The cost of insecurity: from flare-up to control of a major Ebola virus disease hotspot during the outbreak in the Democratic Republic of the Congo, 2019

Author:

Jombart Thibaut1234,Jarvis Christopher I134,Mesfin Samuel5,Tabal Nabil5,Mossoko Mathias6,Mpia Luigino Minikulu6,Abedi Aaron Aruna6,Chene Sonia5,Forbin Ekokobe Elias5,Belizaire Marie Roseline D5,de Radiguès Xavier5,Ngombo Richy5,Tutu Yannick6,Finger Flavio14,Crowe Madeleine5,Edmunds W John4,Nsio Justus6,Yam Abdoulaye5,Diallo Boubacar5,Gueye Abdou Salam5,Ahuka-Mundeke Steve7,Yao Michel5,Fall Ibrahima Socé5

Affiliation:

1. Global Outbreak Alert and Response Network, Geneva, Switzerland

2. MRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London, United Kingdom

3. UK Public Health Rapid Support Team, London, United Kingdom

4. Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom

5. World Health Organization, Geneva, Switzerland

6. Ministère de la Santé Publique, Kinshasa, Democratic Republic of the Congo

7. Institut National de Recherche Biomédicale, Kinshasa, Democratic Republic of the Congo

Abstract

The ongoing Ebola outbreak in the eastern Democratic Republic of the Congo is facing unprecedented levels of insecurity and violence. We evaluate the likely impact in terms of added transmissibility and cases of major security incidents in the Butembo coordination hub. We also show that despite this additional burden, an adapted response strategy involving enlarged ring vaccination around clusters of cases and enhanced community engagement managed to bring this main hotspot under control.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

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