Somalia: Cholera Outbreak - Apr 2016Ongoing
Humanitarian partners have stepped up response to the outbreak...Projections of 15,000 severe and 60,000 moderate cases over the coming months have led to plans for a significant and rapid scale up of the response. To help stabilize and contain the outbreak, the CERF rapid response grant of $2 million will strengthen and complement response activities already underway by WASH and Health partners. (OCHA, 30 May 2016)
Since the beginning of , a total of 14165 case of AWD and 497 deaths have been reported in different parts of Somalia. Of these 47.7% are female while 57.9% are children below 5 years. [...] there has been a gradual reduction in number of cases from the peak 1,853 cases and 187 deaths (CFR 10.0%) in week 15 to 194 cases and 0 death in week 46. (WHO, 20 Nov 2016)
Drought conditions have increased the spread of epidemic-prone diseases such as acute watery diarrhoea, cholera and measles. In the first 7 weeks of 2017, more than 6000 cases and 65 deaths by acute watery diarrhoea/ cholera were reported. (WHO, 27 Feb 2017)
The AWD/cholera epidemic in Hiraan, Nugal, Mudug and Bari and Banadir region has been controlled and the cholera treatment centre in Beletweyne has been closed. 2016's outbreak was one of the worst and longest in which the country has experienced in the last five years. (WHO, 5 Mar 2017)
On 15 March 2017, the Government of Somalia, together with humanitarian partners, launched an Oral Cholera Vaccination campaign, the first of its kind in Somalia, targeting over 450,000 people in seven high-risk areas around the country...WASH partners have furthermore scaled up response to AWD/Cholera, reaching 316,000 people in southern and central Somalia through distribution of hygiene kits, chlorination of water points and hygiene promotion campaigns as of end of February. In total, some 568,600 people were assisted with temporary and/or sustainable access to safe water, 36,000 people with safe sanitation and 498,000 people with hygiene promotion activities. (OCHA, 24 Mar 2017)
In 2017, a total of 53,015 AWD/Cholera cases have been reported across 52 districts in 16 regions, including 795 deaths (CFR 1.5 per cent). This represents the worst case scenario with an attack rate (AR) of 5.5 per 1,000 people. 41 per cent of the cases are among children below five years with a slightly higher CFR (1.8%) compared to children above five years (1.4 per cent). The number of AWD/Cholera cases in 2017 is more than three times the 2016 caseload, and 10 times the 2015 caseload. Whilst the cumulative CFR is declining from 2.3 per cent at the beginning of the outbreak to 1.5 per cent as of last week, the reported CFR from inaccessible areas is still four times higher. (UNICEF, 30 Jun 2017)
The month of August has seen a sustained decline in the number of cases of cholera reported from across Somalia. The 917 cases recorded in August 2017 now approximate to the averaged monthly figures recorded in 2015 of 440 cases and during 2016 of 1,300 cases/month. (Health Cluster, 29 Sep 2017)
There have been no reported AWD deaths this month. The 650 AWD cases recorded in the month of September has is part of a sustained decline in the number of cases of cholera reported from across Somalia. In total. 77,783 suspected cases of cholera have been reported since the beginning of 2017 . Due to the reduction in new cases, the focus is currently on cholera preparedness in advance of the forthcoming October rains. (Health Cluster, 19 Oct 2017)
There has been a slight decrease in the epidemic trend. During week 43 (week ending 29 October 2017), 61 new cases were reported in the country; compared to 86 cases reported in week 42 (Week ending 22 October 2017). Most affected regions are Togdheer, Awdal and Banadir. (UNICEF, 10 Nov 2017)
Over the past two months there has been a significant reduction in the number of new AWD/Cholera cases in all regions of Somalia. No AWD/cholera related deaths have been reported since August in any region across Somalia. (Health Cluster, 19 Nov 2017)
Most read (last 30 days)
- Horn of Africa: Humanitarian Impacts of Drought – Issue 11 (3 November 2017)
- Humanitarian Bulletin Somalia, 01 - 30 October 2017
- Grade 3 and Grade 2 emergencies, countries covered by a WHO or joint appeal, and WHE priority countries: Contributions and Firm Pledges (25 October 2017)
- UNICEF Somalia Humanitarian Situation Report #16: 1-15 October 2017
- Somalia Food Security Outlook, October 2017 to May 2018
• The health cluster mobilized partners in response to the large scale attack in Mogadishu in which 358 people (including missing ) died while 525 people were injured. The cluster coordinated the delivery of about 20 tonnes of urgently needed medical supplies to trauma facilities throughout the capital
• The health cluster through its partners has provided more than 2.6 million health consultations from the beginning of the year. It has provided more than 274 thousand consultations in October alone which is 77% of its monthly target.
The ECDC Communicable Disease Threats Report (CDTR) is a weekly bulletin for epidemiologists and health professionals on active public health threats. This issue covers the period 12-18 November 2017 and includes updates on Legionnaires' disease, influenza, West Nile fever, chikungunya, yellow fever, plague, monkeypox, marburg virus disease, malaria and cholera.
Between August and October, the pre-famine nutrition response trend analysis shows a 38 percent increase in admissions of children affected by severe acute malnutrition with medical complications, highlighting the continuing critical nutrition situation in Somalia. 48 stabilization centres (SC) are supported by UNICEF across the country. The increase is in part due to the opening of one additional UNICEF supported stabilization centre in Baidoa.
This is the fifth report from the Concern Somalia Nutrition & Mortality Monitoring System (NMS), which covers 20 IDP camps in the Afgoye Corridor, near to Mogadishu. A team of community health workers, closely supported and supervised by Concern nutrition staff, is collecting monthly data on resident households and new arrivals. The system was designed and is being implemented in partnership with University College London (UCL).
22.9 million People affected by drought in the region
15 million People facing crisis and emergency food Insecurity
1.8 million People in Kenya, Somalia and Ethiopia have been displaced by drought conditions
$1,612,000 million Horn of Africa Drought Response funding gap
Current major event
Deaths from Dengue in Pakistan
Pakistan is endemic for Dengue fever (DF) since 1994. The country faced a number of repeated outbreaks in different provinces during last two decades. The recorded peak transmission season of DF virus is during July to October/ November. This year an outbreak was reported from the province of Khyber Pakhtunkhwa with 69 deaths reported from this outbreak so far.
More than 106,005 cholera / AWD cases and 1639 deaths (Case Fatality Rate: 1.5%) have been reported in 12 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, Uganda, Zambia and Zimbabwe. Of the countries reporting,
Somalia accounts for 74% of the total cases reported in 2017, followed by South Sudan at 16%.
A total of 36 new cases of AWD were reported in week 44 compared to 26 cases in week 43 in Central zone
The new AWD cases were reported from 8 districts in one region, of which 100% were reported from Banadir region
No new death was reported in the one zone
A cumulative total of 60,763 cases and 820 deaths have been reported in 52 districts of 16 regions of South central and Puntland since January 2017
A fifth consecutive below-average season likely; Famine (IPC Phase 5) risk continues
Current major event
EQAP Results for NICs in 2017
Mogadishu, 05 November 2017 -- The World Health Organization (WHO) has welcomed a generous US$2 million Emergency Grant Aid from the Government of Japan to contribute to enhancing the epidemic disease surveillance and supporting emergency primary health care response activities in Somalia.
Current major event
Cholera in Yemen: Key questions
The cholera outbreak in Yemen continues to rage and from April to 28 October 2017, a total of 880,987 suspected cholera cases including 2,183 associated deaths with a case fatality rate of 0.25% were reported from Yemen. The cases were reported from almost all governorates (96% of the governorates were affected) and almost all districts (92% of the districts were affected).
Mogadishu, Somalia, 1 November 2017-- The World Health Organization (WHO) in coordination with the Somali Federal Ministry of Health (FMOH) will be conducting a two-month training program for community health workers on case management of Acute Watery Diarrhea (AWD)/Cholera. The program will begin with 3 days training of 35 trainers (TOTs), who will cascade the training to the community level. The training program will be implemented between 1 November and 31 December 2017 and covers the 11 Southcentral Zone regions.
Two million children reached through Save the Children’s drought response
Over the last nine months, more than two million children have benefited from lifesaving support of the drought response programme launched and implemented by Save the Children since February 2017 in Somalia. This was in response to the increasing need of humanitarian assistance to drought affected community in Somalia/Somaliland.
Overall, the trend of trends of suspected cholera cases and deaths have slightly declined with less districts reporting cases compared to the previous months.
From January to June 2017, 71,663 cumulative cases of suspected AWD/cholera and, 098 related deaths have been recorded including Somaliland Puntland and South Central.
60 tons of essential medicines and medical supplies and cholera treatment distributed to major health facilities and cholera treatment Centres.