scholarly journals Ebola and COVID-19 in Democratic Republic of Congo: grappling with two plagues at once

2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Fatima Muhammad Asad Khan ◽  
Mohammad Mehedi Hasan ◽  
Zohra Kazmi ◽  
Ana Carla dos Santos Costa ◽  
Abdullahi Tunde Aborode ◽  
...  

AbstractIn February 2021, a new Ebola virus disease outbreak was confirmed amid the COVID-19 pandemic in the Democratic Republic of Congo. Although the country has successfully contained the outbreak amid its fight against the COVID-19 pandemic, the epidemiological situation is still concerning, primarily due to the risk of an increase in the number of COVID-19 cases. The coexistence of both outbreaks increased the burden on the country’s health system mainly because Ebola response programs were redirected to the COVID-19 national response. Strategies adopted and lessons learned from previous Ebola outbreaks were crucial to developing the COVID-19 national response. To tackle the challenges of combating both the viruses, it is essential to adopt multidisciplinary measures such as prevention, education, and vaccination campaigns, promoting hygiene and social distancing practices, and improving diagnostic and management protocols. This paper discusses the efforts, challenges, and possible solutions to grapple with Ebola amid the COVID-19 crisis in DRC successfully.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Amorim Tomaz ◽  
F I P M Bastos ◽  
R S Santos ◽  
M Mossoko

Abstract The world has seen outbreaks of emergency and re-emergency of infectious diseases very often in the past years, many of them with devastating consequences for low-income countries with fragile or nonexistent health system, covid-19 being by now the last of a long series of global challenges. Although it is a huge challenge for the whole world, one country is facing it together with a current Ebola outbreak plus violence and some other diseases. The Democratic Republic of Congo is facing the immediate effects of both epidemics as illness and death, however its consequences at the political and economic level are usually more complex and may be protracted. Following the debate on why poor countries remain poor, it is maybe useful to rethink poverty and inequality keeping in mind Amartya Sen's seminal concepts: development must comprise freedom and respect for human rights and institutions at the price of fostering a vicious circle of (re)emerging diseases and structural violence. Ebola epidemics, that usually face some challenges when they happen alone, now together with malaria, measles, plague and covid, on top of violence in some areas, the disease sees its protocols harmed: for covid the orientation is to stay isolated, for Ebola the response includes tracking contacts. What means coming with a team to field to do the mapping in the middle of a confinement. The surveillance for such many epidemics on top of violence and humanitarian crisis makes the Democratic Republic of Congo one of the most worrying countries in terms of consequences of the Covid outbreak. Key messages Study of the association between the Covid, Ebola virus disease outbreak and the at-risk population living in the conflict zone in Eastern Democratic Republic of Congo. The study presents the difficulties that the population encountered in the face of restrictions imposed by armed groups to reach health services during an Ebola outbreak, in a conflict zone.


Author(s):  
Justus Nsio ◽  
Jimmy Kapetshi ◽  
Sheila Makiala ◽  
Frederic Raymond ◽  
Gaston Tshapenda ◽  
...  

2019 ◽  
Vol 26 (7) ◽  
Author(s):  
Ashleigh R Tuite ◽  
Alexander G Watts ◽  
Kamran Khan ◽  
Isaac I Bogoch

Abstract Background The 2018–2019 Ebola virus disease (EVD) outbreak in North Kivu and Ituri provinces, Democratic Republic of Congo (DRC), continues to spread. The recent discovery of cases in Uganda and in Goma, a major city in the eastern DRC, raises concern for potential EVD transmission in distant locales via commercial air travel. Methods We examined air travel patterns from the affected region with itinerary-level data from the International Air Transport Association for the year 2018 between July and October, inclusive. We focused on three scenarios: (i) travel from Beni airport, (ii) travel from Beni, Goma and Bunia airports and (iii) travel from Beni, Goma and Bunia, and Kigali airports. We evaluated country-level Infectious Disease Vulnerability Index (IDVI) scores for traveller destinations. Results There were 2255 commercial air passengers departing from Beni Airport during the specified time frame, all with domestic destinations, and 55% of which were to Goma. A total of 29 777 passengers travelled from Beni, Bunia and Goma airports during this time frame, with most travel (94.6%) departing from Goma Airport. A total of 72.4% of passengers’ final destination from these three airports were within the DRC, primarily to Kinshasa. There were 166 281 outbound passengers from Beni, Bunia, Goma and Kigali airports with the majority (82.1%) of passengers departing from Kigali. The most frequent destinations from these airports were Nairobi, Kinshasa and Entebbe. Eight of the 10 destinations with greatest passenger volumes are to countries with IDVI scores less than 0.4. Conclusion There is little commercial airline connectivity from the current EVD-affected area; however, larger cities in DRC and throughout East Africa should be aware of the low potential for EVD importation through this route. Most countries at greatest risk for EVD importation have limited capacity to manage these cases.


2014 ◽  
Vol 371 (22) ◽  
pp. 2083-2091 ◽  
Author(s):  
Gaël D. Maganga ◽  
Jimmy Kapetshi ◽  
Nicolas Berthet ◽  
Benoît Kebela Ilunga ◽  
Felix Kabange ◽  
...  

2015 ◽  
Author(s):  
Christian L Althaus

In 2014, the Democratic Republic of Congo (DRC) experienced an outbreak of Ebola virus disease (EVD) with 69 reported cases. I fitted an EVD transmission model to data of this outbreak and estimated the basic reproduction number R0 = 5.2 (95% confidence interval [CI]: 4.0-6.7). The model suggests that the net reproduction number Rt fell below unity 28 days (95% CI: 25-34 days) after the onset of symptoms in the index case. This illustrates that early outbreak detection and rapid implementation of control interventions are crucial for preventing wider spread of EVD in rural areas.


2019 ◽  
Vol 30 (12) ◽  
pp. 572-577
Author(s):  
Daniel Beese ◽  
Gail Beckett

While the risk of seeing cases of Ebola in general practice in the UK remains low, Daniel Beese and Gail Beckett explain the importance of keeping up to date with what to do in light of the recent disease outbreak in the Democratic Republic of Congo In July 2019, an outbreak of Ebola in the Democratic Republic of Congo was declared a Public Health Emergency of International Concern by the World Health Organization. During the last major outbreak, only a few patients with Ebola were cared for by the NHS, but media interest was high and public anxiety widespread. The fear of infection saw much time and effort put into developing a plethora of guidance, policies and protocols to prevent and control any potential risk of spread. As it is now 4 years since the last outbreak, it is an opportune time to review response arrangements.


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