Africa yellow fever kubuda uye kutyisidzira kwekufamba uye kushanya

Chirwere che yellow fever chakaonekwa muAngola pakupera kwaDecember 2015 uye chakasimbiswa neInstitut Pasteur Dakar (IP-D) musi waJanuary 20, 2016. Pashure pacho, kuwedzera nokukurumidza kwenhamba yezviitiko zvakaonekwa.

- Kubva munaMay 19, 2016, Angola yakashuma 2420 inofungidzirwa nyaya dze yellow fever ne298 vakafa. Pakati pezviitiko izvi, mazana manomwe nemakumi matatu nematanhatu akasimbiswa marabhoritari. Pasinei nemishandirapamwe yekudzivirira utachiona muLuanda, Huambo neBenguela kuparadzirwa kwehutachiona mune mamwe matunhu kunopfuurira.

- Nyika nhatu dzakashuma nyaya dzeyellow fever dzakatorwa kubva kuAngola: Democratic Republic of The Congo (DRC) (42 kesi), Kenya (makesi maviri) nePeople's Republic of China (makesi gumi nerimwe). Izvi zvinoburitsa njodzi yekupararira kwenyika kuburikidza nevafambi vasina kubaiwa.


- Musi waKurume 22, 2016, Ministry of Health yeDRC yakasimbisa nyaya dze yellow fever maererano neAngola. Hurumende yakazivisa zviri pamutemo kuti yellow fever yakabuda muna Kubvumbi 23. Kubva munaMay 19, DRC yakashuma zviitiko zvishanu zvinogona kuitika uye 44 laboratory yakasimbisa nyaya: 42 yakatorwa kubva kuAngola, yakashumwa muKongo central province neKinshasa uye maviri autochthonous kesi muNdjili, Kinshasa uye. muMatadi, Kongo Central province. Iko mukana wehutachiona hunowanikwa munharaunda uri kuferefetwa kwenyaya dzinenge sere dzisina kunyorwa mumatunhu ese eKinshasa neKongo.

- MuUganda, Ministry of Health yakazivisa nyaya dze yellow fever muruwa rweMasaka musi waApril 9, 2016. Kubva muna May 19, 60 mhosva dzinofungidzirwa, iyo manomwe ari laboratory yakasimbiswa, yakashumwa kubva kumatunhu matatu: Masaka, Rukungiri neKalangala. Zvinoenderana nemhedzisiro yekutevedzana, iwo masumbu haana hukama neAngola.

- Hutachiona muAngola neDRC hwakanyanya kuiswa mumaguta makuru. Njodzi yekupararira uye kutapurirana kwenzvimbo kune mamwe mapurovhinzi muAngola, DRC neUganda inoramba iri nyaya huru. Njodzi yacho yakakura zvakare kune inogona kupararira kune nyika dzakaganhurana kunyanya idzo dzinorondedzerwa senjodzi dzakaderera dzechirwere che yellow fever (kureva Namibia, Zambia) uko vagari, vafambi uye vashandi vekunze havabayerwe yellow fever.

– Dare reEmergency Committee (EC) maererano ne yellow fever rakakokwa naDirector-General weWHO pasi peInternational Health Regulations (IHR 2005) musi wa19 Chivabvu 2016. Vachitevera zano reEC, Director-General vakasarudza kuti urban yellow fever yakabuda. muAngola neDRC zviitiko zvakakomba zvehutano hweveruzhinji izvo zvinopa kusimbaradza kuita kwenyika uye nekusimudzira rutsigiro rwepasirese. Zviitiko hazviiti panguva ino ZIKA VIRUS SITUATION REPORT YELLOW FIVE 20 MAY 2016 inoumba Public Health Emergency yeInternational Concern (PHEIC). Chirevo chinogona kuwanikwa pawebhusaiti yeWHO.

SURVEILLANCE

Angola

Kubva musi wa5 Zvita 2015 kusvika Chivabvu 19, 2016, bazi rezvehutano rakazivisa vanhu 2420 vanofungidzirwa kuti vafa uye mazana manomwe nemakumi matatu nevatanhatu vari murabhoritari vakafa. Kune nyaya dzakasimbiswa mumatunhu gumi nemana e298 (Fig. 736) uye nyaya dzinofungidzirwa dziripo mumatunhu ese. Kutapurirana kwemuno kunowanikwa mumatunhu manomwe, mumatunhu makumi maviri. Zvikamu makumi manomwe kubva muzana zvezviitiko izvi zvinoshumwa muruwa rweLuanda.

- Pasinei nekuderera kwemaitiro (Fig. 3), kubuda muAngola kunoramba kuchinyanya kunetseka nekuda kwekuenderera mberi kwekutapurirana kwenharaunda muLuanda. Kunyange zvazvo kuedza kwejekiseni kwasvika kuvanhu vanopfuura mamiriyoni manomwe, kutapurirwa kwehutachiona hwemunharaunda kwakashumwa mumapurovhinzi matanhatu (mumaguta nemachiteshi makuru) uye kune ngozi huru yekupararira kunyika dzakavakidzana.

-Njodzi yekugadzwa kwekutapurirana kwenzvimbo mune mamwe mapurovhinzi uko pasina autochthonous kesi dzinotaurwa yakakwira. DRC yakashuma nyaya dzakatorwa kubva kumatunhu maviri muAngola uko pasina kutapurirana kwemuno kuri kutaurwa parizvino (Cabinda neZaire). Cabinda is exclave uye dunhu reAngola uye rakaparadzaniswa nevamwe vese

Angola nenzvimbo nhete yenharaunda yeDRC uye yakaganhurwa kuchamhembe neRepublic of the Congo. Izvi zvinounza zvakare imwe njodzi yekutapurirana muDRC neRepublic of the Congo.

Data yakapihwa neAngola yellow fever situation report kubvira May 15, 2016.2 Data yemavhiki maviri apfuura haina kukwana nekuda kwekunonoka pakati pekutanga kwezviratidzo uye kushuma.

Dhemokiratiki Ripabhuriki yeKongo

-Musi waKurume 22, 2016, Ministry of Health yeDRC, yakazivisa nyaya dzevanhu nezve yellow fever maererano neAngola. Iyo yellow fever kubuda yakaziviswa zviri pamutemo musi wa 23 Kubvumbi.

-Kubva muna Chivabvu 19, DRC yakataura makumi mana nemapfumbamwe eyellow Fever yakabatana neAngola, makumi mana neina avo imhosva dzakasimbiswa murabhoritari ine makumi mana nembiri dzakatorwa kubva kuAngola, dzakataurwa mumatunhu eKongo Central neKinshasa, uye maviri autochthonous kesi muNdjili, Kinshasa neMatadi, Kongo. central province.

-Kugona kwehutachiona hunowanikwa munharaunda huri kuferefetwa kune dzimwe nyaya sere dzisina kunyorwa mumatunhu ese eKinshasa neKongo. Kune mamwe mashanu anogona kuitika nyaya mhinduro dzichiri kumirira paIP-D.

-Tichifunga nezvenharaunda yakakura yeAngola muKinshasa, yakabatanidzwa nekuvapo uye basa reumhutu hweAedes, njodzi inogona kuitika yekutapurirwa kwenharaunda muDRC mune yese uye muKinshasa yese kunyanya, yakakwirira. Mamiriro acho ezvinhu anoda kunyatsotariswa.

Uganda

-Musi waApril 9, 2016, Uganda yakazivisa WHO nezvezviitiko zveyellow fever munharaunda yekumaodzanyemba-kumadokero kweMasaka. Kubva muna Chivabvu 19, makumi matanhatu anofungidzirwa kuti ane yellow fever akashumwa mumatunhu manomwe. Pane idzi, nyaya nomwe dzakasimbiswa murabhoritari (shanu kuMasaka, imwe kuRukungiri neimwe kuKalangala).

Uganda iri kusangana nekutapurira kweyellow fever kubuda. Zvinoenderana nemhedzisiro yemhedzisiro, kubuda kwacho hakuna kubatana neAngola uye kunoratidza kufanana kwakanyanya nehutachiona hwakakonzera kubuda muUganda muna 2010.

Dzimwe nyika dzakaganhurana neAngola

-Hapana nyaya dzinofungidzirwa kuti dzine yellow fever dzakataurwa kuRepublic of the Congo kana Zambia. Zvakadaro, Namibia neZambia dzinopanana muganhu wakareba uye wakapfava neAngola uye kutonga mafambiro evanhu pakati penyika nhatu idzi kuchanetsa.

- Nyika nhatu dzakashuma nyaya dzeyellow fever dzakaburitswa kubva kuAngola: DRC (makesi makumi mana nemaviri), Kenya (makesi maviri) uye People's Republic of China (makesi gumi nerimwe). Izvi zvinoburitsa njodzi yekupararira kwenyika kuburikidza nevafambi vasina kubaiwa.

Kuongorora njodzi

-Kubuda muAngola kunoramba kuri kunetseka zvakanyanya nekuda kwe:

-Kuenderera mberi kwekutapurirana kwenharaunda muLuanda pasinei nokuti vanhu vanopfuura mamiriyoni manomwe vakabayiwa.

-Kutapurirana kwenzvimbo kwakataurwa mumatunhu manomwe ane vanhu vakawanda kusanganisira Luanda.

-Kuenderera mberi kwekuwedzera kwechirwere ichi kumatunhu matsva nematunhu matsva.

-Njodzi huru yekupararira kunyika dzakavakidzana. Mhosva dzakasimbiswa dzakatofamba kubva kuAngola kuenda kuDRC, Kenya nePeople's Republic of China. Sezvo miganhu ine porous neyakakura mhiri kwemiganhu yemagariro uye zvehupfumi zviitiko, kumwe kutapurirana hakugone kubviswa. Varwere veViraemic vanofamba vanoisa njodzi yekugadzwa kwekutapurirana kwemuno kunyanya munyika dzine mavekita akakwana uye vanhu vanongo batwa nemaoko varipo.

-Inadequate surveillance system inokwanisa kuona foci itsva kana nzvimbo dzenyaya dziri kubuda.

-Indekisi yepamusoro yekufungira kuenderera mberi kwekutapurirana munzvimbo dzakaoma kusvika seCabinda.

-KuDRC, ongororo yemunda yakaitwa muna Kubvumbi yakagumisa kuti kune njodzi yakakura yekutapurirana kweyellow fever munyika. Tichifunga nezve kuwanikwa kushoma kwemajekiseni, nharaunda yakakura yeAngola muKinshasa, muganho unotyisa pakati peAngola neDRC uye kuvapo uye basa revector Aedes munyika, mamiriro ezvinhu anoda kunyatsotariswa.

-Hutachiona muAngola neDRC hwakanyanya kuiswa mumaguta makuru. Ngozi yekupararira uye kutapurirana kwenzvimbo mune mamwe mapurovhinzi munyika nhatu idzi ichiri kunetsa. Njodzi yacho yakakura zvakare kune inogona kupararira kune nyika dzakaganhurana kunyanya idzo dzinonzi dzine njodzi yakaderera (kureva Namibia, Zambia) uye uko huwandu hwevanhu, vafambi nevashandi vekunze havabayerwe yellow fever.

-Uganda nedzimwe nyika muSouth America (Brazil nePeru) dzakatarisana nekuputika kweyellow fever kana zviitiko zveyellow fever. Zviitiko izvozvo hazvina hukama nekubuda kweAngolan asi pane zvinodikanwa zvekudzivirira munyika idzo mumamiriro ekusakwana kweYF vaccines.

MHINDURO

-An Emergency Committee (EC) maererano ne yellow fever yakaitwa ne WHO's Director-General pasi pe International Health Regulations (IHR 2005) musi wa 19 May 2016. Vachitevera mazano kubva kuEC, Director-General vakasarudza kuti urban yellow fever inoputika muAngola. uye DRC zviitiko zvakakomba zvehutano hweveruzhinji izvo zvinosimbisa kuita kwenyika pamwe nekusimbisa rutsigiro rwepasirese. Zviitiko zvacho panguva ino hazviumbe Public Health Emergency yeInternational Concern (PHEIC). Director-General vakapa mazano anotevera kuNhengo dzeNyika;

-kukwidziridzwa kwekutarisa, kubaya kwevazhinji, kutaurirana nenjodzi, kuunganidza nharaunda, vector control uye matanho ekutonga nyaya muAngola neDRC;

-kuvimbiswa kwekudzivirira yellow fever yevafambi vose, uye kunyanya vashandi vanobva kune dzimwe nyika, kuenda nekubva kuAngola neDRC;

-kusimbaradza kwekutarisa uye kugadzirira zviitiko, kusanganisira kuongororwa kweyellow fever vaccination muvafambi uye njodzi kutaurirana, munyika dziri panjodzi uye nyika dzine miganhu yenyika nenyika dzakakanganisika.

-Mishandirapamwe yekudzivirira yakatanga kutanga mudunhu reLuanda pakutanga kwaFebruary uye pakati paApril muBenguela neHuambo (Fig. 4).

-Kubva muna Chivabvu 18, 11.7 miriyoni doses yakatumirwa kuAngola.

-DRC neUganda inyika dzinokodzera GAVI Alliance nokudaro zvirongwa zvekubaiwa majekiseni munyika idzi zvichaitwa neGAVI Alliance.

-Mamirioni mazana maviri nemazana maviri emishonga yekudzivirira uye yekuwedzera ichasvika muDRC pakati paChivabvu kuzoita mushandirapamwe wekudzivirira kwechimbichimbi wakanangana nenzvimbo nomwe dzehutano (zones de santé) mudunhu reKongo nechepakati nenzvimbo dzehutano dzeN'djili mudunhu reKinshasa.

-700 000 yekudzivirira yellow fever yakasvika muUganda uye mushandirapamwe wekudzivirira uchatanga musi wa19 Chivabvu.

-Namibia yakakumbira 450,000 doses (10 dose vials) ye yellow fever vaccine kune vafambi nevapoteri. Zambia yakumbirawo madosi zviuru makumi mashanu zvekudzivirira yellow fever kune vafambi.

-Pakave nekuwedzera kwekutariswa kwenhau payellow fever, kunyanya pakupihwa kwevaccine, zano rekufamba uye kuungana kweEmergency Committee.

-Musangano wevatori venhau uri kuitwa nekukurumidza zvichitevera Emergency Committee payellow fever (Chivabvu 19).

-Q&As pakubuda kwazvino uno ramba uchivandudzwa pawebhusaiti yeWHO.3

-WHO inopfupisa vanobatana neUN nezve nyaya dzekutaurirana dzine chekuita nekubuda kwevhiki nevhiki uye inogovera zviwanikwa zvemhinduro yakabatana yakabatana.

-Coordination mafoni arikuitwa kaviri pasvondo pakati peWHO HQ yekutaurirana timu neRegional communications leadership.