South Sudan: Cholera Outbreak - Jul 2016

The issue of hunger has aroused great interest among the international community when famine was declared in South Sudan last February. Since then, the United Nations has declared the famine situation officially over. However, the root causes of hunger, and therefore of potential famine situations, are still there. The number of food insecure people is increasing.

Highlights

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%.

Understanding context and conflict drivers related to forced displacement and conditions for voluntary return

Today, the United States announced more than $575 million in additional humanitarian assistance to the millions of people affected by food insecurity and violence in Yemen, South Sudan, Nigeria, and Somalia. This additional funding brings the total U.S. humanitarian assistance to nearly $2.5 billion for these four crises since the beginning of Fiscal Year 2017.

Highlights W35 2017

Surveillance

Completeness for IDSR reporting at county level was 68%. Completeness for EWARS reporting from IDP sites was 81% .

Alert

A total of 23 alerts were reported, of which 39% have been verified. 1 alert was risk assessed and 0 required a response.

Response

A total of 0 new cholera cases and 0 deaths (CFR 0.0% ) were reported. The cumulative total since the start of the current outbreak on 18 June 2016 is 19,862 cases and 355 deaths (CFR 1.8%)*.

Highlights W34 2017

Surveillance

Completeness for IDSR reporting at county level was 60%. Completeness for EWARS reporting from IDP sites was 73%.

Alert

A total of 19 alerts were reported, of which 16% have been verified. 0 alerts were risk assessed and 0 required a response.

Response

A total of 10 new cholera cases and 0 deaths (CFR 0.0%) were reported. The cumulative total since the start of the current outbreak on 18 June 2016 is 19,862 cases and 355 deaths (CFR 1.8%)*.

Highlights W33 2017

Surveillance

Completeness for IDSR reporting at county level was 68% . Completeness for EWARS reporting from IDP sites was 81% .

Alert

A total of 84 alerts were reported, of which 60% have been verified. 0 alerts were risk assessed and 0 required a response.

Response

A total of 31 new cholera cases and 0 deaths (CFR 0.0% ) were reported.
The cumulative total since the start of the current outbreak on 18 June 2016 is 19,846 cases and 355 deaths (CFR 1.8% )*.

Situation and Needs of Children in South Sudan

UNICEF works in South Sudan with over 137 partners (including both CSO and Govt) to provide nutrition, health, WASH, education and child protection services, with priority to live saving interventions for the population most affected by the humanitarian crisis.

18 September 2017, Juba – The World Health Organization (WHO) in partnership with the Ministry of Health and partners are scaling up the emergency response in the flood affected areas of Aweil West and Aweil North Counties of former Norther Bahr el Ghazal State, and Maban County of former Upper Nile State.

Overview

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

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.

Malnutrition and Acute Watery Diarrhea (AWD)/Cholera

HIGHLIGHTS

• IOM continues response to cholera outbreak across country

• DTM completes biometric verification at Malakal PoC site

• IOM hands over MHPSS programme in Bor to ALARM

Executive summary

In June 2017, an outbreak of Cholera was confirmed in Tonj East County (UNICEF, 2017). Latest update as of 21st August 2017 indicates cumulative case numbers of 1,431 with 44 deaths (Tonj SMOH, 2017). The outbreak is concentrated in Tonj East but has also been reported in neighboring Counties of Tonj North and Tonj South. 1 CTC, 4 CTUs and 2 ORPs were set up for case management by CHD and CCM teams.

In August, the number of South Sudanese seeking refuge in neighboring countries reached the 2 million mark, the highest number of refugees since South Sudan gained independence in 2011. Of those, 1 million are in Uganda. In August, thousands fled fighting in Yei, Kajo-keji, Kapoeta North, Mundri West, Morobo and Maridi counties. More people also fled to Ethiopia and Sudan following clashes in Aburoc and Pagak in Upper Nile during the month.

Overview

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.