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. In the first half of 2014, cholera outbreaks were only reported in the northern departments whereas by the end of 2014, the epidemic had spread to nine (out of a total of ten) departments. The upwards trend continued at the beginning of 2015, with the number of cases being 50 per cent higher than during the same period last year. (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)
Overall, the epidemic is following a positive trend since its start in October 2010. This notwithstanding, the weekly incidence rate in July 2015 is twice 2014's, and the first half of the year has registered triple the number of cases and deaths than the same period in 2014. (OCHA, 12 Aug 2015)
In October 2015, the international appeal operations update revised the budget to 3,563,310 Swiss francs (from 4.5m Swiss francs) with an extended timeframe up to December 2016 targeting 499,637 people. (IFRC, 15 Oct 2015) With the heavy rains of October, the health actors have observed a resurgence of cholera cases in several communes, notably in the departments of Artibonite, West, South East, South and North. Fifteen municipalities are in red alert. (OCHA, 31 Oct 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)
The health authorities reported an increase in the number of cholera cases for the month of November. Indeed, from November 22 to 28 (48th week), 1093 new cases and 13 institutional deaths were reported against only 268 new cases and 1 death in the 38th week (from Sept. 13 to 19). (OCHA, 30 Nov 2015)
The number of cases in 2015 up to epidemiological week 48 (30,080) exceeds the total number of cases registered in 2014, mainly due to an increase in cases registered during the first trimester of 2015. The rapid and timely response to this situation led to a decrease in cases in October and November of 2015. (PAHO, 23 Dec 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)
In 2015, Haiti reported 98% of all the cases in the Americas region. (RedHum, 3 Jan 2016)
PAHO/WHO, UNICEF and the Ministry of Public Health and Population estimate that up to 25,000 people could be infected in 2016 requiring the continuity of the response activities. (OCHA, 31 Mar 2016)
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)
The Ministry of Public Health and Population in Haiti (MSPP) has reported 13.859 suspected cholera cases and 150 cholera related deaths from 1st January to 30 April 2016. (UN Country Team in Haiti)
More than 800 people were treated for diarrhea from 15 May-15 June 2016 in Plateau Central, AlterPresse reported. The number of cholera cases in on the rise, including in the districts of Hinche and Cerca-la-source.
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 the Ministry of Public Health and Population (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 August 2016, the government presented its plan to eliminate cholera in the medium term. (Gov't of Haiit, 25 Aug 2016)
433 Cholera, 2015
433 Choléra, 2015
23 septembre 2016 – Une initiative en matière d'assainissement dans le sud-est d'Haïti a montré des résultats encourageants pour les habitants, avec une réduction importante du nombre d'infections transmises par l'eau, selon le Fonds des Nations Unies pour l'enfance (UNICEF).
23 September 2016 – Warning of a “significant humanitarian deterioration” following fresh outbreaks of cholera in his country, Haitian President Jocelerme Privert took to the podium of the United Nations General Assembly today to call for swift implementation of Secretary-General Ban Ki-moon’s urgent appeal for redoubled efforts to fight the scourge and aid its victims.
22 September 2016 – A sanitation initiative in south-eastern Haiti has shown encouraging results, with a major reduction in the number of water-borne infections for local residents, according to the United Nations Children’s Fund (UNICEF).
“Five localities in this region have been declared open defecation free (ODF), which marks progress in the prevention of cholera and other water-borne diseases in the area,” the UNICEF Representative in the country, Marc Vincent, told the UN News Centre.
The ECDC Communicable Disease Threats Report (CDTR) is a weekly bulletin for epidemiologists and health professionals on active public health threats. This issue covers the period 11-17 September 2016 and includes updates on Zika virus, West Nile fever and MERS.
Au cours des deux dernières années, Haïti a connu en raison du phénomène « el niño » une longue période de sécheresse ayant eu un impact considérable sur la situation de sécurité alimentaire des ménages. Ainsi, près d’une quarantaine de communes avaient été classées en phase de crise (phase 3 de l’IPC) au cours du 4e trimestre de l’année 2015.
Cholera in the Americas - Situation summary
Between epidemiological week (EW) 1 and EW 34 of 2016, a total of 27,839 cholera cases were reported in three countries of the Americas: the Dominican Republic (1,039), Ecuador (1), and Haiti (26,799). Haiti alone accounts for 96% of all cholera cases reported in the Region of the Americas up to EW 33 of 2016. Table 1 shows the number of cholera cases reported in selected countries between 2010 and 2016. Figure 1 illustrates the distribution of cumulative cases of cholera in Hispaniola.
1-. RÉSUMÉ ANALYTIQUE
1.1-. Aperçu de l’intervention
PROJET D’ADDUCTION D’EAU
REGION DE SAUT D’EAU - DEPARTEMENT DU CENTRE
Saut d’eau, 30 août 2016 - Dans le cadre de la lutte contre les maladies hydriques, dont le choléra, la Mission de Stabilisation de Nations Unies en Haïti (MINUSTAH), avec l’appui des organisations et autorités locales, continue de financer des projets à impact rapide (Quick Impact Projects ou QIPs) au profit des populations haïtiennes.
8 September 2016 – As part of its quick impact projects, the United Nations mission Haiti has inaugurated a new water supply system which is expected to provide for more than 13,800 people – more than half of whom are women – in parts of the country’s Central Department (_Département du Centre_), the mission said today.
The number of suspected cholera cases has risen 22% between January-July 2015 and January-July 2016, accounting for 24,505 this year. 227 of the cases have resulted in death in 2016 as of July, which is a 32% increase from last year. Since the outbreak in 2010, 9,393 people have died from suspected cholera cases.
The ECDC Communicable Disease Threats Report (CDTR) is a weekly bulletin for epidemiologists and health professionals on active public health threats. This issue covers the period 28 August - 3 September 2016 and includes updates on Zika virus, yellow fever, West Nile fever and cholera.
From January to July 2016, health authorities have reported an increase of 32 percent on the number of new deaths and 22 percent in the number of suspected cases compared to the same period of 2015. These results are due to the reduction of funding available for cholera response projects that forced the actors to reduce the human resources as well rapid response mobile teams active in the field. As of 30 July, the cholera component of the HRP is funded at 39 percent (8 million dollars) of the 20.3 million dollars requested for the emergency response in 2016 .
De janvier à juillet 2016, les autorités sanitaires ont signalé une augmentation de 32 pour cent sur le nombre de nouveaux décès et 22 pour cent sur le nombre de cas suspects par rapport à la même période de 2015. Ces résultats sont dus à la réduction des fonds disponibles pour les projets de lutte contre le choléra, ce qui a forcé les acteurs à réduire les ressources humaines et les équipes mobiles d'intervention rapide actives dans le domaine.
Port-au-Prince, Haïti | AFP | lundi 29/08/2016 - 14:14 GMT
par Amelie BARON
Aucune séparation entre les lits de camps recouverts de bâches plastiques pour ces hommes, femmes et enfants regroupés dans un ancien hangar: au centre de traitement du choléra de la commune de Carrefour, près de Port-au-Prince, les malades ne disposent d'aucune intimité.
Pour le mois de juillet écoulé, 18 décès ont été enregistrés sur 3.197 cas de Choléra répertoriés alors que pour les trois (3) premières semaines du mois d’août, 7 morts sont recensés sur 1.719 cas de personnes infectées au choléra, selon Madame Katilla Pierre, chef de service alerte et réponse à la direction d’épidémiologie, du laboratoire et de recherches (DELR).
Le Ministère de la Santé Publique et de la Population (MSPP) a présenté son plan d’élimination de choléra en Haïti sur le moyen terme. Le plan a été dévoilé le jeudi 18 aout 2016, dans les locaux du laboratoire national à Delmas 33.
Ledit plan a été exposé en présence des agences des NationsUnies, dont l’Organisation Panaméricaine de la Santé et de l’Organisation Mondiale de la Santé (OPS/OMS), des partenaires du MSPP, des bailleurs de fonds, des cadres du Ministère, et autres.