Haiti: Cholera Outbreak - Oct 2010Ongoing
Since the emergence of cholera in Haiti in October 2010, the Ministry of Public Health and Population recorded 719,377 suspected cases and 8,767 cholera-related deaths as of 30 Nov 2014. Despite severe infrastructure and financial constraints, concerted Haitian and international efforts have succeeded in drastically reducing the number of reported cholera cases in Haiti – down from a peak of over 350,000 reported cases for 2011, to 21,916 reported cases for 2014, from 1 January to 30 November. The persistence of cholera in Haiti is mainly due to the lack of access to clean water and appropriate sanitation facilities, and although considerable improvements have been made in this regard, Haiti continues to host the largest cholera epidemic in the Western Hemisphere. Structural issues such as weak water, sanitation and health systems enable cholera, acute diarrhoea and other waterborne diseases to persist. (UNCT, 31 Dec 2014)
At the beginning of 2015, the number of suspected cases was 75 per cent higher than originally expected in the mid-term review of the 2014 Humanitarian Action Plan (i.e. 15,000). From 8 Nov to 31 Dec 2014, the total number of reported suspected cholera cases was 11 324, with 133 fatalities. This is an increase of 20 per cent compared to the same period in 2013. (ECHO, 16 Jan 2015)
Suspected cholera cases reported for January to March 2015 were above those observed in early 2012 (but lower than those reported in the first quarter of 2013). This was predominately due to large outbreaks in the metropolitan region of Port-au-Prince which then spread to other high-risk regions. According to the national authorities, 4,321 suspected cholera cases and 36 deaths were reported in January, 4,055 suspected cases and 46 deaths in February ,and 3,014 cases and 22 deaths in March. (UNCT, 31 Mar 2015)
For the period between Jan-Jun 2015, OCHA reported 17,949 new cases - a 273% increase compared with the same period last year. As of June 2015, cholera has caused 8,992 deaths since the outbreak in Oct 2010. (OCHA, 27 Jul 2015)
July 2015 saw the rise of cholera cases in the West, Centre, Artibonite and North departments. (OCHA, 31 Jul 2015)
Concern is growing about the rising numbers of cases in the department of Anse-à-Pitres, where the epidemic is spreading due to poor sanitary facilities in the south-eastern region. (GARR, 26 Nov 2015)
According to the cholera figures released by the Minister of Public Health and Population (MSPP), 36,045 cholera cases and 322 deaths were recorded from January to December 2015. This represents, in comparison to 2014, an increase of 24% in the number of cases. In the last three months (October, November, December 2015), the upward trend of cholera persisted in the North and West departments. (OCHA, 31 Dec 2015)
During the first two months of 2016, the cholera epidemic has had a stable development in relation to the outbreak recorded at the end of 2015. The number of cases increased slightly compared to the same period in 2015, but the trend is downward since mid February. Nevertheless the return of the rain could be an important risk factor. In addition, the number of deaths has increased alarmingly: 15% more compared to 2015. (OCHA, 18 Apr 2016)
As of July 2016, health officials have observed a resurgence of cholera cases in several towns, including in the departments of Artibonite, Center, Nippes, North and West. According to a report of MSPP, more than 823 alerts were recorded during the week of 17-23 July 2016, and about twenty towns are on red alert. The situation is reported to be more critical in the towns of Carrefour (109 cases), Port-au-Prince (83 cases), Tabarre (75 cases), Mirebalais (45 cases) and Verrettes (39 cases). (OCHA, 31 Jul 2016)
In October 2016, Hurricane Matthew devastated Haiti which saw an increase of cases in Grand’Anse (148 cases) , Sud (53), and North-Ouest (6 cases) , and Artibonite (28) in the aftermath. (WHO/PAHO, 11 Oct 2016)
On 14 October, the UN Secretary-General established the Haiti Cholera Response Multi-Partner Trust Fund to finance critical priorities of the new UN system approach to cholera in Haiti designed to support the country in overcoming the epidemic and building sound water, sanitation and health systems. (UN, 14 Oct 2016)
As of 24 October, 3,500 suspected cholera cases were reported to OCHA. (UNICEF, 1 Nov 2016)
The Ministry of Health, supported by UNICEF and PAHO/WHO delivered a cholera vaccination campaign in the South and Grand’Anse departments in November 2016, immunizing 807,395 individuals, including over 309,213 children aged 1–14 years. (UNICEF, 10 Jan 2017)
A new approach to cholera in Haiti was laid out in the report by the UN Secretary-General (A/71/620) published on 12 December 2016. The UN General Assembly welcomed and committed to this new approach on 16 Dec 2016.
On 6 February, the Government of Haiti and the Humanitarian Country Team (formed by the United Nations and humanitarian partners) launched an appeal for funds of US$ 291.5 million to cover the critical humanitarian needs of 2.4 million people, US$ 34.7 million of which would only be for cholera. (OCHA, 6 Feb 2017)
Cumulative data for cholera between January and 31 December 2016 recorded 41,421 registered cases and 447 deaths (OCHA, 8 Feb 2017)
UNICEF increased the number of cholera rapid-response teams from 46 nationally to 88 since the hurricane. In the 10-week period since 1 January 2017, 3,585 suspected cases of cholera have been reported compared to over 9,400 in the same period of 2016 which shows ongoing progress towards the goal of eradicating Cholera in Haiti. (UNICEF, 7 Apr 2017)
As of 31 December 2016, Haitian and international efforts have succeeded in reducing the cholera cases and fatalities in Haiti by almost 88% since the peak in 2011 (350,000 cases). From 1st January to 15 April, the MSPP registered 5,095 suspected cholera cases and 69 related deaths, in comparison to the 12,536 suspected cases and 134 deaths for the same period in 2016. This downward trend, if maintained, is an opportunity to take this year a big step towards the elimination of the transmission, in case funding is available and rapid response is accordingly intensified. (UN Country Team, 27 Apr 2017)
A total of 4,871 suspected cholera cases were reported in the first 14 weeks of 2017, including 69 deaths (a 41% and 50% decrease compared to the 116 and 139 deaths reported during the same period in 2015 and 2016, respectively). All 10 Departments of Haiti have reported suspected cholera cases. (WHO/PAHO, 4 May 2017)
As of 27 May, 2017 the Haiti Ministry of Health had reported 6,762 suspected cases, compared to 16,822 at the same time last year. The UN Secreary-General called on the Member States to help fund the 'New Approach to Cholera in Haiti. (UN Secreary-General, 14 June 2017)
The National Plan for the Eradication of Cholera (NPEC) remains underfunded, particularly the alert-response system and medical care component as regards to aspects related to physical improvement of structures. Therefore, response teams would be phased out by the end of 2017 in the absence of new funding. (OCHA, 31 May 2017)
As of 04 July 2017, the Humanitarian Funding Gap stands at $235.3M, with only $55.9M received of the $291.3M requested (OCHA, 04 July 2017)
L’épidémie de choléra a commencé en Haïti en octobre 2010. Depuis, une surveillance épidémiologique est organisée au niveau national par les différents acteurs engagés dans la lutte contre le choléra, afin de vérifier l’évolution de la maladie, d'analyser les vecteurs de contamination, de localiser les foyers principaux au fil du temps et d’apporter une réponse adaptée à chaque alerte.
In the Port-au-Prince, Haiti neighborhood of Martissant, Doctors Without Borders/Médicin Sans Frontières (MSF) is working to improve water quality and protect residents from cholera and mosquito-borne viruses like Zika, dengue, and chikungunya, which can cause incapacitating joint pain. The Marengwen project—which takes its name from the Creole word for mosquito—is an ambitious initiative with the goal of reducing populations of the Aedes mosquito, a major source of disease in region.
The present report is submitted pursuant to Economic and Social Council resolution 2016/28 and highlights the main findings of the Ad Hoc Advisory Group on Haiti following its visits to Washington, D.C., in March 2017, during which members met with the international financial institutions and regional actors, and to Haiti, in May 2017, during which members interacted with a number of senior government and legislative officials, representatives of the United Nations system and private sector and civil society actors.
Conseil de sécurité
8005e séance – matin
8005th Meeting (AM)
With the United Nations Stabilization Mission in Haiti (MINUSTAH) making way for a new peacekeeping operation focusing on justice support, the onus lied on Haitians themselves to shape their future going forward, the Secretary-General’s Special Representative to the country said today.
In October 2016, Jérémie, the chief town of the Grand'Anse department, was one of the most affected by Hurricane Matthew, with extreme on access to water because of destroyed infrastructures, mudflows and difficult sanitary conditions. This paved the way to a new cholera outbreak. The number of suspected cases doubled between September and October.
13 JUILLET 2017
ASSEMBLÉE GÉNÉRALE PLÉNIÈRE
SOIXANTE ET ONZIÈME SESSION, 91E SÉANCE PLÉNIÈRE – APRÈS-MIDI
The General Assembly,
Reaffirming its resolutions 65/135 and 65/136 of 15 December 2010, 70/245 and 70/246 of 23 December 2015, 71/161 of 16 December 2016 and 71/302 of 30 June 2017,
Reiterating its grave concern at the outbreaks of cholera in Haiti, which have affected more than 800,000 people and resulted in over 9,000 deaths,
GENERAL ASSEMBLY PLENARY
SEVENTY-FIRST SESSION, 91ST MEETING (AM)
The General Assembly today reaffirmed its support for the Organization’s new approach to cholera in Haiti, including the establishment of the United Nations Haiti Cholera Response Multi-Partner Trust Fund, and invited Member States, donors, financial institutions, the private sector and others to extend financial support for the initiative.
En octobre 2016, Jérémie, chef-lieu du département de la Grand’Anse, a été une des localités les plus touchées par l’ouragan Matthew, dont les conséquences ont été particulièrement extrêmes sur l’accès à l’eau potable, entre infrastructures détruites, coulées de boue et conditions sanitaires difficiles. Cette situation a entraîné une recrudescence de choléra, avec un nombre de cas suspects multiplié par deux entre septembre et octobre.
Le Conseil tiendra un nouveau débat ouvert sur la coopération entre les Nations Unies et l’Union africaine dans le domaine du maintien de la paix
La tendance du choléra continue de baisser au niveau national malgré les fortes précipitations de mai. La coordination efficace des différents acteurs a permis d'identifier et de contrôler très rapidement les flambées épidermiques. Le pour- centage de cas suspects couverts par la réponse rapide a été plus élevé que les années précédentes, étant donné le nombre d'équipes actuellement disponibles pour les réponses communautaires (90% des cas suspects entre janvier et mai ont été couverts par une réponse rapide, dont 86% en moins de 48 heures).
The trend of cholera continues to decline at the national level despite the strong rainfall in May. The effective coordination of the different actors permitted epidermal outbreaks to be identified and controlled very quickly. The percentage of suspected cases covered by the rapid response was higher than in previous years, given the number of teams currently available for community responses (90% of suspected cases between January and May were covered by a rapid response, of which 86% were in less than 48 hours).
The Security Council would consider questions spanning four continents this month, and its work would include action on peacekeeping and political mandates, as well as holding two open debates and a briefing on Syria, on the heels of peace talks expected to resume tomorrow, Liu Jieyi (China), its President for July, said at a Headquarters press conference today.
En avril, 1 074 cas suspects de choléra ont été enregistrés dans le pays. Cela constitue une période de basse transmission encourageante vers l’élimination de la maladie.