South Sudan: Cholera Outbreak - Jun 2015
On 23 Jun 2015, the Ministry of Health declared an outbreak of cholera in Juba County. Following the declaration, the national cholera taskforce was mandated to initiate concrete interventions for cholera prevention and control. (WHO/Govt, 22 Jun 2015) By 27 Jun, the number of cases had increased to 347 including 26 deaths (WHO/Govt, 27 Jun 2015).
The initial cases in Juba were traced back to 18 May 2015 in UN House PoC where the first cholera case was confirmed on 1 June 2015 (UNICEF, 4 Jun 2015).
In Bor, the initial cases were reported from Malou in Makuach Payam. Makuach Payam is the most affected in Bor and has registered an attack rate (cases per 10,000) of 28. (WHO/Govt, 21 July 2015)
As of 9 Sep, a total of 1,735 cholera cases including 46 deaths (CFR 2.65%) have been reported in Juba and Bor Counties. Of the 46 deaths (27 facilities and 19 communities), 11 (24%) occurred in children under five years. In Juba County, a total of 1,597 including 45 deaths (CFR 2.82%) have been reported from seven Payams. In Bor, 138 cases including one death (CFR 0.72 %) have been reported from Malou in Makuach Payam and other areas within the County. (WHO/Govt, 9 Sep 2015)
During week 40 of 2015 (28 Sept- 4 Oct 2015), two new suspect cholera cases reported from [Gorom (1) and Tongping (1)] Juba county tested negative for cholera using the direct and modified rapid diagnostic cholera test. Therefore they were discarded and not captured in the line list. (WHO, Govt, 4 Oct 2015)
On 3 Nov 2015, the Ministry of Health declared the end of cholera outbreak in South Sudan, after a period of 10 days with no reported laboratory confirmed cholera cases countrywide. (UNMISS, 3 Nov 2015)
This is the first consolidated presentation of the reported results of CERF funding, covering a full year of CERF allocations. As such, it serves as a pilot and will inform future CERF results reporting. This report was compiled on the basis of information provided by Resident Coordinators/Humanitarian Coordinators (RC/ HCs) and Humanitarian Country Teams (HCTs) in 66 consolidated reports covering the results of more than 450 CERF-funded projects.
A. Situation analysis
Description of the disaster
The first half of 2015 in South Sudan continued in the climate of conflict that started in December 2013, with low-level conflict starting up in Western Equatoria and Western Bahr el Ghazal, with May and June witnessing the most serious fighting of the year.
In 2014 and 2015, IOM teams worked tirelessly to provide humanitarian assistance to displaced and conflict-affected populations across South Sudan. Efforts focused on addressing the needs of the most vulnerable through assistance in the fields of camp coordination and camp management, health, logistics, shelter and non-food relief items, protection, and WASH.
At the sixty-eighth session of the World Health Assembly in May 2015, WHO Director-General Margaret Chan committed the Organization to creating a single, all-hazards emergency programme; to establishing a global health emergency workforce; and to raising a US$ 100 million contingency fund to enable rapid emergency response.
When a country has an outbreak of an infectious disease such as measles or cholera, a good system that can detect it early is essential to help prevent further spread, and save lives and resources.
Training health workers in disease detection
WHO is working with the Ministry of Health and partners to develop local skills and knowledge, including training more than 1300 health workers in such areas as disease detection, outbreak investigation and response.
The full implementation of this version of the HIP is subject to the adoption of the decision amending Decision C(2015) 8936 final and conditional upon the necessary appropriations being made available from the 2016 general budget of the European Union
AMOUNT: EUR 88 500 000
Description of the disaster
On 3 November 2015, 4 1⁄2 months after a cholera outbreak was declared on 23 June 2015, the Government of South Sudan, through its Ministry of Health, declared an end to the outbreak. At final tally, the emergency recorded 1,818 laboratory-confirmed cases and claimed 47 lives in Central Equatoria State and Jonglei State. Juba County in Central Equatoria was, by far, the most- affected, accounting for 89 per cent (1,622) of cases in 7 payams.
Fighting destroys humanitarian infrastructure across the country
IOM responds to urgent needs at Malakal PoC site following February violence and fire
IOM distributes 1,500 survival kits in Mundri West
Total affected population: 9.6 million
Total affected children (under 18): 5.1 million
Total people to be reached in 2016: 3.2 million
Total children to be reached in 2016: 2.2 million
Humanitarian Action for Children 2016 programme targets
- 166,222 children aged 6 to 59 months with SAM admitted for treatment
- More than 75 per cent of children aged 6 to 59 months with SAM admitted for treatment recovered
A. Situation analysis
Description of the disaster
On 3 November 2015, four and a half months after a cholera outbreak was declared on 23 June, the government of South Sudan, through its Ministry of Health, declared an end to the outbreak . At final tally, the emergency recorded 1,818 laboratory-confirmed cases and claimed 47 lives in Central Equatoria State and Jonglei State . Juba County in Central Equatoria was, by far, the most-affected, accounting for 89 per cent (1,622) of cases in seven payams.
IOM South Sudan 2016 Consolidated Appeal released
IOM and IHP construct light base camp to support relief operations in Melut
IOM assumes camp manager role at the Bentiu PoC
New TB laboratory at Bentiu PoC provides diagnostic, treatment and referral assistance
The 2016 South Sudan Humanitarian Response Plan requests $1.3 billion for 114 humanitarian partners to respond to the most life-threatening needs of 5.1 million people out of an estimated 6.1 million in need of protection and assistance across South Sudan.
Snapshot 9–15 December 2015
• Completeness for weekly reporting was 51% for the non- conflict affected states and 61% for the IDP sites.
• Four new suspect measles cases reported from Bentiu PoC (3) and Mayom (1) in the reporting week.
• Malaria incidence is declining in Bentiu PoC but remains above epidemic threshold while in Malakal PoC, Northern Bahr el Ghazal, Western Bahr el Ghazal, and Warrap state, the malaria incidence has returned to pre-epidemic transmission levels.
Special focus on malaria
• Completeness for weekly reporting was 47% for the non-conflict affected states and 82% for the IDP sites.
• Four new suspect measles cases reported from Bentiu PoC (3) and UN House PoC (1) in the reporting week.
• Malaria trend in Warrap state and Bentiu PoC consistent with an epidemic nonetheless, there is a noticeable decline in malaria incidence in the two locations.
Wau Shilluk West Primary School reopened after eight months of closure due to insecurity. There are now 865 children (52 per cent girls) registered and 15 volunteer teachers and 3 support staff on board.
In May 2015, increasing numbers of cases of cholera were being reported across Juba County in South Sudan. Following the start of the rainy season, people’s access to safe drinking water and sanitation services, which was already limited, became even more challenging, especially in the crowded camps which had been set up across Juba after the eruption of violence in late 2013.
IOM health teams continue to respond to the malaria epidemic
Mobile response teams reach vulnerable populations in Jonglei’s Canal County
IOM trains IDPs on psychosocial support at the Bentiu PoC site
The humanitarian community continues to report worsening security conditions and increasing access constraints across South Sudan. In October, the UN recorded 78 access incidents negatively affecting relief operations in South Sudan, including increasing reports of criminality in the capital city of Juba.