Kenya: Cholera Outbreak - 2015-2017Ongoing
Kenya reported a 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...Mandera County...was the latest county to report cholera outbreak...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. (IFRC, 31 Jan 2017)
Cholera outbreak continues in two counties – Garissa County (specifically Dadaab Refugee Complex) and Tana River County. In Dadaab, 55 cases of cholera (15 culture positive) were recorded in Dagahaley, Hagadera, Ifo 1 and Ifo 2 camps as of 29 April, while 5 new cases were recorded in Garsen and Minjila towns in Tana River County between 20 and 28 April. Majority of cases in Dadaab are linked to newly arriving refugees (from Sakow village in Somalia) and households hosting them. (UNICEF, 05 May 2017)
As of 19 June, there is an active cholera outbreak in five counties (Garissa, Nairobi, Muranga, Turkana and Nakuru) with 581 confirmed cases and seven deaths (CFR 1.2 per cent). (UNICEF, 19 Jun 2017)
There were four admissions today at the CTC as at 5pm, one turned negative for cholera RDT and three turned positive for cholera RDT.
Patient line listed yesterday Nuela Nyanzira comes from K3 protection not K3 Z1 B1.
We had one discharge to the community linked to community health workers.
Details of the discharged patient;
- Zamniba Eugene K3 protection
Cumulatively we have line listed 106 patients as of 12TH August 2017.
The number of severely food insecure people in Kenya, Somalia and Ethiopia has increased to 14.3 million, following the publication of new data on the situation in Kenya.
The preliminary results of the Long Rains Assessment (LRA) released by the Government of Kenya on 28 July reported that 3.4 million people are food insecure and in need of assistance. This is the highest number of people reported to be in crisis since the same time in 2011, when the number in need was estimated to be 3.7 million.
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 38 events in the region. This week, one new event has been reported: malaria outbreak in Cabo Verde. This week’s edition also covers key ongoing events, including:
• Lassa fever in Nigeria
• Hepatitis E in Nigeria
• Cholera in Kenya
• Humanitarian crisis in Cameroon
• Humanitarian crisis in Nigeria
22.9 Million people affected by drought in the region
13.6 Million people are facing Crisis and Emergency Food Insecurity
15 million people won’t have access to safe drinking water in 2017
84,575 cases of Acute Watery Diarrhoea (AWD)/Cholera have been reported in 2017 – with 1,546 associated deaths
1.8 million people in Kenya, Somalia and Ethiopia have been displaced by drought conditions
The first half of 2017 has been marked by a deepening nutrition crisis across the Arid and Semi-Arid counties lands with the five counties in the country reporting global acute malnutrition rates above 20% since February. The June 2017 prevalence of acute malnutrition in Turkana is comparable to that of the 2011 drought emergency. Since February, five counties in the country have reported GAM in excess of 20%.
Nutrition surveys undertaken in June 2017 in Turkana indicate a deepening nutritional crisis compared to five months ago.
Insecurity and a nationwide strike by nurses are hampering provision for health and nutrition services in the most vulnerable locations.
WFP is seeking resources as part of contingency planning for election preparedness.
WFP supported the Government to prepare for the national registration of people 70 years and above for social protection.
Currently in week 9 of the cholera outbreak since the first case on 22nd May 2017 in both Kakuma refugee camp and Kalobeyei settlement
A total of 145 patient have been line listed and treated so far, 73 in Kakuma and 72 in Kalobeyei since the outbreak started.
No mortality has been reported giving a case fatality rate of 0%.
The period between 22nd June and 19th July no new cases were line listed in Kakuma but Kalobeyei recorded 5 cases in this period on different days.
Author Samuel Kariuki
Researcher Microbiology/Infectious Diseases, Kenya Medical Research Institute
Samuel Kariuki does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond the academic appointment above.
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. WHO AFRO is currently monitoring 42 events. This week, two new events have been reported: outbreaks of cholera in Burundi and CrimeanCongo haemorrhagic fever in Senegal. This week’s edition also covers key ongoing events in the region, including the:
• Grade 3 humanitarian crises in South Sudan;
• Grade 2 outbreaks of necrotizing cellulitis/fasciitis in Sao Tome and Principe, and cholera in Tanzania;
- There was little/no rainfall recorded. Rainfall performed poorly in the county and were below normal.
- Pasture condition was generally poor across all the livelihood zones. The situation is below normal.
- The water state remained the same as the previous month. It is below normal.
Since the beginning of 2017, Kenya is experiencing an upsurge of cholera cases. The first cholera outbreak reported in 2017 was in Tana River County. The outbreak started on 10 October 2016 and was controlled by April 2017.
MSF facilities struggling to cope with influx of patients
Two consecutive strikes by health professionals in 2017 have caused crippling consequences to Kenya’s health system, leaving many public health facilities closed and thousands of people without access to essential medical services.
Kenya's Health Cabinet Secretary (CS) Cleopa Mailu on Wednesday announced that Jacaranda and San Valencia hotels in Nairobi have been closed down indefinitely in the wake of cholera outbreak.
The two hotels are said to have offered catering services at events where participants were later hospitalised after developing cholera-related symptoms.
The minister further said 12 counties have been affected by the outbreak with Nairobi and Garissa, in the northeast, being the worst hit.
Republic of Kenya Ministry of Health
The National Government through the Ministry of Health is concerned with the increasing incidences of food borne diarrheal, poisoning and cholera in different towns and cities in the country, often related to public functions and outsourcing of food. So far 336 cases with related signs and symptoms; and 3 deaths have been recorded by the Nairobi County since May 2017.
Today, The Coca-Cola Africa Foundation (TCCAF) celebrated the launch of a partnership with Amref Health Africa that will sustainably improve the health and enable the economic empowerment of more than 500,000 people living in communities in Ethiopia, Kenya, Tanzania and Uganda through improved access to safe water and sanitation as well as economic empowerment through income generating opportunities.
In Somalia there are unfavourable prospects for this year's main Gu crops, after the Gu rains were late and poorly distributed over most areas of the country. In the Lower Shabelle region, the main maize producing area, seasonal rainfall was about 50 per cent belowaverage with drought conditions currently affecting up to 85 per cent of the cropland.
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. WHO AFRO is currently monitoring 37 events: three Grade 3, six Grade 2, seven Grade 1, and 21 ungraded events.
The drought impact is particularly severe in Isiolo and parts of Wajir (West and South), Turkana and Tana River counties.
Nutrition surveys undertaken in June 2017 in Turkana indicate a deepening nutritional crisis compared to 5 months ago, with 3 of the 4 sub counties reporting acute malnutrition of greater than 30% and severe acute malnutrition ranging from 6-12%.