Madagascar

This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 45 events in the region. This week’s edition covers key new and ongoing events, including:

• Marburg in Uganda

• Monkeypox in Nigeria

• Plague in Madagascar

• Dengue fever in Burkina Faso

• Cholera in the Democratic Republic of the Congo

• Cholera in Tanzania.

A. Situation analysis

Description of the disaster

A plague outbreak in Madagascar has raised concern in neighbouring countries. As of 12 October, a total of 684 cases (suspected, probable and confirmed) including 57 deaths (CFR 8.3%) have been reported from 35 out of 114 districts. Of these 474 were clinically classified as pneumonic plague.

SITUATION GENERALE DE LA PESTE A MADAGASCAR

BILAN

La remontée des informations provenant du Ministère de la Santé publique montre :
- Total des malades guéris depuis le 1er Août : 689, dont 37 guéris de ce jour ;
- Total des malades en cours de traitement : 225 ; Nouveaux cas de ce jour 29

ACTIVITES ENTREPRISES

SITUATION GENERALE DE LA PESTE A MADAGASCAR

BILAN

La remontée des informations provenant du Ministère de la Santé Publique montre :

• Total des malades guéris depuis le 1er Août : 652, dont le nombre de personnes guéries ce jour : 33
  
• Total malade sous traitement : 238 ; dont nouveaux cas 40
  
• Nombre de décès ce 20 octobre 2017 dans tout Madagascar : 2

ACTIVITES ENTREPRISES

Highlights

• On October 4 the Government launched its response plan, mobilizing community authorities and civil servants, reducing large gatherings, and temporarily closing schools – currently until early November.

1. Situation Update

18 OCTOBRE 2017 | VICTORIA, SEYCHELLES - Des tests effectués le mardi 17 octobre par un laboratoire partenaire de l’Organisation mondiale de la Santé à Paris sur des échantillons provenant de cas suspects de peste pulmonaire aux Seychelles ont donné des résultats négatifs.

Du vendredi 20 octobre 2017 au vendredi 20 octobre 2017

SITUATION GENERALE DE LA PESTE A MADAGASCAR

Actuellement, 39 Districts qui se trouvent dans 17 Régions de Madagascar sont touchés par l’épidémie de la peste.

Ce jour, il a été notifié 911 cas dont : 612 de formes pulmonaires, 175 de formes buboniques et 124 non précisés.

Le bilan général fait état de : 554 personnes qui sont déjà guéries et sortis de l’hôpital, 262 personnes en cours de traitement et 95 décès.

A. Situation analysis

Description of the disaster

A plague outbreak in Madagascar has raised concern in neighbouring countries. As of 12 October, a total of 684 cases (suspected, probable and confirmed) including 57 deaths (CFR 8.3%) have been reported from 35 out of 114 districts. Of these 474 were clinically classified as pneumonic plague.

The Madagascar Ministry of Health (MoH) reported caseload on 16 October was 805 (confirmed and suspected) with 74 deaths.

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Points importants

Reprise de la saison pesteuse plus tôt qu’habituellement : 01 août 2017.

Cas de peste en dehors des foyers connus et cas majoritaire de peste pulmonaire dans des zones urbaines (Antananarivo, Toamasina).

Depuis le 27 septembre, 2206 tests de diagnostic rapide (TDR) ont été distribués par l’IPM dont 205 à Toamasina, 806 dans les Centres hospitaliers d’Antananarivo et 367 au Service Peste du Ministère de la Santé Publique.

(excerpt)

**Madagascar

Antananarivo/ Geneva, 19 October 2017— The Secretary General of the International Federation of Red Cross and Red Crescent Societies (IFRC), Elhadj As Sy has appealed for international support for Madagascar’s plague response, at the end of an emergency visit to the Indian Ocean island nation.

A. Situation analysis

Description of the disaster

Tamatave – Médecins Sans Frontières (MSF) has begun working with local authorities to tackle an outbreak of pneumonic plague in the port city of Tamatave on the east coast of Madagascar.

MSF’s international medical personnel are supporting staff from the Malagasy Ministry of Health to provide treatment to the patients currently hospitalised in the plague triage and treatment centre. The specialised centre was built earlier this week outside the city’s hospital by international partners, including MSF.

Highlights

• Thirty-five districts have been affected; of which 6 districts have not recorded new cases for the past 15 days.

• A total of 610 cases have been recorded with 63 deaths. The capital Antananarivo is the most affected with 347 cases and 30 deaths.

• The case fatality rate has stabilized at around 10 per cent. About 68 per cent of all cases have been pneumonic.

• On 12 October 2017, 61 new cases were treated, including 42 in Antananarivo Renivohitra.

• According to WHO's report of 17 October, between 1 August and 15 October, 849 cases (suspected, probable and confirmed) have been recorded, including 67 deaths. The case fatality rate is 7,9%. Of the 849 reported cases, 9,2% were confirmed, 35% classified as probable and 55% remain suspect. Of these, 568 cases (67%) were clinically classified as pneumonic plague, 155 (18,3%) as bubonic plague. At least 39 healthcare workers have contracted plague since the beginning of the outbreak.

Food insecurity outcomes to worsen for households in cereal deficit parts of the region in the coming months

Key Messages