Democratic Republic of the Congo

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Article

Mpox: Saving lives by bringing the mpox message directly to the people

Known to some in her community as ‘Mama Eyenga’, Eyenga Bamboko is one of many volunteers in the Democratic Republic of the Congo who are leading the fight against mpox in their local communities.Interviewed in the Lingala language in her home city of Mbandaka, she talks about the work volunteers have been doing to protect people from infection and prevent unnecessary deaths among those who do get ill.“My name is Eyenga Bamboko and I'm a first aider and I've been with the Red Cross movement for nearly two years.Colleagues from Kinshasa came to train us as part of CP3 [Community Epidemic and Pandemic Preparedness Programme] so that we could go out into the field and raise people’s awareness on mpox, even before the disease had spread. We were trained intensively on the disease before it even existed in the region.And then mpox arrived. We observed a few cases. We reported these suspected cases to the provincial health authorities. We told them that we had observed cases as we had been trained. They took them to hospital.But the problem was that, in the beginning, we lost a lot of people. Because many people didn't want to believe in this illness. Some thought it was witchcraft, others said it was a curse or traditional illness.A lot of people died because they didn't go to hospital, they went to see the witchdoctors instead. By the time they did get to hospital, it was often too late. We found that those who went to hospital straight away were cured. But those who arrived late were the ones who succumbed to the disease.'I'm going to tell Mama Eyenga’We tried to help the stronger ones recover and we started to raise awareness in the community. Now many people have started going to hospital. They come to see us to say ‘Mama Eyenga, what you said the other day [about mpox], we have seen.’ Sometimes we go and we see that it is exactly that [a suspected mpox case].We ask people to go to hospital, telling them that they will be looked after free of charge, so that we can protect the rest of the family in the home before they too became infected. They are really starting to understand.We're encountering a lot of difficulties in the field. Many people still don't want to believe in this disease. And you can see that a lot of hospitals are overwhelmed at the moment. But we're not going to stop raising awareness.In my own home, I've seen a real change. Especially when it comes to hand washing. When my grandchildren want to play or eat they make their brothers and sisters aware and they say ‘if you don't wash your hands, I'm going to tell Mama Eyenga’. Even at school, they also raise awareness among their friends and classmates.At first, my husband and children didn’t agree with me volunteering. They thought I worked too much and there’s a risk of me getting sick. But now they don’t ask any more questions because they’ve understood that I am helping the community.”Read more about mpox and the IFRC network’s response:What is mpox? Your questions answeredIFRC’s regional mpox emergency appealRed Cross mpox response in the Republic of CongoProfile of Red Cross volunteer Helene: 'I have no choice but to go and try to save lives.'

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What is mpox? Your questions answered.

Mpox is not the next global pandemic like COVID-19, according to public health officials. But the spread of mpox is alarming health experts as it spreads to more countries in East Africa. The mpox epidemic must be addressed quickly and effectively in order to avoid a larger global spread.With more than 17,000 suspected or confirmed cases and more than 500 deaths in at least 12 countries in Africa, the epidemic has already surpassed mpox outbreaks of previous years. But mpox can be contained through a combination of education, protection measures, prompt medical attention and coordinated action from local, national and international organizations. Here are some answers to common questions about mpox.What is mpox and how is it spread?Mpox is a viral illness caused by the mpox virus, a species of the genus Orthopoxvirus, which is related to smallpox but less severe. Previously known as ‘monkeypox’, the name waschanged to mpox by the WHO in late 2022 due to stigma associated with its former name.Mpox is not new. The first case in humans was recorded in 1970 and the disease is considered endemic in West and Central Africa. Historically there have been two broad variations or ‘clades’ of mpox:Clade 1: The oldest form of the virus, this variation typically causes more serious illness and death and is endemic in Central Africa. It is spread through contact with infected wild animals and through close human contact. Children seem to be more at risk.Clade 2: This clade caused a global mpox outbreak in 2022. Infections tend to be less severe. Reported cases since 2022 are mainly, but not exclusively, among men who have sex with men and their close contacts. This clade is endemic in West Africa. In September 2023, a new clade emerged – clade 1b – which has rapidly spread in adults through sexual contact and in children through household contact, and is one of the main reasons for mpox being declared a Public Health Emergency of International Concern.Clade 1b has already spread to countries with no previous reported cases of mpox: Burundi, Kenya, Rwanda and Uganda. A high number of clade 1b cases in DRC and Burundi are among children, demonstrating the disease isn’t only spreading through sexual contact.What are the symptoms of mpox?The most common clinical symptoms are rash, discomfort, sore throat, fever, lymph node swelling, skin lesionsand lack of appetite.Many patients have experienced a single lesion or sore in their mouth or on their genitals, which could be mistaken for herpes, syphilis, staph infection, or acne.While mpox rash is typically more concentrated on the face, trunk, palms of the hands and soles of the feet, mouth or oral mucous lesions are found in up to 70 percent of cases.How deadly is mpox?“Most people fully recover from mpox, but some get very sick,”explains Gwen Eamer, IFRC Senior Officer for Public Health in Emergencies.“People who exhibit symptoms should see a doctor, as medical attention and treatment can drastically reduce the severity of the infection.”“Mpox can be a stigmatizing disease due to its physical appearance, but we should stay calm and be part of solution by working together to get the necessary resources and help to the people who need it most.”Who is most at risk of severe illness from mpox?People with suppressed immune systems, children, young adults who have not received a smallpox vaccine, and pregnant women are most at-risk of severe disease from mpox.How can I protect myself from mpox?To reduce your risks, stay informed and up-to-date on the signs and symptoms of mpox, how it spreads, and what to do if you get sick. You should also monitor the risk level in your area.Mpox can be prevented by avoiding close contact, including sexual contact, with infected people and animals.If you suspect you have mpox, seek medical attention as soon as possible.If you are confirmed to have mpox:Follow medical advice, including taking any prescribed medicationInform people you have been in contact with, or follow contact tracing guidelines from your country’s health authoritiesStay at home and avoid physical contact with other people until all scabs fall off and new skin forms underneathCover lesions and wear a well-fitting mask when around other peopleWatch this short Mpox explainer video on YouTube:How serious is this mpox outbreak?In mid-August, the WHO determined that the upsurge of mpox in the Democratic Republic of the Congo (DRC) and a growing number of countries in Africa is a ‘public health emergency of international concern’, requiring a coordinated international response.“That does not mean this is going to be a pandemic like COVID-19,”Eamer adds. “But this is a call to action to dedicate the resources we have around the world to stop this where it is now.”The situation is alarming with the rapid spread among newly at-risk populations, and to areas and countries that have never experienced mpox before.The case fatality rate is also higher compared to the 2022 pandemic and it could increase if more children and other high-risk populations are infected, but decreases with early access to supportive treatment and vaccination.What is the IFRC doing in response to the mpox outbreak?The IFRC is ramping up response efforts over the surge of mpox cases across Africa. The IFRC has extensive experience managing previous disease outbreaks, such as Ebola and COVID-19.With a vast network of more than 4 million volunteers and 14,000 staff across the continent, the IFRC network of Red Cross and Red Crescent National Societies is providing critical support to governments, including community-based surveillance, risk communication and community engagement, and mental health services.The IFRC has also launched an CHF40 million regional emergency appeal to bolster mpox preparedness and response across Africa, with CHF 5 million provided through the IFRC Disaster Response Emergency Fund (IFRC-DREF) as a loan to this regional emergency appeal. This funding will help us reach 30 million people in countries with an active outbreak, including DRC and neighbouring countries at high risk of the virus spreading further.In the Democratic Republic of the Congo, the country reporting the most mpox cases, how is the DRC Red Cross responding? In the Democratic Republic of the Congo, the Red Cross has been supporting the government response by sharing trusted and accurate health information with communities, conducting community-based surveillance to detect and report suspected cases, providing psychosocial support to affected people, and supporting with community-based health and hygiene promotion measures.Through theCommunity Epidemic and Pandemic Preparedness Programme (CP3)and theProgrammatic Partnershipthe DRC Red Cross (with technical support from IFRC and French Red Cross) has been building health resilience in communities across the country for many years, equipping them with the knowledge and tools to quickly detect, prevent and respond to disease outbreaks.USAID has also provided additional funding since April to support the DRC Red Cross response to mpox.What are Red Cross Societies in countries neighbouring DRC doing to control the outbreak?National Societies in neighbouring countries are now responding to their first cases of mpox and are rapidly scaling support to communities. They are working to help detect and respond to new cases to reduce illness and deaths and limit the spread of the virus.Burundi Red Cross is supporting their Ministry of Health to respond to the rapid increase in mpox cases with support from the IFRC’s Disaster Response Emergency Fund (DREF).I’m from a Red Cross or Red Crescent National Society, what mpox resources can I use within my community or country?The IFRC’sEpidemic Control Toolkit provides guidance on evidence-based methods to prevent and control the spread of epidemics at the community-level, and guidance on appropriate referral and basic care for the sick.Guidance on mpox for community volunteers and for response managers has been recently updated and is available in multiple languages.In addition, here are some other helpful resources:IFRC: Community-based surveillance resourcesWHO: Clinical management and Infection Prevention Control for mpox (interim guidelines, June 2022)Centers for Disease Control (CDC): Reducing stigma in mpox communication and community engagementIFRC: Community Engagement and Accountability (CEA) Toolkit

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IFRC and DRC Red Cross grieve drowning of volunteer working on mpox response

The IFRC and the DRC Red Cross sadly confirm the tragic death of Jean Florent Mosebi on 23 August 2024, Equateur Province, Democratic Republic of Congo (DRC), after his boat capsized.Jean was a dedicated Red Cross volunteer involved in the mpox response in Equateur province. He reportedly drowned while on a mission, crossing from one Health Zone to another. As a community-based surveillance (CBS) focal point for the Wangata health zone, he had been temporarily deployed to Lukolela health zone to support the mpox response.The IFRC and DRC Red Cross extend their heartfelt condolences to the family, friends, and colleagues of Jean Florent Mosebi at DRC Red Cross.Since the beginning of the year, the IFRC network has lost 30 volunteers and staff while on duty — 27 due to violence, 3 in accidents.The loss of our staff and volunteers highlights the significant risks faced in providing essential humanitarian assistance in hard-to-reach areas.

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Press release

IFRC announces CHF 40 million appeal as Africa faces surge in mpox cases

Kinshasa/Nairobi/Geneva – 23 August 2024 – The International Federation of the Red Cross and Red Crescent Societies (IFRC) has launched an CHF40 million regional emergency appeal to bolster mpox preparedness and response across Africa, with CHF 5 million provided through the IFRC Disaster Response Emergency Fund (IFRC-DREF) as a loan to this regional emergency appeal.This funding will help us reach 30 million people in countries with an active outbreak, including DRC and neighbouring countries at high risk of the virus spreading further.Mohammed Omer Mukhier, IFRC Regional Director says:“It’s a serious situation that could potentially spread like wildfire across the continent and beyond, if we don’t act fast. We have already ramped up our mpox response in DRC which is bearing the brunt of this mpox outbreak putting its neighbours at high risk.”The Democratic Republic of the Congo (DRC) has become the epicentre of a rapidly escalating mpox epidemic. The virus is now in all 26 provinces of the DRC, with different variants (‘clades’) being spread simultaneously. Alarmingly, cross-border transmission from the DRC’s eastern regions, particularly North and South Kivu, is rising, affecting non-endemic countries like Burundi, Rwanda, Uganda, and Kenya. Meanwhile, outbreaks in endemic countries such as Nigeria, Central African Republic, South Africa and Cote d’Ivoire are re-emerging or escalating. This marks the first time that sustained transmission of multiple variants is being reported concurrently both endemic and non-endemic regions across Africa.Dr Irene Kiiza, IFRC, Manager - Africa, Health and Care in Disaster and Climate Crises says:“We are quickly deploying available resources to focus on hotspots like DRC and Burundi, but we need more to ensure the virus is contained. Our priority is to curb the spread of the virus through community-based surveillance, contact tracing, mental health support and targeted interventions partnering with local health authorities and communities.”In response to this crisis, the DRC Red Cross has intensified its efforts. Leveraging skills and strategies honed through the Community Epidemic and Pandemic Preparedness Programme (CP3) with USAID and the Programmatic Partnership with the European Union, DRC Red Cross volunteers are actively engaged in health information dissemination, community-based surveillance, and the provision of psychosocial support. USAID also provided additional funding since April 2024 to support the DRC Red Cross response to mpox in Equateur, one of the hardest hit provinces.Mercy Laker, IFRC Head of Country Cluster Delegation, Kinshasa:“We have been working in the mpox response as well as other disease outbreaks such as Ebola and COVID-19. Our team, including staff and volunteers, are on the ground, helping keep communities safe during this tough time. The funding from the appeal will help boost our operations in DRC and Burundi.”In Burundi, the government has a comprehensive response plan to tackle the ongoing health crisis. With more than 100 active cases, the Burundi MOH is focused on boosting the capacity of health facilities and laboratories nationwide, while the Burundi Red Cross is providing direct support to affected communities to ensure they are aware of the risks and can access the care available.Through this appeal, the IFRC will strengthen African National Societies’ capabilities to fulfil their auxiliary role and support national governments in enhancing disease surveillance, providing community health education, providing care and support for mpox patients - and delivering psychosocial support. The response will be tiered, with specific interventions tailored to the level of outbreak in each country including heightened risk case importation, imported cases and established mpox transmission.More information There is more on the Emergency Appeal on this page.  To request an interview, contact: [email protected]  In Geneva: Tommaso Della Longa: +41 79 708 43 67 Andrew Thomas: +41 76 367 65 87 In Nairobi: Susan Nzisa Mbalu: +254 733 827 654In Goma:Gracia Dunia: +243 813 274 794

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Emergency

Africa Region: Mpox Epidemic

A worrying surge in mpox cases and deaths in 2024 is being observed in Africa, with over 17,000 cases and 500 deaths across at least 12 countries in 2024, representing a 160 per cent and 19 per cent increase in cases and deaths, respectively, in comparison to the same period of 2023. The Democratic Republic of the Congo (DRC) is the epicenter of this epidemic with 92 per cent of the total cases in the Africa region. Cases have now been reported in all 26 provinces of the DRC. Cross-border transmission from the eastern provinces of North and South Kivu to non-endemic countries is on the rise, especially into Burundi, but also into Rwanda and Uganda as well as Kenya. Red Cross and Red Crescent Societies across the continent are liaising with their respective Ministries to support their preparedness and response plans. Please donate now and join us in making a meaningful difference for the 30 million people supported by the Red Cross and Red Crescent Societies in this response.

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Press release

IFRC scales up mpox response in Africa as global health emergency declared

The International Federation of the Red Cross and Red Crescent Societies (IFRC) is ramping up response efforts over the surge of mpox cases across Africa. It has triggered WHO and Africa CDC to declare the epidemic a public health emergency of international and continental concern over the past three days. With more than 17,000 suspected or confirmed cases and a devastating death toll of 500 deaths in at least 12 countries, the epidemic has surpassed the scale of previous years. The case fatality rate is at 3.2%. The situation is alarming with the rapid spread among newly at-risk populations, and international spread to areas that have never experienced mpox.Mohammed Omer Mukhier, IFRC Regional Director says:“The sharp increase in mpox cases in Africa is deeply concerning and a serious public health concern. This isn’t just a local issue; it’s a continental threat that demands immediate and coordinated action. In DRC, since last year, together with DRC Red Cross teams, we have been supporting affected communities but more needs to be done, in close liaison with mobilised Ministries of Health, as the situation evolves and expands rapidly across Africa.”The Democratic Republic of the Congo (DRC) has experienced 92% of cases in this growing epidemic, but rapid spread in other countries is putting new communities at risk. A new Clade 1b variant, about which we are still learning, has emerged in the DRC and is now spreading to neighbouring countries including Burundi, Kenya, Rwanda and Uganda. Other African nations are reporting suspected cases along with resurgence of previous mpox outbreaks. Unlike the previous outbreaks, epidemics associated both with new and pre-existing types of the mpox virus are growing, affecting new communities. The new variant, while linked with sexual contact, is affecting people of all ages and backgrounds.Bronwyn Nichol, IFRC, Senior Officer, Public Health in Emergencies says:“The mpox epidemic is a stark reminder that viruses know no borders. Shortages in testing, treatment, and vaccines demand a coordinated global response, including increased access to vaccine stocks in Africa. A unified effort is essential to protect vulnerable populations and prevent needless suffering and death.”In the DRC, the DRC Red Cross has been supporting the government response by sharing trusted and accurate health information with communities, conducting community-based surveillance to detect and report suspected cases, providing psychosocial support to affected people, and supporting with community-based hygiene promotion measures. A community-based approach will support victims against stigma. Those showing signs and symptoms are supported early before further transmission.Grégoire Mateso, President DRC Red Cross, says:“The past year has been difficult. The emergence of a new and potentially more transmissible variant of mpox like Clade 1b gravely affects containment. We have seen firsthand how a shortage of testing, vaccines and treatment kits can hamper efforts to contain the disease. There is also need for more public awareness to manage stigma, early detection and isolation of cases.”The DRC Red Cross is expanding its response to the mpox outbreak, leveraging many years of community-based epidemic preparedness work. Through the Community Epidemic and Pandemic Preparedness Programme (CP3) and the Programmatic Partnership the DRC Red Cross, with technical support from IFRC and French Red Cross, has been building health resilience in communities across the country, equipping them with the knowledge and tools to quickly detect, prevent and respond to disease outbreaks.Red Cross societies in neighbouring countries that are responding to their first cases of mpox are rapidly scaling support to communities, to help detect and respond to new cases to reduce illness and deaths and limit the spread of the virus. Burundi Red Cross is supporting their Ministry of Health to respond to the rapid increase in mpox cases with support from the Disaster Response Emergency Fund (DREF).The IFRC is at the forefront of the response to the mpox outbreak in Africa, with extensive experience managing previous disease outbreaks, such as Ebola and COVID-19. With a vast network of more than 4 million volunteers and 14,000 staff across the continent, the IFRC network is providing critical support to governments, including community-based surveillance, risk communication and community engagement, and mental health services.As the mpox epidemic continues to spread, the IFRC calls for increased global support to contain the crisis through increased access to testing, treatment, and vaccines for at-risk populations across the continent, along with sustained community-based action, which improves the effectiveness of epidemic response actions.More information To request an interview, contact: [email protected]  In Geneva: Tommaso Della Longa: +41 79 708 43 67 Andrew Thomas: +41 76 367 65 87 In Nairobi: Susan Nzisa Mbalu: +254 733 827 654

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Mpox in DRC: 'I have no choice but to go and try to save lives,' explains Red Cross volunteer

"My name is Hélène Mula. I've been a volunteer since 2018. I'd known about the Red Cross for a while, but I was afraid to join at first because I only knew about their work conducting burials [during Ebola]. I thought that’s all they did. So I was scared.But when I arrived here in Mbandaka, a friend of my son's came to visit him. He was wearing a Red Cross T-shirt. I asked him some questions about it, saying I loved Red Cross but was scared. He put me at ease.Every day I spend about four hours raising awareness on health issues. I do it in the community where I live with members of my community and family. They know me very well. When they see me they say, ‘Oh Mommy Red Cross, how are you?’. Then I go over and talk to them. It’s work that we do with our hearts. If something is going on, they tell me about it.Mpox is here. I learned about mpox through the Red Cross, that there is an epidemic. I didn’t know about the disease before. I was trained about mpox through CP3 [Community Epidemic and Pandemic Preparedness programme]. Now I’m capable of talking about the disease within the community. I explain what the symptoms are, how it spreads, how to avoid it and how people can protect themselves and the community.At first I was scared about going into communities to talk about mpox and the risks. Because I know it can spread from person to person. But it’s okay to be scared. I am a volunteer, I have no choice but to go and try to save lives.It’s been difficult because before we started sensitizing the community, some people didn’t believe in mpox. Others did believe it existed, but thought it was some kind of curse. Some thought that the Ministry of Health had made a curse in order to come and demand money from the community.But over time, when they started to see more and more people dying, they started calling us saying ‘come, come, there’s a problem here’. I’d call my supervisor and we’d follow up to see if there are cases. The fact people are calling me now reassures me I am doing good work.In my neighbourhood, people have started to protect their children, wash their hands regularly, and limit contact with people who are sick or suspected of being sick. They now take people who are showing symptoms to the hospital. Before, they used to keep people who were sick at home. But now when they see symptoms they understand they can’t leave them at home, that there’s a risk of the disease spreading."--Hélène Mula is a DRC Red Cross volunteer based in Mbandaka, Equateur - one of the provinces hardest hit by the mpox outbreak. This testimony was captured in mid-July 2024.Hélène is part of the Community Epidemic and Pandemic Preparedness programme (CP3) - a multi-country programme funded by USAID which supports communities, Red Cross and Red Crescent Societies and other partners to prepare for, prevent, detect and respond to disease threats.The CP3 programme has been active in DRC since 2018. Learn more here.

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Mpox Outbreak: IFRC network scales-up preparedness and response across Africa

Statement from Mohammed Omer Mukhier, IFRC Director for Africa RegionThe International Federation of the Red Cross and Red Crescent Societies (IFRC) joins the Africa Centre for Disease Control and Prevention in expressing profound concern over the recent evolution of the mpox outbreak across the African Continent. With over 17,000 suspected cases and 500 deaths across 13 countries in 2024, the current outbreak represents a sharp increase—160% in caseload as compared to the same period in 2023 with expected high number of unreported cases. The case fatality rate (CFR) of 3.2% is also alarmingly higher in Africa, compared to previous global outbreaks.The Democratic Republic of Congo (DRC) accounts for 92% of all cases this year. However, sustained transmission of the new Clade 1b has now crossed borders into Burundi, Kenya, Rwanda, and Uganda. Other countries in the Africa region have also reported suspected cases and re-emerging outbreaks. This new variant is affecting a wide range of demographics, with ongoing community transmission occurring without zoonotic exposure, unlike the previous outbreaks in 2022 and 2023.While governments across Africa are taking steps to control potential or ongoing outbreaks, the IFRC reaffirms its unwavering commitment to supporting preparedness and response efforts against mpox within the framework of government plans.In the DRC, the DRC Red Cross is already supporting the government response in Equateur province through risk communication and community engagement, community-based surveillance, and psychosocial support to affected families. Given the high-risk profile of Clade 1b in the eastern DRC and neighboring countries, the IFRC and DRC Red Cross are finalizing a scale-up plan to these areas.The IFRC network, through its 49 National Societies, 18,000 branches, 14,000 staff and 4 million community volunteers across Africa, will leverage its unparalleled reach to support governments as an auxiliary partner. This includes community–based surveillance, risk communication and community engagement, infection prevention and control, water sanitation and hygiene promotion, mental health and psychosocial support, and advocacy for, and direct involvement in vaccination programmes. With extensive community acceptance and access, the Red Cross Red Crescent Societies can play a crucial role in containing the spread of the disease, even in the hard-to-reach areas where the need is the greatest.We commend Africa CDC for its timely partnership in ensuring for vaccine availability and advocate for uptake of the same. We call on all partners to support a sustained and swift scale-up of resources needed to contain this epidemic of continental concern.

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Joint statement: Millions at risk from cholera due to lack of clean water, soap and toilets, and shortage of cholera vaccine

Geneva/New York, 20 March 2024 – Immediate action is needed to stem an unprecedented multi-year upsurge in cholera cases worldwide, according to the International Coordinating Group (ICG) on Vaccine Provision. Actions include investing in access to safe water, sanitation and hygiene, testing and detecting outbreaks quickly, improving quality of and access to healthcare, and fast-tracking additional production of affordable oral cholera vaccine (OCV) doses to better prevent cases.The ICG manages the global cholera vaccine stockpile.The group includes the International Federation of Red Cross and Red Crescent Societies, Médecins Sans Frontières, UNICEF and WHO. Gavi, the Vaccine Alliance, finances the vaccine stockpile and the delivery of OCV. ICG members are calling for governments, donors, vaccine manufacturers, partners and communities to join in an urgent effort to halt and reverse the rise in cholera.Cholera has been surging globally since 2021, with the 473000 cases reported to WHO in 2022, more than double those reported in 2021.Preliminary data for 2023 reveal further increases, with over 700000 cases reported. Several of the outbreaks have high case fatality rates, exceeding the 1% threshold used as an indicator for early and adequate treatment of cholera patients. These trends are tragic given that cholera is a preventable and treatable disease and that cases had been declining in previous years. Cholera is an acute intestinal infection that spreads through food and water contaminated with faeces containing the bacterium Vibrio cholerae.The rise in cholera is being driven by persistent gaps in access to safe water and sanitation. Although efforts are being made to close these gaps in places, in many others the gaps are growing, driven by climate-related factors, economic insecurity, conflict, and population displacement.Safely managed water and sanitation are prerequisites for stopping the transmission of cholera.Currently, the most severely impacted countries include the Democratic Republic of the Congo, Ethiopia, Haiti, Somalia, Sudan, Syria, Zambia, and Zimbabwe.Now more than ever, countries must adopt a multisectoral response to fight cholera.Members of the ICG call on currently and potentially affected countries to take urgent steps to ensure their populations have access to clean water, hygiene and sanitation services, and the information critical to prevent cholera’s spread. The establishment of these services requires political will and investment at the country level.This includes creating capacity for early detection and response, enhanced disease detection, rapid access to treatment and care, and working closely with communities, including on risk communication and community engagement.The severe gap in the number of available vaccine doses, compared with the level of current need, puts unprecedented pressure on theglobal stockpile of vaccines. Between 2021 and 2023, more doses were requested for outbreak response than the entire previous decade.In October 2022, the ongoing vaccine shortage necessitated the ICG to recommend a single vaccine dose, down from a previous, long-standing two-dose regimen. Approximately 36 million doses were produced last year, while 14 affected countries registered a need for 72 million doses for a one-dose reactive strategy. These requests understate the true need. Preventive vaccination campaigns have had to be delayed to preserve doses for emergency outbreak control efforts, creating a vicious cycle. The change in strategy enabled available vaccines to protect more people and respond to more cholera outbreaks amid the ongoing supply shortfall, but a return to a two-dose regimen and a resumption of preventive vaccination would provide longer protection.Global production capacity in 2024 is forecast to be 37-50 million doses but will likely continue to be inadequate to serve the needs of millions of people directly affected by cholera.Only one manufacturer, EuBiologics, currently produces the vaccine; while the company is doing its utmost to maximize output, more doses are needed. Currently, new manufacturers are not expected to join the market before 2025; they must be fast-tracked. The same urgency and innovation that we saw for COVID-19 must be applied to cholera.Additional manufacturers planning to enter the market need to accelerate their efforts and make doses available at affordable prices.We appeal to vaccine manufacturers, governments, donors and partners to prioritize an urgent scale-up of vaccine production, and to invest in all the efforts needed to prevent and control cholera.About the ICGPress release on dosing strategyGlobal task force on cholera controlIFRC on choleraUNICEF: cholera is endangering children globallyWHO on the cholera upsurge, including monthly situation reportsMedia contactsIFRC Email: [email protected]: Lukas Nef,Mobile: +41792400790Email: [email protected]: Sarah Al Hattab, UNICEF in New YorkTelephone: +1 917-957-6536Email: [email protected] Media TeamEmail: [email protected]

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Press release

IFRC announces CHF 50 million appeal to support the Democratic Republic of the Congo amidst escalating crisis

Geneva/Nairobi/Goma, 8 March 2024 – The International Federation of Red Cross and Red Crescent Societies (IFRC), in collaboration with the Red Cross Society of the Democratic Republic of the Congo (DRC Red Cross), today announced an Emergency Appeal for CHF 50 million to address the escalating humanitarian crisis in the eastern part of the Democratic Republic of the Congo, particularly in North Kivu and South Kivu provinces.For nearly two years, this region has been embroiled in a devastating conflict that has seen a dramatic increase in complexity and intensity, leading to unprecedented levels of displacement and humanitarian need. The IFRC and DRC Red Cross aim to provide critical assistance to 500,000 of the most vulnerable people, including families and individuals internally displaced by the conflict, and their host communities, focusing on food assistance, health services, water, sanitation, hygiene, and protection services.“The situation in the eastern DRC has reached a critical point, with millions of lives at stake,” said Mercy Laker, Head of Country Delegation, IFRC in Democratic Republic of Congo. “Our appeal seeks to mobilize essential resources to alleviate the suffering of those caught amid this crisis. The resilience of the Congolese people is remarkable, but the international community must act swiftly to support them in their time of dire need.”The DRC Red Cross boasts a significant presence and operational footprint in the affected area, with thousands of active volunteers mobilized. "This Emergency Appeal will support the DRC Red Cross reach and assist those most in need amongst displaced families as well as host communities," Laker added. Since the beginning of the crisis in March 2022, over 1.6 million people have been displaced, with recent escalations forcing hundreds of thousands more to seek refuge in already overcrowded conditions. The fighting has moved dangerously close to Goma, exacerbating the vulnerability of the population to diseases like cholera, and severely impacting access to basic services such as healthcare and clean water.Gloria Lombo, Secretary General of the DRC Red Cross, highlighted the scale of the challenge: “People are living in extremely precarious conditions, packed into family homes or camps. They are already at the breaking point – mentally, physically, and financially. Most of the assistance provided by humanitarian organizations goes to people in camps on the outskirts of Goma, but a lack of funding and the scale of people’s needs mean that this is insufficient.” With 50,000 volunteers in North Kivu alone, the DRC Red Cross is best placed to access areas where other humanitarian organizations cannot reach. “With 26 provincial branches, an active volunteer base, and high levels of access and acceptance across the territory, and across the lines of conflict, the DRC Red Cross is a key humanitarian actor and first responder. Our network of branches and volunteers, particularly well-trained and widely accepted by communities, has provided vital assistance to the hardest-to-reach communities and marginalized groups in the country. We have been at the front line of assisting displaced populations since the beginning of the conflict,” Lombo emphasized.The appeal aims to strengthen DRC Red Cross' existing capabilities to provide direct assistance to affected communities, leveraging its operational footprint and volunteer base to ensure effective delivery of food assistance, health services and WASH. It also underscores the importance of community engagement, accountability, and adherence to protection, gender, and inclusion standards to refine targeting methodologies and ensure the most vulnerable are reached. Additionally, the IFRC is scaling up its cross-border coordination with neighboring National Red Cross Societies in Rwanda, Burundi, and Uganda to prepare for potential regional impacts and support refugees as needed.More informationTo fund the emergency appeal and support the people of Democratic Republic of Congo in their time of dire need, visit the IFRC website.To request an interview, contact: [email protected] Geneva:Tommaso Della Longa: +41 79 708 43 67Mrinalini Santhanam: +41 76 381 50 06In Nairobi:Susan Nzisa Mbalu: +254 733 827 654

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Article

Investing in women means ‘access to resources to overcome challenges’

Gloria Lombo knows what it takes to rise to the highest level of humanitarian leadership in her country, and she understands the critical importance of protecting women during crisis.As Secretary General of the Red Cross of the Democratic Republic of the Congo, she is just as comfortable in a business suit as she is in a hard hat, with a shovel in her hand, or handing out aid supplies.From her years as an acvitist and volunteer, she also understands people power and has the skills and experience to inspire other humanitarians.Can you tell us a personal story or a situation in which you managed to break ‘feminine’ stereotypes or social expectations?Of course I can. In Africa, and in the DRC in particular, any professional promotion for women is attributed to what is commonly called "the promotion couch", which means going out with your superior or your boss instead of meritocracy.It is possible to break through this thinking, and my case illustrates this, which is why I feel comfortable sharing my personal experience.My professional career at the Red Cross of the DRC began in 2014 as Head of the Gender and Youth Division, and then the Gender and Diversity division, where I ensured the involvement and balanced representation of women, young people and minorities in the activities implemented by the Red Cross of the DRC.Then, in mid 2019, [I served] as director in charge of General Services (Administration and Logistics) and 2020 as Director of Programmes and Partnership. Since December 2022, I have been serving as Secretary General.This was all achieved because people could follow my track record of professionalism, acquired experience and capacities. The choice of personnel for the current position is also subject to tests and evaluations of certain objective criteria by the National Society’s Management Committee.Is there anything you do in your daily life, whether at work or in your private life, to defend women's rights?I'm a human rights activist, a defender of women's and girls' rights, a facilitator and a multi-disciplinary trainer on different themes such as prevention of sexual exploitation and abuse and sexual and gender-based violence.I help women and girls to discover their potential and how to deploy it to be useful in the community. I encourage female candidates to apply for any recruitment notice issued within our institution, with the aim of having a more or less equitable distribution in the various command and management positions within the institution that I lead.Why do you think we should invest in women? And how should we do it?Women are human beings who must thrive in the same way as men. She must be autonomous and resilient. Investing in women also means giving her access to the various resources needed to help her overcome the various challenges she faces. This way she can build a world in which she can realise her rights by thriving in all areas (financial, professional, etc.).For me, investing in women can be summed up with 3 ideas: access to resources, fulfilment and prosperity.How to invest?Strengthen her capacities through training, education, etc. “Educating a woman is educating a whole nation", as we say in my homeland in DR Congo.Position and encourage women in well-paid jobs and sectors.And provide them with social protection by giving them much greater access to information, the internet, land rights over agricultural land, etc.How do you help people understand the challenges faced by women in emergency situations in the DRC and elsewhere?The DRC Red Cross uses the SVEC tool (Study of Vulnerabilities and Enhanced Capacities), which organizes, through principles of social inclusion, community interviews to discuss the issue of women in general and during emergencies. These discussions focus on themes like: women's ability to cope with emergencies; understanding the emergency (nature and consequences) so that she can be properly assisted; the attitude to adopt during an emergency and the actions men can take to support women during emergencies.Everything goes through this mechanism, which is both an assessment and an awareness-raising exercise.

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Emergency

Democratic Republic of the Congo: Population Movement

For almost two years, the eastern part of the Democratic Republic of the Congo (DRC), in particular North Kivu, has been facing a devastating conflict that has intensified and become increasingly complex over time, with the potential to reach unprecedented levels in North Kivu. This crisis is characterized by a multitude of armed actors, a large, displaced population and an even larger population in need of humanitarian aid. The IFRC and its membership seek CHF 50 million (CHF 30 million expected to be raised by the IFRC Secretariat) to support the DRC Red Cross in its provision of food assistance, health services, water, sanitation and hygiene and protection services to 500,000 displaced people and their host communities in North and South Kivu.

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Article

World Radio Day: How radio helps keep communities healthy and safe

Though we’re living in an increasingly digital world, radio remains an important source of information, entertainment, and connection in countries across the globe.This is especially true among rural communities, for whom radio is often the most trusted—or sometimes only—source of news and information for miles around.Imagine you’re living in one of these communities, far from the nearest health centre. You notice people are falling sick and you don’t know why. Seeking answers, you tune into your local radio station.The presenter is talking about the ‘mystery illness’ in a panicked way, saying how gruesome the symptoms are, how many people have died, and how you should avoid infected people at all costs. He’s heard the illness could be some kind of curse, and that apparently drinking salty water can protect you.Hearing this report, and with no other sources to turn to, you’d probably feel scared and unsure of what to do.But imagine you tuned in and heard a totally different show. The presenter calmly offers practical information about the disease—its name, symptoms, how it spreads, and measures you can take to protect yourself. He interviews a local doctor you know and trust who responds to common questions and concerns.You’d feel reassured and have the information you need to keep you and your family safe.In several countries, the IFRC and our National Societies are partnering with local media to do exactly this: provide life-saving information before, during, and after health outbreaks.As part of the Community Epidemic and Pandemic Preparedness Programme (CP3), we’ve been working with the charity BBC Media Action to train journalists and Red Cross Societies from seven countries in Lifeline Programming: special media programming that provides accurate, practical, and timely information in a health or humanitarian crisis.National Societies regularly partner with media outlets to broadcast helpful information that keeps communities healthy and safe from a wide range of diseases. Let’s look at some examples.KenyaIn Bomet and Tharaka Nithi counties, Kenya Red Cross teams up with local radio stations and county health services, reaching hundreds of thousands of people with useful health messages on how to prevent diseases such as anthrax, rabies and cholera.Information is shared in simple language. And listeners can call in to ask questions or suggest health topics for discussion.“At first, media was known for reporting two things, maybe: politics, and bad things that have happened in society. But the Red Cross helped us […] use the media in educating the people about disease,” explains Sylvester Rono, a journalist with Kass FM trained in Lifeline programming.“I am now proud to say that this has really helped our communities. Our people are now appreciating why we should vaccinate our pets, why we should go to the hospital when we have a bite, why we should report any [health] incident, and when you see any sign of diseases, be it rabies, be it anthrax, be it cholera […] the importance of reporting it earlier,” he adds.CameroonIn late 2021, a cholera outbreak threatened the lives of communities in the North region of Cameroon—a rural part of the country where communities are widely dispersed.As part of its response, the Cameroon Red Cross teamed up with local radio stations—launching a series of community radio programmes to share information on how people could protect themselves, what symptoms to look out for, and where to access help if they fell sick.Themes for the programmes were selected in partnership with community leaders. And after the shows broadcast, Red Cross volunteers headed out into their communities to reinforce the messages shared on air through door-to-door visits.“The radio programme is very good, because it has given me practical information. I had a cholera case in my family, but based on the measures I heard on the radio, I was able to save my sister’s child who was sick,” explained Talaga Joseph, a listener who called into FM Bénoué—one of the participating radio stations.Democratic Republic of the Congo (DRC)In DRC, harmful rumours and misinformation about COVID-19 and other diseases have spread across the country in recent years. For example, some people believed the COVID-19 vaccine was a source of income for the government and had no benefit to society, while others believed the measles vaccine was less effective than traditional remedies involving cassava leaves.To address these rumours, DRC Red Cross volunteers went door-to-door to collect community feedback and record common myths and misconceptions. After analysing the feedback, DRC Red Cross staff took to the airwaves—launching interactive radio shows to directly address and debunk health misinformation and provide trusted advice.For example, in Kongo Central province, the DRC Red Cross partners with Radio Bangu to produce a show called ‘Red Cross School’. Listeners call in to check information on different diseases, ask questions, and discover what support they can access from the Red Cross.“The collaboration with the Red Cross is very good and has enabled listeners to learn more about its activities and how they can prevent different illnesses and epidemics. The Red Cross broadcasts are so popular they have increased our overall number of listeners in the area we cover,” says Rigobert Malalako, Station Manager at Radio Bangu.--The activities with local radio featured in this article are just a few examples of media partnerships developed through the Community Epidemic and Pandemic Preparedness Programme (CP3).Funded by the U.S. Agency for International Development (USAID), CP3 supports communities, Red Cross and Red Crescent Societies, and other partners to prevent, detect and respond to disease threats.If you enjoyed this story and would like to learn more, sign up to the IFRC’s Epidemic and Pandemic Preparedness Newsletter.You can also access the following resources:BBC Media Action’s Guide for the media on communicating in public health emergencies (available in multiple languages)BBC Media Action’s Lifeline programming websiteIFRC Epidemic Control Toolkit

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Press release

Africa's hunger crisis intensifies: IFRC warns against crisis fatigue

Geneva/Nairobi, 07 December 2023: In response to the growing hunger crisis across sub-Saharan Africa, the International Federation of the Red Cross and Red Crescent Societies (IFRC) is amplifying its call to action amidst growing concerns of crisis fatigue. To this end, the IFRC has revised its funding appeal to 318 million Swiss Francs, now aiming to reach 18 countries. More than a year has passed since the initial launch of the Africa hunger crisis appeal, yet the needs continue to outpace support received. Originally set at 215 million Swiss Francs for 16 countries, only 59 million Swiss Francs has been raised. This humanitarian crisis, intensified by recurring droughts, El Niño-induced floods, conflicts and economic downturns, demands an immediate response to prevent widespread suffering, loss of lives and livelihoods. Around 157 million people in 35 countries across sub-Saharan Africa face acute food insecurity. Despite early warnings from African Red Cross and Red Crescent National Societies, more funding and resources are needed. The Horn of Africa has been particularly hard-hit, enduring its longest dry spell on record with five consecutive dry seasons. In contrast, regions like eastern Kenya, parts of South Sudan, Somalia, Ethiopia, and Tanzania experienced heavier than usual rains during the October-December season, leading to flooding that further aggravated the situation for those already facing acute food insecurity. This mix of extreme weather conditions, along with ongoing conflicts, has led to varied harvest outcomes across the continent. Red Cross and Red Crescent volunteers are witnessing heart-wrenching conditions where many, including women and children, survive on less than one meal a day. Mohamed Omer Mukhier, Regional Director for Africa, emphasized the continued urgency: “In the past year, the dire need for resources in tackling the current hunger crisis has been evident with millions of people deprived of water, food and health services. While this crisis has intensified, it has been largely overshadowed by more visible crises over the past year. Considering its magnitude across the continent, we urgently call for expanded support to pursue our collective lifesaving and life-sustaining mobilization.” These countries are currently at the heart of the hunger crisis: Angola, Burkina Faso, Cameroon, Djibouti, Democratic Republic of the Congo (DRC), Ethiopia, Kenya, Madagascar, Mali, Malawi, Mauritania, Niger, Nigeria, Somalia, South Sudan, Sudan, Tanzania and Zimbabwe. African Red Cross and Red Crescent National Societies have been instrumental in providing life-saving assistance to millions affected by this crisis. So far, they have reached 1.53 million people. Most of the aid provided has been water and sanitation services, reaching over 1.2 million people. Additionally, over 725,000 people received cash assistance and over 450,000 received health and nutrition support. This underscores the IFRC's commitment to transitioning from immediate relief to sustainable, long-term resilience strategies in the region. The revised appeal will focus on improving agricultural practices, fostering peace and stability and creating economic opportunities. More information: For more details, visit the Africa Hunger Crisis appeal page. For audio-visual material, visit the IFRC newsroom. To request an interview, contact: [email protected] In Nairobi: Anne Macharia: +254 720 787 764 In Geneva: Tommaso Della Longa: +41 79 708 43 67 Mrinalini Santhanam: +41 76 381 50 06

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Basic page

Building Trust programme

Building Trust during the COVID-19 Pandemic in Humanitarian Settings is our global programme supporting Red Cross and Red Crescent Societies to build trust in public health responses and in the work of the International Red Cross and Red Crescent Movement.

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Article

National Society Investment Alliance: Funding announcement 2022

The National Society Investment Alliance (NSIA) is a pooled funding mechanism, run jointly by the International Federation of Red Cross and Red Crescent Societies (IFRC) and the International Committee of the Red Cross (ICRC). It provides flexible, multi-year funding to support the long-term development of Red Cross and Red Crescent Societies—particularly those in complex emergencies and protracted crisis—so they can increase the reach and impact of their humanitarian services. The NSIA can award up to one million CHF of accelerator funding to any one National Society over a five-year period. In addition, bridge grants of up to 50,000 CHF over 12 months can help National Societies prepare the ground for future investment from the NSIA or from elsewhere. This year, the NSIA is pleased to announce that the following six National Societies have been selected for accelerator funding in 2022: Burundi Red Cross Kenya Red Cross Society Malawi Red Cross Society Russian Red Cross Society Syrian Arab Red Crescent Zambia Red Cross Society These National Societies will receive a significant investment of up to one million CHF, to be used over a maximum of five years, to help accelerate their journey towards long-term sustainability. Three of these National Societies (Syria, Malawi and Zambia) previously received NSIA bridge awards, proving once again the relevance of the fund’s phased approach towards sustainable development. In addition, 14 other National Societies will receive up to 50,000 CHF in bridge funding: Benin, Democratic Republic of Congo, Guinea, Indonesia, Iraq, Jordan, Liberia, Libya, Mali, Nicaragua, Palestine, Panama, Rwanda, Sierra Leone. In total, the NSIA will allocate 5.4 million CHF to 20 different National Societies this year. This is more than double the funds allocated in 2021 and represents the largest annual allocation since the NSIA’s launch in 2019. This landmark allocation is made possible thanks to the generous support from the governments of Switzerland, the United States, Canada and Norway, and from the Norwegian and Netherlands’ National Societies. Both the ICRC and IFRC have also strongly reinforced their commitment, by allocating 10 million CHF and 2 million CHF respectively over the coming years. The Co-chairs of the NSIA Steering Committee, Xavier Castellanos, IFRC Under-Secretary General for National Society Development and Operations Coordination, and Olivier Ray, ICRC Director for Mobilization, Movement and Partnership, said: “We are pleased to have been able to select 20 National Societies’ initiatives for funding by the NSIA in 2022. Our vision and plans are becoming a reality. We see Red Cross and Red Crescent National Societies operating in fragile contexts accessing funds for sustainably developing to deliver and scale up their humanitarian services. This is localization in action and at scale. It is particularly encouraging to see that the NSIA’s two-stage approach, with initial funds providing a springboard to help National Societies prepare for increased investment aimed at achieving sustained impact on the organization and vulnerable communities, is working. We hope to see many more National Societies planning and following this journey. 2022 will be remembered as a milestone for the NSIA. Our ambition is to maintain this momentum and continue to grow in the years to come. We see this mechanism as a valuable and strategic lever to support National Societies in fragile and crisis settings to undertake their journey towards sustainable development.” For more information, please click here to visit the NSIA webpage.

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Emergency

Africa: Hunger crisis

Sub-Saharan Africa is experiencing one of the most alarming food crises in decades—immense in both its severity and geographic scope.Roughly 146 million people are suffering from acute food insecurity and require urgent humanitarian assistance. The crisis is driven by a range of local and global factors, including insecurity and armed conflict, extreme weather events, climate variability and negative macroeconomic impacts. Through this regional Emergency Appeal, the IFRC is supporting many Red Cross and Red Crescent Societies across Africa to protect the lives, livelihoods and prospects of millions of people.

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Press release

DRC: Media statement on the end of the 13th Ebola outbreak

Beni/Kinshasa/Nairobi/Geneva, 16 December 2021—The Red Cross of the Democratic Republic of Congo (DRC) joins the International Federation of Red Cross and Red Crescent Societies (IFRC) in celebrating the end of the 13th Ebola outbreak in the country. The Minister of Public Health, Hygiene and Prevention of the DRC, officially declared, this 16 December 2021, the end of the 13th outbreak of Ebola Virus Disease which resurfaced on 8 October 2021, in the health zone of Beni in the province of North Kivu. This declaration comes 42 days after the last patient tested negative. A cumulative 11 cases were recorded during this 13th outbreak, including 8 deaths and 2 cured. David Fisher, Head of the Country Cluster Delegation of the IFRC who is in DRC said: “We are so happy to arrive at the declaration of the end of the 13th Ebola epidemic today. With support from IFRC, the DRC Red Cross and its local volunteers have been working every day in close coordination with health authorities and other partners to achieve this. And we will not be letting down our guard. Over the next few months of the surveillance period, we are expanding our reach to ensure that no new cases fall through the cracks.” When the 13th outbreak was declared, the DRC Red Cross mobilized and deployed 215 trained volunteers to help contain the spread of the virus by providing services such as Community Engagement and Accountability (CEA), Prevention and Control of Infections (IPC), as well as Safe and Dignified Burials (SDB), with the support of the IFRC. Volunteers responded to 429 alerts, provided 116 safe and dignified burials, secured 345 bodies, 28,708 people were reached by Ebola messages and 8,851 community returns were received and analysed. A focus was also placed on vaccination. Building on lessons learned and capacities developed in n the follow-up responses to the Ebola outbreaks across the country, volunteers have adapted messages and activities to the context of COVID-19. They shared vital information in public places, on community radio stations, on social media and through messaging apps. Red Cross teams have also set up "rapid response teams" made up of local volunteers who work with local health authorities to transfer positive cases of COVID-19 to safe treatment centres. Grégoire Mateso, the National President of the DRC Red Cross explains the work carried out by the volunteers in these terms: “Our volunteers have spared no effort to help those affected in the Beni health zone and we will continue to provide necessary services for the preparation and response to epidemics in the communities in order to preserve the well-being of populations. However, the end of an epidemic is the beginning of this preparation of the community to resist in case another does. Thus, the Red Cross will always be alongside communities in order to provide an adequate response in the event of an epidemic in order to support community resilience through the implementation of a more sustainable community health approach." Despite the end of this outbreak, it is essential to maintain vigilance and strengthen post-epidemic prevention and surveillance activities in order to avoid the resurgence of the virus. The epidemic did not spread outside of Beni. In addition to effective care and monitoring mechanisms, the success in the response is justified by a high rate of people already vaccinated against Ebola in the region, especially during the 10th epidemic, the deadliest in history of this disease. For more information, contact: Croix-Rouge de la RDC: Kally Maluku, +243 818 966 243, [email protected] IFRC (DRC): Kelly Kulemfuka Minzas, +243 850 749 025, [email protected] IFRC (Africa Region): Euloge Ishimwe, +254 735 437 906, [email protected]

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Press release

DRC volcano eruption: Red Cross steps up its response amid fears of a “multi-hazard” emergency

Kinshasa/Nairobi/Geneva, 03 June 2021—The International Federation of Red Cross and Red Crescent Societies (IFRC) has warned that a multi-hazard emergency looms large following the eruption of Mountain Nyiragongo in the Democratic Republic of Congo (DRC). The IFRC has launched an emergency appeal of 11.6 million Swiss francs to assist 80,000 displaced people in DRC and Rwanda and is calling for urgent support from donors and partners to help scale up operations. Mohammed Omer Mukhier, IFRC’s Regional Director for Africa, said: “The danger is not over, and more work lies ahead. While volcanic activity seems to have subsided, the recent eruption has left a trail of immense humanitarian needs. Hundreds have lost their homes and they urgently need shelter, food, clean water and healthcare. Families have also been separated amid the chaos that followed the eruption.” Based on the requests for family reunification received by the Red Cross, at least 540 children were separated from their families after the eruption. Out of those 540 requests, Red Cross teams have reunited 64 missing children with their families. Many more are still missing. Over 1,722 houses and other structures have been destroyed, leaving about 30,000 people homeless and displaced. Some were displaced internally within DRC—others moved to Rwanda, in Rubavu. Karamaga Apollinaire, the Secretary General of the Rwanda Red Cross said: “In the town of Rubavu, to which many Congolese refugees fled, we have had to manage the influx and the destruction of property caused by the continuous earthquakes. Schools, homes, markets and water lines have been destroyed, and residents are being evacuated to safer grounds. Rwanda Red Cross volunteers have been on the ground since the eruption, providing humanitarian assistance to both the refugees and local communities.” The eruption of Mountain Nyiragongo comes at the worst possible time in DRC. With thousands of displaced people, amid an ongoing outbreak of COVID-19, in one of the most dangerous environments in the world—the Red Cross is worried about the “multiplier effect” that this new emergency adds to an already complex situation. “The population of North Kivu has been grappling with socio-economic challenges for decades and is currently one of the most food insecure locations in Africa. With every disaster, their means of coping are weakened further,” said Mukhier. As a response, the Red Cross will support communities affected by multiple hazards and compounding humanitarian vulnerabilities caused by the eruption of Mountain Nyiragongo for a period of 12 months. Through the operation, Red Cross teams will provide services such as shelter; distribution of household items; water, sanitation and hygiene; healthcare; protection and psychosocial support, among others. Grégoire Mateso Mbuta Way, President of the DRC Red Cross, said: “Although this is a worrying humanitarian situation, we are reassured by the fact that our Red Cross teams are experienced in responding to emergencies caused by volcanic activity. Our teams played a key role in supporting people affected by the last major eruption of Mountain Nyiragongo in 2002. The IFRC and the Red Cross in DRC understand the local context very well and have worked together for years in eastern DRC, including during the recent response to Ebola.” Immediately after the eruption of Mountain Nyiragongo, the IFRC released 359,213 Swiss francs from its Disaster Relief Emergency Fund (DREF) to help the DRC Red Cross to provide assistance to 12,500 people from local communities evacuated from areas close to the volcano. The Red Cross is urgently calling for support to the emergency appeal to help reach more people with life-saving assistance.

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Press release

DR Congo: The latest Ebola outbreak is over, but major challenges remain

Goma/Kinshasa/Nairobi/Geneva, 18 November 2020 – The International Federation of Red Cross and Red Crescent Societies (IFRC) joins the people of the Democratic Republic of the Congo (DRC) in celebrating the end of the country’s 11th Ebola outbreak. This achievement marks the first time in about two and a half years since DRC was Ebola free. However, the IFRC warns that today’s announcement does not spell the end of the considerable humanitarian challenges that the country is facing, including the ongoing COVID-19 emergency alongside long-standing economic and security issues. The official end of the Ebola outbreak follows 42 days since the last patient tested negative and comes six months after a cluster of Ebola cases was detected in Equateur province in the country’s north-west. The outbreak, the second to affect Equateur and the third nationwide since 2018 – spread to 13 of the region’s 18 health zones. Mohammed Omer Mukhier, IFRC’s Regional Director for Africa said responders deserve a tremendous amount of recognition and thanks: “The courage and dedication of frontline responders – including Red Cross volunteers – is a major factor in the successful response to this outbreak. Their work is even more remarkable given that it came at a time of tremendous additional uncertainty that was brought on by the COVID-19 pandemic. We thank them, and we thank our donors and partners who joined us in ‘staying the course’.” When the outbreak was first detected on June 1, more than 1,000 trained Red Cross volunteers were deployed immediately to help contain the spread of the virus. They screened over 279,177 people scattered over vast, densely forested areas. They also conducted more than 232 safe and dignified burials and reached more than 343,859 people with information sharing and accountability activities. Their actions come after three consecutive Red Cross responses since 2018 to the country’s 9th 10th and 11th Ebola outbreaks, bringing the total number of people reached with life-saving information to more than 4,892,531 million, with our teams leading more than 12,708 safe and dignified burials. This milestone comes as the country continues to face the COVID-19 pandemic. Red Cross teams are building on lessons learned and capacities built during the response to Ebola outbreaks and adapting messaging and activities to the COVID-19 context. They are sharing lifesaving information in public places, on community radio stations, on social media and through messaging applications. Red Cross teams have also put in place ‘rapid response teams’ of local volunteers who collaborate with local health authorities to transfer positive COVID-19 cases to treatment centres safely. Dr Jacques Katshishi, Secretary General for the DRC Red Cross, said it is not the time to leave vulnerable Congolese communities behind. “Bringing Ebola to zero is a huge achievement, but now we are faced with our next challenge: keeping it there. Our teams within the DRC Red Cross are facing COVID-19 within a complex humanitarian and security environment, making the ongoing support of donors’ and partners’ vital to ensuring that the positive gains communities have made are not reversed. This is not a moment to be complacent: the world cannot afford a resurgence of Ebola in DR Congo. The time to prepare is now,” he said.

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Press release

DR Congo: Red Cross calls for “swift and extensive” response to the new Ebola outbreak

Goma/Nairobi/Geneva, 3 June 2020 –More than 150 trained Red Cross volunteers have been deployed as part of a first wave of response to the latest Ebola outbreak in the Équateur Province, in the western part of Democratic Republic of the Congo. Dr Simon Missiri, the International Federation of Red Cross and Red Crescent Societies’ (IFRC) Regional Director for Africa said: “The resurgence of the virus in Équateur province comes at the worst possible time, when we are already facing a double outbreak - COVID-19 and Ebola in East and West DR Congo - in one of the most complex and dangerous environments in the world. “The health, economic and social impact has the potential to be huge for millions of people who have limited capacity to cope, as their access to healthcare, food security and safety nets is continuously being eroded by humanitarian emergencies and the ongoing conflict.” The 11th Ebola outbreak in Mbandaka, the capital of Équateur Province, was officially declared by the DR Congo Ministry of Health on 31 May 2020. This area was previously affected by an outbreak between May and July 2018. It adds an additional layer of suffering for a population that is already struggling to contain the COVID-19 pandemic. The DR Congo Red Cross has been on the frontline of all previous Ebola outbreaks in the country and has developed a strong in-country capacity with 1,600 trained and highly skilled volunteers. Crucially, these have successfully built trust with communities. During the most recent outbreak in the eastern DR Congo, these volunteers provided information on prevention to almost 3 million people and conducted over 28,000 successful safe and dignified burials for confirmed or suspected Ebola cases as part of the 10th outbreak. Robert Ghosn, Ebola Operations Manager for the IFRC said: “When it comes to containing epidemics before these turn into large-scale humanitarian disasters you need not only to act local, with local responders taking ownership of the response, but also to act fast. “As the global pandemic of COVID-19 has broughtthe worldtoits knees, we at the Red Cross have lost no time in scaling up activities in DR Congo. This is not the time to look away from the dire suffering of Congolese people or the consequences for millions of them would be unimaginable.”

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Press release

DR Congo: Red Cross volunteers attacked during Ebola burial

Goma/Nairobi/Geneva, 15 January 2020 – Two volunteers from the Democratic Republic of Congo (DR Congo) Red Cross were seriously injured following an attack during a safe and dignified burial of a suspected Ebola case near Mambasa, in eastern DR Congo on Monday, 13 January. The volunteers are now in hospital, receiving medical care and psychosocial support. DR Congo Red Cross teams have faced incidents of violence and aggression from communities resisting safe and dignified burial protocols since the start of the Ebola outbreak in North Kivu and Ituri. In this most recent attack, the family had consented to the burial but rumours and panic quickly spread among the community resulting in a violent assault against the Red Cross team. Grégoire Mateso Mbuta, President of the DR Congo Red Cross Society said: “This incident is a stark reminder of the serious risks our volunteers face when they carry out the dangerous task of safe and dignified burials. While we deplore any violence towards our volunteers or staff, we understand first hand, the fear and frustration that communities harbour and shall continue to render the needed services to the affected populations.” The current Ebola outbreak, which began on 1 August 2018, is unfolding in an area affected by a two decades-long conflict that has claimed countless lives and raised fear and hostility towards responders. Building community trust and acceptance has been at the core of the Red Cross’ Ebola response operations.This investment has paid off. Since the beginning of the outbreak nearly 20,000 successful safe and dignified burials have been conducted with a consistently high success rate. Red Cross volunteers continue to work within affected communities, listening to concerns and gathering feedback that is then analysed and used to provide improved support to people in need. As a result, community resistance for safe and dignified burials has drastically declined over the course of the operation. Nicole Fassina, Ebola Operations Manager for the International Federation of Red Cross and Red Crescent Societies (IFRC) said: “While we experienced an overall improvement in community’s acceptance of burials, this attack underscores why we cannot become complacent. The Red Cross will continue to engage and involve communities in the Ebola response if we want to bring this outbreak to end.”

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Press release

Tragic attacks on responders and increased violence threaten to reverse positive gains in Ebola response, warns Red Cross

Goma/Kinshasa/Nairobi/Geneva, 28 November 2019 –Several violent attacks in the Democratic Republic of Congo (DR Congo) have killed, wounded and displaced many. Those killed included four Ebola responders. The President of DR Congo Red Cross, Grégoire Mateso, said: “We are profoundly saddened by the tragic killings of people, including several Ebola responders in Mangina and Biakatou following violent attacks. We are also extremely worried by the escalating violence in Beni.” The spike in violence in recent days has also forced communities to flee for their safety, making it easier for the virus to spread to neighbouring areas. Mangina and Biakatou are areas where there are the highest rates of Ebola cases at the moment. Red Cross teams in Beni are unable to travel due to the ongoing violence, and insecurity in other areas have put Red Cross Ebola activities on hold. “In the last few months we have made major progress in the Ebola response: Cases are decreasing, there are less deaths in the community and a growing community acceptance and involvement in the Ebola response,”said Jamie LeSueur, the International Federation of Red Cross and Red Crescent Societies (IFRC)’s Head of Operations for the Ebola Response. “But violence and insecurity are major factors that set us back and threaten to reverse all the positive gains we have made in this response.” More than 1,100 DRC Red Cross volunteers have been engaging with communities to address fear, suspicion and concerns;conducting safe and dignified burials, and helping improve infection prevention and control in health facilities and prisons.These teams have been critical to preventing thousands of infections and saving the many lives. “Without Red Cross staff and volunteers having access to respond in hot spot areas, the risk of Ebola’s spread is extremely high. We’re worried about what this could mean for our frontline staff and volunteers who are risking their lives every day to engage with affected communities,”said Grégoire Mateso. “We call on all actors to exercise restraint and respect civilians and humanitarian and Ebola responders.”

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Article

Placing communities at the centre of the Ebola response

In many Ebola-affected areas, years of conflict has eroded basic services and created mistrust in the community. Many communities feel that the response is not addressing their broader humanitarian needs.On some occasions, this mistrust has led to confrontations. DRC Red Cross teams have faced incidents of violence and aggression from communities resisting safe and dignified burial protocols since the start of the Ebola outbreak in North Kivu. It is clear that some vulnerable communities do not trust Ebola responders, which stops them from accessing health care. There may be many more potential cases in communities that we are unaware of, who are not accessing lifesaving care and may be further transmitting the virus within their communities. Communities hold the key to responding to the Ebola outbreak. Without communities, Ebola cannot be eliminated. We need to listen to community concerns and fears, plan together with them and adapt our response in order to create trust and acceptance by humanitarian actors. Red Cross volunteers are playing a vital role in maintaining a strong dialogue with communities, ensuring questions, misbelieves and rumours are discussed and addressed regularly. In partnership with the US Centre of Disease Control, Red Cross volunteers are collecting rumours, suspicions and concerns into a first-of-its-kind feedback and tracking system that has coded over 394,000 feedback points.This is shared with the rest of the humanitarian community to help address fears and misinformation as well as adapt and change operational approaches, based on the needs of the community. Working with Ebola survivors to help tackle myths and rumours To help tackle the fear and mistrust associated with Ebola, Red Cross is also working with survivors. People like 25-year-old carpenter, Machozi, has an incredible story to tell — and an important message for his community. “This illness is real and it kills,” says Machozi, who just a few months earlier had contracted this lethal disease and survived. But he is now living proof that you can also survive. Machozi is one of many in the response efforts. Every day, volunteers are knocking on doors in the community, providing information on how to prevent, detect and respond to Ebola. They are hosting radio talk shows, setting up mobile cinemas andgoing house-to-house, sensitizing vulnerable communities, including people with disabilities, children and women’s groups. “We have to unite and work together to fight against Ebola,” he says. “Take me as living testimony. It is possible to save the community and survive Ebola if everyone, our young people above all, engage in sensitizing our communities to the idea that Ebola is not aconsidered a punishment or an invented disease. If everyone is involved, we can end this disease.” Engaging communities pays off We are seeing huge success when we address core community concerns. The success rate of Red Cross safe and dignified burials has remained consistently high at 80 per cent, while negative feedback has dropped over time as a result of quality community engagement work and changes in the Red Cross approaches based on feedback data. In addition, as a result of our community engagement, community resistance for safe and dignified burials have drastically declined from 79 per cent in the first two months of the operation to 8 per cent now. -- Special thanks to our generous donors: American Red Cross, Austrian Red Cross, Belgian Red Cross, British Red Cross, China Red Cross, Danish Red Cross, Finnish Red Cross, Icelandic Red Cross, Japanese Red Cross, Kuwait Red Crescent, Norwegian Red Cross, Monaco Red Cross, SpanishRed Cross, Swiss Red Cross, Canadian Red Cross, Netherlands Red Cross, Turkish Red Crescent, Government of Austria, Government of United Kingdom (DFID), European Commission (DG ECHO), Italian Government Bilateral Emergency Fund, Government of Norway, Paul G Allen Family Foundation, Government of Spain, Government of Switzerland, Government of Canada, The Dutch Government, USAID, Western Union Foundation and WHO.

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Press release

Ebola: As death toll approaches 2,000, vaccines, treatment and behaviour change equally important

Nairobi/Geneva 27 August 2019—The availability of an effective vaccine against Ebola and the recent confirmation of two effective treatments do not negate the importance of building trust and understanding in communities affected by the outbreak, warns the International Federation of Red Cross and Red Crescent Societies (IFRC). This warning comes as the death toll for the Ebola outbreak in the Democratic Republic of the Congo (DR Congo) approaches 2,000 and as the total number of cases reaches 3,000. Dr Emanuele Capobianco, IFRC’s Director of Health and Care said: “The importance of these new treatments – and the continued roll out of vaccines – are not to be underestimated. But alone they are not enough. Now is the time to double down on efforts to engage at-risk communities. For the treatments to work, people need to trust them and the medical staff who administer them. This will take time, resources and a lot of hard work.” Continued high levels of distrust mean that many Ebola patients are delaying or avoiding going to health facilities. This reluctance significantly decreases their chance of survival, even with access to the newest treatments. It also dramatically increases the risk that the virus will spread to family members and other care givers. More than 42 per cent of alerts that Red Cross receives to bury a loved one are coming from a death at home. IFRC’s Capobianco said: “We are asking people to leave the safety of their homes when they fall sick to go to an isolated cell in an Ebola treatment centres where their lives are in the hands of complete strangers. We are asking communities to change the way they care for the sick and the dead in ways that go against their traditions. And we are doing all this in communities that have learned to distrust outsiders following decades of violence and unrest. “This is our biggest challenge. It is a behavioural challenge, not a medical one. And unfortunately, there is no magic pill to change behaviours.” Two new treatments that are hailed as an effective cure against Ebola are currently being administered in Ebola treatment centres all over North Kivu and Ituri. IFRC believes that if people understand that the treatment can save lives and can reduce the risk of transmission to their loved ones, they are more likely to seek health care early. In addition to community outreach and engagement, Red Cross volunteers continue to carry out around 20 safe and dignified burials every day. Volunteers and other burial teams have responded to more than 11,000 safe and dignified burial requests across North Kivu and Ituri provinces. IFRC is appealing for about 43 million Swiss francs to continue safe and dignified burials and to support 15.5 million people with community outreach, prevention, and preparedness measures. So far, just over half of the amount needed has been received.

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