SitRep 082
Report date 2026-08-04
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Centre d’Opérations d’Urgence de Santé Publique (COUSP)
« COUSP RDC »
MVE (Ebola virus disease) B-17 Incident Management System
Situation Report on the 17th Outbreak of EBOLA Virus Disease /DRC
SitRep N°082/MVE B_04/08/2026
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 04 Aout 2026
Publication date 05 Aout 2026
KEY INDICATORS — CUMULATIVE AS OF 04 AOUT 2026
CONFIRMED CASES — 5 PROVINCES
3 973
+99 new cases (Ituri 85 · N-Kivu 10 · Haut-Uélé 4)
CONFIRMED DEATHS · CASE FATALITY RATIO
1 801 · (45,3 %)
+52 deaths of the day (Ituri 47 · N-Kivu 4 · H-Uélé 1)
SUSPECTED CASES OF THE DAY
270 Ituri 182 · N-Kivu 66 · Haut-Uélé 21 · Tshopo ND (not available) · Sud-Kivu 1
PATIENTS IN ISOLATION
674
Ituri 468 · N-Kivu 186 · Haut-Uélé ND · Tshopo 3 · Sud-Kivu 17
RECOVERED — CUMULATIVE
776
+27 recovered (Ituri 25 · N-Kivu 2)
NATIONAL CONTACT TRACING
75,3 %
13 393 / 17 781 seen · Ituri 77,4 % - N-Kivu 74,0 % - H-Uélé 49,9 % - Tshopo ND - Sud-Kivu 100 %
1 Epidemiological highlights
• Epidemiological situation: No new health zone was reached over the past 24 hours.
The outbreak remains confined 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 74 affected health areas out of 684 and Haut-Uélé 22 out of 213.
• Evolution of cases: Over the past 24 hours, 99 new confirmed cases, 52 confirmed deaths and 27 recoveries were recorded, bringing the cumulative totals to 3 973 confirmed cases, 1 801 deaths and 776 recovered, representing a case fatality ratio of 45,3 %.
The deaths of the day are broken down into 37 community deaths confirmed by post-mortem sampling (71,2 %) and 15 deaths occurring in a CTE (Ebola treatment centre).
The national cumulative death toll increases by only 50 units however: the provincial total for Nord-Kivu published in the previous edition exceeded the sum of its health zones by two units, a discrepancy resolved in the present edition.
o Ituri: 85 new confirmed cases were returned by the laboratory, reported in Bunia (25), Nizi (21), Rwampara (18), Lita (9), Mongbwalu (5), Fataki (5) and Mangala (2), as well as 47 deaths of which 35 were community deaths (74,5 %).
The 12 deaths occurring in a CTE are distributed among Rwampara (3), Nia-Nia (3), Bambu (2), Bunia (1), Mongbwalu (1), Nizi (1) and Nyankunde (1).
Six (6) positive repeat samples were also returned, bringing the total positives of the day to 91.
o Nord-Kivu: 10 new confirmed cases in Katwa (5), Butembo (3), Kalunguta (1) and Musienene (1), and 4 deaths, all recorded in Katwa.
o Haut-Uélé: 4 new confirmed cases in Isiro, of which 3 are living and 1 death confirmed by swab.
o Tshopo: No new confirmed cases or deaths were reported.
The provincial cumulative total remains at 7 confirmed cases, 5 deaths and 1 recovered, representing a case fatality ratio of 71,4 %.
o Sud-Kivu: The provincial cumulative total remains at 3 confirmed cases of which 1 death and 2 recovered, to which are added 2 probable cases.
The province totals 56 days without a new confirmed case since 10 June 2026.
• Analysis: Ituri remains the epicentre with 87,1 % of cumulative cases and 85,9 % of the day’s confirmations, and its case fatality ratio (42,3 %) remains well below that of Nord-Kivu (67,0 %), which now accounts for only 10,1 % of new cases.
This gap probably reflects later detection in Nord-Kivu, where intra-CTE mortality reaches 36 %.
Nationally, 37 of the 52 deaths of the day (71,2 %) occurred in the community, compared with 63,6 % the day before.
Contact tracing falls back to 75,3 % compared with 78,4 % the day before, far from the operational threshold of 95 %; the decrease is driven by Haut-Uélé, which drops to 49,9 % after the listing of 131 new contacts, and by Ituri (77,4 %), where Mangala (846 not seen) and Bunia (810) alone account for 67,0 % of the 2 475 contacts not seen.
The alert investigation rate also falls back to 71,2 % at the national level.
EPIDEMIOLOGICAL AND OPERATIONAL CONTEXT
Declared on 15 May 2026, the 17th outbreak of Ebola virus disease (MVE) due to Bundibugyo ebolavirus continues its progression in a complex humanitarian and security context.
Initially confined 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 exchanges 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 outbreak.
[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 ratio | Affected health zones | New cases (24 h) |
|---|---|---|---|---|---|
| Ituri | 3 460 | 1 464 | 42,3 % | 28 / 36 (77,8 %) | 85 |
| Nord-Kivu | 436 | 292 | 67,0 % | 12 / 34 (35,3 %) | 10 |
| Haut-Uélé | 67 | 39 | 58,2 % | 5 / 13 (38,5 %) | 4 |
| Tshopo | 7 | 5 | 71,4 % | 5 / 23 (21,7 %) | 0 |
| Sud-Kivu | 3 | 1 | 33,3 % | 1 / 34 (2,9 %) | 0 |
| Total | 3 973 | 1 801 | 45,3 % | 51 sur 140 | 99 |
Case fatality ratios recalculated from the cumulative totals of the day.
No new health zone was reached over the past 24 hours.
The province of Ituri accounts for 87,1 % of confirmed cases (n = 3 460) and 81,3 % of deaths (n = 1 464), for a case fatality ratio of 42,3 %.
The health zones of Bunia (950 cases), Rwampara (692), Mongbwalu (558), Nizi (431), Lita (151) and Nyankunde (115) bring together 83,7 % of cases reported at the provincial level and 72,9 % of the national cumulative total.
Nord-Kivu, the second focus, progresses by 2,3 % in one day and maintains a case fatality ratio well above that of Ituri.
2.2 Distribution by health zone
| Province / Health zone | Cumulative number Cases (n) | Cumulative number Deaths (n) | Cumulative number Case fatality ratio | Situation of the day (24h) New Cases | Situation of the day (24h) Community deaths (Swab+) | Situation of the day (24h) Intra-CTE confirmed deaths | Situation of the day (24h) Total confirmed deaths |
|---|---|---|---|---|---|---|---|
| Ituri | 3 460 | 1 464 | 42,3% | 85 | 35 | 12 | 47 |
| 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 | 17 | 24,6% | 0 | 0 | 2 | 2 |
| Ituri Boga | 1 | 1 | 100,0% | 0 | 0 | 0 | 0 |
| Ituri Bunia | 950 | 289 | 30,4% | 25 | 11 | 1 | 12 |
| Ituri Damas | 18 | 8 | 44,4% | 0 | 0 | 0 | 0 |
| Ituri Drodro | 11 | 6 | 54,5% | 0 | 0 | 0 | 0 |
| Ituri Fataki | 40 | 20 | 50,0% | 5 | 3 | 0 | 3 |
| 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% | 0 | 0 | 0 | 0 |
| Ituri Lita | 151 | 89 | 58,9% | 9 | 3 | 0 | 3 |
| Ituri Logo | 10 | 5 | 50,0% | 0 | 0 | 0 | 0 |
| 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 | 108 | 67 | 62,0% | 2 | 0 | 0 | 0 |
| Ituri Mongbwalu | 558 | 268 | 48,0% | 5 | 3 | 1 | 4 |
| Ituri Nia-Nia | 112 | 66 | 58,9% | 0 | 0 | 3 | 3 |
| Ituri Nizi | 431 | 211 | 49,0% | 21 | 9 | 1 | 10 |
| Ituri Nyankunde | 115 | 35 | 30,4% | 0 | 0 | 1 | 1 |
| Ituri Rimba | 9 | 4 | 44,4% | 0 | 0 | 0 | 0 |
| Ituri Rwampara | 692 | 282 | 40,8% | 18 | 6 | 3 | 9 |
| Ituri Tchomia | 45 | 24 | 53,3% | 0 | 0 | 0 | 0 |
| Nord-Kivu | 436 | 292 | 67,0% | 10 | 1 | 3 | 4 |
| Nord-Kivu Beni | 64 | 49 | 76,6% | 0 | 0 | 0 | 0 |
| Nord-Kivu Butembo | 92 | 69 | 75,0% | 3 | 0 | 0 | 0 |
| Nord-Kivu Goma | 1 | 0 | 0,0% | 0 | 0 | 0 | 0 |
| Nord-Kivu Kalunguta | 8 | 4 | 50,0% | 1 | 0 | 0 | 0 |
| Nord-Kivu Katwa | 200 | 129 | 64,5% | 5 | 1 | 3 | 4 |
| 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 | 45 | 25 | 55,6% | 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 | 67 | 39 | 58,2% | 4 | 1 | 0 | 1 |
| Haut-Uélé Boma Mangbetu | 13 | 5 | 38,5% | 0 | 0 | 0 | 0 |
| Haut-Uélé Isiro | 25 | 14 | 56,0% | 4 | 1 | 0 | 1 |
| Haut-Uélé Pawa | 12 | 11 | 91,7% | 0 | 0 | 0 | 0 |
| Haut-Uélé Rungu | 1 | 0 | 0,0% | 0 | 0 | 0 | 0 |
| Haut-Uélé Wamba | 16 | 9 | 56,2% | 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 | 3 973 | 1 801 | 45,3% | 99 | 37 | 15 | 52 |
2.3 Mapping of confirmed cases
Spatial distribution confirms transmission mainly concentrated in Ituri, notably in the health zones of Bunia, Rwampara, Mongbwalu, Nizi, Lita and Nyankunde, with transmission continuing in already affected zones without new geographical extension over the past 24 hours.
Seven health zones in Ituri reported confirmations on 4 August, compared with eleven the day before, but the daily volume increases from 58 to 85 cases.
[FIGURE: FIGURE 2 — SPATIAL DISTRIBUTION OF HEALTH ZONES HAVING REPORTED CONFIRMED CASES]
Transmission is maintained in already affected health zones, which requires simultaneously conducting 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.
In Nord-Kivu, W31 is the highest week since the beginning of the outbreak with 101 reported cases, after 82 in W30.
[FIGURE: FIGURE 3 — EPIDEMIC CURVE BY REPORTING WEEK]
[FIGURE: FIGURE 4 EPIDEMIC CURVE BY DATE OF ONSET OF SYMPTOMS (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 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.
In Nord-Kivu, 229 confirmed cases are male and 207 female, with the 18–29 and 30–49 age groups bringing together 232 of the 436 cases (53,2 %).
The predominance of cases among active-age adults reflects more frequent community and occupational exposures, whilst the proportion of paediatric cases demonstrates the persistence of intrafamilial transmission.
3 Surveillance, testing and transmission
3.1 Alert management and sources
| Indicator | Ituri | Nord-Kivu | Haut-Uélé | Tshopo | Sud-Kivu | Total |
|---|---|---|---|---|---|---|
| Carry-over (D-1) | 7 | 156 | 0 | ND | 0 | 163 |
| New alerts received | 562 | 582 | 22 | ND | 6 | 1 172 |
| Total alerts of the day | 569 | 738 | 22 | ND | 6 | 1 335 |
| Alerts investigated | 279 | 570 | 21 | ND | 6 | 876 |
| Investigation rate (24 h) | 49,0 % | 77,2 % | 95,5 % | ND | 100,0 % | 65,6 % |
| Validated alerts — living | 113 | 40 | 19 | ND | 1 | 173 |
| Validated alerts — deceased (comm.) | 61 | 26 | 2 | ND | 0 | 89 |
| Total suspected cases of the day | 179 | 66 | 21 | ND | 1 | 267 |
In total, 1 335 alerts were managed (including 1 172 new ones) and 876 investigated within 24 hours (71,2 %), for 267 validated suspected cases (173 living and 89 community deaths).
Nord-Kivu accounts for the bulk of the volume with 738 alerts, of which 570 investigated (77,2 %): Beni accounts for 245 on its own.
Ituri holds 569 alerts and investigates only 279 of them (49,0 %).
Haut-Uélé verifies 21 of its 22 alerts within 24 hours (95,5 %) — the only unverified one, in the AS (health area) of Ibambi État (Pawa), remains untraceable.
Sud-Kivu investigates its 6 alerts (Kadutu 4, Miti-Murhesa 2), of which only one is validated.
Tshopo did not report alerts dated 4 August.
3.2 Laboratory: testing and positivity
→ Ituri: 251 samples received (162 samples from suspected cases, 57 swabs and 32 repeat samples) and 247 tested, of which 91 positive — 50 living, 35 deceased and 6 repeat samples, representing a positivity of 36,8 %.
→ Nord-Kivu: 98 samples received and tested (33 in Beni and 65 in Butembo) of which 10 returned positive notably 5 in Katwa including 4 deaths, 3 in Butembo, 1 in Kalunguta and 1 in Musienene.
→ Haut-Uélé: 4 samples tested positive, all in Isiro (3 living and 1 death).
Installation and operational commissioning of the solar system of the MVE diagnostic laboratory, funded by WHO.
→ Tshopo: no result was returned for the day; reception and unpacking of 12 samples of suspects arriving from Bas-Uélé; briefing of biologists on MVE diagnosis and of Red Cross members on biosafety, swab sampling and sample transport.
The provincial cumulative total remains at 7 positives.
→ Sud-Kivu: 16 samples received (Katana 11, Kaziba 3, Kadutu 1 and Nyangezi 1), all negative.
The provincial cumulative total stands at 3 positives out of 299 samples analysed (1,0 %); 94 % of samples are analysed within the day following collection and 16 examinations remain pending.
3.3 Contact tracing
| Province | Contacts under follow-up | Contacts seen | Follow-up rate |
|---|---|---|---|
| Ituri | 10 942 | 8 467 | 77,4 % |
| Nord-Kivu* | 6 143 | 4 551 | 74,1 % |
| Haut-Uélé** | 641 | 320 | 49,9 % |
| Sud-Kivu | 55 | 55 | 100,0 % |
| Tshopo*** | ND | ND | ND |
| Total | 17 781 | 13 393 | 75,3 % |
Contact tracing falls back to 75,3 % at the national level, compared with 78,4 % the day before, and remains well below the operational threshold of 95 %.
Ituri traces 8 467 contacts out of 10 942 (77,4 %) and lists 447 new contacts, but two zones account for 66,9 % of the 2 475 contacts not seen: Mangala (846 not seen, 47,9 % tracing) and Bunia (810 not seen, 41,6 %), ahead of Nizi (344) and Fataki (122).
The zones of Bambu, Damas, Kambala, Kilo and Lolwa remain at zero contacts listed even though they have cumulative cases.
Nord-Kivu shows 4 551 contacts seen out of 6 143 (74,1 %), with 318 lost to follow-up and 1 095 never seen; Beni (64 %), Katwa (73 %) and Butembo (77 %) pull provincial performance downward.
Haut-Uélé drops to 320 contacts seen out of 641 (49,9 %) after the listing of 131 new contacts in Isiro, with Boma Mangbetu falling to 25,0 % and Isiro to 43,7 %.
Sud-Kivu saw all of its 55 contacts, including 44 in quarantine.
Tshopo did not report data dated 4 August.
3.4 Points of entry and control points (PoE/PoC)
3.4.1 — Alerts at crossing points (24 h)
Ituri — 9 alerts notified
Nine alerts were notified at the province’s crossing points: eight living persons and one lifeless body.
Six living alerts, all detected at the PoC of Mudzi Bala (AS Nzere, Bunia) among travellers arriving from Iga-Barrière, were isolated, validated and referred to the Bunia CTE; two were invalidated after secondary screening, at the PoC of Makoko 2 (Mambasa) and at Bunia airport.
The lifeless body, that of a Sudanese national in transit from Ombayi (Ariwara) towards Uganda for burial, was notified and validated but was not swabbed.
The province’s indicators table, for its part, records 8 validated alerts and 7 referred.
Nord-Kivu — 1 alert notified
A living alert was notified at the PoC of Mukulia and invalidated after in-depth investigation.
Reporting completeness stands at 88,9 % (16 PoE/PoC out of 18) and 97,5 % of travellers were screened.
Tshopo — not reported
The PoE/PoC pillar did not present data dated 4 August; the indicators for the province are entered as ND.
Haut-Uélé — 0 alerts notified
No alerts were notified at the activated PoE/PoC of the province.
Eight of the ten activated PoE/PoC reported (80 %) and 10 417 travellers were screened, with the PoC of Magambe accounting for 2 780 on its own (27 %); the PoC of Dusu and Apodo did not transmit their morning data.
The province has only 10 activated PoE/PoC out of the 33 priority ones and no alert has been notified there since the beginning of the outbreak.
3.4.2 Monitoring indicators at PoE/PoC
| Indicators | Ituri | Nord-Kivu | Sud-Kivu | Tshopo | Haut-Uélé | Overall |
|---|---|---|---|---|---|---|
| Proportion of activated PoC and reinforced PoE | 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 | 97 733 | ND | 0 | ND | 10 417 | 108 150 |
| % of travellers screened | 96,2 % | 97,5 % | 0 | ND | 100,0 % | 96,6 % |
| % of travellers having washed hands | 96,2 % | ND | 0 | ND | 100,0 % | 96,6 % |
| % of travellers sensitized | 99,1 % | ND | 0 | ND | 100,0 % | 99,2 % |
| Number of alerts notified | 9 | 1 | 0 | ND | 0 | 10 |
| Number of validated living alerts | 8 | 0 | 0 | ND | 0 | 8 |
| Lifeless bodies intercepted this day | 1 | 0 | 0 | ND | 0 | 1 |
| Problem contacts intercepted this day | 0 | 0 | 0 | ND | 0 | 0 |
| % of validated living alerts referred to CT/CTE | 87,5 % (7/8) | 0 % (0/1) | 0 | ND | 0 | 87,5 % (7/8) |
| % of lifeless bodies swabbed | ND | 0 | 0 | ND | 0 | ND |
| Positive results of referred suspected cases | 0 | 0 | 0 | ND | 0 | 0 |
5 Frontline workers (PPL) affected
| Health zone | Confirmed cases | Recovered | Hospitalised | 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 ratio 30,7 % | 140 | 71 | 23 | 43 |
PPL (person released from treatment (discharged patient)) = health personnel and frontline providers.
Table not updated as of 4 August: the provincial presentation does not publish a breakdown by health zone and announces a cumulative total of 134 infected PPL, lower than the 140 documented here (cf. DQA).
6 Response activities by pillar
COORDINATION
→ Ituri: data validation meeting between the surveillance and laboratory pillars and the planning section; active calling of health zones for data transmission and field visit to Rwampara to evaluate the functioning of the alert unit.
→ Nord-Kivu: participation in the coordination meeting of the ZS (health zone) of Musienene, facilitation of training for surveillance focal points of this zone (surveillance, PCI (infection prevention and control), CREC, medical and psychosocial management) and support to database managers; harmonisation of alert and contact databases.
→ Haut-Uélé: morning meetings held (2/2, 100 %) and zonal CREC reporting completeness of 4 ZS out of 5 (80 %: Isiro, Pawa, Wamba and Boma); of the seven followed recommendations, two are underway — support for the discharge of recovered cases from Wamba and Isiro and equipping of CTEs in affected zones — and five remain unachieved, including the creation of sub-coordinations in Wamba, Pawa and Watsa and the daily centralisation of presentations from the 13 pillars.
→ Tshopo: the three recommendations of 3 August are partially achieved: the list of contacts of the death occurring on a boat that left Kisangani between 19 and 21 July was shared, contact with the adviser to the Minister of the Interior is initiated to extract the high-risk contacts of the lifeless body brought to Kabondo, and statement of needs for PPE and laboratory inputs are signed but not yet shared with partners.
CONTINUITY OF ESSENTIAL HEALTH SERVICES (CSSE)
→ Ituri: 29 ambulances of which 24 available, 44 trips carried out and all successful for 46 patients evacuated; four ambulances remain broken down (Bambu, call centre, Mongbwalu and Rwampara) and two transfer refusals were recorded, at the call centre and in Bambu.
The other health zones did not report their movements.
▸ Nord-Kivu: the presentation of 4 August does not contain a continuity of essential health services section; no data is reported for the day.
LOGISTICS
→ Ituri: official launch of the Rwankole CTE by the provincial governor, with a capacity of 120 beds.
Deliveries of the day: PCI and EDS kits to Isiro, PCI/WASH and EDS kits to Mongbwalu, PCI kits (boots and surgical scrubs) to the CME CTE of Bunia, PCI/WASH kits to Lita, alcohol-based hand rub to national coordination and a Starlink kit to the Africa CDC coordination; preparations underway for Nia-Nia and the ZS of Kilo.
49 vehicles and 10 ambulances are assigned to pillars and health zones, including 15 to PCI/EDS and 8 to surveillance; 100 litres of fuel supplied for the provincial SGI.
→ Nord-Kivu: receipt of a donation of PCI kits from WHO coming from Bunia, awaiting offloading; delivery of nutritional inputs (Plumpy’Nut, F75 and F100) to the ZS of Kyondo, Butembo and Masereka and 4 mattresses to Kalunguta in compensation for those incinerated during decontamination of a household; continuation of construction work on the CTs (transit centre) of Musienene (MSF France) and Beni (MSF Hollande); accompaniment of the ZS of Vuhovi for defining the pathway from triage to isolation, its makeshift CTE requiring rehabilitation.
→ Tshopo: five liaison vehicles mobilised, including three WHO donations and one vehicle from MTN-CTP coordination, to which are added two vehicles for Africa CDC and two for CDC Atlanta; assignment of an ambulance to the ZS of Bafwasende; water supply at PK 23; harmonisation sessions with the community around the construction site, with work scheduled to start on 5 August.
PCI / WASH
→ Ituri: 27 rings opened around cases and 57 sites identified, all decontaminated (100 %), without gap at 48 hours; 26 ESS monitored and supported (100 %), 4 ESS decontaminated in Aru and 27 means of transport decontaminated (Mongbwalu 14, Nizi 8, Lita 5).
55 case households decontaminated within 48 hours out of 82 expected (67 %), the insufficiency of decontamination teams and PPE and the lack of replacement kits being the identified causes.
112 PPL trained (Nia-Nia 100, Lita 12) and provision of category 2 PCI/WASH kits to four ESS in Bunia (CS Bankoko, Aéro, Simbiliambo and Rwambuzi) with the support of PPSSP/UNICEF.
Completeness: 9 ZS out of 29 (31 %).
The cumulative total of infected PPL is reported at 134 out of 2 884 exposed (4,6 %), with no new cases today.
→ Nord-Kivu: none of the 12 confirmed case households was decontaminated; 4 stay ESS of cases decontaminated, including 3 in Katwa (CS Irangya, CS Vighole and CH Roi Salomon) and 1 in Musienene (CH La Renaissance); provision of incomplete PCI kits in 2 ESS of Musienene; 36 ESS monitored and supported (Oicha 28, Katwa 5, Musienene 2 and Kyondo 1) and 158 providers briefed during supportive supervisions (Musienene 134, Katwa 18, Kyondo 6).
One community death received an EDS in Musienene and 4 community deaths were swabbed.
Completeness: 4 ZS out of 11.
→ Tshopo: PCI assessment of 8 ESS, with scores ranging between 22,6 % (CM Renouveau 2) and 59,7 % (CT Mpox), and monitoring of 7 ESS with 22 providers briefed; decontamination of the household of the case in Baego (Bafwasende) and briefing of 5 decontaminators of this health area.
The cumulative total reaches 32 ESS assessed out of 81 (36,6 %), of which only one above 80 %; 19 ESS out of 81 received PCI kits (23 %) and 5 have a triage circuit (6 %).
COMMUNICATION (RCCE / CREC)
→ Ituri: 4 112 people reached at home during 14 series of visits conducted by 42 RECO (community health worker), 3 603 during 28 educational talks and 4 558 in mass awareness raising (Aru, Gety, Komanda), and 17 people engaged during 2 advocacy meetings (Aru, Tchomia); 162 community alerts forwarded (137 living, 25 deaths) in Nizi, Rwampara and Tchomia.
Out of 314 feedbacks, 190 were captured and 124 clarified (39,4 %).
106 RECO trained in Mongbwalu and Lita (WHO, Africa CDC); 2 broadcasts and 6 radio spots produced with FHI 360 and REMED, 36 community radio stations engaged and 15 IEC materials disseminated.
A customary chief and 17 members of his family adhered to the EBOPEP campaign in Rwampara, where the admission of patients to the CME CTE was furthermore disrupted by the anger of hygienists demanding the payment of their hazard allowances.
→ Nord-Kivu: involvement of the national Minister of Agriculture in communication on prevention measures before approximately 900 people in Kyondo; community dialogue bringing together 76 grassroots leaders under the leadership of the burgomaster of Bulengera on the management of incidents targeting response teams in Kyaghala (Katwa), and a second bringing together 65 grassroots leaders and local leaders in the AS of Kyambogho.
Around confirmed cases, reluctance was resolved in Butsili (Beni) for the decontamination of a household and contact listing was supported in Musienene.
145 cases were covered and 34 heads of households reached; 3 community incidents were resolved and 16 rumours clarified.
→ Tshopo: pillar meeting, analysis of the situation and deployment of support teams to health zones (12 participants); awareness raising at Kisangani central market by young people from URNSC (1 100 participants), support for the training of ITs of the five ZS of the city (92 participants) and stakeholders from the river commission and shipowners within the framework of the « Fleuve sans Ebola » project (85 participants); 17 community alerts collected, continuation of the broadcast of spots and communication around the cases in Kongakonga and Kabondo.
→ Sud-Kivu: the door-to-door community-based communication strategy is on its 10th day; none of the 57 638 targeted households in Ibanda (41 389) and Nyangezi (16 249) was visited on 4 August, no patient was directed towards a health centre and no visitor arriving from affected zones was identified.
→ Haut-Uélé: 1 271 people reached at home in 458 households, 23 during educational talks and 963 in mass awareness raising, including 156 members of MARFRO in Wamba and 38 members of the ECZ of Pawa; briefing of the zonal CREC team of Pawa (10 members) with a view to intensifying interventions.
4 radio stations out of 14 broadcast in Isiro (RTK, Racom Nava, Congo Espoir Uélé and RTNC) and 55 IEC tools were disseminated, bringing the cumulative total to 285.
Out of 7 feedbacks captured, 5 were clarified.
The posters received are only available in French and Swahili, which limits their reach in local languages.
HOLISTIC CARE (PECH)
→ Ituri: 25 new recoveries; 468 patients in isolation (285 confirmed, 183 suspected) across 833 beds, representing 56,2 % occupancy, and 60 severe or critical forms, for 81 admissions and 86 discharges.
Three CTEs exceed saturation for confirmed cases — Nizi (233 %), ISTM (147 %) and Bambu (140 %) — and one for suspected cases (Logo, 150 %).
Twelve confirmed deaths and 6 deaths of suspected cases occurred in CTEs.
Official inauguration of the Rwankole CTE by the military governor; strike with demonstration by providers at the CME CTE in the morning.
Nutritional support: 8 patients on a specific diet and 1 018 hot meals served, including 745 to contacts.
One PPL (nutritionist) is among the new confirmed cases at the CME CTE.
→ Nord-Kivu: 11 admissions of confirmed and 43 of suspected cases, for 2 recovered (Katwa and Butembo), 6 deaths and 58 non-case discharges; 186 patients in isolation at the end of the day (26 confirmed, 160 suspected).
The provincial cumulative total reaches 187 cases admitted to the CTE/CT, 67 deaths and 18 lost to follow-up, representing an intra-CTE mortality of 36 %.
A transfer refusal by a confirmed female patient to the Musienene CTE was followed by her escape.
Assessment of the circuit of the Musienene CT rehabilitated by MSF and continuation of the evaluation mission in Katwa, Matanda and at CUG.
On the nutritional component, 17 confirmed, 59 suspected, 110 frontline providers and 26 caregivers received hot meals, and 109 patient households received a free food distribution.
→ Tshopo: one new admission — a 13-year-old female suspected case at the Kisangani HC CT, arriving from Nia-Nia on 27 July — for 3 patients in isolation at the end of the day (1 confirmed, 2 suspected) across 20 beds (15,0 %) and no discharges.
The cumulative total of hospitalised confirmed cases stands at 4, including 2 deaths, 1 recovered and 1 undergoing treatment at D6, stable condition.
Continuation of experimental treatments in 2 high-risk contacts in Madula (Wanie-Rukula), including one discharged, and in 7 occupational contacts from Kisangani HC, including one interrupted treatment.
Eight high-risk contacts in Kongakonga still refuse treatment and demand family-based care.
→ Haut-Uélé: the presentation of 4 August contains no case management table; patients in isolation, admissions and discharges are not documented and are entered as ND.
The Isiro CTE is functional but remains insufficiently equipped (equipment, water and electricity) and PCI training is underway there; the province’s first recovery was recorded there.
RESEARCH, INNOVATION & VACCINATION
→ Ituri: pillar meeting, distribution by pillar of recommendations from the rapid qualitative study, beginning of drafting of protocols on delayed turnaround of laboratory results and on actors involved in decision-making processes, and development of corresponding ToRs.
13 protocols validated by the ethics committee (100 %), 3 studies completed out of 13 planned (23,0 %), 3 reports produced out of 11 (30 %) and 1 publication; 4 recommendations implemented out of 22 (22,7 %).
No documented decision is yet based on research results and no vaccination data is reported.
DIGNIFIED AND SAFE BURIALS (EDS)
→ Ituri: 83 death alerts, 75 EDS carried out including 14 in CTE and 63 bodies swabbed; 15 health zones out of 32 reported (46,8 %).
The cumulative total reaches 2 854 EDS for 3 507 alerts since 20 May.
Community resistance persists in Komanda (refusal by family).
Second day of training of two additional teams in Lita, identification session of health zones and areas where to train ECUMER teams and harmonisation of EDS data management with all partners.
→ Nord-Kivu: 45 death alerts, 43 bodies swabbed and secured, 48 EDS carried out and 2 failures linked to rushed burials in Butembo; 14 bodies remain swabbed and secured pending and 11 are carried over.
Deaths occurring in ESS dominate (23, or 51,1 %), ahead of community deaths (19, or 42,2 %) and those occurring in CTE/CT (3, or 6,6 %); Beni (18) and Katwa (17) account for 77,8 % of alerts.
→ Haut-Uélé: the two validated deaths among the alerts of the day were confirmed by swab in Isiro and one community death was recorded.
The EDS pillar does not present a summary table in the presentation of 4 August.
→ Sud-Kivu: no community deaths or post-mortem swabs were reported for the day; 17 suspected cases are cared for at the CT (Katana 8, Kadutu 5 and Miti-Murhesa 4) and 44 contacts remain in quarantine.
PREVENTION OF SEXUAL EXPLOITATION AND ABUSE (PSEA / PRSEAH)
→ Continuation of PSEA briefing and awareness raising.
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 dignified and safe burials | Regularise the payment of providers; secure dedicated funding |
| 3 | Insufficient contact tracing performance: Ituri 77,4 %, Nord-Kivu 74,1 %, Haut-Uélé 49,9 % and Sud-Kivu 100 %, Tshopo not having reported; the ZS of Bambu, Damas, Kambala, Kilo and Lolwa (Ituri) remained with no contacts listed even though they have cumulative cases | Chains of transmission not interrupted | 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 inputs (PPE, chlorine) and limited functional triage units (182/1 170, or 15 %) | High risk of nosocomial infections (140 PPL cases including 43 deaths in Ituri; 14 PPL including 3 deaths in Nord-Kivu and 3 health workers among confirmed cases 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 diffusion | Activate the 23 priority PoE/PoC in Haut-Uélé; reinforce cross-border coordination |
| 7 | Installation of local laboratories (Rwampara, Fataki, Bambu-mine, Boga and Mambasa) | Long confirmation delays, 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) | Restriction of operations | Strengthening of security coordination and humanitarian access |
| 10 | Continuity of essential health services (CEHS) compromised | Increase in indirect (non-Ebola) mortality | Effective implementation of free healthcare, strengthening of CEHS |
9 Photos of field activities
Inauguration of the Rwankole CTE by the military governor of Ituri in the presence of partners.
[PHOTO]
FOR ANY ADDITIONAL INFORMATION, PLEASE CONTACT
For the National Institute of Public Health (INSP) of the DRC
The Director General of the 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
Tél. : +243998091915
The Incident Manager
Prof. AHUKA MUNDEKE Steve
E-mail : steve.ahuka@unikin.ac.cd
With technical support from the World Health Organization (OMS) and Africa CDC
Source
- Original PDF (French), INSP
- French transcription
- 082_table_01_tableau_1_repartition_des_cas_et_deces_c
- 082_table_02_tableau_2_cas_et_deces_confirmes_par_pro
- 082_table_03_tableau_3_gestion_des_alertes_epidemiolo
- 082_table_04_tableau_4_suivi_des_contacts_des_cas_con
- 082_table_05_tableau_5_suivi_des_indicateurs_aux_poin
- 082_table_06_tableau_7_indicateurs_cles_smsps
- 082_table_07_tableau_8_personnel_de_premiere_ligne_pp
- 082_table_08