DRC: Elevated measles activity reported nationwide through June; Tshopo Province most affected /update 2

Event

DRC health officials have reported an additional 43,714 cases of measles April 17-June 6, bringing the total case count to 122,110 since Jan. 1. Over a similar period in 2022, only 73,152 cases were reported. The most at-risk province is Tshopo (22 cases per 100,000 population), followed by Sankuru (16 cases per 100,000 population), Nord-Ubangi (12.6 cases per 100,000 population), and Bas Uele (11.5 cases per 100,000 population). Vaccination campaigns continue nationwide, with Phase 3 scheduled for Aug. 8, particularly in the provinces of Bas Uele, Haut Uele, Haut Lomami, Haut Katanga, Kongo Central, Kwango, Mai Ndombe, and Equateur. This report represents the most complete data available as of June 28.

Context

Measles vaccination coverage in the DRC is estimated at 55 percent, much lower than the 92-95 percent required to prevent wider community transmission. Authorities reported 148,638 cases nationwide in 2022, nearly 54,471 cases in 2021, and 80,450 cases in 2020.

Measles is a very contagious viral disease that spreads through respiratory droplets created when an infected individual coughs, sneezes, or speaks. Infected individuals can also expose people around them by contaminating surfaces with secretions from the nose, mouth, and throat. Symptoms typically appear 7-14 days after exposure but can develop up to 21 days after exposure. Symptoms generally include fever, cough, runny nose, red eyes, and a red rash that begins on the face and spreads downward. Serious complications - including pneumonia - can occur, especially in children younger than five years old, adults older than 20 years old, and individuals with a weakened immune system.

Advice

Visit a doctor to ensure vaccination against measles or immunity through previous infection. Practice basic health precautions. Call your medical provider if symptoms develop within three weeks of being in affected areas.