Congo gov. says it's 'on alert' over mystery flu-like disease that killed dozens

2024-12-0520:0615868www.ctvnews.ca

Congo’s health minister said Thursday the government is on alert over a mystery flu-like disease that in recent weeks killed dozens of people.

KINSHASHA, Congo -

Congo’s health minister said Thursday the government is on alert over a mystery flu-like disease that in recent weeks killed dozens of people.

Authorities have so far confirmed 71 deaths, including 27 people who died in hospitals and 44 in the community in the southern Kwango province, health minister Roger Kamba said.

“The Congolese government is on general alert regarding this disease," Kamba said, without providing more details.

Of the victims at the hospitals, 10 died due to lack of blood transfusion and 17 as a result of respiratory problems, he said.

The deaths were recorded between Nov. 10 and Nov. 25 in the Panzi health zone of Kwango province. There were around 380 cases, almost half of which were children under the age of five, according to the minister.

Authorities have said that symptoms include fever, headache, cough and anemia. Epidemiological experts are in the region to take samples and investigate the disease, the minister said.

“The disease resembles a respiratory disease but it is difficult to talk about how it is transmitted before the results of the analysis of the collected samples,” Kamba added.

The Panzi health zone, located around 435 miles (700 kilometres), from the capital Kinshasa, is a remote area of the Kwango province, making it hard to access. The epidemiological experts took two days to arrive there, the minister said.

“The health system is quite weak in our rural areas, but for certain types of care, the ministry has all the provisions, and we are waiting for the first results of the sample analysis to properly calibrate things,” he added.

A Panzi resident, Claude Niongo, said his wife and seven-year-old daughter died from the disease.

“We do not know the cause but I only noticed high fevers, vomiting... and then death,” Niongo told The Associated Press over the phone. "Now, the authorities are talking to us about an epidemic but in the meantime, there is a problem of care (and) people are dying,” he added.

Lucien Lufutu, president of the civil society consultation framework of the Kwango province, who is in Panzi, said the local hospital where patients are treated is underequipped.

“There is a lack of medicines and medical supplies, since the disease is not yet known, most of the population is treated by traditional practitioners,” Lufutu told the AP.

He also said the disease just affected Katenda, another nearby health zone.

When asked about a potential outbreak in other health zones, the minister said he could not tell if that was the case but that nothing was reported.

Congo is already plagued by the mpox epidemic, with more than 47,000 suspected cases and over 1,000 suspected deaths from the disease in the Central African country, according to the World Health Organization.

“At the current stage, we cannot speak of a large-scale epidemic, we must wait for the results of the samples taken,” health minister Kamba said regarding the mystery flu-like disease.

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Comments

  • By cmriversepi 2024-12-0522:154 reply

    I’m an epi professor and longtime HN lurker. I wrote a short essay yesterday about how to think about these mysterious outbreaks [1]. Briefly, the most common outcome is they are determined to be an endemic disease. Less likely is an emerging infectious disease. The most concerning possibility is something novel or highly unexpected.

    [1] https://caitlinrivers.substack.com/p/understanding-mysteriou...

    • By tptacek 2024-12-061:15

      This is a great article, and for anyone that wants a cheat sheet for the thread (and to double check my read):

      * The "endemic disease" bucket describes things like cholera and known influenza strains, and what we're seeing is hazy reporting of flare-ups that happen in low-resource areas around the world on the regular.

      * The "emerging infectious disease" bucket describes stuff like Ebola, which is scary but we've got something like a reasonable history of responding and containing to it, if we take it seriously.

      * "Novel" is C19, or the first outbreaks of Ebola at the time, the point presumably at which we'd start thinking about novel precautionary measures applied preemptively.

    • By itsaride 2024-12-061:281 reply

      The article says it's an area where malnutrition is endemic, couldn't it just be a flu variant that's killing already vulnerable people?

      • By gosub100 2024-12-061:52

        Starving people are more likely to eat bush meat, which is one way viruses can jump from one host species to another.

    • By etiam 2024-12-0522:361 reply

      Are you willing to hazard a guess how long it will take to get material analyzed to determine which of your categories this is in?

      • By cmriversepi 2024-12-0522:381 reply

        The first round of test results should come in Friday or this weekend. The longer it goes undiagnosed, the more we tip into categories 2 and 3.

        • By etiam 2024-12-0522:56

          Thanks.

          So basically, if it's any of numerous reasonably well-known but very local diseases a fluid's probably going to go colored in some field test kit and say which one, else it could be something known (and often of known substantial concern for large-scale contagion) but too rare or understudied to have cheap robust quick tests yet so that has to be shipped to a real lab (probably with very high biosecurity rating), and if the lab doesn't recognize what they're seeing in their electron microscope and has to do fundamental research first to get a good biochemical profiling it's something truly expanding the boundaries of known infectious pathology?

          Something like that?

    • By jonny_eh 2024-12-0523:261 reply

      > Less likely is an emerging infectious disease. The most concerning possibility is something novel or highly unexpected.

      What's the difference between an emerging and novel disease?

      • By JumpCrisscross 2024-12-0523:271 reply

        > What's the difference between an emerging and novel disease?

        Novel is new. Never before seen. SARS-Cov-2 was a novel virus.

        Emerging means identified but changing [1]. The Covid variants were EIDs. So are antibiotic-resistant strains.

        [1] https://en.wikipedia.org/wiki/Emerging_infectious_disease#Cl...

        • By etiam 2024-12-0523:441 reply

          I don't exactly want to dispute that, but I would like to remark it's not entirely clear-cut.

          SARS-CoV-2 response could be as rapid as it was in no small part because two decades of research on SARS-CoV more or less was applicable, and looking at genetic similarity alone contemporary variants of SARS-CoV-2 are now more different from the original strain isolated in Wuhan than that strain is different from SARS-CoV.

          So was the threat from pathogenic Coronaviruses really novel? To a degree, and depending on what aspects one chooses to emphasize maybe.

          Also, I'd say the pathogen itself doesn't necessarily need to do the changing in the context of emerging diseases. I'd take it to mean they have potential to become more prevalent or have a more significant impact, but that could easily also be due to changes in conditions, including human behavior.

          • By JumpCrisscross 2024-12-060:09

            > I would like to remark it's not entirely clear-cut

            Are you saying this as an epidimeologist? (I'm not an epidimeologist. I've only studied the math.)

            > looking at genetic similarity alone

            Epidimeology is the study of disease in a population. You can't look at the virus alone.

            The dividing line between emerging and novel is brighter than between emerging and existing. It has to do with whether the population has pre-existing immunity. SARS-CoV infection conferred no immunity to SARS-CoV-2. Getting infected with the Alpha variant, on the other hand, conferred immunity to Omega.

            > I'd say the pathogen itself doesn't necessarily need to do the changing in the context of emerging diseases. I'd take it to mean they have potential to become more prevalent or have a more significant impact, but that could easily also be due to changes in conditions, including human behavior

            Literally in the Wikipedia. "EIDs may also result from spread of an existing disease to a new population in a different geographic region, as occurs with West Nile fever outbreaks."

  • By losteric 2024-12-0522:021 reply

    So as I understand it:

    - Panzi is an isolated, hard-to-access area where malnutrition, prior epidemics, and seasonal flu have already weakened the population.

    - Poor healthcare infrastructure and delayed medical intervention have amplified deaths.

    - There is no evidence of rapid or widespread transmission. (see first point).

    - Samples have been retrieved for testing. At this point, there is no information on transmission vector (assuming it’s even a disease)

    • By giarc 2024-12-0522:35

      300+ cases is quite a few when you consider that many will not be reported.

  • By hvenev 2024-12-0522:041 reply

    Despite the sad context, this seems refreshing -- an alert is raised due to a real and serious concern.

    • By autoexec 2024-12-0523:09

      It is nice that things aren't so bad that nobody is even keeping an eye out for things like this. There's some comfort in knowing that somewhere smart people are looking into it.

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