DRC: Ebola epidemic death toll reaches 2210 in eastern provinces as of mid-December /update 64

Event

According to national health officials the death toll from the Ebola virus disease (EVD) in South Kivu, North Kivu, and Ituri provinces has reached 2210 victims as of mid-December. This represents the total number of victims since the beginning of the outbreak in August 2018, during which at least 3340 cases have been reported.

Authorities stated that the risk of regional transmission remains high given the region's high level of insecurity, porous borders and transient population.

Context

On July 17, the World Health Organization (WHO) declared the ongoing EVD epidemic in the DRC's North Kivu and Ituri provinces constitutes a "public health emergency of international concern." The WHO defines a "public health emergency of international concern" as an "extraordinary event" that constitutes a public health risk to multiple states through the cross border spread of a disease which may require an international response.

EVD is extremely virulent. The disease is transmitted to humans via direct contact with the blood, secretions, organs, or other bodily fluids of infected animals. The disease can then be transmitted between humans and is highly contagious, particularly during the hemorrhagic phase. Ebola is characterized by the sudden onset of high fever, weakness, joint and muscle pain, and headache. A sore throat is also a common early symptom. These symptoms are followed by nausea/vomiting, diarrhea, rashes, kidney and liver failure, and, in some cases, internal and external bleeding.

Advice

Individuals in affected provinces are advised to monitor the situation, remain vigilant for militant activity, and take measures to prevent the contraction and spread of Ebola virus disease (EVD), including:

• Avoid contact with infected individuals and any items that have been in their close proximity.
• Avoid consuming bush meat and only handle animals when wearing gloves and appropriate protective wear.
• Animal products (e.g. meat and blood) should be thoroughly cooked before consumption.
• Adhere to a strict observance of hygienic precautions (e.g. wash hands regularly, etc.).
• Avoid crowded areas (e.g. stadiums, markets, train stations, etc.).

Individuals exhibiting the abovementioned symptoms and traveling in an area of active EVD transmission should seek immediate medical attention and comply with all directives issued by local health authorities.