Monday October 15, 2018
Home Lead Story Progress Has ...

Progress Has Been Made in Containing Ebola in Congo: WHO

Some people are reluctant to go to treatment centers for care. Others are unwilling to change traditional burial practices.

0
//
7
Ebola, UNICEF. congo, DNA
Photo taken Sept 9, 2018, shows health workers walking with a boy suspected of having the Ebola virus at an Ebola treatment centre in Beni, Eastern Congo. VOA
Republish
Reprint

The World Health Organization (WHO) reports substantial progress is being made in containing the spread of the Ebola virus in the eastern Democratic Republic of Congo (DRC). It warns, however, that new hotspots are appearing. The WHO says the number of confirmed and probable cases of Ebola in the DRC stands at 143, including 97 deaths.

WHO officials say they are pleased with the progress being made in limiting the spread of the Ebola virus, but that the outbreak of this fatal disease in Congo’s conflict-ridden North Kivu and Ituri provinces remains active and vigilance must be maintained.

Ebola, WHO
Congolese health workers register people and take their temperatures before they are vaccinated against Ebola in the village of Mangina in North Kivu province of the Democratic Republic of Congo. VOA

WHO reports the situation in Mangina, the initial epicenter of the epidemic in North Kivu, is stabilizing. WHO spokeswoman Fadela Chaib told VOA there are no security problems there, so health workers are able to safely access the area and treat those affected by the disease. But there are exceptions.

“Immediately to the east is an inaccessible area. This region is in a security level four, which is one of the highest in the U.N. security phasing system. For example, the road from Beni to Oicha is in the ‘red zone’… So, in some places, we are really able to move to work. In some other places, it is more difficult,” she said.

Ebola, WHO
A health care worker from the World Health Organization, left, gives an Ebola vaccination to a front line aid worker who will then vaccinate people who might potentially have the virus, in Mbandaka, Congo. VOA

Chaib said the cities of Beni and Butembo have become the new hotspots, noting that Butembo is in the red zone.

The WHO spokeswoman said there is significant risk that Ebola could spread there, and health workers have to remain on top of the many challenges facing them.

Ebola Congo, WHO
A Congolese health worker checks the temperature of a man before the launch of vaccination campaign against the deadly Ebola virus near Mangina village, near the town of Beni in North Kivu province of the Democratic Republic of Congo. VOA

Among the challenges is a growing resistance in some communities to measures used to contain the virus.

Also Read: Lowering The Community Resistance To Ebola is Extremely Important: UNICEF

For example, Chaib said, some people are reluctant to go to treatment centers for care. Others are unwilling to change traditional burial practices, such as touching the bodies of those who have died from Ebola. WHO warns this is one of the surest ways of spreading the infection. The outbreak in the DRC is the 10th since Ebola was first identified in 1976. (VOA)

Click here for reuse options!
Copyright 2018 NewsGram

Next Story

C-Section Births Doubles In Number, Reaching Epidemic Proportions: Doctors

C-section is a type of major surgery, which carries risks that require careful consideration

0
C-section
A newborn, one of 12 babies born by C-section, cries inside an incubator at the Bunda Hospital in Jakarta, Indonesia, Dec. 12, 2012. Several hospitals in Indonesia's main cities performed more cesareans than usual with new mothers hoping a 12-12-12 birth date will bring luck to their newborns. VOA

Worldwide cesarean section use has nearly doubled in two decades and has reached “epidemic” proportions in some countries, doctors warned Friday, highlighting a huge gap in childbirth care between rich and poor mothers.

They said millions of women each year may be putting themselves and their babies at unnecessary risk by undergoing C-sections at rates “that have virtually nothing to do with evidence-based medicine.”

In 2015, the most recent year for which complete data is available, doctors performed 29.7 million C-sections worldwide, or 21 percent of all births. This was up from 16 million in 2000, or 12 percent of all births, according to research published in The Lancet.

It is estimated that the operation, a vital surgical procedure when complications occur during birth, is necessary 10-15 percent of the time.

c-section
The Yusuf Dantsoho Memorial Hospital has a high success rate with C-sections. Kaduna, Nigeria. Photo by Chika Oduah, VOA

Varying country rates

But the research found wildly varying country rates of C-section use, often according to economic status: In at least 15 countries, more than 40 percent births are performed using the practice, often on wealthier women in private facilities.

In Brazil, Egypt and Turkey, more than half of all births are done via C-section.

The Dominican Republic has the highest rate of any nation, with 58.1 percent of all babies delivered using the procedure.

But in close to a quarter of nations surveyed, C-section use is significantly lower than average.

c-section
Maternal death and disability rates are higher after C-section Flickr

Reasons to opt for surgery

Authors pointed out that while the procedure is generally overused in many middle- and high-income settings, women in low-income situations often lack necessary access to what can be a life-saving procedure.

“We would not expect such differences between countries, between women by socioeconomic status or between provinces/states within countries based on obstetric need,” Ties Boerma, professor of public health at the University of Manitoba, Winnipeg, and a lead author on the study, told AFP.

Jane Sandall, professor of social science and women’s health at King’s College London and a study author, told AFP that there were a variety of reasons women were increasingly opting for surgery.

These include “a lack of midwives to prevent and detect problems, loss of medical skills to confidently and competently attend a vaginal delivery, as well as medico-legal issues.”

C-section
It also identified an emerging gap between wealthy and poorer regions within the same country. Flickr

Doctors are often tempted to organize C-sections to ease the flow of patients through a maternity clinic, and medical professionals are generally less vulnerable to legal action if they choose an operation over a natural birth.

Sandall also said there were often “financial incentives for both doctor and hospital” to perform the procedure.

The study warned that in many settings young doctors were becoming “experts” in C-section while losing confidence in their abilities when it comes to natural birth.

Income a factor

It also identified an emerging gap between wealthy and poorer regions within the same country. In China, C-section rates diverged from 4 percent to 62 percent; in India the range was 7-49 percent.

C-sections
Worldwide, more than 11 percent of babies are born premature. Pixabay

While the U.S. saw more than a quarter of all births performed by C-section, some states used the procedure more than twice as often as others.

“It is clear that poor countries have low C-section use because access to services is a problem,” Sandall said. “In many of those countries, however, richer women who live in urban areas, have access to private facilities have much higher C-section use.”

Risks to mother, child

C-sections may be marketed by clinics as the “easy” way to give birth, but they are not without risks.

Maternal death and disability rates are higher after C-section than vaginal birth. The procedure scars the womb, which can lead to bleeding, ectopic pregnancies (where the embryo is stuck in the ovaries), as well as still- and premature future births.

 

c-section
Doctors are often tempted to organize C-sections to ease the flow of patients through a maternity clinic. Flickr

 

The authors suggested better education, more midwifery-led care and improved labor planning as ways of ensuring C-sections are only performed when medically necessary, as well as ensuring women properly understand the risks involved with the procedure.

“C-section is a type of major surgery, which carries risks that require careful consideration,” Sandall said.

Also Read: Novel Blood Test May Predict Autism Risk In Babies During Pregnancy

In a comment accompanying the study, Gerard Visser of the University Medical Centre in the Netherlands, called the rise in C-sections “alarming.”

“The medical profession on its own cannot reverse this trend,” he said. “Joint actions are urgently needed to stop unnecessary C-sections and enable women and families to be confident of receiving the most appropriate care for their circumstances.”