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 June 2016, a dozen towns are on red alert. The situation is most critical in the West department, including Port-au-Prince (70 cases), Tabarre (66 cases), Carrefour (38 cases), and Centre department particularly Hinche (67 cases) and Mirebalais (39 cases). (OCHA, 15 Jun 2016)
In July 2016, (OCHA) reported that, in recent months, UN Agencies and multiple NGOs have intensified the response to the epidemic, particularly in the area of drinking water and sanitation. More than 150,000 people benefited from these initiatives.
Cólera en las Américas – Resumen de la situación
Desde la semana epidemiológica (SE) 1 del 2016 a la (SE) 27 de 2016, se registraron 22.556 casos de cólera en tres países en las Américas: Ecuador (1), Haití (21.661) y República Dominicana (894). Es decir, Haití registró el 96 % del total de casos notificados durante el 2016 en la Región de las Américas. La tabla 1 muestra el número de casos de cólera notificados en las Américas durante el 2015, y la tabla 2 los casos reportados en países seleccionados entre 2010 y el 2016.
Cholera in the Americas - Situation summary
Since epidemiological week (EW) 1 of 2016 until EW 27, a total of 22,556 cholera cases have been recorded from three countries in the Americas: Ecuador (1), Haiti (21,661), and the Dominican Republic (894). Haiti alone registered 96% of the total cases in 2016 in the Region of the Americas. Table 1 shows the number of reported cholera cases in the Americas during 2015 and table 2 shows the cholera cases reported in selected countries from 2010 to 2016.
Un an après l’expiration du PNRE, plus de 120 000 personnes ont déjà traversé la frontière haitianodominicaine, selon OIM ;
Plus de 150 000 personnes ont bénéficié des programmes de réponse à l’épidémie de choléra mis en œuvre par les Nations Unies au cours des deux derniers mois ;
Entre mars et juin 2016, Les programmes de retour ont permis de relocaliser environ 1400 personnes déplacées; il reste encore environ 61 000 personnes vivant dans 33 sites ;
• One year after the expiration of PNRE, about 120,000 people have already arrived in Haiti from Dominican Republic, according to the data collected by IOM;
• Over 150,000 people benefited from cholera response programs implemented by the United Nations over the past two months;
• Between March and June 2016, return programs have helped relocate some 1,400 displaced persons; there are still approximately 61 000 people living in 33 IDP sites;
8 juillet 2016 – Le Représentant spécial adjoint du Secrétaire général de la Mission des Nations Unies pour la stabilisation en Haïti (MINUSTAH), Mourad Wahba, a appelé vendredi à accroitre la visibilité à long terme du financement de la réponse rapide à l'épidémie de choléra dans le pays.
8 July 2016 – A rapid response mechanism is crucial to tackling an endemic disease such as cholera and eliminating it in Haiti, the deputy head of the UN mission there said today, emphasizing that the effectiveness of such efforts requires predictable financing.
Haiti has launched the 2016 Humanitarian Response Plan last April, following broad analysis/consultations with different stakeholders (Government, NGOs, UN agencies, Donors and the civil society).
5 juillet 2016 – Malgré une réduction de 90% de l'incidence du choléra en Haïti entre 2011 et 2015, plusieurs dizaines de milliers de personnes ont été victimes de l'épidémie l'an dernier.
5 July 2016 – The World Health Organization (WHO) Representative for Haiti, Jean-Luc Poncelet today stressed that vaccines along with water chlorination programmes, and longer-term efforts to improve water and the overall health system are vital to fight the prevalence of cholera in the country.
“The health system is very weak […] so we must use every single tool to ensure that cholera is reduced further in this country,” said Mr. Poncelet in an interview with the United Nations News Service.”
Dans cette Infolettre:
- 130 000 immigrants haïtiens sous menace d’expulsion
- Rapatriements pour juin 2016
- Tension à Malpasse
- Les victimes du massacre de Guayubin attendent encore
- John kerry et l’arrêt TC/168-13
- Atelier de lancement Fwontyè san fòs kote
- Flambée de choléra à Belladère
1 juillet 2016 – Malgré une réduction de 90% du nombre de cas de choléra depuis 2011 en Haïti, le Représentant du Fonds des Nations Unies pour l'enfance (UNICEF) dans le pays, Marc Vincent, a averti vendredi que seuls un engagement fort de la communauté internationale et des ressources supplémentaires permettront de venir à bout de l'épidémie.
1 July 2016 – While the incidence of cholera in Haiti has decreased by 90 per cent since an outbreak that began shortly after the devastating earthquake of 2010, more investment is needed in the country’s health-care system to fully eliminate the disease and address the country’s other health challenges, a top United Nations official today said.
This preliminary final report conveys an update on the closure of activities for each project under the international appeal for cholera in Haiti and the Dominican Republic. Given that projects have all ended at different times, it was appropriate that a preliminary report be issued as of 30 June, with the Appeal’s final report anticipated at the end of July 2016.
A. Situation Analysis
Summary of response
Des flambées de choléra enregistrées dans plusieurs communes du pays. Environ 10 communes sont en alerte rouge ;
A l’approche de l’ouverture de la saison cyclonique, des inondations sporadiques ont été enregistrées dans certains départements du pays suite aux averses du mois de mai affectant plusieurs centaines de familles ;
Important cholera outbreaks registered all over the country. About 10 towns in red alert.
With the start of the hurricane season, sporadic floods were registered in some regions of the country following the rains of May that affected hundreds of families.
The NGO community calls for a new collaboration approach between humanitarian and development actors to improve the response to multiple crises that affect the vulnerable populations.
Correspondance Ronel Odatte
Hinche, 14 juin 2016 [AlterPresse] --- Plus de 800 personnes ont été atteintes de diarrhée, en un mois, au Plateau central, selon des informations obtenues par AlterPresse.
812 personnes ont été soignées pour des maladies diarrhéiques, dont des cas de choléra, au cours des 5 dernières semaines, soit de la deuxième semaine du mois de mai 2016 à la deuxième semaine du mois de juin 2016.
Une remontée du choléra est observée dans plusieurs communes du Plateau central dont Hinche et Cerca-la-source.
13 June 2016 – Incidence of cholera has gone down by 90 per cent in Haiti from 2011 to last year, and the United Nations will continue to help the country tackle the root causes of the disease, such as lack of clean water and sanitation services, the deputy head of the UN mission there has said.
13 juin 2016 – Le Représentant spécial adjoint du Secrétaire général pour la Mission des Nations Unies pour la stabilisation en Haïti (MINUSTAH), Mourad Wahba, de l’Égypte, occupe ce poste depuis mai 2015.
M. Wahba, qui a remplacé Peter de Clercq, des Pays-Bas, était auparavant Administrateur assistant adjoint et Directeur régional adjoint au sein du Bureau régional pour les États arabes du Programme des Nations Unies pour le développement (PNUD) à New York, fonctions qu’il exerçait depuis 2013.
10 juin 2016 – La localité de Los Palmas, au nord-est de la ville de Hinche en Haïti, qui avait été touchée en novembre 2010 par l'épidémie du choléra a désormais accès à l'eau potable grâce à un système d'adduction d'eau construit avec le soutien de l'ONU.
10 June 2016 – Some 30,000 residents of three localities in Haiti now have access to potable water, thanks to a sanitation campaign launched by the Government and supported by the United Nations following a cholera epidemic that killed almost 100 people in the community.