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Democratic Republic of Congo -Ebola Outbreak Weekly Situation Report #1 -16/09/2014

Cartes: Source: www.rgc.cd, 29 aot 2014. LUNICEF nesaurait tre tenu responsable de la qualit des limites, noms et

dsignations utilises.

EPIDEMIC SITUATION

UNICEFS RESPONSE

Coordinated byThe Ministry of Health

WaSH

14 T Hygiene kits

100 Water containers

30 Cartons of Sprayers

4 Toques of Chlorine

200 Cartons of Purifiers

2,800 Soap bars

50 Cartons of Aquatabs

500 Hand washing stations

2 Bladders (10 m3)

Communications

355,000 Leaflets

80 Megaphones

Health

5,6 T medical supplies/equipment

4 Basic health kits

4 Malaria Kits

80 Mosquito Nets

60,000 Examination gloves

Logistics

25 Motorcycles

1 Car

40 Bicycles

1 15KVA Generator

2,000 L Fuel

7 Tents of 72m2

Human Resources in

the field

Coordinator

Logisticians

Health Specialist

C4D Specialists

WaSH Specialist

Anthropologist

Driver

Number of deaths

Total registered: 39

Confirmed

Likely

Data as of 16 September, 2014

Number of cases

14

4 3 2 1 0 0

24

8

3 2 1 1 0

38

20

74

1 1 0

C on fi rm ed D ea th s T ot al

27

16

26

Confirmed Suspected Likely

Total registered: 69

13

26


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RESPONDING TO THE EBOLA OUTBREAK IN BOENDE (1/2)

CONTEXT

An outbreak of Ebola Virus Disease was declared by the Minis-ter of Health on August 24, 2014, in a remote rural area of

Equateur provinces Boende health zone. As of 16 September

there are 69 registered cases and 39 deaths (see details p.1).

Since the crisis began, there have been 716 contact cases

(349 removed from the list after 21 days, 366 followed). Most

cases come from Lokolia (see map). Epidemiologists (CDC),

health agents (MSF) laboratory technicians (Canada),logistics

and Communications (C4D) specialists (UNICEF, WFP) are de-

ployed to support the government and WHO teams in Lokolia.

RESPONSE

When DRC Government started positioning medical items in

Boende to respond to Ebola crisis, UNICEF supplied medical

and hygiene material (see infographics) and personal protec-

tive equipment for health workers. With CDC support, DRC

government provided a mobile laboratory while WFP airlifted

food for affected populations. WHO deployed 3 epidemiologists

in Boende and MSF set up an isolation and treatment centre in

Lokolia where the national mobile laboratory was deployed.

MONUSCO and UNHAS have supported the response in deliv-

ering supplies to Boende. 500 hand washing stations have

been distributed to schools in and around Mbandaka.

COORDINATION

The Government of DRCs response mechanism includes 7

commissions: Epidemiological Surveillance, Medical Care and

Infection Control, Laboratory and Research, Psychosocial

Care, Logistics, WASH and Communication. UNICEF works in

partnership with health authorities as well as WHO, Doctors

without Borders (MSF, medical response), OXFAM (hygiene

and sanitation), International Federation of the Red Cross

(communication), MONUSCO, UNHAS and WFP in logisticsand the Ministry of Humanitarian and Social and Affairs

(distribution of food and hygiene kits).

HEALTH

As soon as the outbreak was declared, the Government posi-tioned medical supplies, equipment and staff in Boende and in

Lokolia to respond to the Ebola outbreak. DRC Minister of

Heath, UNICEF and partners are currently working to provide

free health care to the population of Boende. UNICEF has pro-

vided significant technical support in elaborating the national

response plan, and continues supporting the coordination at

the national, provincial and operational level in Kinshasa.

UNICEF also deployed personal protective equipment to staff

supporting the response on the ground and provided 7 tents to

serve as mobile laboratory, office use and accommodation for

the coordination team based in Lokolia. The MSF treatmentcentre in Lokolia is operational, with 17 staff on the ground, 6

ambulances and 27 tons (T) of supplies and equipment. WHO

deployed 3 experts in Boende to monitor epidemiological sur-

veillance and provides financial support to national epidemiolo-

gists on the ground. WHO, CDC and Canadian Cooperation

provide the reagents used for Ebola tests.

COMMUNICATION

UNICEF and the Minister of Health have deployed social mobi-

lisers to raise awareness on Ebola prevention among popula-

tions in Mbandaka, Lokolia and Boende. UNICEF supported

the production of 355,000 leaflets and posters (including

45,000 for Equateur Province) as well as radio spots for ongo-

ing information and social mobilization campaigns. 10 radio sta-

tions broadcast sensitization messages and 28 national NGOs

participated in the development of a communication plan for the

area. Social mobilizers visited houses to inform families in the

villages of Ituku and Lokolia. In and around Mbandaka,

UNICEF trained community volunteers and leaders in 7 villages

in the Mondombe Ngele area, where hygiene supplies such as

chlorine and aquatabs were distributed to health centres. In

Mbandaka, UNICEF briefed 44 religious leaders on the dan-

gers of the disease and prevention measures in order to reach


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sensitize thousands of people. A UNICEF anthropologist is also

in the field with the epidemic teams to observe the behaviour

and attitudes of the local population, and supports in imple-menting communication approaches. Psycho-social support

was given to a family in Ituku who accepted the evacuation of

their child, a suspected case, to the isolation centre.

LOGISTICS

As the area of the outbreak is extremely remote, logistical chal-

lenges have slowed the initial response. The UNICEF vehicle is

one of only two cars available for government teams there.

While local authorities make the necessary repairs to small

bridges, Government partners are exploring access to neigh-bouring villages by river using motorized pirogues. With

MONUSCO and UNHAS support, UNICEF airlifted over 20 T of

medical hygiene kits, medical supplies and equipment, and

communication tools to Boende, and 2,000 L of fuel to Lokolia.

UNICEF deployed a logistician in Boende and provided finan-

cial support to investigations of Ebola cases in neighbouring

health areas on alert. MONUSCO put in place an airlift position-

ing a helicopter in Mbandaka and a plane in Kisangani. WFP

positioned a logistician and airlifted over 15 MT of food (rice,

pulses, fortified oil, salt, CSB and high energy biscuits).

WASH

The government via the WASH commission and UNICEF and

have airlifted more than 1,400 hygiene kits for hospitals, health

centres and communities in Boende territorys affected villages.

Household kits will be distributed to affected families and com-

munities in quarantine along with a 2-month food ration provid-

ed by WFP. UNICEF deployed a WASH specialist to Boende to

support the Ministry of Health.

EDUCATION

The school year has been delayed by one week in Boende, as

per joint decision from the Ministries of Health and Education.

UNICEF is working with educational authorities to increase

communication on Ebola in and around schools. In Mbandaka,

briefings were held with 63 stakeholders to prepare for the be-ginning of the school year. The first batch of 500 hand washing

equipment was given to the Provincial Commissioner of the Ed-

ucation Ministry in a broadcast ceremony. In Boende, 53 peo-

ple including inspectors from the Ministry of Education were

trained as trainers on Ebola prevention measures. Training also

needs to be provided to members of the local sub -

commissions.

CONTINGENCY PLAN

DRC Government and its partners developed a contingencyplan that is constantly updated with prevention and response

inputs for the current crisis prevailing in Lokalia and Boende,

along with an urban scenario to prepare for an Ebola outbreak

in cities like Kinshasa. The plan aims to reduce mortality and

morbidity due to a potential Ebola outbreak, with w capacity to

detect and respond within the first 48 hours of an alert. In order

to strengthen preparedness for an urban outbreak in Mbanda-

ka, the isolation centre at Wangata Hospital has been prepared

to receive patients, and members of the crisis team trained 77

health workers and reinforced screening of travelers coming by

boat from Boende.

RESOURCE MOBILIZATION


RESPONDING TO THE EBOLA OUTBREAK IN BOENDE (2/2)

BudgetBudget(USD)

Fundsreceived

Pledgeamount

Gap%Gap

Ebola emergencyresponse total

8 300 000 - 7 141 623 1 158 377 14%

Including UNICEF1 924 545 - 1 209 316 715 229 37%

Donor Pledge Amount (US$)

DRC Government 1 000 000

ADB 1 000 000

CERF

2 451 623Pooled Fund 2 690 000

Total

7 141 623

ebola weekly sitrep 1 160914

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