On 11 May 2017, the Ministry of Health of the Democratic Republic of Congo (DRC) notified WHO of an outbreak of Ebola virus disease (Ebola in short) in Likati health zone in Bas Uele province located in the northern part of the country. The first patient to be seen was a 39-year-old man who reported to the local health facility on 22 April 2017, presenting with fever, weakness, vomiting, bloody diarrhoea, passing blood in urine, bleeding from the nose, and extreme fatigue. He was immediately referred to Likati health zone facility but he died in transit. On 24 April 2017, a motorcycle rider (who transported the first patient) and another person who supported the first patient during transportation developed acute febrile illness. The motor cycle rider subsequently died on 26 April 2017. Other people who were close to these patients eventually developed similar illness.
Nigeria Meningitis Outbreak , situation as of week ending 28 April 2017
On 20 February 2017, the Government of Nigeria notified WHO of an outbreak of meningitis. The first outbreak case was reported in Zamfara State during epidemiological week 50, 2016 (December 12 - 18, 2016). As at 27 April 2017, a total of 10,695 suspected cases with 919 deaths (CFR=8.6%) have been reported. Of the reported cases, 717 (6.7%) were laboratory tested; of these, 359 (50%) were confirmed positive for bacterial meningitis. Out of the 359 confirmed cases, 252 (70.2%) were due to Neisseria meningitides serotype C (NmC). A total of 5,117 (47.8%) cases were in the 5-14 year age group. Both sexes are almost equally affected. A total of 198 Local Government Areas (LGAs) across twenty three states have reported suspected cases in 2017. Six states have currently passed the “Outbreak” threshold: Zamfara, Sokoto, Katsina, Niger and Kebbi with NmC as the predomi-nant sero-group and Yobe with NmA as the predominant sero-group. The cases tend to reside in rural dwellings with poor hygienic conditions.
Republic of Congo: Monkeypox Outbreak
On 13 March 2017, the Government of the Republic of Congo declared an outbreak of monkeypox in Likouala province in the north-east of the country which borders the Democratic Republic of the Congo and Central African Republic. As of week 14 (ending 9 April 2017) , a cumulative of 51 suspected cases including 4 deaths (case fatality rate of 7.8%) have been reported since onset of the outbreak on 10 January 2017. The outbreak has so far been localised to Likouala Province where four districts have been affected: Betou (21 cases, no death), Dongou (19 cases, 2 deaths), Enyelle (8 cases and 1 death) and Impfondo (3 cases, 1 death). Females constitute 57% of the cases while 43% are males. The age group most affected is less than 15 year of age and constitutes 61% of the total cases reported to date.
Namibia: Crimean-Congo Haemorrhagic Fever Outbreak
On 23 February WHO was notified of a confirmed case of Crimean Congo Haemorrhagic Fever (CCHF) in Omaheke region, Namibia. The case was a 20 year old male farm worker admitted to Gobabis hospital on 22 February with bleeding and fever with a date of onset of 15 February. The case died on 22 February and was appropriately buried the same day.