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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The members of the Panel of Experts on South Sudan, whose mandate was extended pursuant to Security Council resolution 2353 (2017), have the honour to transmit herewith the Panel’s 120-day report, which was submitted in accordance with paragraph 2 of resolution 2353 (2017), by which the provisions of paragraph 12 (e) of resolution 2290 (2016) were renewed.
The report was provided to the Security Council Committee established pursuant to resolution 2206 (2015) concerning South Sudan on 6 September 2017.
Intense frustration is building across the aid community that despite its best efforts it has been unable to dent the catastrophic levels of suffering in South Sudan, worsened by war and a political class that doesn’t seem to care.
"Every year we gather and we hold this meeting on South Sudan,” International Organization for Migration chief William Swing said at UN headquarters last week. “The conclusion is always the same: It cannot get any worse. And each year we come back – in fact it has gotten worse.”
Completeness for IDSR reporting at county level was 65%. Completeness for EWARS reporting from IDP sites was 72%.
A total of 18 alerts were reported, of which 28% have been verified. 0 alerts were risk assessed and 0 required a response.
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.
Understanding context and conflict drivers related to forced displacement and conditions for voluntary return
Coordination of cholera response
The National cholera task force is coordinating the overall cholera response. The task force meetings convene weekly on Wednesdays from 2 pm in the WHO conference hall in Juba. Also, the cholera coordination meeting in Juba Teaching hospital holds on Monday starting 11 am in the Postgraduate School.
Surveillance and case management updates
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 46 events in the region. This week’s edition covers key ongoing events, including:
• Cholera in the Democratic Republic of the Congo
• Cholera in Nigeria
• Lassa fever in Nigeria
• Yellow fever in Nigeria
• Measles in Uganda
• Floods/mudslide in Sierra Leone
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.
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.
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%.
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.
Malnutrition and Acute Watery Diarrhea (AWD)/Cholera
Completeness for IDSR reporting at county level was 59% . Completeness for EWARS reporting from IDP sites was 74% .
A total of 20 alerts were reported, of which 30% have been verified. 0 alerts were risk assessed and 0 required a response.
A total of 17 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 20,563 cases and 378 deaths (CFR 1.8% )*.
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