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We, the Ministers of Health and senior immigration officials of the Democratic Republic of the Congo (DRC) and the nine neighboring countries to the DRC, met on 21 October 2019 in Goma the DRC;

In the Ebola epidemiological zones in the Democratic Republic of the Congo, health care workers must stay alert, vigilant and careful. An Ebola infection could find them before they realize it is circulating within a patient who just came for treatment. Of the 162 health workers infected since the start of this tenth outbreak in August 2018, 65 died; 63%, or 102 of them, were nurses.

The Democratic Republic of the Congo and its nine neighbouring countries endorse a joint framework to strengthen cross-border collaboration on preparedness and response to Ebola virus and other disease outbreaks.

To enhance capacities for timely confirmation and prompt response to emerging disease outbreaks, South Sudan is establishing molecular testing capacities for influenza and other high-threat infectious diseases like Ebola virus disease (EVD), Yellow Fever, Marburg virus disease (MVD) and Rift Valley Fever (RVF).

To curb smoking and the many diseases related to tobacco, Rwanda increased the tax on cigarettes. The country joins Benin, Cabo Verde, Cote d’Ivoire, Senegal and Togo in implementing WHO-supported tax reforms on cigarettes.