South Sudan: Cholera Outbreak - Jul 2016Ongoing
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)
9 July marks the sixth anniversary of South Sudan’s independence, but the promise of the world’s youngest country is marred by hunger and conflict, as millions of people still face starvation.
After more than three years of conflict and insecurity, communities are now stretched to breaking point. The economy has collapsed, malnutrition has soared and hunger continues grip the lives of many.
UNHCR distributes seeds and tools to refugees in Unity: In Doro Refugee camp, UNHCR and its partner Relief International (RI) distributed seed kits and tools to 3,776 refugees. Seeds and tools comprised vegetable seeds, and hoes. Cumulatively, 5, 212 refugees and vulnerable host community members have been provided with seeds and tool since the beginning of the year.
I. EXECUTIVE SUMMARY
Six years after independence, one third of the population in South Sudan have fled their homes and six million people are in need of food aid.
Highlights W25 2017
Completeness for IDSR reporting at county level was 73% . Completeness for EWARS reporting from IDP sites was 78%.
Alert A total of 32 alerts were reported, of which 44% have been verified. 6 alerts were risk assessed and 3 required a response.
Response A total of 37 new cholera cases and 1 death (CFR 2.6% ) were reported. The cumulative total since the start of the current outbreak on 18 June 2016 is 11,700 cases and 194 deaths (CFR 1.6% )*
An updated Integrated Food Security Phase Classification (IPC) was released in June, highlighting that food security has deteriorated further in South Sudan. The severely food insecure population has grown to 6 million (from 4.9 million in February) and accounts for about 50 per cent of the total population. An estimated 1.1 million children are estimated to be acutely malnourished.
Highlights W24 2017
Completeness for IDSR reporting at county level was 74% . Completeness for EWARS reporting from IDP sites was 86% .
A total of 8 alerts were reported, of which 75% have been verified. 3 alerts were risk assessed and 1 required a response.
On Wednesday, the Commissioner of Ed Daein in East Darfur has ordered the evacuation of South Sudanese refugees from the town within 48 hours, to prevent the spread of cholera. The Kario refugee camp has been isolated. The North Darfur Health Ministry will send medical investigation teams to a number of localities.
4 July 2017 – Access, funding and security are urgently needed to ensure humanitarians can reach hundreds of thousands of children suffering from cholera and diarrhoea across Yemen, South Sudan, Somalia and Sudan, the United Nations Children's Fund (UNICEF) has said.
The state Ministry of Health placed medical tents to combat the spread of cholera in the overcrowded Kalma camp for displaced people in South Darfur.
Five people died of 'acute watery diarrhoea', as the deadly disease is called by the Sudanese authorities, in the Nyala Academic Hospital, the Ministry of Health reported on Monday. Minister Yagoub Ibrahim Eldamuki told reporters that the Academic Hospital received 50 suspected cases of acute diarrhoea; sixteen of them have been discharged from the hospital.
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African region. WHO AFRO is currently monitoring 41 events: three Grade 3, seven Grade 2, six Grade 1, and twenty five ungraded events.
Doctors, aid workers and officials in South Sudan are warning of a “devastating” outbreak of cholera that could kill thousands of people in a country where millions are already threatened by famine.
More than 2,500 cases of the disease have been registered since April, a sharp increase over previous months. The total over the last year has now risen to 8,000, with about 250 confirmed deaths. Experts say this is likely to be only a fraction of overall toll.
So far, the deadly disease has hit about 300,000 people in Yemen, Somalia, South Sudan and other countries.
“Conflict in Yemen, Somalia and South Sudan has ruined health sectors and public water and sanitation networks, spreading cholera to too many places where we have not seen it before,” said Jan Egeland, Secretary General of the Norwegian Refugee Council. “Cholera in 2017 is easily preventable and should belong only in the history books. Its return as a major killer today is an outrage.”
The South Sudan Humanitarian Fund allocated $81.3 million during 2016 to 211 top priority projects under the Humanitarian Response Plan (HRP), agreed on through rigorous collective prioritization.
The SSHF continued to be an important provider of timely funding to address the most urgent priorities within the HRP:
84 per cent of funds ($67.9 million) were allocated through two standard allocation rounds, and 16 per cent ($13.4 million) through the reserve window.
In East Africa, DEC aid agencies are working around the clock to respond to the deepening crisis caused by ongoing conflict and drought. While lives are being saved, the number of those in need of humanitarian assistance is increasing due the severity of the crisis – from 22 million people across South Sudan, Somalia, Kenya and Ethiopia three months ago when the DEC appeal launched to 23 million today.
• One year on from the declaration of the cholera outbreak in South Sudan on 18 June 2016, new cases continue to be reported.
• Early warning and mobilization of a large-scale, multi-sectoral humanitarian response have eased famine in Leer and Mayendit counties. However, an unprecedented 6 million people are now severely food insecure.
• Humanitarians continue to ramp-up their response to the needs of tens of thousands of civilians displaced in northern and central Jonglei.
For Maban, the epicenter of Sudanese refugees, health related issues are one of the greatest fears worrying the local population and humanitarian actors. This fear was worsened with the declaration of cholera earlier this year in parts of the country. ACTED as the water and sanitation and hygiene lead actor in Doro, Kaya and Gendrassa Camps in Maban, took swift action to avert any chances of a break out in the camps and to minimise the risk of diseases.
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African region. WHO AFRO is currently monitoring 40 events: three Grade 3, seven Grade 2, five Grade 1, and twenty five ungraded events.