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KeyHighlights
• 03cumulativecases(00probable03confirmed)• All(03)confirmedcaseshavedied(CFR=100%)• Todayisday4sincethedeathofthelastconfirmedcasewhopassedonthe13June2019whileontransfertothe
DRCforfurthermanagement• Thereare92contactsunderfollowup
o 89werefolloweduptodayo Nonehasdevelopedsymptomstodate
• 02suspectcasesonadmissioninETU,onesamplesenttoUVRIforrepeattest;2testednegativeforEbolabyPCRo ResultforthenewsuspectinETUstillpending
• Activecasesearchanddeathsurveillanceareongoinginthehealthfacilitiesandthecommunitiesasthedistrictresponseteamcontinuetoinvestigateallalerts
• 59contactshavebeenvaccinatedtodayEPIDEMIOLOGICALSUMMARY
BackgroundOn11thJune2019,theMinistryofHealthofUgandadeclaredthe6thoutbreakofEbolaVirusDisease(EVD)inthecountry
1. Situation update
Cases
03
Deaths
03
EBOLA VIRUS DISEASE IN UGANDA 17 June 2019 as of 20 00 Hrs SitRep #06 Situation Report
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affectingKasesedistrictinSouthWesternUganda.Thefirstcasewasafive-year-oldchildwitharecenthistoryoftraveltotheDemocraticRepublicofCongo(DRC).Thischildwasoneof6peoplethattravelledfromtheDRCwhilestillbeingmonitoredassuspectcasesfollowingaburialofthegrandfatherwhosuccumbedtoEVD.ThechildwasillbythetimehecrossedintoUgandaandthemothertookhimformedicalcareatKagandohospitalinKasesedistrictwithsymptomsofvomitingblood,bloodydiarrhea,musclepain,headache,fatigueandabdominalpain.ThechildtestedpositiveforEbolaZairebyPCRandhelaterdiedon11thJune2019.Twoothermembersofthefamily,agrandmotherand3-year-oldbrotheralsotestedpositiveforEbolaon12June2019andthegrandmotherdiedlaterthesameday.The3-year-oldbrotheralsodiedonthe13June2019.Asoftoday,thereisnoconfirmedEVDcaseinUganda,however2suspectcasesareadmittedatBweraEbolaTreatmentUnit.Ninety-two(92)contactsarebeingfollowedup.Figure1:MovementoftheEVDcasesfromCongointoUganda
SUMMARYOFCASES(asof17/June/2019) Newsuspectcasestoday 00Newdeathstoday 00Cumulativecases(probableandconfirmed) 03
Probable 00Confirmed 03
Suspectunderinvestigation 02Cumulativedeaths(probableandconfirmed) 03*Healthfacilities 03Community 00Deathsamongconfirmedcases 03
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Numberofcasesonadmission 02+Suspect 02Probable 00Confirmed 00Cumulativeconfirmedcasesdischarged 00Caseswhoarehealthworkers 00Suspect 00Probable 00Confirmed 00Confirmedcasesofhealthworkerswhohavedied 00Currentadmissionsofhealthcareworkers 00Suspect 00Probable 00Confirmed 00Cumulativenumberofhealthworkersdischarged 00Runawaysfromisolation 00Cumulativenumberofcontactslistedasoftoday 95**Numberofcontactsthathavecompleted21days 00Numberofcontactsunderfollowup 92Numberofcontactsfolloweduptoday 89Cumulativenumberofcontactswhodevelopedsymptoms 00Cumulativenumberofcontactsvaccinated 128***Numberofcontactsvaccinatedtoday 59Specimenscollectedandsenttothelab.Today 01Cumulativespecimenscollected 16****Cumulativecaseswithlabconfirmation 03Cumulativesamplestestednegative 07Specimenswithpendingresults 01Dateofdischarge/deathoflastconfirmedcase 13June2019
*includes1deathintheDRC**includes3contactsthathavemovedtoDRC***includescontactsofcontacts****5arerepeatsamples+excludesonecasewitharepeatnegativePCRmaintainedonthewardforbloodtransfusionsincethepatientisanaemic
Coordination
TodaytheEVDDistrictTaskForcemeetingwaschairedbythechairmanofthesocialservicescommittee.ThemeetingdiscussedactionpointsraisedduringtheDTFmeetingheldthepreviousday.Italsoreceivedfeedbackfromthesub-committeesfollowingtheactivitiesconductedthepreviousday.Thevehicleandhumanresourcetracking logwasupdatedandsubmittedtodistrictleadershipforreview.
Otherkeyissuesdiscussedincluded;- TheneedtointensifysocialmobilizationandriskcommunicationespeciallyinKarambisubcountywheremajority
2. Public Health Actions to date
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ofcasesarecomingfrom.- TheEVDresponseplanwassubmittedtoMinistryofHealth.- A community engagement meeting will be conducted tomorrow in Karambi involving the district and lower
politicalleadership.- Moreinvolvementofpoliticalleadersintheresponse
Surveillance
• Ugandastill records3cumulativeconfirmedcaseswhohavealldiedgivingacase fatality rateof100% (3/3).Currentlythereare2suspectcasesadmittedintheETU.All2caseshavenorelationwiththeconfirmedcases.One (1) alertwas received today and investigatedwithin 24 hours but did not fit the alert definition sowasdisqualified.Thealertwasabodabodariderattheborderwhopresentedwithfeverandheadache.HewassenthomewithtreatmentandistobemonitoredbyaVHT.
• Additionally,8newcontactswerelistedtoday,givingacumulativetotalof92contactstotheconfirmedcases.
Sixty-three(63) inKagandoand29 inBwera.Wefollowedup97%(89/92)ofcontacts inKagando,BweraandMpondweareas.
o NoneofthecontactshasdevelopedsymptomsconsistentwithEVD.• Conductedactivecasesearchat4healthfacilitiesinKagandosubdistrictandorientedhealthworkersonEVDin
allthosefacilities• Screened45peoplegatheredatthehomeofthequeenmotherwhereacrowdhadgatheredanticipatingthe
returnoftheKingofRwenzururuKingdom• Surveyed,mappedandsensitizedvendorsandleadersofMahwaandKizungumarketswhichdrawstradersfrom
Kasese,FortPortal,BundibugyoandDRContheneedtohavescreeningpointsandWASHfacilitiesLaboratory
• DeliveredGenex-pertcartridgesandequipmenttosupportonsitetestingatBwerahospital(uponapprovalbyMoHwithCDC,UVRIpartnership).
• Establishedaworkspaceformobilelaboratoryonsitetesting.AssessedstockstatustosupportlaboperationsattheETU.ReceivedresultsfortwosuspectsamplescollectedfrompatientsintheETUandbothwerenegative
Casemanagement
• Therearetwocases IntheETUtoday.Three labresults forthreesuspectcaseswerereceivedtoday;allwerenegative;onewasa repeat sample.One repeat samplewas takenwithpending results.Nonewsuspectcaseadmittedtoday.
Riskcommunicationandsocialmobilisation
• SensitizedcommunitiesofKatweKabatoroTwoncouncil,Nyakatonzi,NyakiyumbuSub-County,MukunyuSub-County,NyakatonziSub-CountyonEVDpreventionandcontrolmeasuresusingthemobilefilmvan.
• SensitizeduniformedpersonnelwithEVDmessagesinKamukumbiandKarambiUPDFdetaches.• DistributedIECmaterials,posters,leaflets,jobaidcards,tothebusinesscommunities,UPDFsoldiersand
communityleaders.• SensitizedchairpersonLCIsofKyarumba,Kisinga,munkunyu,Kyondo,LakeKatwesubcountiesonprevention
andcontrolPsychosocialteam• Theteamconductedgroupcounsellingfor6traumatizedmedicalpersonnelatSt.Paul'sHC.IV,whogotintodirect
contactwitha3-year-oldsuspectyesterdayandabout800pupilsand23teachersofKinyamasekePrimarySchool
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whereapupilwhoisacontactofcontactissufferingstigma.• CounselledthenursewhogotintocontactwithaconfirmedcaseatBwerahospitalandthemotorcyclistwhorode
theindexcase
VaccinationThevaccinationteamhasvaccinatedacumulativenumberof128contactswith59vaccinatedtodayintwomainrings.The focuswasonhigh risk contacts and satellite cases. The teamcontinues to identifynewcontacts and contactsofcontacts.WASH
• TheWASHteamassessedtheWASHinterventionsin6schools,landingsiteofKigendoandNationalWaterandSewerageCorporationofficesinlKatweT.C
• Trained101EarlyChildDevelopmentcentreHeadTeachersandcaregiversonhandwashingandwatertreatingstrategy.
Infectioncontrolandprevention
Theteamorientedhealthworkersoninfectionpreventionandcontrol.
LogisticsUgandaNationalMedicalStores(NMS)deliveredmedicalsuppliestosupporttheEbolaresponse.Keyplannedactivities
• Conductactivecasesearch,contactlistingandfollowupinhealthfacilitiesinallHealthSub-districts• TheriskcommunicationteamtocontinueworkingwithvaccinationteaminBweraoncommunityengagement• EngagementofchurchesandcommunitymembersbyIPCandsocialmobilisationteamstointegrateEVD
messagesintheirteachings• EngagementofcommunityleadersinKilembeandMukunyuonhostilityagainstCongolesenationals• Sensitisecommunitymembers,stopmassgatherings,alleviatefearsandanxietyamongcommunitymemberson
EVD and encourage people to hand wash and stop handshaking. The community will also sensitise on theimportanceofsafeanddignifiedburialfollowingresistanceatSDBofasuspectcase.
• CommunityengagementatmarketstoenhancealertnessandenablereportingofanyEbola-relatedeventstothedistrictauthorities
• TheriskcommunicationteamwillvisitthemarketsandotherpublicplacestoconductsensitizationandengagementmeetingsonEVDalertness
CommunityawarenessoftheriskofEbolainfectionishighandthecommunityisverysuspiciousofanyonewitharecenttraveltotheDRC.SuppliesofresponseitemshaveimprovedbutmoreforecastingisneededtoavoidstockoutsofessentialitemslikePPEsandothersundries.
3. Conclusion
4. Partnerships
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The following partners are supporting Ebola response in Kasese district; WHO, CDC, USAIDCHC, UNICEF, Red Cross,AFENET,ECHO,DFID,UNHCR,IRC,IOM,Baylor,SavetheChildrenandMSF.