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)
In East Africa, DEC aid agencies are working around the clock to respond to the deepening crisis caused by ongoing conflict and drought. While lives are being saved, the number of those in need of humanitarian assistance is increasing due the severity of the crisis – from 22 million people across South Sudan, Somalia, Kenya and Ethiopia three months ago when the DEC appeal launched to 23 million today.
Market Day Held in Dadaab
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African region. WHO AFRO is currently monitoring 40 events: three Grade 3, seven Grade 2, five Grade 1, and twenty five ungraded events.
UN and AU host High-Level Partnership Mission to the Horn of Africa in June, garnering increased donor commitments for droughtaffected countries
Compared to the 2010/2011 drought in East Africa, FEWS NET reports the 2016/2017 drought is more widespread but less severe
• Out of 37,096 children under 5 years screened for acute malnutrition in nine counties in the month of May 2017, 7% were identified as severely malnourished and 25.4% as moderately malnourished with all referred and admitted for treatment.
• Between January and May 2017, a total of 42,579 children have been admitted for treatment of severe acute malnutrition in ASAL, urban and refugees, reaching 51% of UNICEF’s 2017 target.
South Sudanese arrivals in 2017, based on field reports as of 31 May
Total South Sudanese refugees as of 31 May 2017 (pre and post Dec 2013 caseload and new arrivals)
Refugees in South Sudan (31 May)
Internally Displaced People (IDPs) in South Sudan, including 230,482 people in UNMISS Protection of Civilians site
Somalia: The significant reduction of rainfall across Somalia in the first week of June marks a possible end to the Gu rainy season. The reduction of rainfall within the Juba and Shabelle River basins in Ethiopia and Somalia has led to decreasing river levels which are expected to stabilize in the coming week.
Cholerae outbreak ongoing with the first confirmed case identified on 22nd May 2017.
8 of first 20 samples cultured Vibrio Cholerae inaba 01 with sensitivity results guiding drug use.
115 patients linelisted to date.61 in Kakuma linelist and 54 in the Kalobeyei linelist.
This last week has seen only 25 additional patients from previous week.7 from Kakuma;26 from Kalobeyei and 2 from host community.
Inconsistent rainfall, extreme heat, flooding, and low crop yields have led to severe food insecurity for more than 20 million people in east Africa. In response, the American Red Cross has contributed $650,000 to help people struggling to feed their families in two countries, Kenya and South Sudan. The financial contribution is aiding local Red Cross teams in their efforts to save lives.
“My crops were last full four years ago,” says Adumasu Lulalu, one farmer affected by the severe drought. “Since then, there has been almost nothing. It comes and goes.”
The Regional Director is pleased to present this report on the work of WHO in the African Region for the period October 2015 to June 2016. The report outlines the significant achievements made under the six categories in the 12th General Programme of Work in supporting Member States in the African Region in health development. It reflects contributions from WHO country offices and the Regional Office, including the three Intercountry Support Teams.
(Nairobi, 13 June 2017): International partners have made financial pledges in support of humanitarian response efforts in the drought-hit Horn of Africa after a visit to Ethiopia,
Somalia and Kenya.
A delegation led by the African Union and the United Nations concluded a five-day visit to the Horn of Africa in Nairobi, Kenya on Tuesday, after visiting drought-affected communities in Ethiopia and Somalia. It included representatives from Kuwait, Saudi Arabia, South Africa, the African Development Bank, the USAID Office of Foreign Disaster Assistance and the World Bank.
Cholerae outbreak ongoing with the first confirmed case identified on 22nd May 2017.
4 of first 8 samples cultured Vibrio Cholerae inaba 01 with sensitivity results guiding drug use.
90 patients linelisted to date. 55 in Kakuma linelist and 35 in the Kalobeyei linelist
2 CTCs operational with
a) Kalobeyei CTC run by Kenya Red Cross -7 patients currently admitted.
b) Kakuma 4 CTC run by the IRC - 4 patients currently admitted
No mortality reported to date
• Prices of basic food commodities have soared with overall inflation for the month of May 2017 reaching a five-year high of 11.7 per cent1 adversely affecting the purchasing power of drought affected population.
• During the first half of May, 7,200 children under 5 years of age were screened for acute malnutrition in six counties (Baringo, Marsabit,
Samburu, Turkana, West Pokot and Kajiado). Of those screened 7.6% were identified as severely malnourished and 20.8% as moderately malnourished with all referred and admitted for treatment.
A. KEY MESSAGES
Recent rains have increased the risk of cholera / acute watery diarrhea (AWD) spreading as people collect unsafe water
A cholera/AWD outbreak across the region has already affected more than 67,000 people
Children are at the biggest risk of contracting cholera/AWD as they have weaker immune systems
The hunger crisis further increases children’s risk of contracting cholera/AWD as lack of nutritious food further weakens children’s ability to fight diseases
The regional consensus climate outlook for the June to September 2017 rainfall season indicates that most of Somalia, Kenya, and southern Ethiopia will remain dry. Ethiopia’s Afar region and southwestern Uganda will likely experience near normal to below normal rains. Normal to above normal rainfall is expected across central and western Ethiopia, northern Kenya and central Uganda; while northern Ethiopia, parts of northern Uganda, coastal Somalia, coastal and western Kenya will likely experience above normal rainfall and floods.
FEWS NET projects elevated risk of Famine in Somalia, despite mitigating impact of humanitarian assistance
UN releases revised 2017 HRP for Somalia, requesting $1.5 billion to respond to humanitarian needs through December
USG announces more than $64 million in new humanitarian assistance for Somalia and Somali refugees in the Horn of Africa
Six per cent of the 42,017 children screened during the reporting period were identified as severely malnourished and over 29.4 per cent as moderately malnourished, in Turkana, Marsabit, Wajir, Isiolo, Kilifi and Laikipia counties.
From January to April, a total of 23,700 children with SAM and 51,537 children with MAM have been admitted for life-saving nutrition treatment.
Highlights - The nutrition situation remains of concern across Kenya’s northern pastoralist and southeastern marginal agricultural areas. Surveys conducted in January and February report a Global Acute Malnutrition rate of up to 30 per cent in three sub-counties.
Depressed rainfall is reported over most of the country, especially eastern areas, during the March to May long rains season.
The long rains assessment is scheduled for the end of June and may lead to a revision of the Kenya Flash Appeal.
Heavy Flooding in Dadaab