The worst disaster of Ebola hit him Congo Democratic Republic (DRC) – and the most complex.
From August, authorities in the country, together with a number of partners, have been trying to make a new appearance on its. deadly virus in the eastern areas of Kivu and Ituri.
On the 21st of November, there were 373 Ebola doubts, including 347 of the confirmed cases. At least 217 people have already died.
Ebola was 10 out of 1976 in the DRC, which is considered among the best known in the & # 39; dealing with virus.
This situation, however, is different.
The Kivu North and Ituri areas are among the most unstable and closer in the country, and subject to some of the highest levels of human movement.
At the same time, there are warnings that there is a "perfect storm" of illegality, the struggle of its community about immunization and political treatment; The threats of attempts to take a spread of virus.
These features will make the most current stream likely to have been known by the DRC, which is scheduled for the election of a vital president on December 23.
What's in Ebola and how does it spread it?
The Ebola virus (EVD) virus is introduced into human beings through close contact with the blood or other physical animals of affected animals. These include, but are not restricted, mosaics or fruit bats.
It is known that the virus causes high fever, its input and its; diarrhea, as well as internal and external bleeding; it will turn the body into a lump and toggle installation. Enhancing blood reduction to essential organs, which affects the failure of organisms of multi-system.
Whenever it is injured, patients have little chance of living.
When did the latest statement start in the DRC?
At the end of July 2018, the northern government of Kivu North reported 26 cases of a mobility problem that was caused to 20 deaths.
Six criterion of blood was sent to the Institut National de Recherche Biomedicale (INRB) in the capital, Kinshasa, where it was discovered that four out of the six examples of blood have been proven for virus Ebola.
"The result of the genetic study with the INRB confirmed that Ebola Zaire was ready, but not to be connected to the situation as a breach of Equateur, which means that we are dealing with a new break," said Lianne Gutcher, communications officer with the World Health Organization (WHO) Al Jazeera.
The country's Ministry of Health officially named it had begun on August 1, 2018.
Now Beni, in North Kivu, is now bringing forth the reappearance again, although the medical charity is unlimited Doctors, which is recognized by the first French letters, MSF, warned that he could move to Butembo, a town near Uganda.
How does this appear compared to others in the DRC?
Ebola is thought to have an endemic in the DRC, with a & # 39; The first case in 1976 appeared simultaneously in Yambuku – in the northern part of the country near the River Ebola, in which the disease has a disease; name – and Nzara, in the South Sudan.
Although there is still no cure, a vaccine program introduced earlier this year has been taken forward as the next step in which more effective regulation of future breach will be attacked.
This DRC has two breaks this year.
The first one was named in a & # 39; May after 29 people died in the city of Mbandaka in the Equateur division. Although there was concern about how close the town was to the Congo River, the virus could move to Kinshasa, and how the banana vaccine continued on time, the virus quickly saw .
This statement was announced on 24 July.
Both Uganda and the DRC have been able to prevent discharge diseases as it did in the West Africa between 2014-2016 which comprised 28,000 people and , 11,300 people left dead. But because it's a & # 39; The current breakdown in North Kivu is the first time the virus has spread to the already existing area; living in an emergency is always skilled, with Ebola's explosion this time proves to be much harder.
It is already the largest stream in the DRC, and has always been the second largest Ebola breakdown.
"The difference is that we are now working in the field of war," said Axelle Ronsse, the emergency coordinator for the EBola MSF response to Al Jazeera, describing philosophy a & # 39; militia that has long parts of the east country.
RESIDENCE: How can Ebola be there? (25:00)
How does the security emergency affect efforts to & # 39; virus?
There are a number of military organizations living in North Kivu, including Recovery Forces (ADF), a Uganda rebellion group, which has been criminalized since 1995.
The unfinished attacks in the region have meant that they are constantly communicated and an unmistakable move of refugees to other countries or within the region itself. As it stands, more than a million people are distributed internationally in a & # 39; Kivu a Tuath.
"The violence affects our work on a daily basis," according to Ronsse. "We're not aiming at it but it's a cause to be wrong in the wrong place at that time."
Similarly, Gutcher, from the WHO, says that some attacks have resulted in medical activities being pronounced badly or temporarily closed.
"Community violence has been the prevention of safe funeral abilities to carry safe and honest funerals."
In October, 13 civilians killed rebels and stole twelve children in the attack of Beni.
In November, seven Malawian and one Tanzania peacekeeper were killed in another attack on the town.
Inability, too, has been made difficult for health professionals to look for other people who may be in contact with suspect victims, in the name "contact tracking" , is considered a fundamental piece of any attempt to keep Ebola.
In the last month, New England Journal of Medicine (NEJM) writes that "to ensure effective communication and its & # 39 community ; allowing sick people to quickly identify and help to provide early clinical care provision, which has been shown to be likely to last. "
Jessica Ilunga, communications officer for the DRC Public Health Ministry, told Al Jazeera that all security events were adversely affected by field activities. She said that the security context was also fundamental to creating a situation in which health workers were opposed to a previous unprecedented level; problem in the community.
"Most traditional curators, which are most trusted by the people today, have led to a significant number of out-of-the-art broadcasting, "said Ilunga.
Showing the inequality in the eastern DRC, WHO raised the national emergency to "very high" at the end of September. The crisis is still not regarded as a public health emergency with international responsibility and a global health body does not propose to do it; prohibit any trade or travel with the DRC.
How did the DRC and its international community respond to this crisis?
Since the vaccine program was introduced by the DRC and WHO government, the mainstreaming of a vaccine includes a vaccine and then a & # 39; run a second "ring" for those who may be in contact with the suspected issues.
Her vaccine is developed by Canada but is licensed and made by her & her; vaccine Merck American Pharmaceutical Company.
According to the WHO, around 300 medical experts are used to the country to support the response plan. There are around 32,500 people at risk of being immunized, and & # 39; including 10,600 health workers and 8,600 children.
On November 24, the government and the WHO said they would be doing clinical trials to assess the safety and effectiveness of drugs used on Ebola patients, Try to find the most effective treatment for your virus.
Authorities have already begun to use drugs on a case-by-case basis with around 151 people. 63% of people who were drug users were alive, and those who were in the drug were living. Relative medicine medicinal near 80%.
"Now the protocols for tested tests, treatments to patients under that framework will be provided in the facilities where the test is started," said the WHO.
As well as vaccine and drugs, efforts have been circulated to disseminate information through door-to-door applications, with over 2,500 homes visited, including nearly 1,400 homes in Beni .
"In terms of facts and information, some families have chosen to look after sick relatives at home, some patients leaving healthcare centers to make other choices find or keep them on, "said Gutcher.
Authorities have also trained around 1,700 volunteers to help with community based efforts. Across Uganda, 758 health workers in 19 health facilities were vaccinated.
In mid-November, WHO stated that the situation would be finalized in mid-2019.
But Ilunga, from the DRC's Public Health Ministry, says that her government is optimistic that the efforts to keep her anxiety grow faster, state that "the success of this response also depends on a number of things that do not control us, such as security".
|A health worker will provide a four-day child who is suspected that Ebola, into a MSF (unlimited Trustees) supporting Ebola Treatment Center (ETC) in Butembo, Congo Democratic Republic [File: John Wessels/AFP]|
Why is a breach going on in the DRC?
Microbiologists argue that viruses such as Ebola often appear among the number of animals that face a limited movement.
But health professionals are worried if the Ebola could be inconvenient to the troubled areas in the north-western DRC, it would be the case; means "spreading of stable and non-emergent lies, with a significant impact on travel and trade".
"This will mean we've lost its ability to find links, stop the delivery of chains and breakdowns," said Tom Inglesby , director of the Johns Hopkins Center for Health Health, in earlier information in November.
For her, Ilunga says that the country must accept that the disease is "Regenerating Regeneration "and"make barriers and more cure available and improve the knowledge of the virus about the virus. "