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Kenya: Cholera Outbreak - Feb 2015

Disaster description

Kenya reported a cholera outbreak that affected 30 of its 47 counties. The outbreak begun on 26 December 2014, in Nairobi County and was later reported in other counties with the latest being in Mandera and Tana River counties. Mandera County had also been experiencing a febrile illness presenting with joint pains that begun in May 2016...Mandera County...was the latest county to report cholera outbreak...The outbreak was first reported in March 2016, with 894 cases reported by 12 April 2016. By the end of the response, 1629 cases had been reported with 18 deaths recorded - Case Fatality Rate (CFR) of 1.1%. KRCS reached a total of 391,941 people through awareness sessions conducted in house to house visits including revisits, demonstration of hand washing and hand washing facilities. (IFRC, 31 Jan 2017)

Cholera outbreak continues in two counties – Garissa County (specifically Dadaab Refugee Complex) and Tana River County. In Dadaab, 55 cases of cholera (15 culture positive) were recorded in Dagahaley, Hagadera, Ifo 1 and Ifo 2 camps as of 29 April, while 5 new cases were recorded in Garsen and Minjila towns in Tana River County between 20 and 28 April. Majority of cases in Dadaab are linked to newly arriving refugees (from Sakow village in Somalia) and households hosting them. (UNICEF, 05 May 2017)

As of 19 June, there is an active cholera outbreak in five counties (Garissa, Nairobi, Muranga, Turkana and Nakuru) with 581 confirmed cases and seven deaths (CFR 1.2 per cent). (UNICEF, 19 Jun 2017)

From 1 January through 29 November 2017, a total of 3967 laboratory-confirmed and probable cases including 76 deaths (case fatality rate = 1.9%) were reported by the Ministry of Health to WHO. Of the cases reported, 596 were laboratory confirmed. From 1 January 2017 through 29 November, 20 of 47 counties (43%) in Kenya have reported cases. As of 29 November, seven counties continue to have active cholera outbreaks (Embu, Garissa, Kirinyaga, Mombasa, Nairobi, Turkana, and Wajir). (WHO, 11 Dec 2017)

Kenya: 181 new cases including 1 death (CFR, 0.6%) were reported in week 9 compared to 88 cases including 5 deaths (CFR, 5.7%) reported in week 8. New cases emerged from 6 Counties, namely Siaya (36), Garissa (2), Murang’a (47), Turkana (53), West Pokot (25) and Trans Nzoia (18 cases and 1 death). Cumulatively a total of 6,003 cases including 130 deaths have been reported, as from October 2016. Of these, a total of 1,704 cases and 41 deaths have been reported since the beginning of 2018. (UNICEF, 20 Mar 2018)

As of 25 June 2018, a total of 5 470 cases with 78 deaths have been reported since the 1 January 2018. During this outbreak 19 out of 47 counties in Kenya were affected. (WHO, 29 Jun 2018)

The outbreak is located in two counties, namely Wajir and Mandera Counties. As of 7 May 2018, Wajir County has reported 39 cases with 7 confirmed cases; Mandera has reported 102 cases with 4 confirmed cases and one death. Date of onset of the index case in Wajir County was on 15 December 2017. As of 4 July 2018, Mandera County has reported a second wave of Measles outbreak from Takaba Sub county. A total of 15 cases with 5 confirmed have been reported. (WHO, 6 Jul 2018)

As of 27 August 2018, a total of 5 756 cases including 78 deaths have been reported since the 1 January 2018. Since week 23, the number of cases reported has decreased. During this outbreak 19 out of 47 counties in Kenya were affected. Currently, the outbreak is active in Garissa county with the last case reported on 19 August 2018. (WHO, 31 Aug 2018)

The cholera outbreak in Kenya is considered controlled by the Ministry of Health. No new cases have been reported since 19 August 2018. As of 3 September 2018, a total of 5 756 cases including 78 deaths (CFR 1.4%) have been reported since the 1 January 2018. During this outbreak 19 out of 47 counties in Kenya were affected. The last affected county was Garissa located in the eastern part of the country. (WHO, 17 Sep 2018)

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