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)
Mr. Chairman, Prime Minister Hailemairiam, Excellencies and distinguished delegates,
I thank you for the opportunity to address this Assembly of Heads of State and Government of IGAD. The United Nations commitment to partnership was reaffirmed in the IGAD, AU and UN joint statement on 29 January. I wish to express my own appreciation for the IGAD leaders’ continued efforts to help end the conflict in South Sudan.
Mr. Chairman, Excellencies
This weekly update focuses on selected acute public health emergencies occurring in the WHO African region. WHO AFRO is currently monitoring 41 events: four Grade 3, seven Grade 2, four Grade 1, and 26 ungraded events.
Inter-communal violence and insecurity in May forced thousands of people to flee their homes in Terekeka to seek shelter on the islands of Geimeza.
Cases of cholera confirmed in Tonj East County of Warrap as outbreak approaches one-year mark.
Insecurity and conflict negatively impacted humanitarian operations in May with at least 36 aid workers relocated including from famine-affected areas.
Juba, 8 June 2017 - In collaboration with the Ministry of Health, the World Health Organization (WHO) has rolled out an electronic surveillance system called Early Warning, Alert and Response System (EWARS) to enhance the collection, management and analysis of Integrated Disease Surveillance and Response (IDSR) data.
Relief agencies respond to increased needs in Wau
Efforts continue to reach people affected by insecurity in Upper Nile
IOM teams respond to cholera outbreaks across the country
Host Community allocates agriculture land to refugees in Unity: In Pamir refugee camp, the host community allocated 3,000 acres of land to refugees. UNHCR, through its implementing partner International Rescue Committee (IRC) will provide seeds and tools, extension services to refugees and host community in the area. It is hoped that this will help refugees and host community become relatively food secure and live amicably.
EMERGENCY MOBILE TEAM INTERVENTIONS
IOM provides life-saving services to vulnerable communities, displaced and famine affected populations, by strengthening systems (supporting partners or government facilities), and responding to disease outbreaks.
IOM health Rapid Response Team (RRT) and WASH Emergency Preparedness and Response (EP&R) teams deploy at the request of their respective Cluster’s Emergency Response Technical Working Group.
Tripartite agreement signed for the voluntary return of Sudanese refugees from Chad and the return of Chadian refugees from Sudan.
Almost 15,000 suspected AWD cases, including 279 deaths, were reported in Sudan since August 2016, according to WHO and FMoH.
In South Kordofan about 3,000 people fled SPLM-N areas and arrived in government-controlled areas since January 2017.
Increasing numbers of South Sudanese men, women and children fleeing conflict and food insecurity are seeking refuge in Sudan, overstretching basic services, including health services. WHO supports national health authorities and works with partners to respond to the needs of these refugees and to ensure they are protected against life-threatening diseases.
Almost 420,000 South Sudanese refugees are currently hosted in Sudan, of whom almost 140,000 arrived in 2017. In May 2017 alone, Sudan received almost 2000 new arrivals from South Sudan every day.
There have been 490 cases of Lassa Fever since December 2016, of which 189 were confirmed, and 104 resulted in deaths. This represents an extremely high case fatality rate of 21%, which has been attributed to the ongoing humanitarian situation in the northeast, intense population movement, and poor health response capacity.
A. KEY MESSAGES
Recent rains have increased the risk of cholera / acute watery diarrhea (AWD) spreading as people collect unsafe water
A cholera/AWD outbreak across the region has already affected more than 67,000 people
Children are at the biggest risk of contracting cholera/AWD as they have weaker immune systems
The hunger crisis further increases children’s risk of contracting cholera/AWD as lack of nutritious food further weakens children’s ability to fight diseases
With the lean season beginning, an estimated 5.5 million people across South Sudan were facing severe food insecurity in May, including some 1.46 million on the brink of famine. The month saw the number of people displaced continuing to rise, albeit at a slower rate compared to April. At least 60,000 South Sudanese fled as refugees in May. Clashes in and around Yei in Central Equatoria caused an average of 2,000 refugees to arrive daily into Uganda from 15 to 21 May.
The cholera outbreak continues to intensify and is the most severe, longest and most widespread outbreak since the onset of the 2013 crisis. Since June 2016, 8,160 cases including 248 deaths (case fatality rate 3.1 per cent) have been reported from 19 counties. Children and young adults under 30 years are the most affected, constituting 70 per cent of cases.
This weekly bulletin focuses on selected public health emergencies occurring in the WHO African region. The WHO Regional Office is currently monitoring 41 events: three Grade 3, seven Grade 2, five Grade 1, and 26 ungraded events.
1.8 million people assisted by WFP (April)
2 million internally displaced people (OCHA)
1.75 million South Sudanese refugees (UNHCR)
230,482 seeking shelter with the UN (UNMISS)
5.5 million people facing severe food insecurity from May to July 2017 (IPC, Feb. 2017)
WFP is actively engaging with the Health and WASH clusters to identify ways to better support the ongoing cholera response in central and northern Jonglei State.
June 2, 2017 (JUBA) – Thousands of South Sudanese displaced people in Jonglei state are at risk from a cholera outbreak, warned the medical group Médecins Sans Frontières/Doctors Without Borders (MSF) on Friday.
"Malnutrition and suspected cases of cholera are escalating amongst people sheltering in the bush near Pieri, South Sudan," said MSF in a statement extended to Sudan Tribune.
The first cases of cholera were reported on 9 May after a general increase in patients with watery diarrhoea among the IDPs who are in desperately short of food, water and shelter.
JUBA, SOUTH SUDAN, JUNE 2, 2017—Malnutrition and suspected cases of cholera are escalating among people sheltering in the bush near Pieri, in northeastern South Sudan, putting the health of thousands of people at risk, the international medical humanitarian organization Doctors Without Borders/Médecins Sans Frontières (MSF) said today.