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World Updates

Ebola virus disease – Democratic Republic of the Congo

The Ebola virus disease (EVD) in the Democratic Republic of the Congo continues with relatively high numbers of cases reported in recent weeks (Figure 1), and some encouraging signs. Katwa and Butembo health zones remain the epicentres of the outbreak, reporting 71% of cases in the last three weeks, with smaller clusters continuing to occur concurrently across a geographically dispersed area. As of 5 February, 789 EVD cases1 (735 confirmed and 54 probable) have been reported, including 488 deaths (overall case fatality ratio: 62%).

Dengue fever – Jamaica

On 3 January 2019, the International Health Regulations (IHR) National Focal Point of Jamaica notified WHO of an increase in dengue cases in Jamaica. From 1 January though 21 January 2019, 339 suspected and confirmed cases including six deaths were reported (Figure 1). In 2018, a total of 986 suspected and confirmed cases of dengue including 13 deaths have been reported. The number of reported dengue cases in 2018 was 4.5 times higher than that reported in 2017 (215 cases including six deaths). Cases reported to date for 2019 exceed the epidemic threshold (Figure 2).

Ebola virus disease – Democratic Republic of the Congo

The Ministry of Health (MoH), WHO and partners continue to respond to an outbreak of Ebola virus disease (EVD), despite persistent challenges around security and community mistrust impacting response measures.

Gonococcal infection – United Kingdom

On 7 January 2019, the International Health Regulations (IHR) National Focal Point for the United Kingdom of Great Britain and Northern Ireland notified WHO about two cases of extensive drug resistant (XDR) Neisseria gonorrhoeae infection diagnosed in the United Kingdom.

Circulating vaccine-derived poliovirus type 2 – Mozambique

On 17 January 2019, two genetically-linked circulating vaccine-derived poliovirus type 2 (cVDPV2) isolates were reported from Molumbo district, Zambezia province, Mozambique. The first one, was from an acute flaccid paralysis (AFP) case with onset of paralysis on 21 October 2018, a six-year old girl with no history of vaccination, and the second isolate was from a community contact of the first case, a child aged one-year old.

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