Second Ebola Vaccine Employed in DR Congo

GOMA, Democratic Republic of Congo (AFP) — The Democratic Republic of Congo on Thursday introduced a second vaccine to fight a 15-month-old epidemic of Ebola in the east of the country, Doctors Without Borders said.

Workers bury the remains of Mussa Kathembo, an Islamic scholar who had prayed over those who were sick in Beni, Congo, on July 14, 2019. Kathembo died of Ebola. (AP Photo/Jerome Delay)

The new vaccine, produced by a Belgian subsidiary of Johnson & Johnson, will be administered to about 50,000 people over four months, the charity said.

More than 250,000 people, many of them frontline health workers, have been immunized with another anti-Ebola vaccine in a program begun last year.

The epidemic began in August 2018 in the province of North Kivu and spread to neighboring Ituri and South Kivu — a remote and largely lawless region bordering Uganda, Rwanda and Burundi.

The notorious hemorrhagic virus has killed 2,193 people in this round, according to the latest official figures.

It is the DRC’s 10th Ebola epidemic and the second deadliest on record, after an outbreak that struck West Africa in 2014-16, claiming more than 11,300 lives.

Fifteen people received an injection of the new vaccine in Doctors Without Borders facilities in the North Kivu capital of Goma early Thursday, a spokeswoman for the charity said.

The formula is administered in two doses at 56-day intervals, and those who have received the vaccine have been reminded to return for the second shot, she said.

The disease’s epicenter is about 220 miles north of Goma, a sprawling urban hub of nearly 2 million people on the border with Rwanda.

Four Ebola cases were recorded in the city in July and August, sparking fears the virus could spin out of control in a chaotic, mobile environment.

Efforts to combat Ebola in eastern DR Congo have been hampered by militia violence and local resistance to preventative measures, care facilities and safe burials.

Health workers have been attacked 300 times, leaving six people dead and 70 wounded since the start of the year.

Despite these problems, statistics point to a downward trend.

The health ministry late Wednesday said it had recorded four new cases of Ebola but no deaths, while 508 suspected cases were being monitored.

“In its current phase, the epidemic is not urban but has become rural,” Professor Jean-Jacques Muyemebe, in charge of coordinating the anti-Ebola fight, said in October.

“We have to track it down, force it into a corner and eliminate it,” he said.

The new J&J vaccine was initially rejected by DRC’s former health minister Oly Ilunga, who cited the risks of introducing a new product in communities where mistrust of Ebola responders is already high.

But Ilunga’s resignation in July appears to have paved the way for approval of the second vaccine. He faces charges that he embezzled Ebola funds.

Both vaccines are novel formulas that when they were introduced had been tested for safety but were unlicensed, meaning that they had yet to achieve formal approval from drug authorities.

The first vaccine, rVSV-ZEBOV, has been given to 251,079 people, according to figures released late Wednesday.

Manufactured by the U.S. laboratory Merck Sharpe and Dohme, the vaccine was licensed by the European Commission last week. It is being marketed under the brand name Ervebo.

On Tuesday, the World Health Organization said it had “prequalified” Ervebo — an important regulatory procedure that will allow the drug to be deployed quickly in Ebola outbreaks.

The Ebola virus is passed on by contact with the blood, body fluids, secretions or organs of an infected or recently deceased person.

After incubation of up to three weeks, a high fever develops, coinciding with weakness, intense muscle and joint pain, headaches and a sore throat.

This is often followed by vomiting and diarrhea, skin eruptions, kidney and liver failure, and internal and external bleeding.

The death rate is high, ranging up to 90% in some outbreaks.

The virus’s natural reservoir is suspected to be a tropical bat which does not itself fall ill but can pass on the microbe to humans who hunt it for food.

© Agence France-Presse

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