Sudan: Acute Watery Diarrhea Outbreak - Jul 2017Ongoing
A cholera outbreak that started in Blue Nile state in August 2016 began to spread rapidly as of April this year. Conservative estimates suggest a minimum of between 15,000-23,000 people infected, with 280-820 deaths. It is currently affecting Gedarif, White Nile, Khartoum, Sennar, River Nile, North Kordofan, and Gezira states. White Nile is host to a large South Sudanese refugee population and has had the highest number of cases so far. A state of emergency has not yet been declared and response has been limited. An underfunded health system and poor WASH facilities have contributed to the spread of infection. (ACAPS, 16 Jun 2017)
In Sudan, cases of acute watery diarrhoea have appeared for the first time in camps hosting internally displaced Sudanese in Darfur. (WHO, 10 Jul 2017)
According to the Federal Ministry of Health (FMoH) and [WHO] as of 18 August 2017, 30,762 cases of Acute Watery Diarrhoea (AWD)—including 657 related deaths—have been reported in the 18 states in the country since August 2016. Based on the attack rate projections another 36,000 to 40,000 cases are expected over the next six to nine months, according to the FMoH and WHO. The AWD is affecting all demographics, with females constituting 54 per cent of the cases and children under five years of age accounting for 8.1 per cent. ( OCHA, 27 Aug 2017)
Only 78 new cases of AWD and two related deaths were reported from 8 to 14 October, down from a peak of nearly 2,000 new cases at the end of June 2017. Eight states reported active case transmissions and the only state reporting two AWD-related deaths was South Kordofan. Meanwhile, the FMoH continued to lead an active scale-up of interventions to ensure a final stop to the spread of AWD (OCHA, 22 Oct 2017.)
The number of reported Acute Watery Diarrhoea (AWD) cases remains low across Sudan, with 98 cases registered during the last four weeks (17 December 2017 – 13 January 2018), according to the Federal Ministry of Health (FMoH) and the World Health Organization (WHO). The most recent deaths—two in Red Sea State—were reported during Week 1, with no deaths before that since Week 47 (OCHA, 14 Jan 2018.)
Maps & Infographics
In Nierteti in Central Darfur, the death toll from ‘acute watery diarrhoea’ – suspected of being cholera – has amounted to nine, while the infection cases have risen to more than 100.
Yesterday activists in voluntary work reported to Radio Dabanga from Nierteti that four people died of the disease while being transported from neighbouring villages to the hospital.
Five more deaths were reported from Nierteti the previous day.
UNHAS scheduled to resume regular flights to South Kordofan and Blue Nile.
With UN Darfur Fund support, 30 health facilities in Darfur will be rehabilitated, improving health care services to more than 3 million people.
In 2017, almost 520,000 children in Sudan received their first measles vaccination.
MSF-Switzerland MUAC screening in Kario site indicates malnutrition rates well below global thresholds.
Some 3,000 South Sudanese refugees arrived in Sudan during 1-15 January.
GoS declares 17 of Sudan’s 18 states AWD-free
1,500 Sudanese refugees return from CAR to areas of origin in Darfur, according to UNHCR
FEWS NET reports atypical increases in staple food prices
In addition to the response to the protracted humanitarian situation, caused by armed conflict, floods and epidemics, UNICEF responded in 2017 mainly to three new emergencies related to the high rates of malnutrition in newly accessible areas, the Acute Watery Diarrhoea outbreak and the high influx of South Sudanese refugees. Also, the year marked a huge step forward in protecting children from violations in armed conflict by implementing the Action Plan signed between UN and the government.
• About 2,500 people were assisted to return to Turba village, South Darfur from Shangil Tobay IDP camp, North Darfur.
• People flee East Jebel Marra due to internal fighting within the SPLA-AW and arrive in Otash IDP camp, South Darfur.
• The VRRC replaces HAC in coleading the RRR sector in West Darfur.
• AWD cases continue to decline, according to the Ministry of Health.
• SHF announces US$3 million as the first standard allocation of funds for 2018.
I. Allocation Overview
Project Proposal Deadline: (Tuesday 23 January 2018, Sudan, 12:00am)
A) Introduction / Humanitarian situation
This strategy paper is for a total of USD 3 million focusing on refugees in White Nile state (USD 1.5 million) and prevention of Acute Watery Diarrhea (AWD) outbreaks West Kordofan, Red Sea, and White Nile (USD 1.5 million).
Total people in need: 4.8 million
Total children (<18) in need: 2.3 million
Total people to be reached: 4.06 million
Total children to be reached: 2.11 million
As host to some of the world’s biggest emergencies, the Eastern Mediterranean Region carries the largest burden of people in need of aid, with more than 76 million people directly or indirectly affected by political conflict, environmental threats, and natural disasters.
In Blue Nile, an intensive community mobilization campaign was conducted in newly accessible areas (mainly Alkali, Mangano and Turnasei localities) by the State Ministry of Health, UNICEF and partners. Some 3,101 children under 5 years were screened and 441 children were found with severe acute malnutrition. All children identified as acute malnutrition were enrolled into appropriate treatment programmes, while many of the severely malnourished children are in critical condition requiring immediate inpatient care.
With funding support from the Office of United States Foreign Disaster Assistance (USAID/OFDA), and managed by the International Organization for Migration (IOM), the Rapid Response Fund (RRF) has allocated a new grant of $208,560 USD to Plan International to provide Emergency Health and Water, Sanitation and Hygiene (WASH) assistance to over 200,000 vulnerable displaced persons in Zamzam and Tawilla IDP camps in North Darfur State to cover needs and gaps created by the increase in cases of Acute Watery Diarrhea (AWD).
USG revokes specific economic sanctions related to Sudan, GoS
GoS authorities secure release of abducted humanitarian worker
WFP provides emergency food assistance to 3 million people across Sudan in July and August
Despite reports of the cholera epidemic abating in Sudan, medical sources continue to note the emergence of new cases of cholera in Port Sudan.
Journalist Osman Hashim told Radio Dabanga that according to medical sources “on Friday the Ministry of Health opened two isolation wards at both Port Sudan Hospital and the Children’s Hospital”.
He said that on Friday the wards received 12 cholera patients; seven at Port Sudan Hospital and five at the Children’s Hospital.
• About 10,000 people need assistance in Dilling locality, South Kordofan.
• Humanitarian corridor Sudan to South Sudan eases food aid to 97,000.
• First official national antitrafficking plan launched by the Government.
• Over 200 Syrian and Yemeni refugees in Khartoum received livelihood training.
• SHF donors travel to Nertiti, in newly opened Jebel Marra.
# people in need in Sudan (2017 HNO): 4.8 million
# people in need in Darfur (2017 HNO): 3 million
A health source in Red Sea state reported that nine cases of “acute watery diarrhoea” are being treated in the hospital in Tokar on Wednesday.
The source confirmed to Radio Dabanga that the patients were confined inside Tokar, and said he is concerned about the increasing number of incidents of the disease. “The environment is deteriorating terribly and the health care in the hospital is poor.”