Haiti: Cholera Outbreak - Oct 2010Ongoing
Since the emergence of cholera in Haiti in October 2010, the Ministry of Public Health and Population recorded 719,377 suspected cases and 8,767 cholera-related deaths as of 30 Nov 2014. Despite severe infrastructure and financial constraints, concerted Haitian and international efforts have succeeded in drastically reducing the number of reported cholera cases in Haiti – down from a peak of over 350,000 reported cases for 2011, to 21,916 reported cases for 2014, from 1 January to 30 November. The persistence of cholera in Haiti is mainly due to the lack of access to clean water and appropriate sanitation facilities, and although considerable improvements have been made in this regard, Haiti continues to host the largest cholera epidemic in the Western Hemisphere. Structural issues such as weak water, sanitation and health systems enable cholera, acute diarrhoea and other waterborne diseases to persist. (UNCT, 31 Dec 2014)
At the beginning of 2015, the number of suspected cases was 75 per cent higher than originally expected in the mid-term review of the 2014 Humanitarian Action Plan (i.e. 15,000). From 8 Nov to 31 Dec 2014, the total number of reported suspected cholera cases was 11 324, with 133 fatalities. This is an increase of 20 per cent compared to the same period in 2013. (ECHO, 16 Jan 2015)
Suspected cholera cases reported for January to March 2015 were above those observed in early 2012 (but lower than those reported in the first quarter of 2013). This was predominately due to large outbreaks in the metropolitan region of Port-au-Prince which then spread to other high-risk regions. According to the national authorities, 4,321 suspected cholera cases and 36 deaths were reported in January, 4,055 suspected cases and 46 deaths in February ,and 3,014 cases and 22 deaths in March. (UNCT, 31 Mar 2015)
For the period between Jan-Jun 2015, OCHA reported 17,949 new cases - a 273% increase compared with the same period last year. As of June 2015, cholera has caused 8,992 deaths since the outbreak in Oct 2010. (OCHA, 27 Jul 2015)
July 2015 saw the rise of cholera cases in the West, Centre, Artibonite and North departments. (OCHA, 31 Jul 2015)
Concern is growing about the rising numbers of cases in the department of Anse-à-Pitres, where the epidemic is spreading due to poor sanitary facilities in the south-eastern region. (GARR, 26 Nov 2015)
According to the cholera figures released by the Minister of Public Health and Population (MSPP), 36,045 cholera cases and 322 deaths were recorded from January to December 2015. This represents, in comparison to 2014, an increase of 24% in the number of cases. In the last three months (October, November, December 2015), the upward trend of cholera persisted in the North and West departments. (OCHA, 31 Dec 2015)
During the first two months of 2016, the cholera epidemic has had a stable development in relation to the outbreak recorded at the end of 2015. The number of cases increased slightly compared to the same period in 2015, but the trend is downward since mid February. Nevertheless the return of the rain could be an important risk factor. In addition, the number of deaths has increased alarmingly: 15% more compared to 2015. (OCHA, 18 Apr 2016)
As of July 2016, health officials have observed a resurgence of cholera cases in several towns, including in the departments of Artibonite, Center, Nippes, North and West. According to a report of MSPP, more than 823 alerts were recorded during the week of 17-23 July 2016, and about twenty towns are on red alert. The situation is reported to be more critical in the towns of Carrefour (109 cases), Port-au-Prince (83 cases), Tabarre (75 cases), Mirebalais (45 cases) and Verrettes (39 cases). (OCHA, 31 Jul 2016)
In October 2016, Hurricane Matthew devastated Haiti which saw an increase of cases in Grand’Anse (148 cases) , Sud (53), and North-Ouest (6 cases) , and Artibonite (28) in the aftermath. (WHO/PAHO, 11 Oct 2016)
On 14 October, the UN Secretary-General established the Haiti Cholera Response Multi-Partner Trust Fund to finance critical priorities of the new UN system approach to cholera in Haiti designed to support the country in overcoming the epidemic and building sound water, sanitation and health systems. (UN, 14 Oct 2016)
As of 24 October, 3,500 suspected cholera cases were reported to OCHA. (UNICEF, 1 Nov 2016)
The Ministry of Health, supported by UNICEF and PAHO/WHO delivered a cholera vaccination campaign in the South and Grand’Anse departments in November 2016, immunizing 807,395 individuals, including over 309,213 children aged 1–14 years. (UNICEF, 10 Jan 2017)
A new approach to cholera in Haiti was laid out in the report by the UN Secretary-General (A/71/620) published on 12 December 2016. The UN General Assembly welcomed and committed to this new approach on 16 Dec 2016.
On 6 February, the Government of Haiti and the Humanitarian Country Team (formed by the United Nations and humanitarian partners) launched an appeal for funds of US$ 291.5 million to cover the critical humanitarian needs of 2.4 million people, US$ 34.7 million of which would only be for cholera. (OCHA, 6 Feb 2017)
Cumulative data for cholera between January and 31 December 2016 recorded 41,421 registered cases and 447 deaths (OCHA, 8 Feb 2017)
UNICEF increased the number of cholera rapid-response teams from 46 nationally to 88 since the hurricane. In the 10-week period since 1 January 2017, 3,585 suspected cases of cholera have been reported compared to over 9,400 in the same period of 2016 which shows ongoing progress towards the goal of eradicating Cholera in Haiti. (UNICEF, 7 Apr 2017)
As of 31 December 2016, Haitian and international efforts have succeeded in reducing the cholera cases and fatalities in Haiti by almost 88% since the peak in 2011 (350,000 cases). From 1st January to 15 April, the MSPP registered 5,095 suspected cholera cases and 69 related deaths, in comparison to the 12,536 suspected cases and 134 deaths for the same period in 2016. This downward trend, if maintained, is an opportunity to take this year a big step towards the elimination of the transmission, in case funding is available and rapid response is accordingly intensified. (UN Country Team, 27 Apr 2017)
A total of 4,871 suspected cholera cases were reported in the first 14 weeks of 2017, including 69 deaths (a 41% and 50% decrease compared to the 116 and 139 deaths reported during the same period in 2015 and 2016, respectively). All 10 Departments of Haiti have reported suspected cholera cases. (WHO/PAHO, 4 May 2017)
As of 27 May, 2017 the Haiti Ministry of Health had reported 6,762 suspected cases, compared to 16,822 at the same time last year. The UN Secreary-General called on the Member States to help fund the 'New Approach to Cholera in Haiti. (UN Secreary-General, 14 June 2017)
The National Plan for the Eradication of Cholera (NPEC) remains underfunded, particularly the alert-response system and medical care component as regards to aspects related to physical improvement of structures. Therefore, response teams would be phased out by the end of 2017 in the absence of new funding. (OCHA, 31 May 2017)
As of 04 July 2017, the Humanitarian Funding Gap stands at $235.3M, with only $55.9M received of the $291.3M requested (OCHA, 04 July 2017)
The number of suspected cases of cholera continues to decline nationally with 7,626 cases reported up to June 30, 2017 compared to over 21,000 in the same period in 2016, and is currently at its lowest level since the beginning of the epidemic largely due to effective coordination and increased number of rapid response teams. This presents an opportunity to accelerate elimination of the disease sooner than expected. However, cholera efforts are severely underfunded. Strong financial support is necessary to maintain the current levels and further lower the number of cases. (UNICEF, 01 Aug 2017)
According to PAH/WHO, Haiti recorded 814,551 suspected cases of cholera with 9,693 deaths between October 2010 and 31 July 2017. However, since 2016, the epidemiological situation indicates a marked decrease in the transmission of the disease. According to the MSPP / DELR figures, EPI week 23 (2017) to date is officially the period with the lowest number of suspected cases ever since the outbreak of the epidemic in 2010. This situation is more remarkable given that the rainfall accumulated in April and May 2017 was equal to or even higher than the rainfall measured during the passage of Hurricane Matthew in October 2016. This positive trend was facilitated through the effective approach to cholera response in Haiti. (OCHA, 17 Aug 2017)
21 September 2017 – Addressing the United Nations General Assembly today, Jovenel Moise, President of Haiti, expressed deep commitment to the environmental targets in the global goals on sustainable development and said his island nation is seeking to build its resilience against the natural disasters and extreme weather events that consistently beleaguer its people and other countries in the Caribbean.
International Medical Corps disaster response experts in the Caribbean and Florida are already identifying pressing needs so they can provide much-needed assistance in the aftermath of Hurricane Irma. Now, with Hurricane Maria gaining strength in the eastern Caribbean, our experts are monitoring its path and preparing to respond should it be needed.
The ECDC Communicable Disease Threats Report (CDTR) is a weekly bulletin for epidemiologists and health professionals on active public health threats. This issue covers the period 10-16 September 2017 and includes updates on cholera, measles, rubella, Legionnaires' disease, West Nile virus, malaria, chikungunya, and typhoid fever.
Le Vice-Premier Ministre et Ministre des Affaires étrangères Didier Reynders a décidé d’affecter 350.000 USD au fond d’affectation spécial des Nations Unies pour la lutte contre le choléra en Haïti. Cette décision répond à l’appel contenu dans la résolution de l’Assemblée Générale des Nations Unies du 13 juillet 2017 et à l'appel à contribution aux Etats membres de l’ONU lancé le 25 juillet par le Secrétaire général des Nations Unies, Monsieur Antonio Guterres.
Deputy Prime Minister and Minister for Foreign Affairs Didier Reynders has decided to commit USD 350,000 to the United Nations Multi-Partner Trust Fund for the fight against cholera in Haiti. This decision comes in response to the appeal made in the United Nations General Assembly Resolution of 13th July 2017 and to the call for contributions made by the United Nations Secretary General, Mr Antonio Guterres, to UN Member States on 25th July.
Main conclusions and options for response
Au lendemain du passage de l’ouragan Irma, Haïti et la République dominicaine sont confrontés aux dégâts considérables provoqués dans la nuit. Les équipes d’Oxfam évalueront directement les besoins des plus vulnérables dans les zones les plus lourdement touchées, à savoir principalement le nord des deux pays.
« Nous pensons que le pire est derrière nous, et la population espère avoir échappé au pire », confiait la nuit dernière, Tania Escamilla, porte-parole d’Oxfam qui a affronté la tempête à Cap-Haïtien, la deuxième ville du pays.
Action Against Hunger urges support for extremely vulnerable communities
(NEW YORK) September 8, 2017—On Thursday evening, September 7th, Hurricane Irma—the most powerful Category 5 storm ever recorded in the Atlantic Ocean—crossed north of Haiti. Haiti is the poorest country in the Western Hemisphere.
Published: 8 September 2017
People in the Dominican Republic and Haiti are facing “the day after” Hurricane Irma, which caused widespread damage overnight. Oxfam teams will immediately asses the needs of the most vulnerable people in the heaviest-hit areas, mainly in the north of both countries.
I am waking up to battering rain. Irma is coming closer. Packing winds of 185mph, Irma is the most powerful Atlantic hurricane on record.
Alors que l'oeil de l'ouragan Irma devrait frôler ce vendredi les côtes haïtiennes et cubaines, les équipes de CARE ont été déployées dans les régions les plus menacées par les vents et les pluies.
« Nous craignons une contamination des sources d’eau potable et une résurgence du choléra. » : Karl Paul, directeur du bureau CARE en Haïti
Quelques heures avant l’arrivée de l’ouragan Irma, les tablettes d’épiceries dans le nord d’Haïti sont maintenant vides et beaucoup de résidents de la côte sont évacués à l’intérieur des terres, dans des écoles ou des bâtiments publics.
Many supermarket shelves in northern Haiti are now empty and many people in coastal areas are being evacuated inland to schools and public buildings in preparation for the worst of Hurricane Irma today and tomorrow.
Oxfam’s Tania Escamilla is in Cap Haitien – Haiti’s second city, population 280,000 – with Oxfam’s 27-person team, which is currently working with the authorities in assisting the evacuation. The government has prepared 793 temporary shelters across seven departments and, together with Oxfam and other agencies, is trying to move as many people away from the coast.
Half-a-million people could be affected even in the best-case scenario – or as many as 3 million in the worst
Many supermarket shelves in northern Haiti are now empty and people in coastal areas are being evacuated inland to schools and public buildings in preparation for the worst of Hurricane Irma today and tomorrow.