SitRep 081
Report date 2026-08-03
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Public Health Emergency Operations Centre « COUSP (public health emergency operations centre) DRC » Incident Management System MVE (Ebola virus disease) B-17 Situation Report of the 17th Outbreak of EBOLA Virus Disease /DRC SitRep N°081/MVE B_03/08/2026
Affected provinces (5) HAUT-UELE, ITURI, NORD-KIVU, SUD-KIVU & TSHOPO Affected health zones (51) • Haut-Uélé (5/13) : Boma Mangbetu, Isiro, Pawa, Rungu and Wamba • Ituri (28/36) : Aru, Aungba, Bambu, Bunia, Damas, Drodro, Gethy, Kilo, Komanda, Lita, Logo, Mambasa, Mangala, Mongbwalu, Nizi, Nyankunde, Rimba, Rwampara, Tchomia, Kambala, Nia-Nia, Fataki, Mandima, Lolwa, Boga, Ariwara, Mahagi and Adja. • Nord-Kivu (12/34) : Beni, Butembo, Goma, Kalunguta, Katwa, Kyondo, Oicha, Vuhovi, Mabalako, Masereka , Musienene and Lubero. • Sud-Kivu (1/34) : Miti-Murhesa • Tshopo (5/23) : Kabondo, Lubunga, Makiso-Kisangani, Mangobo and Wanie-Rukula Reporting date 03 Aout 2026 Publication date 04 Aout 2026
KEY INDICATORS — CUMULATIVE AS AT 03 AOUT 2026
CONFIRMED CASES — 5 PROVINCES 3 874 +72 new cases (Ituri 58 · N-Kivu 12 · Haut-Uélé 2)
CONFIRMED DEATHS · CASE FATALITY RATE 1 751 · (45,1 %) +44 deaths of the day (Ituri 35 · N-Kivu 5 · H-Uélé 4)
SUSPECTED CASES OF THE DAY 301 Ituri 182 · N-Kivu 109 · Haut-Uélé 6 · Tshopo 2 · Sud-Kivu 2
PATIENTS IN ISOLATION 717 Ituri 471 · N-Kivu 196 · Haut-Uélé 31 · Tshopo 3 · Sud-Kivu 16
RECOVERED — CUMULATIVE 749 +22 recovered (Ituri 21 · Haut-Uélé 1)
NATIONAL CONTACT TRACING 78,4 % 14 300 / 18 243 seen · Ituri 80,2 % - N-Kivu 76,0 % - H-Uélé 63,0 % - Tshopo 81,7 % - Sud-Kivu 100 %
1 Epidemiological highlights
• Epidemiological situation: No new health zone was affected in the course of the last 24 hours. The outbreak remains circumscribed to 51 health zones out of 140, distributed across five provinces: Ituri (28/36), Nord-Kivu (12/34), Haut-Uélé (5/13), Tshopo (5/23) and Sud-Kivu (1/34). Nord-Kivu has 73 affected health areas out of 684 and Haut-Uélé 22 out of 213.
• Case evolution: In the course of the last 24 hours, 72 new confirmed cases, 44 confirmed deaths and 22 recoveries were recorded, bringing the cumulative totals to 3 874 confirmed cases, 1 751 deaths and 749 recovered, representing a case fatality rate of 45,1 %. The deaths of the day are divided into 30 community deaths confirmed by post-mortem sampling (66,7 %) and 14 deaths occurring in CTE (Ebola treatment centre).
o Ituri: 58 new confirmed cases were returned by the laboratory, notified in Rwampara (19), Bunia (11), Nia-Nia (8), Nizi (8), Bambu (5), Tchomia (2), Komanda (1), Lita (1), Logo (1), Mangala (1) and Mongbwalu (1), as well as 35 deaths including 25 community deaths (71,4 %). Six positive repeat samples were also returned, bringing the day’s cumulative total of positives to 64.
o Nord-Kivu: 12 new confirmed cases in Katwa (9), Butembo (2) and Musienene (1), and 5 deaths, all recorded in Katwa, including 2 occurring in CTE. The cumulative total reaches 426 cases and 288 deaths, representing a case fatality rate of 68,1 %.
o Haut-Uélé: 2 new confirmed cases in Isiro, both deceased and confirmed by Swab, as well as 2 in-hospital deaths reported in Boma Mangbetu and in Pawa. The province totals 63 confirmed cases and 38 deaths, representing a case fatality rate of 60,3 %, distributed across 5 health zones out of 13 and 22 health areas out of 213. The escaped confirmed case from Gbonzunzu was found in the AS (health area) of Adjangwe.
o Tshopo: No new confirmed cases nor deaths were reported. The provincial cumulative total remains at 7 confirmed cases, 5 deaths and 1 recovered, representing a case fatality rate of 71,4 %.
o Sud-Kivu: The provincial cumulative total remains at 3 confirmed cases including 1 death and 2 recovered. The province totals 54 days without a new confirmed case since 10 juin 2026. Contact tracing is maintained: 78 contacts listed, 23 discharged and 55 undergoing monitoring, all seen (100 %),
• Analysis: Ituri remains the epicentre with 87,1 % of cumulative cases and 80,6 % of the day’s confirmations, but its case fatality rate (42,0 %) remains to that of Nord-Kivu (67,6 %), which accounts for 16,7 % of new cases. This gap reflects very late detection in Nord-Kivu, where 51 of the 109 suspected cases of the day are deaths (46,8 %) and where intra-CTE mortality reaches 35 %. Nationally, 28 of the 44 deaths of the day (63,6 %) occurred in the community: transmission still largely escapes the early detection mechanism. Contact tracing is at 78,4 % compared to 79,2 % the previous day, below the operational threshold of 95 %; this decrease is very marked in the province of Ituri (80,2 %), where Bunia (32,2 %) and Mangala (53,0 %) alone account for 1 771 of the 2 289 unseen contacts.
EPIDEMIOLOGICAL AND OPERATIONAL CONTEXT
Declared on 15 mai 2026, the 17th outbreak of Ebola virus disease (MVE) due to Bundibugyo ebolavirus continues its progression in a complex humanitarian and security context. Initially circumscribed to the health zone of Mongbwalu (Ituri), it spread to five provinces (Ituri, Nord-Kivu, Sud-Kivu, Haut-Uélé and Tshopo), now affecting 51 health zones. Population movements, insecurity, artisanal mining activities and cross-border trade with Uganda and South Sudan continue to promote transmission. Multisectoral coordination remains mobilised in order to strengthen surveillance, intensify response interventions and limit the spread of the epidemic.
[FIGURE: Figure 1 — Timeline of events of the Ebola-Bundibugyo virus disease outbreak]
2 Descriptive epidemiological analysis
2.1 Distribution by province and active foci
| Province | Confirmed cases | Deaths | Case fatality rate | Affected health zones | New cases (24 h) |
|---|---|---|---|---|---|
| Ituri | 3 375 | 1 417 | 42,0 % | 28 / 36 (77,8 %) | 58 |
| Nord-Kivu | 426 | 290 | 68,1 % | 12 / 34 (35,3 %) | 12 |
| Haut-Uélé | 63 | 38 | 60,3 % | 5 / 13 (38,5 %) | 2 |
| Tshopo | 7 | 5 | 71,4 % | 5 / 23 (21,7 %) | 0 |
| Sud-Kivu | 3 | 1 | 33,3 % | 1 / 34 (2,9 %) | 0 |
| Total | 3 874 | 1 751 | 45,1 % | 51 sur 140 | 72 |
Case fatality rates recalculated from the day’s cumulative figures. No new health zone was affected in the course of the last 24 hours.
The province of Ituri accounts for 87,1 % of confirmed cases (n = 3 375) and 81,0 % of deaths (n = 1 417), for a case fatality rate of 42,0 %. The health zones of Bunia (925 cases), Rwampara (674), Mongbwalu (553), Nizi (410), Lita (142) and Nyankunde (115) bring together 83,5 % of cases reported at the provincial level and 72,8 % of the national cumulative total. Nord-Kivu, the second focus, increases by 2,9 % in one day and maintains a case fatality rate higher than that of Ituri.
2.2 Distribution by health zone
| Province / Health zone | Cumulative number Cases (n) | Cumulative number Deaths (n) | Cumulative number Case fatality rate | Situation of the day (24h) New cases | Situation of the day (24h) Community deaths (Swab+) | Situation of the day (24h) Confirmed intra-CTE deaths | Situation of the day (24h) Total confirmed deaths |
|---|---|---|---|---|---|---|---|
| Ituri | 3 375 | 1 417 | 42,0% | 58 | 25 | 10 | 35 |
| Ituri Adja | 11 | 1 | 9,1% | 0 | 0 | 0 | 0 |
| Ituri Aru | 5 | 5 | 100,0% | 0 | 0 | 0 | 0 |
| Ituri Ariwara | 7 | 2 | 28,6% | 0 | 0 | 0 | 0 |
| Ituri Aungba | 10 | 5 | 50,0% | 0 | 0 | 0 | 0 |
| Ituri Bambu | 69 | 15 | 21,7% | 5 | 0 | 0 | 0 |
| Ituri Boga | 1 | 1 | 100,0% | 0 | 0 | 0 | 0 |
| Ituri Bunia | 925 | 277 | 29,9% | 11 | 5 | 2 | 7 |
| Ituri Damas | 18 | 8 | 44,4% | 0 | 0 | 0 | 0 |
| Ituri Drodro | 11 | 6 | 54,5% | 0 | 0 | 0 | 0 |
| Ituri Fataki | 35 | 17 | 48,6% | 0 | 0 | 0 | 0 |
| Ituri Gethy | 1 | 0 | 0,0% | 0 | 0 | 0 | 0 |
| Ituri Kambala | 2 | 0 | 0,0% | 0 | 0 | 0 | 0 |
| Ituri Kilo | 29 | 11 | 37,9% | 0 | 0 | 0 | 0 |
| Ituri Komanda | 38 | 27 | 71,1% | 1 | 0 | 0 | 0 |
| Ituri Lita | 142 | 86 | 60,6% | 1 | 1 | 1 | 2 |
| Ituri Logo | 10 | 5 | 50,0% | 1 | 0 | 1 | 1 |
| Ituri Lolwa | 7 | 2 | 28,6% | 0 | 0 | 0 | 0 |
| Ituri Mahagi | 4 | 1 | 25,0% | 0 | 0 | 0 | 0 |
| Ituri Mambasa | 10 | 6 | 60,0% | 0 | 0 | 0 | 0 |
| Ituri Mandima | 16 | 12 | 75,0% | 0 | 0 | 0 | 0 |
| Ituri Mangala | 106 | 67 | 63,2% | 1 | 1 | 0 | 1 |
| Ituri Mongbwalu | 553 | 264 | 47,7% | 1 | 0 | 1 | 1 |
| Ituri Nia-Nia | 112 | 63 | 56,3% | 8 | 5 | 1 | 6 |
| Ituri Nizi | 410 | 201 | 49,0% | 8 | 6 | 1 | 7 |
| Ituri Nyankunde | 115 | 34 | 29,6% | 0 | 0 | 0 | 0 |
| Ituri Rimba | 9 | 4 | 44,4% | 0 | 0 | 0 | 0 |
| Ituri Rwampara | 674 | 273 | 40,5% | 19 | 7 | 3 | 10 |
| Ituri Tchomia | 45 | 24 | 53,3% | 2 | 0 | 0 | 0 |
| Nord-Kivu | 426 | 290 | 68,1% | 12 | 3 | 2 | 5 |
| Nord-Kivu Beni | 64 | 49 | 76,6% | 0 | 0 | 0 | 0 |
| Nord-Kivu Butembo | 89 | 69 | 77,5% | 2 | 0 | 0 | 0 |
| Nord-Kivu Goma | 1 | 0 | 0,0% | 0 | 0 | 0 | 0 |
| Nord-Kivu Kalunguta | 7 | 4 | 57,1% | 0 | 0 | 0 | 0 |
| Nord-Kivu Katwa | 195 | 125 | 64,1% | 9 | 1 | 2 | 3 |
| Nord-Kivu Kyondo | 13 | 10 | 76,9% | 0 | 0 | 0 | 0 |
| Nord-Kivu Lubero | 1 | 1 | 100,0% | 0 | 0 | 0 | 0 |
| Nord-Kivu Mabalako | 1 | 0 | 0,0% | 0 | 0 | 0 | 0 |
| Nord-Kivu Masereka | 5 | 1 | 20,0% | 0 | 0 | 0 | 0 |
| Nord-Kivu Musienene | 44 | 25 | 56,8% | 1 | 0 | 0 | 0 |
| Nord-Kivu Oicha | 4 | 3 | 75,0% | 0 | 0 | 0 | 0 |
| Nord-Kivu Vuhovi | 2 | 1 | 50,0% | 0 | 0 | 0 | 0 |
| Haut-Uélé | 63 | 38 | 60,3% | 2 | 2 | 2 | 4 |
| Haut-Uélé Boma Mangbetu | 13 | 5 | 38,5% | 0 | 0 | 1 | 1 |
| Haut-Uélé Isiro | 21 | 13 | 61,9% | 2 | 2 | 0 | 2 |
| Haut-Uélé Pawa | 12 | 11 | 91,7% | 0 | 0 | 1 | 1 |
| Haut-Uélé Rungu | 1 | 0 | 0,0% | 0 | 0 | 0 | 0 |
| Haut-Uélé Wamba | 16 | 9 | 56,3% | 0 | 0 | 0 | 0 |
| Tshopo | 7 | 5 | 71,4% | 0 | 0 | 0 | 0 |
| Tshopo Kabondo | 1 | 1 | 100,0% | 0 | 0 | 0 | 0 |
| Tshopo Lubunga | 1 | 0 | 0,0% | 0 | 0 | 0 | 0 |
| Tshopo Makiso-Kisangani | 3 | 3 | 100,0% | 0 | 0 | 0 | 0 |
| Tshopo Mangobo | 1 | 1 | 100,0% | 0 | 0 | 0 | 0 |
| Tshopo Wanie-Rukula | 1 | 0 | 0,0% | 0 | 0 | 0 | 0 |
| Sud-Kivu | 3 | 1 | 33,3% | 0 | 0 | 0 | 0 |
| Sud-Kivu Miti-Murhesa | 3 | 1 | 33,3% | 0 | 0 | 0 | 0 |
| Total | 3 874 | 1 751 | 45,1% | 72 | 30 | 14 | 44 |
2.3 Mapping of confirmed cases
The spatial distribution confirms transmission mainly concentrated in Ituri, notably in the health zones of Bunia, Rwampara, Mongbwalu, Nizi, Lita and Nyankunde, transmission continuing in already affected zones without new geographical extension in the course of the last 24 hours.
[FIGURE: FIGURE 2 — SPATIAL DISTRIBUTION OF HEALTH ZONES HAVING REPORTED CONFIRMED CASES]
Transmission in already affected health zones, underlining the need to simultaneously maintain intensive interventions at the epicentre and preparedness activities in neighbouring provinces.
2.4 Temporal analysis — epidemic curves
The epidemic curve shows sustained transmission during weeks W26 to W31, with fluctuations linked to reporting delays and the progressive consolidation of data.
[FIGURE: FIGURE 3 — EPIDEMIC CURVE BY WEEK OF NOTIFICATION]
[FIGURE: FIGURE 4 EPIDEMIC CURVE BY DATE OF SYMPTOM ONSET (DHIS2 LINE LIST)]
The outbreak remains in a phase of sustained transmission, with a high level of virus circulation. Recent fluctuations must be interpreted with caution due to reporting delays and the progressive consolidation of data.
2.5 Demographic characteristics
The age pyramid shows a predominance of working-age adults (18–50 years). Minors under 18 years and people aged over 50 years are proportionally less affected.
[FIGURE: FIGURE 5 — CONFIRMED CASES BY SEX AND AGE GROUP]
[FIGURE: FIGURE 6 — DEATHS BY SEX AND AGE GROUP (AMONG CONFIRMED CASES)]
The distribution of cases by sex remains balanced. The predominance of cases among working-age adults reflects more frequent community and occupational exposures, whilst the proportion of paediatric cases bears witness to the persistence of intrafamilial transmission.
3 Surveillance, testing and transmission
3.1 Management and sources of alerts
| Indicator | Ituri | Nord-Kivu | Haut-Uélé | Tshopo | Sud-Kivu | Total |
|---|---|---|---|---|---|---|
| Carry-over (D-1) | 16 | 0 | 1 | 0 | 2 | 19 |
| New alerts received | 540 | 703 | 5 | 15 | 8 | 1271 |
| Total alerts of the day | 556 | 703 | 6 | 15 | 10 | 1290 |
| Alerts investigated | 344 | 687 | 6 | 15 | 10 | 1062 |
| Investigation rate (24 h) | 61,9 % | 97,7% | 100,0 % | 100,0 % | 100,0 % | 82,3% |
| Validated alerts — living | 126 | 57 | 0 | 2 | 2 | 187 |
| Validated alerts — deceased (comm.) | 56 | 40 | 6 | 0 | 0 | 102 |
| Total suspected cases of the day | 182 | 97 | 6 | 2 | 2 | 289 |
In total, 1 290 alerts were managed (including 1 271 new ones) and 1 260 investigated within 24 hours (82,3 %), for 289 validated suspected cases (187 living and 102 community deaths). Nord-Kivu carries most of the volume with 703 alerts, of which 344 investigated (97,7 %): provincial performance deteriorates markedly, Lita validating only 5,6 % of its 36 alerts whilst Rwampara reaches 87,8 % of its 77. Haut-Uélé investigates its 6 alerts, Tshopo its 15 and Sud-Kivu its 10, all at 100 %.
3.2 Laboratory: testing and positivity
→ Ituri: Ituri: 275 samples received and tested of which 64 positive and 6 repeat samples, representing a positivity of 23,3 %.
→ Nord-Kivu: 106 samples received, of which 46 analysed in Beni (none positive) and 60 in Butembo (14 positive: 12 new cases including 3 deaths and 2 repeat samples), representing a positivity of 13,2 %; 1 analysis remains in progress. Receipt of 10 Altona RT-PCR kits (ASLM), Biofire PCR kits and a Biofire Torch machine (US CDC).
→ Haut-Uélé: Haut-Uélé: 2 positive post-mortem samples, both in Isiro, no invalid results. The machine intended for the diagnostic laboratory of Wamba is available and its installation is scheduled.
→ Tshopo: Tshopo: no results were returned for the day; receipt and unpacking of 12 samples from suspected cases from Bas-Uélé. The provincial cumulative total remains at 7 positives.
→ Sud-Kivu: Sud-Kivu: 5 samples received (Nyangezi 4, Bagira 1), all negative. The provincial cumulative total stands at 3 positives out of 298 analysed samples (1,0 %); 94 % of samples are analysed within the day following collection and 5 examinations remain pending.
3.3 Contact tracing
| Province | Contacts under follow-up | Contacts seen | Tracing rate |
|---|---|---|---|
| Ituri | 11 544 | 9 255 | 80,2 % |
| Nord-Kivu* | 6 021 | 4 576 | 76,0 % |
| Haut-Uélé** | 508 | 320 | 63,0 % |
| Sud-Kivu | 55 | 55 | 100,0 % |
| Tshopo*** | 115 | 94 | 81,7 % |
| Total | 18 243 | 14 300 | 78,4 % |
Contact tracing drops to 78,4 % at the national level, compared to 79,2 % the previous day, and remains well below the operational threshold of 95 %. Ituri traces 9 255 contacts out of 11 544 (80,2 %) and continues its volume increase — 665 new contacts listed —, but two zones account for 77,4 % of the 2 289 unseen contacts: Bunia (998 unseen, 32,2 % tracing) and Mangala (773 unseen, 53,0 %), ahead of Nizi (114) and Tchomia (57). The zones of Damas, Fataki and Kambala remain at zero listed contacts whilst they have cumulative cases. Nord-Kivu shows 4 576 contacts seen out of 6 021 (76,0 %), with 155 lost to follow-up and 720 never seen; Katwa (67 %), Beni (70 %) and Butembo (77 %) pull provincial performance downward. Haut-Uélé traces only 320 of its 508 contacts (63,0 %), Boma Mangbetu falling to 25 %. Tshopo traces 94 contacts out of 115 (81,7 %) and Sud-Kivu saw all of its 55 contacts, including 44 in cantonment.
3.4 Points of entry and control points (PoE/PoC)
3.4.1 — Alerts at crossing points (24 h)
Ituri — 7 alerts notified Seven alerts were notified at crossing points of the province in the course of the last 24 hours.
Nord-Kivu — 6 alerts notified Six alerts were notified at activated PoE/PoC of the province.
Tshopo — not reported No alert was notified at activated PoE/PoC of the province.
Haut-Uélé — 0 alerts notified No alert was notified at activated PoE/PoC of the province.
3.4.2 Monitoring indicators at PoE/PoC
| Indicators | Ituri | Nord-Kivu | Sud-Kivu | Tshopo | Haut-Uélé | Overall |
|---|---|---|---|---|---|---|
| Proportion of activated PoCs and reinforced PoEs | 100 % (60/60) | 100 % (18/18) | 100 % (9/9) | 21,1 % (4/19) | 30,3 % (10/33) | 72,7 % |
| Number of persons passing through PoE/PoC | 108 393 | ND | 0 | 1 178 | 0 | 109 571 |
| % of travellers screened | 96,5 % | 98,0 % | 0 | 99,9 % | 0 | 96,5 % |
| % of travellers having washed hands | 96,3 % | ND | 0 | 99,4 % | 0 | 96,3 % |
| % of travellers sensitised | 99,2 % | ND | 0 | 100,0 % | 0 | 99,2 % |
| Number of alerts notified | 7 | 6 | 0 | 0 | 0 | 13 |
| Number of validated living alerts | 4 | 0 | 0 | 0 | 0 | 4 |
| Lifeless bodies intercepted today | 2 | 0 | 0 | 0 | 0 | 2 |
| Problematic contacts intercepted today | 0 | 0 | 0 | 0 | 0 | 0 |
| % of validated living alerts referred to CT/CTE | 25 % (1/4) | 0 % (0/6) | 0 | 0 | 0 | 25 % (1/4) |
| % of lifeless bodies swabbed | 50 % (1/2) | 0 | 0 | 0 | 0 | 50 % (1/2) |
| Positive results of referred suspected cases | 0 | 0 | 0 | 0 | 0 | 0 |
5 Frontline personnel (PPL) affected
| Health zone | Confirmed cases | Recovered | In hospitalisation | Deaths |
|---|---|---|---|---|
| Bunia | 35 | 19 | 1 | 14 |
| Rwampara | 33 | 25 | 1 | 7 |
| Nia-Nia | 22 | 5 | 12 | 5 |
| Mongbwalu | 17 | 7 | 1 | 9 |
| Nyankunde | 14 | 11 | 1 | 2 |
| Lita | 4 | 1 | 2 | 1 |
| Mangala | 4 | 2 | 1 | 1 |
| Nizi | 3 | 0 | 0 | 3 |
| Logo | 3 | 0 | 3 | 0 |
| Bambu | 2 | 2 | 0 | 0 |
| Kilo | 2 | 1 | 1 | 0 |
| Damas | 1 | 0 | 0 | 1 |
| Total — case fatality rate 30,7 % | 140 | 71 | 23 | 43 |
PPL (person released from treatment (discharged patient)) = health personnel and frontline providers.
6 Response activities by pillar
COORDINATION
→ Organisation of the workshop for updating the response plan in the context of the 5 affected provinces.
→ Nord-Kivu: production of provincial SitRep n°73; participation in the coordination meeting of the ZS (health zone) of Musienene and evaluation of the functionality of the zonal coordination; tripartite meeting BCZ – MSF France – DPS delegation on the rehabilitation of an isolation centre at the HGR (general referral hospital) of Musienene; four recommendations adopted, including the dissemination of accreditation notes and the engagement of morgue managers before 6 août.
→ Haut-Uélé: morning coordination meetings held (2/2, 100 %) and completeness of zonal reporting from 4 ZS out of 5 (80 %); out of the nine tracked recommendations, three are achieved — transmission of lists of members of the
CONTINUITY OF ESSENTIAL HEALTH SERVICES (CSSE)
→ Ituri: 28 ambulances of which 24 available, 46 journeys completed and 45 successful for 45 evacuated patients; 3 ambulances remain broken down (Bambu 1, call centre 2 and Rwampara 1) and the other health zones did not report their movements.
▸ Nord-Kivu: risk mitigation ensured across five interventions (decontamination of CS Saint-Luc, PCI (infection prevention and control) activities at clinic Saint-Vincent and at medical centre Dalson, burial at Masiani cemetery, security assessment of AS of Mabolio and Cité Belge), all 100 % covered; four health areas of Beni are stable and nine remain classified as having problems.
COUSP, weekly analysis of alerts and deaths, securing of the new laboratory and CTEs by the PNC —, one is in progress and five remain unachieved.
→ Tshopo: the three recommendations of 1ᵉʳ août are achieved; three new recommendations for immediate execution relate to the traceability of an MVE death occurring on a boat that departed from Kisangani between 19 and 21 juillet, to the persistent resistance of high-risk contacts of the deceased body brought to Kabondo, and to the pre-stockout of PPE and laboratory supplies. Activation of the PoC of Avakubi and installation of Bafwasende.
LOGISTICS
→ Ituri: delivery of PECH kits to the ZS of Nia-Nia and office supplies to the PECH pillar; in course of delivery, PECH kits and construction materials to the CTE of Lita and WASH kits (Welthungerhilfe) to Komanda and Nyankunde, PCI/WASH supplies and EDS in preparation for Mongbwalu. 49 vehicles and 10 ambulances are allocated to pillars, of which 15 to PCI/EDS and 8 to surveillance. Completion of works on the CTE of Rwankole, whose launch is postponed to 4 août, and 7 tents installed at the CTE of Nia-Nia.
→ Nord-Kivu: an ambulance was stoned in the ZS of Beni whilst retrieving a suspect at CH La Joie (AS Kanzulinzuli), without major damage thanks to the intervention of the FARDC and the PNC; continuation of construction works on the CT (transit centre) of Musienene (MSF France) and Beni (MSF Hollande); visit to the CTE of Oicha notes a capacity of 10 beds 100 % occupied, insufficient PPE and an unprotected site.
→ Tshopo: four liaison vehicles mobilised, including three donations from WHO, and two vehicles assigned to the CDC Africa and CDC Atlanta teams; start of works on the large-capacity CTE (demarcation of the area to be cleared and recruitment of workers), slowed by an obstruction from the site manager; water supply at PK 23.
PCI / WASH
→ Ituri: 24 rings opened, 27 ESS monitored and accompanied (100 %), 7 ESS and 9 means of transport decontaminated, and 49 case households decontaminated within 48 hours out of 75 expected (65 %). 112 PPL trained (Nia-Nia 100, Lita 12) and 84 RECO (community health worker) and community leaders briefed. The cumulative total of infected PPL remains 134 out of 2 884 exposed (4,6 %), with no new cases today.
→ Nord-Kivu: 3 confirmed case households decontaminated out of 47 (Katwa 1, Butembo 2) and 14 visited ESS decontaminated; 10 ESS equipped with incomplete PCI kits, 189 ESS monitored and 807 providers briefed; 3 ESS evaluated by score card — 79,9 % in Musienene compared to 27,4 % in Beni; 79 evaluations of staff exposure risk, of which 58 at high risk. Closing of training for 20 supervisors and 20 focal points in Kalunguta and 50 supervisors in Katwa, Musienene, Butembo and Vuhovi with WHO support.
→ Tshopo: PCI evaluation of CS Boyoma (score 17,7 %) and decontamination of dispensary Maman Régine (Lubunga) having received the suspected case, with incineration of used mattresses and supplies; integrated training of 85 river boat owners (“River without Ebola” project, WHO) and providers of Bengamisa. Evaluation of the Kongakonga displaced persons site (5 853 people, 1 342 households) notes 16 latrines, 11 showers, no handwashing facilities in the 46 tents and 39 torn tents. Incinerator of HGR Makiso-Kisangani broken down.
COMMUNICATION (RCCE / CREC)
→ Ituri: 5 060 people reached at home during 17 visits, 22 during 7 educational talks, 30 in mass awareness-raising and 32 via 3 advocacy meetings; 119 community alerts raised (109 living, 10 deaths) in Nyankunde, Rwampara and Tchomia. Out of 103
HOLISTIC CARE (PECH)
→ Ituri: 21 newly recovered; 471 patients in isolation (302 confirmed, 169 suspects) out of 833 beds, representing 56,5 % occupancy, and 57 severe or critical forms, for 77 admissions and 75 discharges. Two CTEs exceed saturation for confirmed cases — Nizi (272 %) and ISTM
feedbacks captured, 37 were clarified (36 %). One refusal persists in Rwampara and one reluctance in Nizi, where a 60-year-old woman having lost 10 members of her family refuses her transfer; the resistance in Nyankunde, linked to the delay of EDS teams, has not been lifted.
→ Nord-Kivu: 19 379 households visited out of 25 500 (75,9 %) and 32 605 people reached door-to-door, 3 199 during dialogues and talks and 3 803 in public places; 62 radio stations out of 72 broadcast (86,1 %) and 165 alerts of suspected cases were raised out of 450 expected (36,6 %); 6 feedbacks out of 8 resolved within 48 hours and the 2 recorded incidents lifted. Mass communication in Butsili (Beni, 81 participants), community dialogue in Mbimbi (Oicha, 42 breastfeeding women) and interactive broadcast on the radio of Kantine (Biena).
→ Tshopo: awareness-raising at the central market of Kisangani by youths from URNSC (1 100 participants), support to the training of IT of the five ZS of the city (92 participants) and stakeholders from the river police and boat owners (85 participants); 17 community alerts collected and continuation of communication around the cases of Kongakonga and Kabondo.
→ Sud-Kivu: the door-to-door community-based communication strategy totals 44 585 households visited out of 57 638 (77 %), 121 patients referred to health centres and 4 visitors arriving from affected zones identified; Nyangezi reaches 100 % coverage across its six health areas, Ibanda 68 %.
→ Haut-Uélé: 1 271 people reached at home in 458 households and 5 500 in mass awareness-raising, including support from the governor in Vube (Rungu) and in chiefdom Mayogo-Magbai; 4 radio stations out of 14 broadcast and 50 IEC tools were disseminated, bringing the cumulative total to 285. Educational talk with the 11 family members of the deceased at Clinique de l’Est, awareness-raising of 38 members of the ECZ of Pawa and talks around 2 recovered persons in Wamba; 7 feedbacks recorded, of which 5 captured.
(140 %) — and one for suspected cases (Aru 100 %). Nutritional support: 3 patients on specific diet and 1 under management for severe acute malnutrition.
→ Nord-Kivu: 4 admissions of confirmed cases and 18 of suspected cases for 2 deaths and 9 non-case discharges, none recovered; 196 patients in isolation at the end of the day (27 confirmed, 169 suspects) for 141 beds. Evaluation mission at the CTE of Katwa, Matanda hospital and CUG. On the nutrition component, recruitment of 27 nutritionists for 9 ZS (IEDA Relief / UNICEF) and joint supervision APATEMACO/WFP in Butembo, Katwa, Beni and Oicha; Masereka and Mabalako remain without nutritional care.
→ Tshopo: one new admission — a 13-year-old female suspect at the CT of HC Kisangani — for 3 patients in isolation at the end of the day (1 confirmed, 2 suspects) out of 20 beds (15,0 %); continuation of experimental treatments in 2 high-risk contacts of PPL in Madula, one of whom discharged, and in occupational contacts of HC Kisangani, of which one treatment interrupted. Eight high-risk contacts of Kongakonga refuse treatment. Nine hot meals served at the CTE.
→ Haut-Uélé: 31 patients in isolation at the end of the day for 68 beds (45,6 %); the day’s deck presents no patient management table, admission and discharge movements are therefore not documented. Four suspected cases were transferred to the CT/CTE of Isiro and three suspected cases from AS Babonde evacuated to the HGR of Pawa, where installation of a transit centre is deemed urgent.
RESEARCH, INNOVATION & VACCINATION
→ Ituri: deployment of investigators to the field with the support of Africa CDC and preparation of qualitative research in the ZS of Bunia and Rwampara; 11 protocols validated by the ethics committee (100 %), 3 studies completed out of 11 planned (27,2 %), 3 reports produced and 1 publication; 4 recommendations implemented out of 22 (22,7 %). No vaccination data is reported.
SAFE AND DIGNIFIED BURIALS (EDS)
→ Ituri: 78 death alerts, 69 EDS completed including 13 in CTE, and 55 bodies swabbed; 13 zones out of 32 reported (40,6 %). Resistance persists in Bambu (refusal of the family) and Mambasa (disbelief in MVE). The cumulative total reaches 2 779 EDS for 3 424 alerts since 20 mai. Start of training of two additional teams in Lita.
→ Nord-Kivu: 41 death alerts, 41 bodies swabbed and secured, 42 EDS completed and no failures; 15 bodies remain pending. Deaths occurring in ESS dominate, in Beni (14) and Katwa (12). The PCI pillar reports for its part 80 swabs and 52 EDS on the same day — discrepancy to be reconciled.
→ Haut-Uélé: 5 death alerts received (Wamba 2, Isiro 2, Pawa 1), 5 bodies swabbed and 5 EDS completed, no failures or postponements; acceptance of the two bereaved families of Isiro. Stockout of chlorine and delay in digging graves.
→ Sud-Kivu: no community death nor post-mortem swab reported for the day; 16 suspected cases are cared for at the CT (Katana 7, Kadutu 5, Miti-Murhesa 4) and 44 contacts remain in cantonment.
PREVENTION OF SEXUAL EXPLOITATION AND ABUSE (PSEA / PRSEAH)
→ Ituri: start of PSEAH/GBV briefings and community awareness-raising in the ZS of Bambu thanks to trained focal points; briefing of actors and signature of code of conduct by 20 participants (2 women, 18 men) from the ECZ and pillars of the ZS of Fataki. Challenges: incomplete coverage of affected zones and absence of complaints mechanisms (CBCM/CFM) in several of them.
7 Main challenges, impacts and required actions
| N° | Challenges | Impact | Required actions |
|---|---|---|---|
| 1 | Reluctance towards post-mortem sampling (EDS/swabs), community resistance and insecurity targeting EDS teams (attack at Muchanga bridge, paralysis of activities in Nyankunde) | Confirmation delay, underestimation of cases, disruption of key activities | Intensify CREC, involve religious and community leaders, secure teams, increase the number of EDS teams |
| 2 | Non-payment of providers (strike in the ZS of Bunia and Rwampara; resumption announced following the intervention of the military governor of Ituri) | Interruption of response activities, including safe and dignified burials | Regularise payment of providers; secure dedicated funding |
| 3 | Insufficient contact tracing performance: Ituri 83,4 %, Nord-Kivu 75,0 % and Sud-Kivu 100 %, Haut-Uélé and Tshopo having not reported; the ZS of Damas, Logo and Kambala (Ituri) remained without usable data | Unbroken transmission chains | Train, deploy and motivate community health workers (RECO); reinforced supervision; consolidate the recovery observed in Ituri |
| 4 | Insufficiency of ambulances and prepositioning at PoCs | Delays in transfer and isolation | Preposition ambulances (including at PoE/PoC), deploy CTs per ZS |
| 5 | Insufficiency of PCI supplies (PPE, chlorine) and limited functional triage units (181/1170, or 15 %) | High risk of nosocomial infections (140 PPL cases including 41 deaths in Ituri; 11 PPL including 3 deaths in Nord-Kivu and 3 confirmed PPL in Haut-Uélé) | Urgent supply, strengthening of PCI training |
| 6 | Geographical extension (Haut-Uélé, Tshopo) and high mobility | Risk of urban, riverine and cross-border spread | Activate the 23 priority PoE/PoCs of Haut-Uélé; strengthen cross-border coordination |
| 7 | Installation of proximate laboratories (Rwampara, Fataki, Bambu-mine, Boga and Mambasa) | Long confirmation turnaround times, undetected transmission | Accelerate deployment of decentralised diagnostic capacities |
| 8 | Insufficiency of financial resources | Limitation of pillar implementation | Urgent resource mobilisation, advocacy with partners |
| 9 | Insecurity and limited access (CODECO, ADF) | Operations restriction | Strengthening of security coordination and humanitarian access |
| 10 | Continuity of essential services (CEHS) compromised | Increase in indirect mortality (non-Ebola) | Effective implementation of free healthcare, strengthening CEHS |
9 Field activity photographs
[PHOTO] Awareness-raising of 38 members of the ECZ of PAWA (including 8 Women).
Awareness-raising in Bethesda centre/Persons living with disabilities in the AS N’sele [PHOTO]
For the National Institute of Public Health (INSP (National Institute of Public Health)) of the DRC The Director General of INSP Dr MWAMBA KAZADI Dieudonné E-mail: dieudonne.mwamba@insp.cd Tel.: +243 816 040 145
The COU-SP Coordinator Prof. NGANDU Christian E-mail: Christian.ngandu@insp.cd Tel.: +243998091915
The Incident Manager Prof. AHUKA MUNDEKE Steve E-mail: steve.ahuka@unikin.ac.cd
With the technical support of the World Health Organization (WHO) and Africa CDC
FOR ANY ADDITIONAL INFORMATION, PLEASE CONTACT
Source
- Original PDF (French), INSP
- French transcription
- 081_table_01_tableau_1_repartition_des_cas_et_deces_c
- 081_table_02_tableau_2_cas_et_deces_confirmes_par_pro
- 081_table_03_tableau_3_gestion_des_alertes_epidemiolo
- 081_table_04_tableau_4_suivi_des_contacts_des_cas_con
- 081_table_05_tableau_5_suivi_des_indicateurs_aux_poin
- 081_table_06_tableau_7_indicateurs_cles_smsps
- 081_table_07_tableau_8_personnel_de_premiere_ligne_pp
- 081_table_08