Ebola sickens 2 more in DRC outbreak; 112 total, 48 fatal
Two more Ebola cases were confirmed in the Democratic Republic of the Congo (DRC) Equateur province outbreak, raising the total to 112, the World Health Organization (WHO) African regional office said today in a Twitter update.
One more death was recorded, lifting the fatality count to 48. The outbreak in the country's northwest began in early June, just as a large outbreak centered in North Kivu province in eastern DRC was declared over. The latest event affects the same province where a small outbreak in the summer of 2018 occurred, sickening 54 people and killing 33.
The WHO's African regional office said today in its weekly outbreaks and health emergencies report that the developments are worrisome, given the continued increase in cases with spread to new health areas and health zones. Responders are struggling with inadequate resources for risk communication and community engagement in hot spots, and lack of funding requires urgent attention. So far, about 27,300 people have been vaccinated, and three health workers have been infected.
In a related development, yesterday the US Agency for International Development (USAID) announced more than $15 million in additional humanitarian assistance to help end the outbreak. The funds will help with actions such as disease surveillance, patient transportation, the promotion of safe and dignified burials, and community engagement.
Sep 8 WHO African regional office tweet
Sep 8 WHO African regional office weekly report
Sep 7 USAID press release
Wisconsin and Massachusetts report more EEE cases, 1 fatal
Wisconsin reported its second eastern equine encephalitis (EEE) case of the year, involving a woman in her 60s who died from her infection, and Massachusetts reported its fourth human infection involving the mosquitoborne virus.
The Wisconsin Department of Health Services (WDHS) said the patient had lived in Chippewa County, which is in the west central part of the state and borders Eau Claire County, where the state's first case of the year—in a girl—was recently reported. Of nine EEE cases in horses this year, four were in Chippewa County.
The Massachusetts Department of Public Health (MDPH) said the state's fourth human case also involves a woman in her 60s. She was exposed to EEE in Plymouth County, which prompted health officials to raise the area's EEE risk to high.
Both states said though the weather is cooling and mosquito populations are declining, the risk of illness continues throughout the fall, and the best prevention is to avoid mosquito bites.
EEE cases are rare, but infections can be fatal. The US Centers for Disease Control and Prevention (CDC) said the nation averages about 11 EEE cases a year, but 38 were reported in 2019. Transmission is most common in and around freshwater hardwood swamps in Atlantic and Gulf Coast states and in the Great Lakes region.
Sep 4 WDHS press release
Sep 4 MDPH press release
CDC background information
Chikungunya outbreak in Chad sickens more than 10,000
In Sudan, a chikungunya outbreak in the city of Abeche that began in April has sickened 10,631 people as of the end of August, the WHO African regional office said in its weekly outbreaks and health emergencies update today. Abeche, Sudan's fourth-largest city, has a population of 76,500 and is located in the southeastern part of the country.
No deaths have been reported, and the most affected group are those older than 15 years, with illnesses more common in females than in males. The WHO said the outbreak's rapid growth is a sign of a heavy vector load in an area that has challenges with sanitation.
The health ministry has deployed an expert mission, and a response plan is being finalized. Active case finding is already under way, as is vector control, which has reached 377 households. The WHO said community engagement, highlighting the importance of emptying all water containers, needs to be strengthened and that the outbreak response needs to be stepped up to prevent the outbreak from spreading to other areas.
Sep 8 WHO African regional office weekly report