Kenya reported cholera outbreak that affected 30 of its 47 counties. The outbreak begun on 26 December 2014, in Nairobi County and was later reported in other counties with the latest being in Mandera and Tana River counties. Mandera County had also been experiencing a febrile illness presenting with joint pains that begun in May 2016.
Based on past outbreaks of dengue fever experienced in the county, health officials suspected it to be another dengue fever outbreak, however laboratory tests conducted by KEMRI, confirmed it to be Chikungunya fever.
Situation in Mandera Cholera Outbreak Mandera County is in the North-Eastern Region of Kenya. It was the latest county to report cholera outbreak. Diarrhoea has been the leading cause of morbidity especially during the dry season, when water is scarce and the wet season, when water sources are contaminated.
The outbreak was first reported in March 2016, with 894 cases reported by 12 April 2016. By the end of the response, 1629 cases had been reported with 18 deaths recorded - Case Fatality Rate (CFR) of 1.1%. KRCS reached a total of 391,941 people through awareness sessions conducted in house to house visits including revisits, demonstration of hand washing and hand washing facilities. This represented almost double the target population due to revisits and the huge population affected by the outbreaks. The cases admitted at the CTCs were given a discharge package which included sensitization and distribution of soaps, buckets and water treatment chemicals. The response by the KRCS, MoH and other partners helped contain the outbreak within Mandera East Sub County. (IFRC, 31 Jan 2017)
About 2.7 million people in Kenya are now in need of relief assistance, up from 1.3 million in August 2016. The President of Kenya declared a national disaster on 10 February 2017 and has called for international support.
The results of SMART surveys conducted in January and February 2017 to monitor the emergency nutrition situation show very high levels of global acute malnutrition (GAM) (above 30 per cent) in three northern counties (Turkana North, North Hor of Marsabit, and Mandera).
A. Situation analysis
Description of the disaster Kenya reported cholera outbreak that affected 30 of its 47 counties. The outbreak begun on 26 December 2014, in Nairobi County and was later reported in other counties with the latest being in Mandera and Tana River counties.
Mandera County had also been experiencing a febrile illness presenting with joint pains that begun in May 2016.
This paper was produced for a meeting of the Inter-Governmental Authority for Development (IGAD) in Addis Ababa, Ethiopia, 19-21 January 2017
SUMMARY – KEY MESSAGES
• The failure of the 2016 October-December rains across parts of the Horn of Africa has led to a devastating drought in Somalia, south-eastern Ethiopia, and northern and eastern Kenya. More than 15 million people in these three countries are facing food and water shortages, and famine is now a possibility in Somalia.
One of the strongest El Niño events ever recorded has affected more than 51 million people and placed more than 26.5 million children at risk of malnutrition, water shortages and disease in 10 countries in the region.1 In 2016, more than 1 million children were targeted for treatment for severe acute malnutrition (SAM),2 and water shortages, protection concerns and the deterioration of basic social services remain key concerns.
Total affected population: 2,021,000
Total affected children: 869,000
Total people to be reached in 2017: 800,000
Total children to be reached in 2017: 600,000
434,500 children under 5 accessing an integrated package of health interventions, including for the management of diarrhoeal diseases
232,000 persons affected by crises are reached with safe water interventions
By GALGALO BOCHA
The two , all women, succumbed to the disease at the weekend as the public health department in the sub-county imposed a ban on feasting during funerals and weddings to curb escalation of the outbreak.
Tana Delta Sub-County Medical Officer of Health Nicholas Mwenda said the woman developed symptoms of the disease on returning home and succumbed to it on Saturday in Malakoteni.
This report has been developed collectively with humanitarian partners in the region to inform preparedness and advocacy efforts to mitigate and manage humanitarian risk in the Horn of Africa and Great Lakes region. It presents a four-month trend analysis from June to September 2016 and a humanitarian outlook from October to December 2016. It is the fifth report in the series and updates the previous scenario report which was published in April 2016.
Although the El Niño weather event has passed its impact continues to be felt in the region: food insecurity doubled from 12 million in August 2015 to 23.4 million today. Humanitarian partners are targeting 1.25 million children under five for severe acute malnutrition (SAM) this year, of which nearly 83 per cent are from Ethiopia, South Sudan, Sudan and Somalia. Violence and rising food insecurity in South Sudan and Burundi have displaced nearly 290,000 people (205,541 refugees and 84,459 internally displaced) in the last 3 months alone.
This report presents results of the mid-term review (MTR) of the Kenya United Nations Development Assistance Framework (UNDAF) covering the period 2014-2018. The purpose of the review was: to provide an overall assessment of progress and achievements made against planned results; document challenges and lessons learned over the past two and a half years and assess significant developments that have taken place in the programming environment including the Sustainable Development Goals (SDGs).
Drought Situation & EW Phase Classification
1.1 County Background
Marsabit County is located in the northern part of Kenya. It covers an area of about 75,750 square kilometres with a population of 291,179 persons (2009 census). The county has four sub-counties: Moyale, North Horr, Saku and Laisamis; and divided into three main livelihood zones - pastoral, agro-pastoral and others (formal employment and fisher folk).
2.0 COUNTY FOOD SECURITY SITUATION
2.1 Current Food Security Situation
433 Cholera, 2015
433 Choléra, 2015
• Preliminary findings from nutrition surveys between May and July 2016 indicate the situation in Turkana, Baringo and West Pokot counties remain critical, with Global Acute Malnutrition (GAM) rates over 20 percent in parts of Turkana (over 15 percent emergency threshold).
Overview of Public Health Events in the WHO African Region
Yellow Fever outbreaks
Cholera outbreaks in the region
Rift Valley Fever outbreak in Niger
1.1 County Background
Mandera County is located in the northern eastern part of the Country. It has an area of 26,470 square kilometres. There are six sub counties namely: Mandera East, Mandera North,
Mandera South, Mandera West, Banissa and Lafey with total population of 1,025,786 persons (KNBS, 2009). The County has three major livelihood zones that include Pastoral all species livelihood zone, Agro-pastoral livelihood zone and irrigated cropping zone (Figure 1).
2.0 COUNTY FOOD SECURITY SITUATION
Published: 28 August 2016
Nairobi, Geneva, 28 August 2016 – As government leaders from Japan and Africa gather in Nairobi, Kenya for the 6th Tokyo International Conference on African Development (TICAD VI), the International Federation of Red Cross and Red Crescent Societies (IFRC), the International Committee of the Red Cross (ICRC), and the Kenya Red Cross Society (KRCS) are calling for increased investment in strengthening community resilience so vulnerable families can better face future challenges, including disease outbreaks.
This issue focuses on the Yellow fever, Cholera, Zika Virus Disease and Chikungunya outbreaks.
During the period under review, there have been protracted urban Yellow Fever (YF) outbreaks in Angola that have spread to the neighboring DR Congo and there have been exported cases to China and Kenya. Another outbreak of Yellow Fever was reported in Uganda but was not epidemiologically linked to the Angola or DR Congo outbreaks. The Uganda YF outbreak was rapidly and effectively contained.