Epidemiological Update on Public Health Emergencies WHO Country Office, Liberia 29 June 2018

1. Epidemiological Update onPublic Health EmergenciesWHO Country Office, Liberia29 June 2018

2. Content • Ebola Virus Disease: DRC 1 • Rift Valley Fever: Kenya 2 • Cholera: Uganda 3 • Cholera: Nigeria 4 • Other Events Under Follow - up 5

3. Public Health Emergencies (AFRO) 2 Grade 1 events 2 Grade 3 events 10 Humanitarian Crises 2 Grade 2 events 40 Ungraded events 44 Outbreaks Health EMERGENCIES Program Source: WHE AFRO week 25 bulletin

4. Ebola Virus Disease: DRC Geographical distribution of the EVD cases in DRC, 24 June 2018 • The MoH and WHO continue to closely monitor the EVD outbreak in the DRC • Since 17 June 2018: No new confirmed case or death has been reported • On 24 June 2018, two new suspected cases were reported in Bikoro Health Zone • Since 4 April 2018: • 55 cases including 28 deaths have been reported • 38 confirmed, 14 probable • 3 suspected • CFR in confirmed and probable cases is 54% • A total 24 case-patients with confirmed EVD have been cured and discharged • 5 HCWs have been affected with two deaths • Risk Assessment: • National level: Very high • Regional level: High • At global level: Low Source: WHE AFRO week 25 bulletin

5. Ebola Virus Disease: DRC • The focus of the response remains on intensive surveillance, including active case finding, investigation of suspected cases and alerts and contact tracing. • As of 23 June 2018, 172 contacts were under follow up and were expected to complete the mandatory monitoring on 27 June 2018. • Implementation of ring vaccination protocol: • a total of3, 268 people have been vaccinated • the target are front-line health professionals, people who have been exposed to confirmed EVD cases and contacts of these contacts • A total of 60 children orphaned by EVD have been identified and cared for with food and medicines Source: WHE AFRO week 25 bulletin

6. Public Health Measures: DRC • WHO is supporting neighboring countries to • systematically assess and take action on Ebola preparedness, and develop national contingency response plans. • A community dialogue about • signs, mode of transmission, prevention measures and community involvement in EVD response was conducted • Ongoing risk communication and social mobilization activities: • mass awareness campaign through TV, radio, and social mobilization teams are on going Source: WHE AFRO week 24 bulletin

7. Rift Valley Fever: Kenya • The RVF outbreak in Kenya continues to evolve, with two other counties reporting confirmed cases • Since week 23, additional 44 cases including 6 deaths have been reported • From 2 - 21 June 2018: • 54 cases, including 11 deaths (CFR - 20.4%), have been reported from three counties • As of 21 June 2018, three confirmed case-patients were in admission • Of the 25 samples tested, nine were confirmed • All the human cases are primarily herders who are epidemiologically linked to suspected RVF livestock cases Geographical distribution of RFT cases in Kenya, 2 - 21 June 2018 • Public Health Measures: • A national RVF TC chaired by the Director of Veterinary Services, has been constituted • Meets weekly to review the situation and provide technical guidance to the counties. • The MoH has activated the EOC Source: WHE AFRO week 25 bulletin

8. Cholera: Uganda • Kampala, has been experiencing an insidious cholera outbreak since the end of April 2018. • On 20 June 2018, 16 new suspected cholera cases were admitted to the Cholera Treatment units • Since 29, Apr 2018: a total of 92 suspected cholera cases and one death (CFR -1.1%) have been reported • 26 specimens have cultured Vibrio cholerae sero type Ogawa • This outbreak emerged when a 40-year-old woman presented to a public hospital with acute watery diarrhoea and vomiting and a stool specimen tested positive for Vibrio Cholera on 29 April 2018. Geographical distribution of cholera cases in Uganda, 29 April - 20 June 2018 • Public Health Measures: • A cholera task force has been activated • Active surveillance is ongoing • 139 zones across Kampala identified as hot spots for potential cholera transmissions. • Assessmentsfor compliance with • standards carried out in public places • and homes Source: WHE AFRO week 25 bulletin

9. Cholera : Nigeria Geographical distribution of cholera cases in North - east Nigeria, 12 May - 24 June 2018 • The cholera outbreak in Adamawa State, north-east Nigeria continues • In week 25 (ending 24 June 2018), 99 new suspected cholera cases and one death were reported, compared to 85 cases and four deaths reported in week 24. • On 24, 2018: a total of 17 patients were admitted across three cholera treatments centres (CTCs). • Since 12 May 2018: a total 1,412 cases and 25 deaths (CFR - 1.8%) have been reported, as of 24 June 2018. • Of 68 stool samples collected and tested using cholera rapid diagnostic tests, 47 (69%) were positivefor Vibrio Cholerae • Public Health Measures: • WASH: chlorination at water points, disinfection of latrines, hygiene promotion and education on the dangers of open defecation • Active surveillance is ongoing Source: WHE AFRO week 25 bulletin

10. Other Events Under Follow-up • Cholera: Zambia • On 15 June 2018, the Zambian MoH officially declared the end of cholera outbreak in the country. • The declaration came 14 days since the last confirmed cholera case was reported in the country. • a total of 5, 935 cholera cases, with 114 deaths (CFR-1.9%), were reported. • Monkey Pox: DRC • Since week 1, 2018: 1,210 suspected cases of Monkeypox including 28 deaths), have been reported. 34 cases confirmed • Flood: Ivory Coast • From June 18 - 19, 2018: Côte d’Ivoire suffered heavy rains which led to a great deal of material damage and loss of life. • A total of 20 deaths has been reported and 115 wounded people hospitalized • Dengue Fever: Ethiopia • Since 8 June 2018: 52cases in the flood affected Gode Zone of Somali Region have been confirmed by laboratory • Cholera: DRC • From week 1 to 23: 11,582 cases with 308 deaths (CFR-2.7%) • has been reported in DRC. This has been graded 3 by WHO.

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