刚果:埃博拉爆发日益下降

官员报告转点

刚果民主共和国表示,去年5月宣布的埃博拉发作已经达到峰值,这是传播可能在几个月的快速扩张后放缓的第一个官方迹象。 卫生部长萨缪尔·罗杰·坎巴(Samuel Roger Kamba)表示,每天确认的感染从大约120次爆发的高度下降到大约80次,而几个卫生区已经过去了几周,没有记录另一个病例。

The improvement is significant but remains provisional. More than 7,200 confirmed infections and over 3,475 deaths had been recorded by September 14, according to figures cited by the Guardian from the Congolese health ministry. The outbreak is caused by the Bundibugyo variant and has spread across six provinces, with conflict-affected Ituri remaining a central focus of the response.

官员说,经过42天没有新感染后,6个健康区可能会被从活跃名单中删除,而其他4个则超过21天。 这些限制表明传输链正在被中断。 然而,当局正在继续采取预防措施,并未宣布全国范围内爆发。

监测仍然是关键测试

刚果立法者伊拉克·格雷蒂安·德圣尼古拉斯(Gratien de Saint-Nicolas)呼吁政府公布支持其评估的指标,并警告反对早期庆祝活动。 流行病学信心不仅依赖于案例总体的下降,而且还依赖于有效的接触跟踪,安全的葬礼,有活跃传输的区域较少,并证明大多数新感染发生在已经被监测的人中。

Recent United Nations reporting shows why caution is warranted. On September 1, the UN said the outbreak was still advancing at an unprecedented pace, with more than 6,000 infections and almost 3,000 deaths then reported. Earlier UN updates described insecurity around treatment facilities, the temporary relocation of humanitarian personnel and constrained access to affected communities in eastern Congo.

接下来的几周将确定下降是否持续,或者部分反映了检测漏洞。 机构必须保持测试、跟踪、社区参与和跨境监测,而临床试验仍在继续,没有批准的针对性治疗。 在连续的孵化期间持续的减少,而不是日常报告的短暂下降,将为宣布疫情控制的最清晰的基础。