The WHO and partners will need $26m for the Ebola
Response in the Democratic Republic of the Congo (DRC) over the next
WHO said on Monday that funding had been received from Italy, UN
Central Emergency Response Fund (CERF), and Gavi – the Vaccine
The others are the U.S. Agency for International Development, the
Wellcome Trust and UK Department for International Development.
WHO said it had also released two million dollars from its Contingency
Fund for Emergencies, to scale up the Ebola response.
The Government of DRC, with the support of WHO partners, is preparing
to vaccinate high risk populations against Ebola Virus Disease (EVD)
in affected health zones.
The organisation said health workers operating in affected areas were
being vaccinated on Monday and community outreach had started to
prepare for the ring vaccination.
More than 7,500 doses of the rVSV-ZEBOV Ebola vaccine have been
deployed to DRC to conduct vaccination in the northwestern Equator
Province where 46 suspected, probable and confirmed Ebola cases and 26
deaths have been reported – as of Friday.
Most of the cases the oraganisation said were in Bikoro, a remote
rural town, while four confirmed cases are in Mbandaka, the provincial
capital with a population of over one million people.
The vaccines were donated by Merck, while Gavi, the Vaccine Alliance
is contributing one million dollars towards operational costs, while
the Wellcome Trust and DFID had also pledged funds to support research
Dr Tedros Ghebreyesus, WHO Director-General, said: “Vaccination will
be key to controlling this outbreak. We are grateful for the support
of our partners in making this possible”.
The Ministry of Health with WHO, Medecins Sans Frontieres , UN
Children’s Fund and other key partners are implementing a ring
vaccination with the yet to be licensed rVSV-ZEBOV Ebola vaccine,
whereby the contacts of confirmed cases and the contacts of contacts
are offered vaccination.
Frontline healthcare workers and other persons with potential exposure
to EVD – including but not limited to laboratory workers, surveillance
teams and people responsible for safe and dignified burials – will
also receive the vaccine.
Dr Peter Salama, WHO Deputy Director-General for Emergency
Preparedness and Response, said there was the need to act fast to stop
Ebola from spreading.
“We need to act fast to stop the spread of Ebola by protecting people
at risk of being infected with the Ebola virus, identifying and ending
all transmission chains and ensuring that all patients have rapid
access to safe, high-quality care,” Salama said.
A ring vaccination strategy relies on tracing all the contacts and
contacts of contacts of a recently confirmed case as soon as possible.
WHO said teams on the ground had stepped up the active search and
follow up of all contacts, while more than 600 contacts have been
identified to date.
“Implementing the Ebola ring vaccination is a complex procedure,” said
Dr Matshidiso Moeti, WHO Regional Director for Africa.
“The vaccines need to be stored at a temperature of minus 60 to minus
80 degrees centigrade and so transporting them to and storing them in
affected areas is a major challenge,” Moeti said.
WHO had sent special vaccine carriers, which can keep their contents
in sub-zero temperatures for up to a week and has set up freezers to
store the vaccines in Mbandaka and Bikoro.
The UN health agency is deploying both Congolese and Guinean experts
to build the capacities of local health workers.
The Ministry of Health, WHO, UNICEF and partners are engaging
communities to inform people about Ebola, including the vaccine.
The vaccine was shown to be highly protective against Ebola in a major
trial in 2015 in Guinea, and among the 5,837 people who received the
vaccine, no Ebola cases were recorded nine days or more after
While the vaccine is awaiting review by relevant regulatory
authorities, WHO’s Strategic Advisory Group of Experts on Immunisation
has recommended the use of the rVSV-ZEBOV Ebola vaccine under an
expanded access/compassionate use protocol during Ebola outbreaks
linked to the Zaire strain such as the one ongoing in the DRC.