Burundi: Malaria Outbreak - Mar 2017

Status
Past disaster
Glide
EP-2017-000034-BDI

Disaster description

Burundi is facing a major malaria outbreak which was officially declared by the MoH on 13 March 2017. The North and North health districts are the ones more affected by this outbreak. According to the MoH, the cumulative number of malaria cases reported during the first 10 weeks of 2017 is 1,960,620 with 869 deaths (MoH, 23 March 2017), this is higher than the same period in 2016 (1,804,258 cases and 841 deaths). (UNICEF, 31 Mar 2017)

[S]ince the beginning of this year, more than 2.2 million cases and 1,000 deaths have been reported. The preliminary results of the MIRA evaluation (March 2017) indicate that malaria is one of the main causes of death in 84% of the collines (hills) visited. The most affected provinces are Cankuzo, Muyinga, Karusi and Kirundo with an incidence rate of 100%. In order to ensure an immediate, effective and coordinated response, a plan was finalized by the health sector partners under the direction of the Ministry of Health and in collaboration with WHO. A total of US$ 42 million is required for the implementation of the plan. (OCHA, 31 Mar 2017)

L’épidémie de paludisme sévit dans les districts à haute vulnérabilité humanitaire . A la semaine épidémiologique 16, le cumul est de 2 888 252 cas et 1 329 décès dû au palu-disme. On note une tendance à la hausse comparée à la semaine précédente. Lancement à Gitega ce 27/4 de la campagne nationale de mobilisation pour la distribution des moustiquaires en fa-veur de la prévention du paludisme. Célébration de la Jour-née mondiale de lutte contre le paludisme célébrée à Cankuzo le 26 avril 2017. La lutte anti–vectorielle pour réduire l’incidence du paludisme à travers la pulvérisation intra-domiciliaire doit se pour-suivre dans 5 provinces sur les 9 prévues. Un processus de validation de la qualité des insecticides est en cours avec le laboratoire IIBAT en Inde. (WHO, 30 avril 2017)

The malaria outbreak situation in Burundi continues unabated with intense transmission causing high morbidity and mortality. The disease trend has been increasing in the past 10 weeks. In week 25 (week ending 25 June 2017), 173,355 clinical cases of malaria including 102 deaths (case fatality rate 0.06%) have been reported, compared to 170,048 cases and 61 deaths (case fatality rate 0.04%) reported in week 24. Since the beginning of 2017, 4,376,804 cases including 1,996 deaths (case fatality rate 0.05%) have been reported, as of 25 June 2017. Meanwhile, a total of 8,169,484 cases and 3,826 deaths (case fatality rate 0.05%) were registered in 2016. While the entire country is reporting a high burden of malaria, the northern, central and eastern regions are most affected. Ten out of 18 provinces in the country have attained the epidemic threshold, namely Karusi, Gitega, Muyinga, Kirundo, Kayanza, Ngozi, Bubanza, Cankuzo, Cibitoke, and Ruyigi. The 10 provinces represent 63% of the population at risk. With an incidence rate of 51.9%, malaria has been the leading cause of morbidity and mortality in Burundi. (WHO, 7 Jul 2017)

The outbreak of malaria in Burundi has shown marked improvement in the last weeks, though the overall situation remains serious. The incidence started declining after attaining the latest peak in week 26, during which 175 755 cases including 71 deaths were reported. In week 29 (week ending 23 July 2017), 131 566 clinical cases of malaria including 68 deaths (case fatality rate of 0.05%) were reported, compared to 152 137 cases with 68 deaths registered in week 28. These figures, however, are still much higher than last year, when 109 496 cases with 62 deaths were reported in week 28 of 2016. Since the beginning of 2017, a total of 4 864 976 clinical cases of malaria including 2 205 deaths (case fatality rate 0.05%) have been registered across the country. While the entire country is reporting a high burden of malaria, the northern, central and eastern regions are most affected. Ten out of 18 provinces in the country are in epidemic phase, namely Karusi, Gitega, Muyinga, Kirundo, Kayanza, Ngozi, Bubanza, Cankuzo, Cibitoke and Ruyigi. (WHO, 11 Aug 2017)

The number of malaria cases is decreasing (6,891,291 cases with 3,017 deaths) dropping under the, same time last year. Malaria cases usually increase by the end of the year due to the rainy season. This demonstrates the positive impact of the response measures implemented by partners. (UNICEF, 30 Nov 2017)

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