Congo almost runs out of yellow fever vaccine amid epidemic - Action News
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Health

Congo almost runs out of yellow fever vaccine amid epidemic

Congo has almost run out of yellow fever vaccine in Kinshasa as epidemic declared in capital and two provinces.

Local residents say they missed out on immunization

Congohas almost run out of yellow fever vaccine in Kinshasa, in thesame week that the government declared an epidemic of thedisease in the packed capital and two other provinces.

Some local people have complained they were deniedimmunization due to the shortage, despite queueing for a shot.

More supplies have been promised, but health officials in theimpoverished country say they have to choose between the highcost of flying them in, or a long wait for shipment by sea.

The mosquito-borne hemorrhagic virus is a major concern inKinshasa, a city of about 12 million people which has poorhealth services, a humid climate beloved of the insects and muchstagnant water where they can breed owing to poor drainage.

When you present yourself, they give you the card thatgives you access to the vaccine, but then there wasn't enoughvaccine for everyone.-MamaMavungu

Health minister Felix Kabange said on Monday that 67 caseshad been confirmed in Kinshasa, Kongo Central and Kwangoprovinces and that over 1,000 more suspected cases are beingmonitored. Five people have died from the disease.

The government and international health organizationsvaccinated more than 2 million people, about half of them inKinshasa, between May 26 and June 4.

But there is no more vaccine left, aside from a small numberof doses left in reserve in Kongo Central and some beingadministered by a government agency at Kinshasa's centralhospital, airport and river crossing with neighbouring CongoRepublic, health officials said.

The agency is charging $35 US for the doses it administers, ahefty sum in a country whose gross national income per person isestimated by the World Bank at $380 US a year.

Global vaccinestockpile depletions

Eugene Kabambi, the World Health Organization (WHO)spokesman in Congo, said that the International CoordinatingGroup on vaccine provision has promised Congo more than amillion more doses.

"That requires either a cargo flight, in which case it wouldcome very quickly but cost a lot, or if it's by boat, it couldtake a few weeks," he told Reuters.

The Coordinating Group brings together the WHO and UnitedNations Children's Fund (UNICEF) with the InternationalFederation of Red Cross and Red Crescent Societies plus themedical charity Mdecins sans Frontires.

The global stockpile of yellow fever vaccine has alreadybeen depleted twice this year to immunize people in Angola,Uganda and Congo. It stands at 6 million doses, but this may notbe enough if there are simultaneous outbreaks in a number ofhighly-populated areas, experts warn.

Almost 18 million doses have been distributed for emergencyvaccination campaigns so far in the three African countries.

Vaccine lineups

Congo has extensive experience of dealing with outbreaks oftropical diseases and the Ebola virus was first identified inthe central African country.

It earned plaudits in 2014 for quickly containing a localEbola outbreak that killed 49 people in the country. By contrastan Ebola epidemic killed more than 11,300 as it swept throughWest Africa from 2013.

Of the cases confirmed in the latest yellow fever outbreak,seven were locally transmitted in Congo. Another 58 were
imported from Angola, where it began, and two came from remoteforested areas not linked to the current outbreak.

Symptoms of the disease include fever, body aches andnausea, although most people recover.

In Kinshasa's Ndjili commune, a maze of narrow alleys andone of the health zones in the city targeted for vaccination inlate May, many residents were unable to receive an injectionbefore stocks ran out.

"Everyone started coming, even from other districts. Nearthe end we realised that the vaccine was insufficient," saidMurphy Nzuzi, a doctor at a dimly-lit health centre in Ndjiliwith only a few small treatment rooms. He added that fights hadbroken out among people waiting in line.

In a nearby market where trash collected in a small stream,residents said that some people had received vaccination paperswhile waiting in line but never got a shot.

"When you present yourself, they give you the card thatgives you access to the vaccine, but then there wasn't enoughvaccine for everyone," said local resident Mama Mavungu.

The current method for making vaccines, using chicken eggs,takes a year. Health authorities are considering using a fifthof the standard dose of vaccine enough to immunize temporarilybut not to give lifelong immunity to maximize itsavailability, but no final decision has been made.