Democratic Republic of Congo: Elevated measles activity reported nationwide with Sud Kivu Province most affected through April

Event

Congolese health officials have reported elevated measles activity across multiple provinces in the Democratic Republic of Congo (DRC), with more than 57,160 cases reported from Jan. 1-April 4. Over a similar period in 2022, only 23,879 cases were reported. The most at-risk province is Sud Kivu Province (15,238 cases), followed by Nord Kivu (12,300 cases), Lomami (9,619 cases), Tshopo (5,413 cases), and Sankuru (3,785 cases). This report represents the most complete data available as of April 12.

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.