South Sudan: Cholera Outbreak - Jul 2016Ongoing
South Sudan’s Minister of Health advised partners to treat the recent rise in suspected cholera cases as a cholera outbreak, and respond accordingly. UNICEF’s Cholera Task Force is fully operational, and measures are being taken to enhance water, sanitation, and hygiene – over 100,000 liters of sewage were collected from UN House POC on 18 July. (UNICEF, 18 Jul 2016)
As of 17 November, communities along the River Nile are worst affected and account for 91 per cent of reported cholera cases. A total of 2,874 cases and all 44 deaths from the outbreak have been reported from eight counties straddling the River Nile: Awerial, Duk, Fangak, Juba, Leer, Pageri, Pigi and Terekeka. Rubkona is the only county affected by the outbreak that is not along the Nile. Juba has the highest number of cases (1,990 - 63 per cent of the total), while Terekeka has the highest case fatality rate. (OCHA, 21 Nov 2016)
As of 5 May 2017, cholera outbreaks have been confirmed in 19 counties in South Sudan. The most affected counties are located along the River Nile. This suggests vehicle-borne transmission from contaminated water in affected counties. Cumulatively, 7,735 cholera cases, including 246 deaths (76 facilities and 170 community) (CFR 3.23%), have been reported in South Sudan since the initial case was reported on 18 June 2016. Nine out of 19 counties ever affected since June 2016 are considered to have active transmission, having reported cholera cases in the past four weeks. (WHO, Govt. South Sudan, 5 May 2017)
Cholera transmission has continued to decline countrywide. In the last four weeks [weeks 37- 40] , cholera cases dropped from at least 40 cases in week 37 of 2017 to at least 15 cases in week 40 of 2017. Three counties [Juba, Budi, and Fangak] have registered cholera transmission in the last four weeks [ 37-40]. A total of 135 cases have been reported from the three counties in the last four weeks [37-40]. Most of the cases have been reported from Juba [112 cases] while Budi and Fangak reported 16 cases and 7 cases respectively. (WHO, 6 Oct 2017)
As part of the ongoing cholera response, health partners have deployed cholera vaccines to complement traditional prevention strategies in several high-risk populations and locations. This is the latest step in ongoing efforts to end South Sudan’s longest and deadliest cholera outbreak (OCHA, 18 Jan 2018.)
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- Cholera transmission reported in three counties [Juba, Budi, and Kapoeta East] in the last four weeks [40 -43, 2017].
- Two cholera cases were confirmed from Napotpot, Kapoeta East after more than two incubation periods without cases. Oral cholera vaccination was conducted in the county and there is currently no evidence of active transmission.
The nutrition situation in South Sudan remains critical. At a time when the harvest season should be at its peak, estimates are that about six million people are severely food insecure. The zones of severe food insecurity continue to increase throughout the country with potential for marked deterioration in 2018.
HIGHLIGHTS HEALTH SECTOR
The mental health and psychosocial support (MHPSS) community in South Sudan successfully observed the World Mental Health Day in Juba, Bentiu, Malakal, and Wau. Various events and activities highlighting MHPSS issues in the country were organized by the national coordination and local working groups. The celebration aimed to increase awareness on mental health issues such as depression and suicide prevention and fighting the stigma experienced by people accessing mental health services.
This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 44 events in the region. This week’s edition covers key ongoing events, including:
Marburg virus disease in Uganda
Plague in Madagascar
Malaria in Cabo Verde
Dengue fever in Côte d’Ivoire
Cholera in Zambia
Cholera in north-east Nigeria.
Completeness for IDSR reporting at county level was 61%. Completeness for EWARS reporting from IDP sites was 87%.
A total of 12 alerts were reported, of which 17% have been verified. 0 alerts were risk assessed and 0 required a response.
A total of 40 new cholera cases and 3 deaths (CFR 7.0%) were reported. The cumulative total since the start of the current outbreak on 18 June 2016 is 21,419 cases and 441 deaths (CFR 2.0%).
• Kala-azar has killed at least 52 people and sickened 2,447 so far in 2017.
• Depreciation of the local currency, rising cereal prices and shortages of imported commodities in local markets are affecting the food security and increasing vulnerability.
• Humanitarian organizations continue to experience difficulties accessing many locations in Greater Equatoria region affected by insecurity and conflict.
More than 104,095 cholera / AWD cases and 1562 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. Somalia accounts for 75% of the total cases reported in 2017, followed by South Sudan at 15.9%.
The county has been void of humanitarian aid facilities since the April 2017 violence, after which the previously present Christian Development Aid (CDA) left the area.
Children among IDP and host communities are in dire need of education. There are no functioning educational facilities in Chuil.
Inhabitants of Chuil do not have access to health facilities and walk for two days to Lankien to reach health facilities operated by MSF and Oxfam.
$320. When you compare purchasing power globally, that is the average price for a plate of food in South Sudan, according to a calculation of the World Food Program (WFP). Imagine what it would cost a single mother of five to keep her children alive. Then add up a war and a merciless drought and you’ll have an impression of daily reality in South Sudan.
The full implementation of this version of the HIP is conditional upon the necessary appropriations being made available from the 2017 general budget of the European Union.
AMOUNT: EUR 70 000 000
0. MAJOR CHANGES SINCE PREVIOUS VERSION OF THE HIP
First modification as of 20 June 2017
From borehole drilling to peacebuilding Oxfam partners in South Sudan are responding to people’s needs in ways that only local organisations could. Tim Bierley reflects on the strengths of Oxfam’s South Sudan partnerships.
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 covers key new and ongoing events, including:
Marburg in Uganda
Monkeypox in Nigeria
Plague in Madagascar
Dengue fever in Burkina Faso
Cholera in the Democratic Republic of the Congo
Cholera in Tanzania.
20 October 2017, Juba – As a strategy to strengthen the country’s capacity to prevent, detect, confirm, and rapidly respond to public health risks and save lives, South Sudan conducted a Joint External Evaluation (JEE) for International Health Regulations (2005) from 16-20 October, 2017 at Juba Landmark Hotel. This is in-line with the IHR monitoring and evaluation framework. South Sudan is the 26th country to conduct the JEE process in the WHO Africa Region.
1.7 million people are facing emergency food insecurity in the country out of which 45,000 people are facing catastrophe or famine in Unity and Jonglei States.
The number of food insecure is expected to rise to 6.0 million during the peak of the lean season.
Fall armyworm crop destruction in Greater Central Equatoria and Greater Bahr El Gazal is likely to impact negatively on harvest prospects for the 2017/2018 agricultural season