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Drc: Large Scale Use of Ocv for Cholera Control- Results and Perspectives

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Drc: Large Scale Use of Ocv for Cholera Control- Results and Perspectives Presentation DRC GTFCC annual meeting DRC: LARGE SCALE USE OF OCV FOR CHOLERA CONTROL- RESULTS AND PERSPECTIVES National Program for the Elimination of Cholera and Control Against Diarrheal Diseases weekly incidence, cholera cases, case-fatality rate, DRC, week 1,2017 to week 20, 2019 and OVC 3000 9,0 Vaccination retained Implementation of a community approach to fight against cholera using the grid as one of the strategy technique in the hotspots (approach developed by PNECHOL-MD) of the response 8,0 2500 Creation National Program for the Elaboration Multisectoral plan for Elaboration of triennial vaccination plan 7,0 Elimination of Cholera and Control the elimination of cholera in the DRC Against Diarrheal Diseases 2018-2022 2000 6,0 Establishment of the National Coordinating Committee for the Elimination of Cholera 5,0 1500 4,0 1000 3,0 2,0 500 1,0 0 0,0 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 1 3 5 7 9 11 13 15 17 19 2017 2018 2019 Cases AttackCase Fatality Rate Rate OCV in 3 provinces Kasaï région - Week1-52, 2018 : 30768 cases and 927 deaths (3,2% lethality) - Since 6 weeks lower weekly incidence 500 cases - week1 -20,2019: 10928 cases and 245 deaths - Higher case fatality rate 1% (attack rate 2,2%) Weekly evolution of cholera in DRC from week 17 to 20 of 2019 compare to 2018 Evolution hebdomadaire de cas de choléra par province en 2018 et 2019 (semaines 17 à 20) 2018 2019 Nord-Ubangi Nord-Ubangi Bas-UeleHaut-Uele Haut-Uele Sud-Ubangi Sud-Ubangi Bas-Uele Mongala Ituri Mongala Ituri Equateur Tshopo Tshopo Equateur Tshuapa Nord-Kivu Tshuapa Nord-Kivu Maï-Ndombe Sankuru Sud-Kivu Maï-Ndombe Sankuru Sud-Kivu Maniema Kinshasa Maniema Kwilu Kinshasa Kongo-Central Kwilu Kongo-Central Lomami Kasaï Lomami Kasaï-Central Tanganyika Kasaï Kwango Kwango Kasaï-Central Tanganyika Haut-Lomami Haut-Lomami Lualaba Haut-Katanga Lualaba Haut-Katanga Semaine épidémiologique S17 - S20 S17 S18 S19 S20 Provinces endémiques Provinces épidémiques Autres provinces 0 150 300 600 900 1 200 Kilometers Date de création: 29/05/2019 Sources: Données Choléra(PNECHOL) OCV Results obtained DRC is in its fourth OCV campaign Nord-Kivu In progress Target 835,182 people 7 Health Zones Kinshasa 31 Health areas 2. OCV campaign conducted September & November 2016 Tanganyika 355,183 people vaccinated 1. Campaign completed: July 2014 CV : 94,6% 38.242 vaccinated people CV 73,4% 5 Health Zones 1 Health zone (Kalemie) 14 Health areas 2 Health areas Espace Kasai 3. Campaign realized in December 2018 impact: long period with few cases in the vaccinated areas. 1,224,331 people vaccinated Acceptance OCV: difficulty of acceptance at the beginning by the various CV 99.1% experts and authority of the Ministry but very accepted by the population. 15 Health Zones Starting the OCV: often late 91 Health areas Challenges: logistics and very large target to be vaccinated. Implementation of WaSH activities after vaccination The support that would be expected from the GTFCC - Access to the OCV stockpile - Implementation of the OCV targeting the already defined hotspot by the PMSEC Population des Période proposée Urgence Phase Province Eligible Besoin OCV aires proposées pour la campagne Kasaï, Kasaï Oriental et Novembre- 1 1,280,681 1,235,972 2,471,944 Sankuru Décembre 2018 Urgence 1 Equateur, Kinshasa et 2 5323,084 511,776 1,023,552 Février 2019 Maïndombe Sud Kivu (Minova, Nundu et Urgence 2 3 828,141 799,156 1,598,312 Mars 2019 Kadutu) Sud Kivu (Fizi, Katana et 4 1,454,584 1,403,674 2,807,347 Mai 2019 Uvira) et Tanganyika Urgence 3 Ituri (Tchomia) et Nord Kivu 5 1,067,917 1,030,540 2,061,080 Juillet 2019 (Goma, Karisimbi1 et Kirotshe) 6 Nord Kivu (Masisi et Mweso) 575,122 554,993 1,109,985 Septembre 2019 Haut Lomami (Bukama, Urgence 4 7 686,854 662,814 1,325,628 Avril 2020 Kinkondja et Malemba) TOTAL 6,216,383 6,198,925 12,397,849 Source: PMSEC 2018-2022 The support that would be expected from the GTFCC - Support the implementation of the Community wash activities in the Main hotspot - Support the investigation of new hotspot - support to the coordination mechanism - Advocacy in implementation of sustainable WASH investments Source: PMSEC 2018-2022 .
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