The colliding epidemics of COVID-19, Ebola, and measles in the Democratic Republic of the Congo.
The colliding epidemics of COVID-19, Ebola, and measles in the Democratic Republic of the Congo.
复制标题
DOI：
10.1016/s2214-109x(20)30281-3
复制
发表时间：
2020-08
期刊：
影响因子：
--
通讯作者：
Tam-Fum JM
中科院分区：
文献类型：
--
作者：
Nachega JB;Mbala-Kingebeni P;Otshudiema J;Zumla A;Tam-Fum JM
刚果民主共和国正面临重大公共卫生挑战，原因是埃博拉病毒病、麻疹和COVID-19的大规模爆发。1-4刚果东部的第十次埃博拉疫情始于2018年8月1日，截至2020年5月28日，已有3406例埃博拉病毒病病例，2243人死亡。经过多部门应对，刚果民主共和国东北部的埃博拉病毒病疫情得到了很好的控制，但2020年6月1日在刚果民主共和国西北部发现了四例新的埃博拉确诊病例，疫情应对正在进行中。4此外，刚果民主共和国还面临着反复发生的麻疹疫情：2011年有133802例，2013年有88381例，2019年有311471例。2刚果民主共和国首例新冠肺炎确诊病例于2020年3月10日确诊，政府于2020年3月24日宣布进入紧急状态。一个国家多部门应对委员会在首都金沙萨实施了封锁，金沙萨是刚果民主共和国疫情的中心，目前平均每日确诊病例为100例。截至2020年6月16日，刚果民主共和国已报告4777例COVID-19病例，106例死亡。5尽管COVID-19大流行带来了独特的挑战，威胁到刚果民主共和国的健康、经济和社会结构，但从应对毁灭性的埃博拉病毒疾病爆发中吸取的一些经验教训是非常宝贵的，并正在指导正在进行的COVID-19公共卫生应对。6这些应对措施包括社区领导人和机构的参与，用当地语言与公众沟通，解释这种疾病及其预防策略，并以文化上可以理解的方式传播信息。埃博拉病毒疾病控制基础设施、协议和工作人员已被重新利用，并应用于COVID-19的应对。由护士、医生、医学生和社区卫生工作者组成的多学科团队正在实施卫生部以及社区和宗教领袖批准的COVID-19敏感性、筛查和检测活动7。所有通过RT-PCR进行的COVID-19检测都在金沙萨的国家生物医学研究所进行。努力将检测工作下放到各省，
The Democratic Republic of the Congo is facing major public health challenges due to a confluence of major outbreaks of Ebola virus disease, measles, and COVID-19. 1–4 The tenth Ebola outbreak in eastern DR Congo began on Aug 1, 2018, and as of May 28, 2020, there have been 3406 Ebola virus disease cases with 2243 deaths. The Ebola virus disease outbreak was well controlled in northeast DR Congo following a multisectoral response, but four new confirmed Ebola cases were detected in northwest DR Congo on June 1, 2020, and an outbreak response is underway. 4 Additionally, the DR Congo has been burdened with recurrent measles outbreaks: 13 3802 cases in 2011, 88 381 cases in 2013, and 311 471 cases in 2019. 2 The first confirmed case of COVID-19 in DR Congo was diagnosed on March 10, 2020, and the government declared a state of emergency on March 24, 2020. A national multisectoral response committee instituted lockdown in the capital, Kinshasa, the epicentre of the epidemic in DR Congo, in which daily confirmed cases now average 100. As of June 16, 2020, 4777 COVID-19 cases with 106 deaths have been reported from the DR Congo. 5Although the COVID-19 pandemic presents unique challenges that threaten the health, economy, and social fabric of DR Congo, several lessons learned from dealing with the devastating Ebola virus disease outbreaks have been invaluable and are guiding the ongoing COVID-19 public health response. 6 These responses include involvement of community leaders and institutions with communication to the public in local languages to explain the disease and its prevention strategies and disseminating messages in terms that are culturally understandable. Ebola virus disease control infrastructure, protocols, and staff have been repurposed and applied to the COVID-19 response. Multidisciplinary teams of nurses, doctors, medical students, and community health-care workers are implementing COVID-19 sensitisation, screening, and testing activities endorsed by the Ministry of Health and community and religious leaders7. All COVID-19 testing by RT-PCR is done at the National Institute of Biomedical Research in Kinshasa. Efforts to decentralise testing to provinces and