South Sudan’s Minister of Health advised partners to treat the recent rise in suspected cholera cases as a cholera outbreak, and respond accordingly. UNICEF’s Cholera Task Force is fully operational, and measures are being taken to enhance water, sanitation, and hygiene – over 100,000 liters of sewage were collected from UN House POC on 18 July. (UNICEF, 18 Jul 2016)
Cholera outbreak has been confirmed by MoH in Juba after 10 of the samples (77 per cent) tested positive for Vibrio Cholera Inaba in the National Public Health Laboratory. As of 25 July, a total of 294 suspected cholera cases including 17 deaths have been reported nationwide, with the majority reported in Juba County. An outbreak investigation team just returned from Terekeka on 25 July, where 12 cases and five deaths from suspected cholera infection have been reported. Although there has been the cut off of radio communication from Duk, Jonglei for 10 days, a team managed to visit the location by boat from Bor, where 32 cases and four deaths have been reported. In addition, two cases in Maban and one case in Torit have been reported respectively. Rain is exacerbating the situation, undermining sanitation efforts and threatening to further the spread of cholera. (UNICEF, 25 Jul 2016.)
As of 26 July 2016, a total of 391 cholera cases including 17 deaths have been reported in South Sudan, since the initial case was reported by the Ministry of Health (MoH) and World Health Organization (WHO).(IFRC, 1 Aug 2016)
As of 20 October 2016, a total of 2,539 cholera cases have been reported with 38 deaths. Although epidemic curve has gone down, interventions continued on social mobilization, water treatment and water tracking in Juba and Torit. The outbreak has now extended to Nimule, Awerial and Bentiu POC location. (IFRC, 24 Oct 2016)
As of 17 November, communities along the River Nile are worst affected and account for 91 per cent of reported cholera cases. A total of 2,874 cases and all 44 deaths from the outbreak have been reported from eight counties straddling the River Nile: Awerial, Duk, Fangak, Juba, Leer, Pageri, Pigi and Terekeka. Rubkona is the only county affected by the outbreak that is not along the Nile. Juba has the highest number of cases (1,990 - 63 per cent of the total), while Terekeka has the highest case fatality rate. (OCHA, 21 Nov 2016)
As of 10 February 2017, cholera outbreaks have been confirmed in 12 (28%) of 32 states nationwide. Cumulatively, 4,935 cholera cases including 97 deaths (48 facilities and 49 community) (representing a case fatality rate of 1.97%) have been reported in South Sudan since the initial case was reported on 18 June 2016 in Jubek state. (WHO, Govt. South Sudan, 10 Feb 2017)
• Completeness for weekly reporting was 34% IDSR sites and 68% for the IDP sites.
• Malaria remains the leading cause of morbidity in nonconflict areas and IDPs. Transmission in most counties that had experienced upsurge in cases has reduced to expected ranges.
• 10 new measles cases reported from Wau PoC during the week.
Measles IgM positive cases confirmed in Aweil South (4); Gogrial West (4); and Wau PoC (4). 7 Rubella IgM positive cases in Wau PoC.
More than one million children in war-torn South Sudan risk starvation, Save the Children is warning, as a famine is declared in the country’s Unity State.
The latest government and Famine Early Warning Systems figures predict that 4.9 million people (nearly half the country’s population) will be in a food crisis across the country, many of them close to famine level, between now and April. This includes at least one million children. That figure is expected to jump to 5.5 million people at the height of the lean season in July.
Humanitarian organizations will target some 5.8 million people across South Sudan with humanitarian assistance and protection in 2017.
Displaced people arrive in Kodok and in Aburoc following clashes on the western bank of the River Nile in and around Wau Shilluk.
Displacement, loss of property and violations against civilians reported by people displaced by fighting in parts of Nasir.
• Intense fighting along the west bank of the Nile in Upper Nile has been persistent through the first two weeks of February, resulting in the displacement of the entire population of Wau Shilluk, some 30,000 people. Currently, 16,000 internally displaced persons (IDPs) are in Renk, en route to crossing the border into Sudan.
In just over 20 years, Polish Humanitarian Action (PAH) has become one of the largest and most active non-profit humanitarian organizations based in Central Europe. Headquartered in Warsaw, PAH works around the world to reduce suffering caused by various humanitarian crises. Rooted in human rights and driven by the guiding principles of humanitarianism, impartiality, and neutrality, Polish Humanitarian Action strives to alleviate the suffering of vulnerable communities during all phases of a humanitarian crisis.
In January 2017, renewed fighting in Upper Nile and the Equatorias displaced thousands of civilians. In all, over 58,000 South Sudanese sought refuge in neighbouring Uganda in January alone, mainly from Yei, Morobo, Lainya and Kajo-Keji. In Western Equatoria, about 4,000 people fled to Yambio town and another 3,000 displaced to Makpandu, Rimenze Church and Kasia Boma following attacks on Bazungua, Bazumburo, Bodo, Gitikiri and Rimenze villages, north of Yambio town.
IOM CONSOLIDATED APPEAL PLAN
The 2017 South Sudan Humanitarian Response Plan (HRP) appeals for USD 1.6 billion to target 5.8 million people for assistance. Developed in line with the HRP and the framework of the IASC Clusters, IOM’s 2017 CAP requests USD 76,852,706. The appeal highlights emergency humanitarian assistance based on IOM’s existing capacity, focusing on the most urgent needs of the affected population.
Humanitarian needs & key figures
Over the past year, the humanitarian crisis in South Sudan has deepened and spread, affecting people in areas previously considered stable and exhausting the coping capacity of those already impacted. Three years on from the outbreak of conflict in December 2013, nearly 7.5 million people are in need of humanitarian assistance and protection across the country as a result of armed conflict, inter-communal violence, economic crisis, disease outbreaks and climatic shocks.
February 12, 2017 (RUMBEK) – 14 people have died of a Cholera-related disease in South Sudan’s Eastern Lakes state, an official said.
Minister of Health said that at least 14 people have dead in cases suspected to be cholera.
“We have 14 death cases related to Cholera in Shambe, Lang-matot and Adior,” the state health minister, Achol Marial, disclosed.
“The death record in Shambe is 7 people and 7 others were in Lang-matot, which makes the total of 14 dead people,” he added.
Completeness for weekly reporting was 45% IDSR sites and 72% for the IDP sites.
Malaria is a leading cause of morbidity in nonconflict areas and IDPs. Transmission in most counties that had experienced upsurge in cases has reduced to expected ranges.
Measles transmission is ongoing in Wau PoC where at least 59 cases were reported in week 3 of 2017.
Cholera transmission is on the decline in Northern Liech and Southern Liech.
Clashes in Upper Nile prompt IOM to temporarily suspend relief activities
GoRSS lifts government restrictions on humanitarian activities in Panyijiar
Health actors respond to ongoing cholera and measles outbreaks
Displaced populations continue to flee to Uganda and neighboring countries
• Fighting in the vicinity of Wau Shilluk and Malakal has displaced civilians and disrupted humanitarian activities.
• More than 52,600 South Sudanese fled to Uganda in January.
• South Sudanese are likely to face extreme levels of food insecurity in an extended lean season from February to July 2017.
• After extensive negotiations, a humanitarian team travelled to the Greater Baggari area, outside Wau town.
20 January 2017, Juba, South Sudan – Public health laboratories are a critical component of communicable disease detection, prevention, and control. However, access to reliable laboratory testing remains limited in in sub-Saharan African countries including South Sudan.
For efficient and improved quality of laboratory service delivery, WHO South Sudan supported the Ministry of Health to harmonize and strengthen the capacity of the laboratory personnel on basic and advanced laboratory diagnostic techniques from 16 to 20 January 2017.
PEOPLE IN NEED IN 2016 6.1M
PEOPLE TARGETED IN 2016 5.1M
PEOPLE REACHED BY THE END OF Q3 2016 4.2M
Humanitarian access remains highly restricted in Greater Equatoria and southern areas of Unity, affecting the delivery of life-saving humanitarian assistance. There has been an escalation of violence in the last two weeks and heavy fighting has been recorded in the Greater Equatoria region and Upper Nile state, severely affecting civilians.
Hundreds of thousands of South Sudanese received food in 2016
Renewed violence in 2016 severely affected the lives of thousands in South Sudan. Many people lost their lives, while others were forced to flee from their homes, leaving everything behind and often losing contacts with their loved ones.
• Completeness for weekly reporting was 33% for the routine Reporting sites(IDSR) and 75% for the IDP sites(EWARS)
• Malaria is a leading cause of morbidity in nonconflict areas and IDPs. Transmission in most counties that had experienced upsurge in cases has reduced to expected ranges.
• Measles transmission is ongoing in Wau PoC where at least 72 cases were reported in week 2 of 2017.
• Active cholera transmission is ongoing but declining in Northern Liech and Southern Liech; and UN House PoC.