Uganda: Cholera Outbreak - May 2013
On 18 Apr 2013, the Uganda Ministry of Health reported an outbreak of cholera in the eastern districts of Hoima, Nebbi and Buliisa. Since the beginning of 2013 the cumulative number of cases reported from the cholera affected districts has reached 216 cases and seven deaths. The overall case fatality rate nationally from these districts stands at 3.2%. It is estimated that 217,350 persons (38,128 households) in the affected sub-counties are at high risk of cholera infection during this outbreak, with a wider population of 900,500 people in the districts also seen as at risk due to the high mobility of people in the area. Many of the affected communities are fishing communities where lack of clean water coupled with poor sanitation and hygiene practices have contributed to the outbreak and spread of the disease. (IFRC, 15 May 2013)
This DREF operation enabled URCS to expand on its intervention and complement with enhanced awareness raising activities. The operation contributed to increased public awareness about cholera (signs and symptoms, transmission risk factors, actions for suspected cases, its prevention and control measures) for 900,500 people at risk in the affected districts. The intervention also contributed to improve early detection, reporting and referral of suspected cholera cases through community based disease surveillance mechanisms. In addition, the response improved access to safe water and awareness around sanitation and hygiene practices for 4,000 vulnerable families (18,700 people) in the affected areas, specifically around hand washing practices, use of latrines, drinking of aqua safe treated or boiled water.
A preliminary final report was issued on 2 June 2014 pending the final financial report which is now available. A balance of CHF 8,968 at the close of the operation will be returned to DREF. This final report contains a detailed outline of the activities implemented during the timeframe of the operation. (IFRC Final report, 19 Feb 2015)
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KAMPALA — 28/04/2016 — The districts in Eastern Uganda have continued to report Cholera cases with Namayengo and Butaleja being the most affected. On average, each of these disctricts has been registering up to four cases daily. The neighbouring districts of Busia, Sironko, and Kibuku have also reported cases. The country is currently experiencing heavy rains which are likely to result in floods and contamination of water sources because of poor hygiene and sanitation, and high water table in certain districts. This will favour the spread of the outbreak to other parts of the country.
Disease Outbreaks Cholera in Hoima District:
Summary: CHF 184,804 was allocated from the IFRC’s Disaster Relief Emergency Fund (DREF) on 30 August, 2013 to support the Ugandan Red Cross national society (URCS) in delivering assistance to some 900,500 beneficiaries.
The South Sudan Refugee Emergency Revised Regional Response Plan was launched on 11 July in Geneva and in Nairobi on 15 July. Governments, UN agencies and NGOs attended both events. The plan requests for US$658 million to provide protection and assistance to 715,000 refugees until the end of the year in a “most likely” scenario.
Summary: CHF 184,804 was allocated from the IFRC’s Disaster Relief Emergency Fund (DREF) on 30th August, 2013 to support the Ugandan Red Cross national society (URCS) in delivering assistance to some 900,500 beneficiaries.
The Uganda Health Sector Strategic and Investment Plan (HSSIP) (2010/11-2014/15) is the key Ministry of Health document to guide the health sector. It is the sector’s comprehensive national plan and provides the guiding framework for the detailed planning and implementation of health sector activities. It includes 26 core indicators and many of those have a baseline for 2010 or earlier, and a target for 2015.
The Health Sector Strategic and Investment plan (HSSIP) 2010/11-14/15 provides the overall strategic and implementation framework for the health sector priorities. It was intended to be implemented under five (5) major Strategic Objectives: 1) Scale up critical interventions 2) Improve access and demand 3) Accelerate quality and safety improvements 4) Improve efficiency and budget effectiveness and 5) Deepen Health Stewardship. A Mid Term Review of its implementation was carried out in line with the M&E Framework.
In this issue, a general overview of outbreaks that occurred within the WHO African Region between January and October 2013, as well as the ongoing outbreaks as reported by Member States is provided.
Overview of reported outbreaks in WHO African Region
Snapshot 16-23 September
Snapshot 09 – 16 September
In Syria, heavy fighting continues, with air-strikes on opposition controlled areas in Damascus and on-going offensives in Aleppo, Rural Damascus, Idleb, Homs and Al-Hasakeh. Meanwhile, after three days of talks in Geneva, US Secretary of State John Kerry and Russian Foreign Minister Sergei Lavrov reached an agreement on a disarmament proposal under which Syria’s stockpiles of chemical weapons are to be eliminated by mid-2014. The Syrian Minister for Information has indicated that Syria will abide by the terms set out in the plan.
Snapshot 02 – 09 September
In Syria, intensive fighting continued in Aleppo, Ar-Raqqa, Rural Damascus and Homs. Intensive clashes which ignited at the start of the month between Government and opposition groups in the governorate of Lattakia appeared however to have ceased. At the start of the week, the US warned that a military strike against Syria was imminent, following the alleged use of chemical weapons near Damascus on 21 August. By the end of the week, President Obama indicated that he would seek congressional approval of the Congress before undertaking such an action.
In this issue, a general overview of outbreaks that occurred within the WHO African Region between January and July 2013 is provided as well as a summary of ongoing outbreaks as reported by Member States.
Overview of reported outbreaks in WHO African Region
In Syria, fighting continued in Aleppo, Al-Hasakeh, Dar’a, Damascus, Deir-ez-Zor, Hama, Homs, Idleb, Rural Damascus and Quneitra. A large-scale chemical weapons attack in Ghouta killed hundreds of people, according to opposition groups that blamed the Government on 21 August. After some delay, Damascus allowed UN inspectors to visit the site of the alleged chemical attack while denying being behind the assault. Meanwhile, over 1.9 million Syrians have been registered with UNHCR or are awaiting registration in neighboring countries.
Snapshot 12 – 19 August
In Syria, fighting between governmental forces and opposition groups has been concentrated in Aleppo, Deir-ez-Zor, Homs, Lattakia and Rural Damascus this week. Meanwhile, infighting is ongoing within the opposition. As during previous weeks, FSA forces have clashed with Islamist opposition groups on multiple occasions while Kurdish groups continued to fight with Islamist groups in the north of the country. The mass influx of Syrian refugees to neighbouring countries is ongoing. As of 19 August, over 1.9 million Syrians had fled the country.
In Syria, large-scale fighting between opposition and Government forces has been reported across Al-Hassakeh, Ar-Raqqa, Homs, Aleppo, and especially Lattakia and Damascus governorates. Increasing strife between combatants of the FSA and al-Qaeda affiliated Islamic fighters continue to also be reported, especially around Aleppo and its countryside. In addition, as clashes increased between Kurdish armed groups and fighters of the ISIS, the President of Iraqi Kurdistan openly floated the idea of staging an intervention in Syria to support fellow Kurds.
In Syria, Government forces are advancing in Homs and expected to retake opposition-held districts in the short-term, while operations have been ongoing in other major cities, including Aleppo and Damascus. Meanwhile, infighting within opposition forces is spreading between various armed groups. Clashes are continuously reported between Kurdish fighters and al-Qaeda affiliated Islamists near the border with Turkey in Al-Hassakeh and Ar-Raqqa governorates.
Snapshot 22– 29 July
In Syria, despite the start of the Holy Month of Ramadan on 9 July, large-scale operations have been ongoing in several major cities, including Damascus, Homs, Aleppo, and Idlib with regime forces pushing to extend the gains obtained over the past weeks with support of the Lebanese Hezbollah fighters. Infighting within opposition forces has escalated in recent days with clashes reported between various Islamist and more moderate groups, notably between Kurdish fighters and al-Qaeda affiliated Islamists near the border with Turkey in Al-Hassakeh governorate.