1. Epidemiological Update on Public Health Emergencies WHO Country Office, Liberia 6 July 2018

2. Content Public Health Emergencies Ebola Virus Disease: DRC1
Rift Valley Fever: Kenya 2
Cholera: Angola 3 4
Cholera: Tanzania
Public Health Emergencies
Other Events Under Follow - up 5

3. Public Health Emergencies (AFRO)
10 Humanitarian Crises
47 Outbreaks 2
Grade 3 events 3
Grade 1 events 2
Grade 2 events 40
Ungraded events
Health
EMERGENCIES
Program
Source: WHE AFRO week 26 bulletin

4. Ebola Virus Disease: DRC
Geographical distribution of the EVD cases in DRC, 30 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 27 June 2018: all contacts to the last confirmed EVD case completed their mandatory 21-day follow up without developing symptoms.
Since 4 April 2018:
55 suspected cases including 29 deaths have been reported
38 confirmed, 15 probable
3 suspected
CFR in confirmed and probable cases is 54.7%
The focus of the response remains on intensive surveillance, active case finding, investigation of suspected cases
Risk Assessment:
National level: Very high
Regional level: High
At global level: Low
A total 3,330 people have been vaccinated
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 26 bulletin

5. Rift Valley Fever: Kenya
The RVF outbreak in Kenya continues to evolve,
Since week 25, additional new 36 cases have been reported
A retrospective epidemiologic investigation has established that the date of onset of illness in the index case was 11 May 2018
From June 2018:
90 cases, including 10 deaths (CFR - 11%), have been reported from three counties
18 confirmed
Risk assessment for RVF in humans and livestock identified eight counties as having high risk for RVF
The human cases are herders who are epidemiologically linked to RVF livestock cases
Geographical distribution of RFT cases in Kenya, May June 2018
Public Health Measures:
A national RVF TC is coordinating the response
The ban on movement and slaughter of animals from affected and at-risk counties remains in place
A total of doses of RVF vaccine has been provided to high-risk counties, based on risk analysis
So far, three counties have been affected: Wajir (78 cases, 6
deaths), Marsabit (11 cases, 3 deaths) and Siaya (1 case, 1 death). Risk assessment for RVF in humans and livestock identifed eight counties (Tana River, Tharaka Nithi, Garissa, Lamu, Kajiado, Baringo, Mombasa, and Nairobi) as having high risk for RVF outbreak. A total of doses of RVF vaccine has been provided to high-risk counties, based on risk analysis

6. Cholera: Angola
On 21 June 2018, the MoH in Angola reported a cholera outbreak in Luanda, the capital city.
On 22 May 2018, the index case, a 29-year-old man presented to a local health facility with acute water diarrhoea (AWD) and received treatment as an out-patient
The case patient died at home on 23 May 2018
A cluster of seven cases of AWD, with two deaths, were reported in the subsequent days following the funeral of the index case
Since 22, May 2018: a total of 33 suspected cholera cases and six deaths (CFR -18.2%) have been reported from six regions
3 specimens have tested positive for cholera by culture
Geographical distribution of cholera cases, Angola, 22 May - 21 June 2018
Public Health Measures:
Active surveillance is ongoing
Water quality surveillance is being carried out as well as analysis of environmental samples, including beverages and foods
WASH activities are ongoing in affected areas
The affected districts are Talatona (19
cases, 4 deaths), Belas (4 cases, 2 deaths), Kilamba Kiaxi (4 cases),
Samba (3 cases), Viana (2 cases), and Maianga (1 case)

7. Weekly trend of cholera cases, Tanzania week 1 - week 25, 2018
Cholera : Tanzania
The cholera outbreak in Tanzania Mainland continues
In week 26 (ending 1 Jul 2018), 636 new suspected cholera cases including 13 deaths were reported, compared to 115 cases and three deaths reported in week 25.
From January – 24 June 2018: a total 2,741 cases and 57 deaths (CFR - 2.1%) have been reported, as of 24 June 2018.
Geographical distribution of cholera cases, Tanzania, January - 24 June 2018
Weekly trend of cholera cases, Tanzania week 1 - week 25, 2018
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

8. Other Events Under Follow-up
Cholera: Malawi
Malawi is experiencing a new cholera outbreak in Salima district. From June 8, 2018, a total of 9 cases including 2 deaths have been reported
Cholera: Nigeria
Since 12 May 2018: a total 1,412 cases and 25 deaths (CFR - 1.8%) have been reported, as of 24 June 2018.
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
Monkey Pox: DRC
Since week 1, 2018: 1,210 suspected cases of Monkeypox including 28 deaths), have been reported. 34 cases confirmed
Dengue Fever: Ethiopia
Since 8 June 2018: 52 cases in the flood affected Gode Zone of Somali Region have been confirmed by laboratory
Measles: Chad
Since January 2018, 964 suspected cases with 44 deaths (CFR 5%) have been reported.
55 of the cases have been lab confirmed

9. THANK YOU