Disease Outbreak News (DONs)

※ 해외발생자료는 http://www.who.int/csr/don/archive/year/2019/en/ 를 참고하여, 주보작성일 기준 최신자료를 바탕으로 작성되었습니다.

에볼라바이버스병(Ebola virus disease) -

콩고민주공화국(Democratic Republic of the Congo)

<2019. 07. 04. 현재>

○ 북키부(North Kivu)와 이투리(Ituri)주에서 지속적으로 발생 중

- 핫스팟은 베니(Beni), 마발라코(Mabalako), 만디마(Mandima)이고 확진환자 보고수는 적지만 코만도(Komanda), 루베로(Lubero), 르왐파라(Rwampara), 부니아(Bunia) 헬스존의 보고도 우려할 상황임

○ 6. 30. 아리와라(Ariwara)에서 우간다(Uganda)와 남수단(South Sudan) 국경으로 육로 여행한 환자가 보고 되었음(아리와라 헬스존의 첫 확진환자)

- 7.2. 우간다 아루아(Arua) 지역의 기동부대가 동원되고, 보건부(MoH) 신속대응팀이 파견되었으며  남수단에서는 WHO, UN의 OCHA, 협력 공동회의가 개최되었음

- 7.3. 보건 의료종사자 대상 예방접종을 실시하고, 우간다에서는 합동팀이 파견됨

○ 6. 12. ~ 7. 2. 20개 헬스존, 73개 헬스지역에서 총 285건의 새로운 환자가 보고됨(표1)

- 마발라코 30%(85명), 베니 27%(76명), 만디마 8%(23명), 루베로 6%(16명), 칼룬구타(Kalunguta) 5%(14명)

○ 7. 2. 현재 에볼라바이러스병(EVD) 환자 총 2,369건(확진환자 2,275건, 추정환자 94건) 보고

- 1,598명이 사망(사망률 68%), 그 중 확진환자 1,504명의 사망 포함

- 여성이 56%(1,334명), 18세 미만 어린이가 29%(691명)

- 보건의료 종사자 감염은 누적 130건(전체 감염 건수의 6%)이며 계속 증가 중

○ 6. 26. 확인된 접촉자 108명에 대해 21일 동안의 추적조사를 진행 중임

- 7. 3. 현재까지 증상이 있는 접촉자는 없음

- 접촉자 74명(34명은 예방접종 미대상), 접촉자의 접촉자 747명과 보건의료 종사자 682명 예방접종 실시

○ 공중보건 대응, 위험평가, 세계보건기구(WHO) 권고에 대한 자세한 내용 원문 참고

< 그림. DR콩고 에볼라바이러스병 주별 발생 현황(2019년 7월 02일 기준) >

< 그림 . DR콩고 에볼라바이러스병 지역별 발생 현황(2019년 7월 02일 기준) >

<표1. DR콩고 에볼라바이러스병 발생 지역 및 환자 현황(2019년 7월 02일 기준) >

○ 원문

The outbreak of Ebola virus disease (EVD) in North Kivu and Ituri provinces, Democratic Republic of the Congo continued with a steady transmission intensity this week. Indicators demonstrated the early signs of transmission easing in intensity in some major hotspots, such as Butembo and Katwa. The current hotspots are the health zones of Beni, Mabalako, and Mandima, with some cases being exported from these hotspot areas into unaffected health zones. There is a slight but notable increase in the number of new cases occurring in areas that previously had lower rates of transmission, such as the Komanda, Lubero, and Rwampara/ Bunia health zones. On 30 June, a case who had travelled overland from Beni was confirmed in Ariwara, more than 460 kilometres north of Beni, towards the borders with Uganda and South Sudan. This is the first confirmed case in this health zone, and a response team was deployed from Bunia to investigate and implement public health actions in Ariwara. Uganda and South Sudan have mobilized quickly, building on the preparedness efforts during the last months. Arua district in Uganda shares a border with Ariwara health zone, with high volume of trade and population movement. The Arua District Task Force in Arua mobilized on 2 July to agree on a plan of action, the Ministry of Health (MoH) immediately dispatched the National Rapid Response Team for needs assessment, and the vaccination team from Kasese was also dispatched to Arua district on 3 July to start vaccinating the front-line health workers. In South Sudan, WHO and the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) convened a joint meeting with implementing partners on 2 July to plan and coordinate field missions. Joint teams were dispatched to Kei State on 3 July to support operational readiness activities.

In the 21 days from 12 June through 02 July 2019, 73 health areas within 20 health zones reported new cases, representing 11% of the 664 health areas within North Kivu and Ituri provinces (Figure 2). During this period, a total of 285 confirmed cases were reported, the majority of which were from the health zones of Mabalako (30%, n=85), Beni (27%, n=76), Mandima (8%, n=23), Lubero (6%, n=16) and Kalunguta (5%, n=14). As of 02 July 2019, a total of 2369 EVD cases, including 2275 confirmed and 94 probable cases, were reported (Table 1). A total of 1598 deaths were reported (overall case fatality ratio 68%), including 1504 deaths among confirmed cases. Of the 2369 confirmed and probable cases with known age and sex, 56% (1334) were female, and 29% (691) were children aged less than 18 years. Cases continue to rise among health workers, with the cumulative number infected rising to 130 (6% of total cases).

No new EVD cases or deaths have been reported in the Republic of Uganda since the previous EVD Disease Outbreak News publication on 13 June 2019. As of 26 June, 108 exposed contacts were identified, and they are in the process of completing the 21-day follow-up period. Contacts are visited daily for 21 days until the last contact completes follow-up on 3 July. All contacts remain asymptomatic to date. All 14 suspected cases reported to date have tested negative for EVD, and these cases are not related to the confirmed cases mentioned in the Disease Outbreak News on EVD in Uganda. Cumulatively, 1507 individuals consented and were vaccinated, including 74 contacts (34 were not eligible for vaccination), 747 contacts of contacts and 682 frontline health workers.