17 Jun 13 17 Jun 13

DRC: Malaria outbreak prompts emergency response in Lulingu

An outbreak of malaria in Lulingu, Democratic Republic of Congo, is affecting large numbers of people, prompting an emergency response from Médecins Sans Frontières/Doctors Without Borders (MSF) whose teams have treated more than 2,500 people since the start of May.

Local authorities initially feared they were facing an outbreak of meningitis, after health facilities in the towns of Lulingu and Tchonka were flooded with patients suffering high fevers and convulsions.

Feared meningitis outbreak

Most were children under the age of 15. The mortality rates at the hospital were above the emergency threshold of 5 percent – or one in 20 patients, a figure which does not take into account those who died at home.

Once the alarm was raised, the emergency team in South Kivu immediately sent a six-member medical team to the area, using motorbikes to negotiate the tracks though the forest.

On arrival in the town of Lulingu, the team carried out tests and established that the patients were suffering from malaria rather than meningitis, which can have similar symptoms. Malaria is endemic in the region.

In response to the scale of the outbreak, MSF has reinforced its emergency team to include eleven Congolese staff and four international staff. They started working in Lulingu's General Reference Hospital, supporting malaria diagnosis and treatment in the paediatric and maternity ward.

Later, they expanded activities to the town of Tchonka, the second epicentre of the outbreak.

Lowering mortality rates

In Lulingu, the team has treated 1,526 people since 4th May for malaria with Artesunate and with blood transfusions when required. Malaria can cause severe anemia and patients frequently need transfusions, with blood generally provided by members of their own family. 

Since MSF's team started work, mortality rates among malaria patients in Lulingu have dropped from more than 5 percent to 1.29 percent.

In Tchonka, the team has carried out 1,359 consultations, with 925 cases of malaria confirmed.

The teams are also providing local communities with information about protecting themselves from malaria, and about the importance of seeking medical help as soon as symptoms appear.

“Early detection is vital to shorten the time of recovery – usually one to two weeks – but prevention and information to stress the importance of the correct use of mosquito nets is also indispensable in stopping the spread of the disease”, says Liliana Palacios, MSF’s medical responsible for the projects in DRC. 

The teams expect their emergency malaria response to last until the end of August given the large numbers of people with malaria symptoms continuing to arrive to Lulingu and Tchonka's health facilities. The areas around Lulingu and Tchonka have a combined population of about 30,000.

MSF in the Democratic Republic of Congo

Malaria is the cause of 40 percent of child deaths in DRC. MSF teams in the country treated more than 434,000 people for malaria last year in its projects and emergency operations in North and South Kivu, Katanga, Ecuador, Oriental and Maniema. MSF works in DRC since 1981.

Find out more about MSF’s work in the DRC