DR Congo: Cholera and Measles Outbreaks - Jan 2013Ongoing
While the last major cholera outbreak in DR Congo's western provinces was in 2011, cholera is endemic in the eastern provinces, which experienced a resurgence of cases starting in July 2012. Over the course of 2013, ongoing violence and displacement in North and South Kivu, Katanga and Orientale provinces limited access to health care and life-saving vaccination services. Between January and September, more than 21,000 cases of cholera and 376 deaths were recorded with 99% of these cases in the eastern provinces. During the same time frame, more than 74,299 cases of measles and 1,160 deaths had been reported. (WHO, 31 Oct 2013)
In 2013, Katanga was the most-affected province with 13,726 cholera cases and 348 deaths, compared to 6,930 cases and 223 deaths in 2012 (OCHA, 15 Jan 2014). On 7 Dec 2013, the governor of Sud-Kivu officialy declared a cholera epidemic outbreak. More than 6,200 cases had been reported since the beginning of the year. (OCHA, 11 Dec 2013) Country-wide, a total of 26,440 cases of cholera were reported in 2013 (UNICEF, 28 Jul 2014).
Between 1 Jan and 1 Dec 2013, 86,264 measles cases and 1,372 deaths were recorded (WHO, 20 Dec 2013).
By the end of July 2014, 10,551 cholera cases had been reported - almost half the number of cases reported during the same time in 2013 (19,032) (UNICEF, 28 Jul 2014). By October, the total number of cholera cases in 2014 stood at just over 14,000, compared to just over 21,000 in 2013 (UNICEF, 20 Oct 2014). By then end of 2014, a total of 19,305 cases had been recorded (UNICEF, 29 Jan 2015).
During the first 14 weeks of 2015, 5,030 new cased had been reported, compared to 6,499 cases during the same period in 2014 (UNICEF, 2 May 2015).
Since the beginning of the year, 19,705 cases have been reported in DRC. As of 29 November, the following provinces had reported cases: South Kivu (4,906), ex-Katanga (4,565), Maniema (3,971), North Kivu (3,294) and ex-Oriental (2,969). A high number of cases are still reported in the province of South Kivu where the situation is particularly worrying because of the presence of camps hosting refugees from Burundi. Furthermore, there are concerns that the epidemic in Maniema could spread to other provinces of the country as observed during the 2011 cholera epidemic when areas of Kinshasa were also affected. (WHO,15 Dec 2015)
This Emergency Appeal operation shall contribute to the fight against yellow fever, cholera and measles epidemics in the Democratic Republic of Congo (DRC) by supporting social mobilization during the yellow fever vaccination campaigns organized by the Government and its partners, as well as carry out vector control activities and surveillance for yellow fever, cholera and measles. The operation is due to end in January 2017. (IFRC, 21 Jul 2016)
The protracted outbreak of cholera in the Democratic Republic of Congo (DRC) is still going on unabated ... The situation has continued to worsen with numerous pockets of outbreaks occurring along the Congo River. During week 14 (week ending 9 April 2017), 321 new cases including 10 deaths (case fatality rate of 3.1%) were reported across the country. This shows a minimum reduction compared to 469 cases and 18 deaths (case fatality rate of 4.05%) reported in week 13 (week ending 2 April 2017). Since the beginning of the year up to 15 April 2017, a total of 9,160 cases including 315 deaths (case fatality rate of 3.4%) have been reported. Meanwhile in 2016, a total of 29,352 cases, including 817 deaths (case fatality rate of 2.8%) were notified nationwide. With these, the cumulative number of cases and deaths reported since onset of the outbreak is 38,511 cases including 1,419 deaths (case fatality rate of 3.68%). In 2017, the provinces of Tanganyika, South Kivu, Ecuador, Maindombe, Central Kongo, and Tshopo have been the most affected. (WHO, 25 Apr 2017)
Points principaux de la situation au Kasaï
This publication reports on measles based on surveillance data from 1 January 2016 to 30 June 2017 and epidemic intelligence up to the first week of September 2017. For rubella, the report covers surveillance data from 1 July 2016 to 30 June 2017.
• EU/EEA countries reported more than 14 000 measles cases including 34 deaths attributed to measles from 1 January 2016 to end of June 2017 (source: the European Surveillance System - TESSy and the National Institute of Public Health in Romania).
The ECDC Communicable Disease Threats Report (CDTR) is a weekly bulletin for epidemiologists and health professionals on active public health threats. This issue of the ECDC Communicable Disease Threats Report (CDTR) covers the period 8-14 October 2017 and includes updates on Legionnaires' disease, influenza, rubella, measles, West Nile fever, chikungunya, cholera and plague.
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 44 events in the region. This week’s edition covers key new and ongoing events, including:
Wildlife anthrax in Namibia
Cholera in Zambia
Plague in Madagascar
Dengue fever in Burkina Faso
Humanitarian crisis in the Democratic Republic of the Congo
Humanitarian crisis in South Sudan.
Violence in DRC continues to generate population movement, critical humanitarian needs
Heavy rainfall and resultant flooding in South Kivu results in 12 deaths, nearly 20 injuries, and an estimated 90 missing persons
• 1 September, 2017: The Back to School Campaign was launched throughout the country, and 55,951 school-aged children targeted by the campaign will receive school materials in the Greater Kasai region.
• 19-22 September 2107: A Peace Conference on the Kasai crisis led by President Joseph Kabila and the Governors of 5 provinces in Greater Kasai was held in Kananga (Kasai Central); MONUSCO and UN Agencies were invited.
Environ 31 250 réfugiés ciblés par l’assistance du PAM en octobre.
Plus de 369 000 personnes déplacées internes enregistrées au troisième trimestre.
Aperçu de la situation
Baisse des activités humanitaires dans le Territoire de Fizi à cause de l’insécurité
Nouveau foyer de choléra dans la zone de santé de Katana
Aperçu de la situation
Nigeria : l’épidémie de choléra qui a éclaté à la semaine 33 dans l’Etat Borno est très active. A la fin de la semaine 36, les services de santé ont rapporté 1 626 cas dont 40 décès pour les 4 Local Government Area (LGA): Jere et MMC, Dikwa, et Mongonu. 53,6% des cas enregistrés sont des enfants de moins 10 ans. A ce sujet, la plateforme régionale choléra conseille de privilégier les analyses épidémiologiques (investigations des contextes de transmission, cartographie des foyers, …) pour mieux orienter et cibler la réponse qui permettra le contrôle rapide de l’épidémie.
1,355,764 refugees are being hosted by Uganda as of end August. 61 percent of the refugees are children under 18 years of age and 82 percent are women and children. Of the total, 1,021,903 people are refugees from South Sudan.
The second rainy season reached its peak in the month of September in most parts of the country causing destructive flooding, landslides, wind and hailstorms affecting plantations, crops and displacing people in the 13 affected districts.
- Réfugiés burundais et lutte contre le choléra, victimes de l’insécurité dans le Territoire de Fizi
Aperçu de la situation
- Le choléra, au-delà de capacité des acteurs humanitaires dans le Haut-Lomami
- Le PAM lance un projet de prévention de la malnutrition à Pweto
Aperçu de la situation
Deux mois après la déclaration officielle de choléra dans la province du Haut-Lomami, huit des 16 zones de santé sont actuellement touchées par la maladie. Plus de 3 084 cas suspects ont été rapportés, du 01 janvier au 24 septembre 2017, et plus de 60 personnes en sont mortes (près de 2% de létalité).
- Plus de 30 000 personnes déplacées dans des conditions précaires en territoire de Nyunzu
- La rentrée scolaire difficile pour des milliers d’enfants
- Le cholera toujours à hausse dans la province du Tanganyika.
Aperçu de la situation
More than 102,814 cholera / AWD cases and 1551 deaths (Case Fatality Rate: 1.5%) have been reported in 11 of 21 countries of Eastern and Southern Africa Region (ESAR) since the beginning of 2017. These countries include; Angola, Burundi, Kenya, Malawi, Mozambique, Rwanda, Somalia, South Sudan, Tanzania, Zambia and Zimbabwe. Somalia accounts for 76.6% of the total cases reported in 2017, followed by South Sudan at 15.9%.
The Global Early Warning – Early Action (EWEA) report on food security and agriculture is developed by the Food and Agriculture Organization of the United Nations (FAO).
The report is part of FAO’s EWEA system, which aims to translate forecasts and early warnings into anticipatory action.
In August, some 2,100 newly arrived Burundian refugees and asylum seekers were recorded in the region. The largest number was recorded in Uganda with 806 newly registered Burundian refugees.
Following a ministerial tripartite commission in Dar-es-Salaam on 31 August 2017, modalities have been put in place to assist the voluntary return of 12,000 Burundian refugees from Tanzania until the end of 2017.
13 ex-combattants rwandais ainsi que 39 de leurs dépendants ont été rapatriés mardi 3 octobre dans leur pays d’origine, le Rwanda, par la MONUSCO. Parmi ces 13 ex-combattants, figurent deux officiers et un sous-officier, notamment un major, un capitaine et un sergent-chef.
Pour la section DDRRR, ce rapatriement est exceptionnel car il est rare que plus de 50 personnes démobilisées, viennent d’un seul groupe armé, (le FDLR) et d’un seul territoire, le Masisi.
Update on global programmes
Ending Cholera—A Global Roadmap to 2030 operationalises the new global strategy for cholera control at the country level and provides a concrete path toward a world in which cholera is no longer a threat to public health. By implementing the strategy between now and 2030, the Global Task Force on Cholera Control (GTFCC) partners will support countries to reduce cholera deaths by 90 percent. With the commitment of cholera-affected countries, technical partners, and donors, as many as 20 countries could eliminate disease transmission by 2030.