DRC: Malaria is Chief Suspect in Mystery Outbreak; Mpox Vaccinations Far Too Slow
December 20, 2024
The Democratic Republic of Congo (DRC) faces a severe health crisis with a suspected malaria outbreak complicated by malnutrition and potential haemorrhagic fever. With a 6.2% fatality rate, far higher than typical for malaria, Africa CDC has intensified its investigation. Simultaneously, mpox vaccination efforts lag, with only 56,000 vaccinated out of one million doses received. Africa CDC urges intensified global support and resource mobilization, as the mpox outbreak continues to rise, affecting 15 countries. Meanwhile, Rwanda’s successful containment of its Marburg outbreak, credited to swift action and strong public health coordination, underscores the critical role of timely intervention and transparent communication.
The Democratic Republic of Congo (DRC) faces dual health threats: a suspected malaria outbreak complicated by malnutrition and potential haemorrhagic fever, alongside a mounting mpox crisis. With a staggering 6.2% case fatality rate and 37 confirmed facility-based deaths, the current outbreak far surpasses typical malaria mortality rates. Africa CDC is urgently investigating, though logistical hurdles in laboratory testing persist.
The mpox situation remains equally dire. Despite receiving over one million vaccine doses, the DRC has vaccinated only 56,000 people. Low staff morale and inadequate logistical support are major barriers. Promisingly, 50,000 doses of the Japanese LC16 vaccine, suitable for children, are set to arrive soon, with trained healthcare workers ready for distribution.
Africa CDC recently convened a multi-country review in Ethiopia to address regional mpox challenges. Delegates from affected nations, including Burundi, DRC, and Nigeria, identified eight strategic priorities, including intensified vaccination campaigns, improved data management, and strengthened co-infection surveillance. Burundi’s engagement signals potential policy shifts toward nationwide vaccination.
Meanwhile, Rwanda celebrates successfully ending its Marburg outbreak. Swift governmental action, transparent communication, enhanced surveillance, and rapid testing were instrumental. This public health victory demonstrates how coordinated action and evidence-based strategies can mitigate even the deadliest outbreaks, offering a model for managing ongoing crises in the region.