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)
A steady decline in cases of AWD/cholera cases and related deaths continued in August with 1,186 suspected cases reported across Somalia compared to the 6,344 AWD/cholera cases, including 20 deaths, reported in July 2017. The trend over the past 4 weeks is the lowest recorded in Somalia since the beginning of the year. The case fatality rate has also declined from a peak of over 4 per cent in February to zero percent in August 2017. As of 27 August 2017, over 77,000 cumulative AWD/cholera cases and 1,157 related deaths (CFR 1.5 per cent) had been recorded in 52 districts across 16 regions. (OCHA, 18 Sep 2017)
During the month of August, 917 cholera cases, with no death, were reported across the country as compared to 6 383 suspected cases including 20 associated deaths (CFR: 0.31%) reported in July 2017.
The cumulative number of cholera cases reported from January to August 2017 is 77 133 including 1 159 associated deaths with a case fatality rate of 1.5% reported in 52 districts of the country.
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 10-16 September 2017 and includes updates on cholera, measles, rubella, Legionnaires' disease, West Nile virus, malaria, chikungunya, and typhoid fever.
AWD/Cholera cases have drastically reduced in Somaliland but the communities are still vulnerable to AWD outbreaks due to poor nutrition uptake.
Malnutrition and Acute Watery Diarrhea (AWD)/Cholera
This report is produced by OCHA Somalia in collaboration with humanitarian partners. It covers the period from 24 August to 6 September 2017. The next report will be issued on or around 21 September 2017.
Humanitarian situation:The threat of famine persists with severe drought expected to deepen until the start of rainy season in October .
Food security deteriorating: An estimated 3.1 million people – 25 per cent of the population – are expected to be in Crisis (IPC Phase 3) or Emergency (IPC Phase 4) through December 2017.The loss of livestock, below average harvests and high food prices are further exacerbating food insecurity.
The post-Gu Food Security and Nutrition Analysis Unit (FSNAU) assessments was released in August indicating a decrease in the number of people in need of humanitarian assistance from 6.7 million to 6.2 million due to sustained humanitarian assistance and improved localized rainfall. However, the famine threat continues in affected localized areas, and the situation could still worsen if humanitarian assistance is not sustained.
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
• Migration to urban areas/town has increased in Adado district. This is attributed to the drought and conflict that has led to displacement of nearly 70% of the the pastoral communities from their origin villages. Some pastoral communities migrated with their animals in search of water and pasture.
• Conflict in Herale town has displaced approximately 6,000 people. The town remains deserted even after clan elders encouraged people to return. Many have settled in Adado town IDP camps.