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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.