of Ebola virus disease (EVD) have been reported from North Kivu Province, Democratic Republic of the Congo (Figure 1). Since the resurgence of the outbreak on 10 April 2020, seven confirmed cases have been reported from Kasanga, Malepe and Kanzulinzuli Health Areas in Beni Health Zone. Of these, two cases who were receiving care at the ETC recovered and were discharged, and one remains in the community (status unknown). The four other people confirmed to have Ebola died, including two community deaths and two deaths in the ETC in Beni. No new cases have been reported since 27 April. The last person confirmed to have Ebola recovered and was discharged from the treatment centre on 14 May 2020. On the same day, the Ministry of Health of the Democratic Repu...

Ebola virus disease – Democratic Republic of the Congo

From 6 to 12 May 2020, no new cases of Ebola virus disease (EVD) have been reported from North Kivu Province, Democratic Republic of the Congo (Figure 1). Since the resurgence of the outbreak on 10 April 2020, seven confirmed cases have been reported from Kasanga, Malepe and Kanzulinzuli Health Areas in Beni Health Zone. Of these, one is receiving care at the Beni Ebola treatment centre (ETC), one who was receiving care at the ETC recovered and was discharged, and one remains in the community, 35 days after symptom onset. Efforts to locate this individual are being undertaken to test and provide care for this person. Four of the people confirmed to have Ebola died, including two community deaths and two deaths in the ETC in Beni. So far, no definitive source of infection has been identifie...

Ebola virus disease – Democratic Republic of the Congo

From 29 April to 5 May 2020, no new cases of Ebola virus disease (EVD) have been reported from North Kivu Province, Democratic Republic of the Congo (Figure 1). Since the resurgence of the outbreak on 10 April 2020, seven confirmed cases have been reported from Kasanga, Malepe and Kanzulinzuli Health Areas in Beni Health Zone. Of these, one is receiving care at the Beni Ebola treatment centre (ETC), one who was receiving care at the ETC recovered and was discharged, and one remains in the community. Four of the people confirmed to have Ebola died, including two community deaths and two deaths in the ETC in Beni. A total of 1137 people have been vaccinated in Beni and Karisimbi since 10 April 2020. Specimens from all confirmed cases were sent to the Institut Research Biomédicale (INRB) for ...

Measles – Burundi

Burundi has been experiencing an increase in the number of confirmed cases of measles since November 2019. This outbreak initially started in a refugee transit camp (Centre de transit de Cishemere, Cibitoke Health district), whose inhabitants had arrived from measles-affected provinces of the Democratic Republic of Congo. Refugees spend 21 days in the Transit Camp of Cishemere before they are sent to permanent camps in Nyankanda and Bwagiriza refugee camps in Butezi, Kavumu camp of Cankuzo, Garsowe camp of Muyinga and Mulumba camp at Kiremba. The outbreak was identified when suspected measles cases had been reported by the local residents in the surrounding areas, highlighting pockets of under-vaccinated populations. According to WHO/UNICEF 2018 estimates, measles first dose vaccination co...

Middle East respiratory syndrome coronavirus (MERS-CoV) – Saudi Arabia

From 1 through 31 March 2020, the National IHR Focal Point of Saudi Arabia reported 15 additional cases of MERS-CoV infection, including five associated deaths. The cases were reported from Riyadh (7 cases), Makkah (4 cases), Najran (3 cases), and Al Qassim (1 case) regions. The link below provides details of the 15 reported cases. MERS-CoV cases reported from 1 March through 31 March 2020xlsx, 24kb Since 2012 until 31 March 2020, the total number of laboratory-confirmed MERS-CoV infection cases reported globally to WHO is 2553 with 876 associated deaths. The global number reflects the total number of laboratory-confirmed cases reported to WHO under the International Health Regulations (IHR 2005) to date. The total number of deaths includes the deaths that WHO is aware of to date through f...

Ebola virus disease – Democratic Republic of the Congo

Three months after the declaration of the eleventh Ebola virus disease (EVD) outbreak in Equateur Province, Democratic Republic of the Congo, the number of confirmed cases continues to increase, and the geographic spread of the outbreak continues to expand. As of 1 September 2020, 110 cases (104 confirmed and six probable) including 47 deaths (case fatality ratio 43%) have been reported from 36 health areas in 11 health zones. In the past 21 days (12 August – 1 September 2020), 24 confirmed cases have been reported in 15 health areas across eight health zones. To date, three healthcare workers have been affected, making up 3% of all cases. In addition, 48 people have recovered from EVD to date.

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