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

Euro Surveill. 2020 Jan;25(2):1900735. doi: 10.2807/1560-7917.ES.2020.25.2.1900735.

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.

Keywords: outbreak control transmissibility model response viral hemorrhagic fever.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Democratic Republic of the Congo / epidemiology
  • Disease Outbreaks / prevention & control*
  • Ebolavirus / genetics
  • Ebolavirus / isolation & purification
  • Hemorrhagic Fever, Ebola / diagnosis
  • Hemorrhagic Fever, Ebola / epidemiology*
  • Hemorrhagic Fever, Ebola / prevention & control*
  • Hemorrhagic Fever, Ebola / transmission
  • Humans
  • Public Health Practice / economics
  • Vaccination Coverage