Africa weekly emergency situation update Vol. 2, No. 6
The joint military operations (DRC and Rwanda) are still on-going. Cholera outbreak in Zimbabwe is still of big concern for the humanitarian community. The Health and WASH clusters have revised the latest scenario and appealed last week for global mobilization to fight the killing disease.
- Angola: The cholera outbreak is still ongoing. As of February 1st, 273 cases and 1 death were notified. Three provinces are affected. WHO is supporting the MoH for the response.
- CAR: Some 10,000 people mostly women and children - are stranded in a remote area of southern Chad, having fled renewed fighting in northern CAR. Donations of food aid and plastic sheeting and other emergency supplies are on their way for assistance. **
- Chad: The security situation in the East is calm. New influx of refugees in the region of Salamat from the Central African Republic following fighting between armed groups. The number is estimated at 10,000 people. WHO is participating to a needs Assessment led by an interagency committee. Measles suspect cases, the trend is increasing: in week 5, a total of 76 new cases reported in eastern Chad*.
- DRC: On-going military operations against the FDLR, following the bilateral agreement between the DRC and Rwandan. Cholera outbreak in South Kivu, 253 new cases with 5 deaths notified in week 5. Since week 1, a cumulative 1,271 cases with 13 deaths have been notified. The Ebola outbreak in Kasai Occidental is also ongoing with 50 suspected cases and 15 deaths (CFR: 30%), 9 cases have been confirmed*.
- Ethiopia: The multi-agency assessment conducted in 2008 showed that a total of 4.9 million beneficiaries required emergency assistance in 2009. Major findings indicate favourable food security prospects in the western Maher crop producing areas. However, People living in some areas of the eastern half of the country are expected to face food deficits. Seven suspected cases of meningitis have been reported from Oromia Zone of Amhara Region and samples have been collected for laboratory confirmation.
- Liberia: Four West African nations have joined forces to fight against a species of caterpillars laying waste to crops in the region. The agriculture ministers from Liberia, Guinea, Sierra Leone and Ivory Coast have created a team to look into the threats created by the worms. Up to 20,000 people in Liberia have fled their villages**.
- Madagascar: On-going political violence in the country. At least 43 people were killed (unofficial) and 243 other wounded during a clash between demonstrator and the police on the 7th of Feb. 2009*. WHO is supporting the mass casualty management and is leading the health sector coordination through the health cluster.
- Mozambique: Ongoing Cholera outbreak in 10 out of 11 provinces. Since week 1, a total of 3,592 cases and 25 deaths were reported*. WHO and partners are supporting the MoH for surveillance and response activities. Torrential rains hit Maputo and Matola cities on 3rd February 2009. Approximately 459 households were affected and moved to temporary locations established by the local authorities.
- Zimbabwe: The cholera outbreak has now affected all provinces. As of February 9th, 70, 643 cases and 3,467 deaths (CFR: 4.9%) have been reported*. On the 30th January, WHO called for urgent intensification of Global, national efforts to control the outbreak.
Countries Under Surveillance
- Guinea: The security situation remains calm but still precarious. On-going Yellow Fever vaccination campaign in the Prefecture of Faranah. High suspicion of Yellow Fever outbreak in Conakry. WHO is supporting the investigation by the MoH.
- Kenya: The cholera outbreak in Nyanza province has spread to two new districts and now affecting five districts. 300 cases and 13 deaths have been reported. Confirmed cholera outbreak is reported from a refugee camp in Dadaab, 9 cases were reported with no deaths. Kala azar outbreak; since January 2009, 44 new cases with no deaths have been reported from 3 districts*. WHO with financial support from the Government of Italy has donated emergency drugs and supplies to assist the victims of the two major fire outbreaks in the country that killed over 140 and injured 100 people last week.
- Niger: The trend of meningitis outbreak is increasing. In week 5 a total of 633 cases with 29 deaths were reported (CFR: 4.6%). Four districts are so far affected, Gaya (in epidemics), Keita, Magaria and Matameye (in alert). WHO is supporting surveillance and the development of response plan.
- Nigeria: Suspected cholera in Kano States between 26 January and 7 February 2009, a total of 262 cases with 18 deaths have been notified (CFR: 6.9%)*. WHO is supporting the MoH for Case management, contact tracing and health education activities.
- Togo: On-going suspect meningitis cases in the district of Haho. The Ministry of Health has now reported noted 46 cases with 9 deaths (CFR: 19.6%)*. Specimens have been sent to Institute Pasteur Dakar for further testing with the support of WHO.
- Uganda: The security situation in Acholi, Lango and Karamoja sub-region is calm after the LRA "revenge" attacks that displaced about 8,000 people. No new case of meningitis reported this week. WHO supported for case management.
- Cholera outbreaks: Cholera outbreaks in the region. South Africa: 4,859 cases and 34 deaths from 15 Nov 08 to 20 Jan 09 and Zambia: 3,035 cases and 43 deaths from 10 Sep 08 to 27 Jan 09.
For more information please contact: Dr Omar Khatib, Programme Manager, EHA/AFRO email: email@example.com
Sources: *WHO (HAC/EHA country FP, WHO/AFRO), ** International Humanitarian press and other partners