1. Epidemiological Update on Public Health Emergencies WHO Country Office, Liberia 21 June 2018

2. Content Public Health Emergencies Ebola Virus Disease: DRC1
Ebola Virus Disease: DRC
Hepatitis E: Namibia 2
Lassa Fever: Nigeria 3
Other Events Under Follow - up 4
Public Health Emergencies

3. Public Health Emergencies (AFRO)
9 Humanitarian Crises
46 Outbreaks 2
Grade 3 events 2
Grade 1 events 5
Grade 2 events 38
Ungraded events
Health
EMERGENCIES
Program
Source: WHE AFRO week 24 bulletin

4. Ebola Virus Disease: DRC
The EVD outbreak in Equateur Province, DRC is still active
Since 06 June 2018: No new confirmed or death has been reported
On 15 June 2018, five new suspected cases were reported in Bikoro Health Zone
Since 4 April 2018:
62 suspected cases, including 28 deaths (CFR 49.1%)
38 cases confirmed
14 probable
10 suspected
62 % (23) of the confirmed cases from Iboko
5 HCWs have been affected with two deaths
Geographical distribution of the EVD cases DRC, Week 24, 2018
Risk Assessment:
National level: Very high
Regional level: High
At global level: Low
Risk Assessment:
National level: very high
due to the serious nature of the disease
Regional level: High
confirmed case in Mbandaka, located on a major national and international river, increases the risk for further spread to neighboring countries.
At global level: Risk is currently considered low.
Source: WHE AFRO week 24 bulletin

5. Ebola Virus Disease: DRC
The outbreak remains localized to the three health zones initially affected.
52% from Iboko (27), 40% from Bikoro (21), 8% from Wangata (4)
The primary focus of response has moved from urban areas to most remote and hard to reach places (Iboko)
A total of 289 contacts are under follow up, while 1,417 have completed the 21-day follow-up
Implementation of ring vaccination protocol:
a total of 3,017 people have been vaccinated (including HCWs and people exposed to confirmed EVD cases)
Risk Assessment:
National level: very high
due to the serious nature of the disease
Regional level: High
confirmed case in Mbandaka, located on a major national and international river, increases the risk for further spread to neighboring countries vaccinated
At global level: Risk is currently considered low.
Source: WHE AFRO week 24 bulletin

6. Public Health Measures: DRC
WHO continues to support neighboring countries to
enhance their preparedness and readiness to detect and contain EVD should it be introduced
A community dialogue about
signs, mode of transmission, prevention measures and community involvement in EVD response was conducted with 37 local leaders
Ongoing risk communication and social mobilization activities:
mass awareness campaign through TV, radio, and social mobilization teams are on going
Risk Assessment:
National level: very high
due to the serious nature of the disease
Regional level: High
confirmed case in Mbandaka, located on a major national and international river, increases the risk for further spread to neighboring countries.
At global level: Risk is currently considered low.
Source: WHE AFRO week 24 bulletin

7. Hepatitis E: Namibia
The Hepatitis outbreak in Namibia has shown an increased trend in the last two weeks
In week 23, a total of 61 new suspected cases were reported, compared to 59 in week 22
Since week :
1,524 suspected cases and 16 deaths (CFR -1.0%) have been reported
113 cases confirmed
1137 epidemiologically linked
207 suspected
Six of the deaths occurred in pregnant women
76% of the most affected age group is between 20 and 39 years
While 59% of cases are male.
Geographical distribution of hepatitis E cases in Namibia, Week 24, 2018
Public Health Measures:
The National HEMC continues
to coordinate response
interventions
WASH implementation activities are ongoing
Active surveillance is ongoing
Risk Assessment:
National level: very high
due to the serious nature of the disease
Regional level: High
confirmed case in Mbandaka, located on a major national and international river, increases the risk for further spread to neighboring countries.
At global level: Risk is currently considered low.
Source: WHE AFRO week 24 bulletin

8. Lassa Fever: Nigeria In Week 24 (ending June 17, 2018):
One new confirmed case was reported from Ondo state.
From January – June 17, 2018:
a total of 2,022 suspected cases have been reported from 21 states
Of these: 438 were confirmed including 109 deaths (CFR – 24.9%),
10 are probable,
38 health care workers have been affected including 9 deaths
Five states remain in active outbreak phase
A total of 5,595 contacts have been identified
5341(95.5%) have completed 21 days
244 (4.4%) contacts are still under follow up
Epi curve of Lassa fever Confirmed (438) and Probable (10) Cases in Nigeria week 1- 24, 2018
PUBLIC HEALTH ACTIONS:
National Lassa fever After Action Review report produced
Active case search ongoing
National Lassa fever multi-sectorial EOC TWG continues to coordinate the response activities at all levels
Source: NCDC week 24 bulletin

9. Other Events Under Follow-up
Measles: Sierra Leone
From June , 2018: 19 confirmed cases have been reported
Koinadugu district on the border with Guinea;
cases were reportedly from unvaccinated children who sought care in nearby health facilities close to the border.
Lassa fever : Sierra Leone
Since 2018: A total of 16 confirmed cases including 6 deaths have been reported from Bo (2) and Kenema (14) districts
Monkey Pox: Cameroon
Since 26 May 2018:
19 suspected cases, including 8 deaths (CFR- 42%).
Lassa Fever: Nigeria
From January – June 20, 2018:
a total of 2,022 suspected cases have been reported from 21 states
Of these: 438 were confirmed including 109 deaths (CFR – 24.9%),
Measles: Guinea
Since week 8, 2018: 1,113 including 9 deaths (0.8%)
267 samples tested IGM positive.
76% were not vaccinated for measles despite vaccination campaign efforts in 2017 following a large epidemic
Measles: DRC
As of week 24, 2018: 3,404 cases including 30 deaths (0.9%), have been reported.

10. THANK YOU