Kenya: Cholera Outbreak - Feb 2015
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)
Most read reports
- Four taken ill amid cholera fears in Tharaka-Nithi County
- Bulletin: Cholera and AWD Outbreaks in Eastern and Southern Africa, Regional Update for 2018 - as of 4 November 2018
- Southern Africa: An Overlay of Drinking Water Supply Systems and Number of Cholera / AWD Cases and Deaths Reported Between January and September 2017
- Southern Africa: An overlay of Sanitation Facilities and Number of Cholera / AWD Cases and Deaths Reported between January and September 2017
- Lesson learned? An urgent call for action in the Horn of Africa, January 2017
Since December 2014 to date, Kenya has experienced cholera outbreaks across 31 Counties with 17,942 total number of cases reported and 269 deaths giving a case fatality rate of 1.5%. In 2017, 18 counties have been affected by cholera, a total of 2,996 cases with 55 deaths (CFR 1.8%). Six Counties have active outbreaks; Nairobi ,Nakuru,
Kajiado, Machakos, Garisssa and Vihiga.
From 1 January to 31 August 2017, a total of 54,000 severely malnourished children (68.4% of annual target) and 102,218 moderately malnourished children (52.5% of annual target) have been admitted for treatment.
UNICEF has received USD 3.75 Million from USAID/Food for Peace to support the treatment of severely malnourished children in the reporting period.
Update on global programmes
‘The War to end Cholera’, a new report published today by WaterAid, reveals that the countries with the highest cholera burden are the same nations with the greatest number of people living without clean water and decent sanitation. WaterAid is warning that global efforts to end cholera will fail unless the world’s poorest are given the tools they need to fight the disease – clean water, decent sanitation and good hygiene.
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 49 events in the region. This week, one new event has been reported: measles in Liberia. This week’s edition also covers key ongoing events, including:
- Plague in Madagascar
- Malaria in Cabo Verde
- Cholera in Tanzania
- Cholera in Chad
- Humanitarian crisis in Cameroon
Humanitarian crisis in South Sudan
The first camp in Dadaab was established in 1991. There are 4 camps in Dadaab: Hagadera,
Dagahaley, Ifo and Ifo.
Since December 2014, Somali refugees who decide to voluntarily return to their home country, receive UNHCR support in Kenya and Somalia.
A total of 4,949 non-Somalis refugees were relocated to Kakuma. The relocation is currently suspended due to the limited absorption capacity and services in Kalobeyei.
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 46 events in the region. This week’s edition covers key ongoing events, including:
• Cholera in the Democratic Republic of the Congo
• Cholera in Nigeria
• Lassa fever in Nigeria
• Yellow fever in Nigeria
• Measles in Uganda
• Floods/mudslide in Sierra Leone
From January 2017, a total of 50,547 children (64% of annual target) and 94,851 children (48% of annual target) have been admitted for the treatment of severe and moderate acute malnutrition respectively.
During the reporting period, 31,857 people in Marsabit, Samburu and Mandera Counties gained permanent access to water through repair of boreholes. A further 81,634 gained temporary access to safe water through household water treatment.
More than 102,010 cholera / AWD cases and 1548 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 76.1% of the total cases reported in 2017, followed by South Sudan at 15.8%.
Malnutrition and Acute Watery Diarrhea (AWD)/Cholera
Long rains assessment has found that 3.4 million people are acutely food insecure, up from 2.6 million in February.
WFP reached 93,500 women and children through the treatment and prevention programmes.
WFP supported the State Department for Special Programmes to register and disburse cash to 526,000 drought-affected people.
The Ministry of Education has finalised the national school meals sustainability road map for an accelerated handover from WFP.
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 48 events in the region. This week’s edition covers key new and ongoing events, including:
• Plague in Madagascar
• Undiagnosed acute jaundice syndrome in Ethiopia
• Humanitarian crisis in Nigeria
• Humanitarian crisis in Ethiopia
• Humanitarian crisis in South Sudan
• Hepatitis E in Chad
• Malaria in Burundi
22.9 Million people affected by drought in the region
15 Million people are facing Crisis and Emergency Food Insecurity
15 million people won’t have access to safe drinking water in 2017
84,575 cases of Acute Watery Diarrhoea (AWD)/Cholera have been reported in 2017 – with 1,546 associated deaths
1.8 million people in Kenya, Somalia and Ethiopia have been displaced by drought conditions
$1.6 Billion Oxfam Horn of Africa Drought Response funding gap
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 also covers key ongoing events, including:
• Cholera in Borno State, Nigeria
• Necrotising cellulitis/fasciitis in São Tomé and Príncipe
• Humanitarian crisis in the Central Africa Republic
• Cholera in the United Republic of Tanzania
• Cholera in Chad
• Dengue fever in Côte d’Ivoire.