© Sylvie Michaud/MSF
24 Aug 18 24 Aug 18

Ebola: MSF responds to new outbreak in DRC

MSF teams are responding to an Ebola outbreak in the North Kivu province of the Democratic Republic of Congo (DRC).

Our teams have set-up isolation and treatment units and are providing support for the local healthcare system to remain fully functional. MSF continues to work on other projects in the region.

The tenth Ebola outbreak in the Democratic Republic of Congo was declared on 1 August in the North Kivu province, in the north-eastern part of the country. So far, health authorities have reported 91 cases (64 confirmed, 27 probable). 50 people have sadly died, 12 suspected cases are being investigated.

Ebola is a serious infectious illness that causes internal bleeding and often proves fatal. It can spread rapidly through contact with small amounts of bodily fluid and its early flu-like symptoms are not always obvious.

Our response

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MSF is working within the framework of the Ministry of Health’s response plan.

During the first week of intervention, our teams set-up a treatment unit in the town of Mangina, the epicentre of the outbreak, including 30 beds inside isolation tents.

Another isolation unit has been installed in Beni, a city with a population of 400,000 people, approximately 45 minutes away.

MSF is also providing training on 'infection prevention and control' to existing health centres in the surrounding area. This is one of the key elements of the response, making sure that the rest of the health system remains functional in order to preserve continuity of care for any other type of patients.

The challenges

“There are several challenges we have to face” says Gwenola Seroux, an emergency manager for MSF.

“The first one, of course, is to limit the spreading of the epidemic and this requires protection of health workers and healthcare facilities from the virus. Vaccination, which the Ministry of Health is beginning to provide, will be another critical part of this effort.”

"It is the first time we face an Ebola outbreak response in an area of conflict. This is going to make the response all the more difficult, especially in terms of limiting the spreading of the disease in areas difficult to access.
Gwenola SerouxMSF emergency manager

Other MSF projects in the region have also raised their level of alert and put in place procedures to safeguard their existing activities from the risk of contamination. These include MSF programmes providing care for paediatric and malnourished patients, and victims of sexual violence in Lubero and Bambu-Kiribizi, as well as a hospital in Rutshuru.

Around 800 people who have been in contact with Ebola patients have already been identified by the health authorities and are being followed-up with to monitor any early symptoms of the disease.

More challenges will be presented due to the context of the outbreak: the region has long been characterised by ongoing violence.

“It is the first time we face an Ebola outbreak response in an area of conflict,” says Gwenola Seroux.

“This is going to make the response all the more difficult, especially in terms of limiting the spreading of the disease in areas [that are] difficult to access. Our ability to move on the ground is going to be limited.”

The area is also very close to the border with Uganda and the authorities in Kampala, the Ugandan capital, have called for their citizens to be on high alert. MSF teams on the Ugandan side of the border have been equally reactive, and are collaborating with the national authorities in case an intervention may be called for.

While the origin of the outbreak might be dated back to May, there appears to be no relation to the previous outbreak which affected the Equateur region and was declared over in July.

our work on Ebola >