SUMMARY
In Angola the total number of notified cases has increased since early 2016. As of 17 June 2016 a total of 3294 suspected cases have been reported, of which 861 are confirmed. The total number of reported deaths is 347, of which 115 were reported among confirmed cases. Suspected cases have been reported in all provinces, and confirmed cases have been reported in 16 of 18 provinces and 79 of 123 reporting districts.
Mass vaccination campaigns first began in Luanda and have now expanded to cover most of the other affected parts of Angola. Recently the campaigns have focused on border areas. Despite extensive vaccination efforts circulation of the virus persists.
As of 20 June, in the Democratic Republic of The Congo (DRC), the total number of notified suspected cases is 1106, with 68 confirmed cases and 75 deaths. Cases have been reported in 22 health zones in five provinces. Of the 68 confirmed cases, 59 were imported from Angola, two are sylvatic and seven are autochthonous.
Surveillance efforts have increased and vaccination campaigns in DRC have centred on affected zones in Kinshasa and Kongo Central.
Two additional countries have reported confirmed yellow fever cases imported from Angola: Kenya (two cases) and People’s Republic of China (11 cases). These cases highlight the risk of international spread through non-immunised travellers.
Six countries (Brazil, Chad, Colombia, Ghana, Peru and Uganda) are currently reporting yellow fever outbreaks or sporadic cases not linked to the Angolan outbreak.
Following the advice of the Emergency Committee (EC) convened on 19 May 2016, the WHO Director-General decided that urban yellow fever outbreaks in Angola and DRC are serious public health events which warrant intensified national action and enhanced international support. The events do not at this time constitute a Public Health Emergency of International Concern (PHEIC).