The cost of insecurity: from flare-up to control of a major Ebola virus disease hotspot during the outbreak in the Democratic Republic of the Congo, 2019
Thibaut Jombart, Christopher I Jarvis, Samuel Mesfin, Nabil Tabal, Mathias Mossoko, Luigino Minikulu Mpia, Aaron Aruna Abedi, Sonia Chene, Ekokobe Elias Forbin, Marie Roseline Darnycka Bélizaire, Xavier de Radiguès, Richy Ngombo, Yannick Tutu, Flavio Finger, Madeleine Crowe, W. John Edmunds, Justus Nsio, Abdoulaye Yam, Boubacar Diallo, Abdou Salam Guèye, Steve Ahuka‐Mundeke, Michel Yao, Ibrahima Socé Fall
Abstract
The ongoing Ebola outbreak in the eastern Democratic Republic of the Congo is facing unprecedented levels of insecurity and violence. We evaluate the likely impact in terms of added transmissibility and cases of major security incidents in the Butembo coordination hub. We also show that despite this additional burden, an adapted response strategy involving enlarged ring vaccination around clusters of cases and enhanced community engagement managed to bring this main hotspot under control.