Ebola Outbreak Can Be Spiral Beyond DRC, Who Warns



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Contributors include Erikas Mwisi reporting from Beni, North Kivu; Margaret, the leader of the United Nations; And Eddie Isango, James Batty and Carol Guensburg of Washington.

Armed attacks, misinformations and a growing funding lip continue to impede the response to the Ebola outbreak in northern Democratic Republic of Congo, with the World Health Organization warning that the situation may be out of control.

Insecurity pages reply teams "unable to perform health surveillance or delivery much needed treatment and immunizations," whom reported Friday at its latest outbreak update confirmed last August. The health organization warned that "without the commitment of all groups to stop the attacks, it is unlikely that this [Ebola virus disease] Outbreaks could remain well contained in North Kuwait and at its provinces. "

The disease can be divided into other parts of the country and across the borders of neighbors Uganda, Rwanda and South Sudan, the health organization suggested.

This month alone brought disaster such as a violent assault on a burial team in the city of Katva and a gunfight between at least 50 armed military and security forces in the city of Butembo, which reported. Mourners also welcomed Richard Valery Mozzo's Kiboung, a 41-year-old Caudian physician who killed April 19 while working for someone and meeting with other front-line workers at the Semibook University Hospital.

The threats continue.

A letter warns against collaborating with Ebola respondents or treatment centers in the Democratic Republic of Congo. Copies of the letter, written by a Mayan Fighter, appeared on the street in Butembo and in other communities in the area.

A letter warns against collaborating with Ebola respondents or treatment centers in the Democratic Republic of Congo. Copies of the letter, written by a Mayan Fighter, appeared on the street in Butembo and in other communities in the area.

On Thursday, a VOA correspondent in a boutembo saw a series of letters scattered on a street, each waited down with kebabs. Posted in Swahili and attributed to May-May fighters, the police showed police, soldiers and the general public against showing an Ebola respondent or treatment center.

Anderson Djumah, whose 10-year-old son was treated for Ebola in the general hospital in the north of Kiev, complained that "the lack of security has just added more suffering."

"Even Ebola treatment centers are targeted by the asylum seekers. We are afraid. Ebola is killing so many people. We still ask that the government be able to protect us," he said. "… [But] Some people who are ill with Ebola are fleeing to other places of their lives and are currently spreading the disease. "

Complications for caring

Violence sends men into hiding and disrupts reaction operations such as contact tracing, vaccination and certain burials, giving "time and space to the virus to spread into the community and making more victims," ​​Jessica Yelta, spokeswoman for the DOC's health ministry, Said Woa.

"Every time we have a security incident, the number of cases and deaths is increasing," said Isaac.

The health ministry, which reported the response with WHO's assistance, reported 1,600 complete cases as of Wednesday, with 1.534 confirmed and 66 likely. This second worst Ebola outbreak has already climbed 1,069 lives. The 2014-15 Western African debut killed more than 11,000.

Many of the victims have died at home, bypassing others to the disease, leaving gaps in the way – and to whom – the virus may be transmitted.

"You don't know what these contacts are," said Jennifer Nuzzo, an epidemiologist, an epidemiologist and chief investigator for the Outbreak Observatory, a project by the John Hopkins Center for Health Security. "… chances are you can't offer them vaccines or treatment."

Founding for the Ebola response has come a long way, which spokesman Tarik Jasarevic said in an email to Wednesday. As of May 2, which received $ 32.5 million of the $ 87 million, it has been estimated for six months at the end of July.

"If money is not received," jasarevik wrote, "that cannot delay the response to the current scale."

Fail - police shelter behind a hospital drawing as they watch a hospital in Butembo, Congo, April 20, 2019, additional military members against an Ebola treatment center in the city's Katwa district overnight.

Fail – police shelter behind a hospital drawing as they watch a hospital in Butembo, Congo, April 20, 2019, additional military members against an Ebola treatment center in the city's Katwa district overnight.

New challenges in the 10th DRC outbreak

It is the Dr. 10th century outbreak since the virus discovery at the Ebola River in 1976. The nation has proved to be sniffing out past Ebola outbreaks, which have been found in bats, monkeys, and other animals consumed at times. Like "bush meat. "The virus spreads through contact with an infected person's body fluid.

Ebola was unfamiliar with the northeast, an area already destabilized by at least two decades of struggle. More than 100 armed groups roam the area, displacing hundreds of thousands of people.

High mobility and population density also raise the potential that the virus can cross in Uganda, Rwanda and southern Sudan. (The US Centers for Disease Control and Prevention provide technical guidance to the DRC and its neighbors, for example, helping them ramp up surveillance and vaccination tracking.)

Wary public

Skepticism also causes in the Ebola equation. The northeast is a opposition force, and its residents are anxious to be voting in December's general elections, as former US officials said. There. John Campbell's diplomat appeared in a Council on Foreign Relations Blog post.

A study published in the London Medical Journal in March found low public confidence in local authorities and wide acceptance of Ebola information. Only a third of the 961 respondents – adults surveyed in North Kiwu's Benny and Butembo last fall – said they had confidence that local authorities were acting in the public interest. A fourth said they did not believe Ebola exists.

Mistrust and misinformations make it less likely that individuals should be cautious Safety instructions such as accepting Ebola vaccines, seek formal medical care or support certain burial practices, the researchers noted.

A woman is looking at burned equipment in an Ebola treatment center, which was attacked on March 9, 2019, in Bhutombo, Democratic Republic of Congo.

A woman is looking at burned equipment in an Ebola treatment center, which was attacked on March 9, 2019, in Bhutombo, Democratic Republic of Congo.

Mistress can be renamed, as experienced by Medekins Sun Frontiers / Doctors without borders. Two of the international help group's Ebola treatment centers, in Katva and Butembo, are blocked in February. MSF suspended services there, saying its ability to respond to the outbreak's epicenter has been "crippled."

An Ana Marie Pegg, MSF's Clinical Lead for Epidemic Response, has some congressional criticisms of the disparity between local clinics, which, if they exist, may lead to miscarriages such as running water and electricity, and the better-equipped Ebola treatment centers. Through international aid groups.

"Very little investment is in the existing sound structures and the existing health system, and this is being noticed," Pegg said. She said MSF, in "Many Interactions," heard complaints that international groups were "just because we [locals] Are contagious and we are in danger of you. & # 39;

"It's not surprising that something like Ebola can be manipulated for any variety of reasons," Pegg added. "… responsibly, there are interest groups from all sides who are trying to use this."

MSF continues to operate in the area while urging "better integration of Ebola treatment into the health care system," Pegg said. The virus's early symptoms, such as headaches and muscle pain, are indistinguishable from those of malaria or other more common ailments, so "it's hard for someone who is ill to think," I have Ebola. . & # 39; So the capacity to isolate someone who could have an Ebola infection and try for what … needs to happen at a local level ", not to send patients to a treatment center. "It would be nice if they could be treated closer to home" and started treatment while awaiting test results. If the virus is confirmed, transfer the patient to an Ebola treatment center "which is the best place."

However, she said, MSF & # 39; s goal is to treat any patient who might have a patient.

Failure - A Congolese health worker admits Ebola vaccine to a boy who has contacted an Ebola sufferer in the village of Mangina, in North Kiwu Province of Democratic Republic of Congo, 18 August 2018.

Failure – A Congolese health worker admits Ebola vaccine to a boy who has contacted an Ebola sufferer in the village of Mangina, in North Kiwu Province of Democratic Republic of Congo, 18 August 2018.

Vaccine plans revised

As Ebola Infections Increase, a week's advisory group recommended that approved vaccine be spread more widely in smaller doses and that an experimental vaccine developed by Johnson & Johnson should also be offered. More than 100,000 doses of approved cartilage vaccine have been distributed since August, but supplies are low. Dosage should be halved from the current one for the primary and secondary "ring vaccination," which prescribes inoculation for anyone in contact with an infected person. Elegance would be expanded by "high-risk" pop-up and targeted geographic approaches.

"We know that vaccination is saving life in the outbreak," the director general Tedros Adanom told him in a statement.

The advisory group also recommended more training for local health workers.

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