Chad: Cholera Outbreak - Aug 2017Ongoing
On 15 August 2017, the Ministry of Health of Chad notified WHO of a suspected cholera outbreak in Koukou District, Sila Region in the south-east of the country (bordering Sudan). The outbreak first emerged on 14-15 August 2017 when the local health facility (Tioro Health Centre) reported a cluster of 50 cases of acute watery diarrhoea including 13 deaths (case fatality rate 26%) from Marena, a remote village in Koukou District. Subsequently, suspected cases have been reported by the Dogdoré Health Centre (receiving cases from Dabanalaye and Hilé Hussein villages) since 19 August 2017, and most recently from the GozAmir and Koukou Urbain (Quartier Habilé) health centres since 4 September 2017. As of 5 September 2017, 206 cholera cases including 25 deaths (case fatality rate 12.1%) have been reported across Koukou district. Marena (133 cases) and Dogdoré (64 cases) are currently the worst affected regions. (WHO, 8 Sep 2017)
MSF’s emergency response team in Chad was quick to arrive in Koukou to investigate the first suspected cases. Cholera treatment units were then established in two of the villages with the most cases...The possible threat of cholera spreading to other villages and to the Goz Amir refugee camp, where 33,000 Sudanese are living, remains a cause for concern....The MSF-supported cholera treatment unit in Marena village was the first to treat patients affected by the disease. Despite the decrease in case numbers, there is still a regular stream of patients. The situation is more precarious in a second treatment centre in Dogdoré. Before MSF arrived, patients in this unit were taken care of by the only nurse in the health centre in Dogdoré. Access to Dogdoré has been slowed down by wadis (rivers and streams), which have overflowed due to torrential rains. The flooding has several times prevented teams from accessing the site of the health centre with their equipment. (MSF, 15 Sep 2017)
As of 7 October, a cholera outbreak that erupted in August in the south-eastern Salamat and Sila regions had infected 519 people and claimed 63 lives. The outbreak appears to be under control in Sila region as no further cases have been reported in the past week. The disease has spread to more villages in Salamat region, infecting 58 people and killing 11. WHO, MSF and UNICEF are providing treatment, water and raising cholera awareness. (OCHA, 9 Oct 2017)
The district of Am Timan, in the Salamat region, has seen an increase in the number of cases of cholera ... According to the Ministry of Public Health, there were a total of 327 cases in the region of Salamat, with 14 deaths most of which are in Am Timan District, since the first case was recorded on 11 September to 16 October. However, to meet this need, MSF opened a cholera treatment center (CTC) in the city of Am Timan. From the date of the opening of the CTC on September 22 to October 18, 2017, the center received a total of 295 cases, with 3 deaths ... As of October 15, the number of CTC patients had doubled comparison to the previous week. Am Timan Nord and Amsinené were the most affected with 64% of cases coming from these areas. (MSF, 19 Oct 2017)
A cholera outbreak that erupted in the eastern Salamat region appears to be getting under control. Thirty-eight cases were reported in the week ending on 6 November, down from 152 the previous week. Outbreak control measures such as public awareness have been well received by communities. The drying up of a local river considered to be one of the sources of contamination has also contributed to the decline of infections. Since the epidemic broke out on 11 September, 717 cases and 24 deaths had been reported as of 1 November. (OCHA, 7 Nov 2017)
The cholera outbreak that erupted in the eastern Sila and Salamat regions in August 2017 has been brought under control, according to the regions’ health authorities. No cases have been reported since 29 November. A total of 1,254 cases and 80 deaths were recorded in the outbreak.
WASH activities, particularly sensitisation on hygiene, are being maintained especially in rural areas. Although the outbreak has been curbed, the underlying causes (low access to safe drinking water, poor hygiene practices) are yet to be addressed to prevent potential epidemics in a region regularly affected by health emergencies. (OCHA, 15 Jan 2018)
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Botulism in Nigeria
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Lassa fever in Nigeria
Humanitarian crisis in Central African Republic
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Cholera in Angola
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606,595 Persons of concern - refugees, asylum seekers, IDPs and returnees - for UNHCR operations in Chad
942 Chadian refugees voluntarily repatriated from Darfur, the Sudan to Chad
657 Supplemental Judgments rendered to deliver birth certificates to Nigerian refugees
700 NIGÉRIANS FUIENT LES COMMUNAUTÉS HÔTES POUR LES CAMPS
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General situation: No cholera cases have been officially reported in West Africa during the previous two weeks. An overview of the 2017 situation will be shared in the next bulletin. A reduction in the number of reported cases is noted in the costal zones of West Africa (mainly in Ghana and Benin). However, the Lake Chad basin experienced a greater number of cases in 2017 than in the two previous years, 2016 and 2015. This was due to two distinct outbreaks in Borno State (Nigeria) and Eastern Chad. In 2017, D.R.
This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 54 events in the region. This week’s edition covers key ongoing events, including:
- Chikungunya in Kenya
- Cholera in Malawi
- Cholera in Zambia
- Suspected Rift Valley fever in South Sudan
- Humanitarian crisis in the Democratic Republic of the Congo
This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 53 events in the region. This week’s edition covers key new and ongoing events, including:
Faits saillants :
Tchad : L’épidémie est maintenant sous contrôle. Les derniers cas suspects ont été enregistrés en semaine 48 dans la délégation sanitaire régionale du Salamat. Malgré de nombreux challenges tous les acteurs se sont largement mobilisés pour répondre avec succès à cette épidémie.
This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 52 events in the region. This week’s edition covers key new and ongoing events, including:
- Humanitarian crisis in the Democratic Republic of the Congo
- Cholera in Zambia
- Listeriosis in South Africa
For each of these events, a brief description followed by public health measures implemented and an interpretation of the situation is provided.
In response to the deterioration of the nutritional situation (increase of the national global acute malnutrition prevalence from 11.9% in 2016 to 13.9% in 2017, SMART 2017) and the food insecurity threatening directly 890,000 persons in Chad, (IPC 2017) the Humanitarian Country Team, the Ministry of Public Health and ECHO are increasing their efforts on resource mobilisation and response to the crisis.
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- Declaration of the control of cholera outbreak in Borno State, Nigeria
- Hepatitis E in Namibia
- Humanitarian crisis in Central African Republic
Cholera in South Sudan
This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 49 events in the region. This week’s edition covers key new and ongoing events, including:
Influenza A H1N1 pdm09 in Ghana Listeriosis in South Africa
Plague in Madagascar
Cholera in Zambia
Cholera in Tanzania
Humanitarian crisis in the Democratic Republic of the Congo.
Date de l’évaluation : 18 Septembre 2017
Zone évaluée: le site de Madjakani est situé sur l’axe kiskra-Diamerom dans la souspréfecture de Liwa, préfecture de Foulli. Il se sépare du canton de kiskra à une distance d’environ 32km et à 38 Km de la ville de Bagasola.
Le site se localise sur la carte géographique de la Région du Lac à travers les coordonnées GPS suivantes : 13°58’39.47’’ de longitude et 13°53’36.64” de Latitude.
Date: 18 Septembre 2017
Zone d’évaluation :situé à environ 46 km au Nord-Ouest de canton Kiskra et environ 15 km du site de Diamerom. Le site de Tinana est sous l’administration du Canton de Magui dans la sous-préfecture de Kaïgua-kindjiria, département de Foulli. Il se localise géographiquement par les coordonnées GPS qui suivent : 14°02’45.18’’ de longitude et 13°51’82.5’’ de latitude.
Date : 13 Septembre 2017
Zone de l’évaluation : Situé sur l’axe de Kiskra- Diamerom, le site des déplacés de Torbo se situe à environ 50 km de Kiskra administré par le canton de Magui, dans la souspréfecture de Liwa, département de Foulli. Il se localise à travers les coordonnées géographiques suivants 14°03’13"14 de Longitude et 13°56’50"05 de Latitude.
Date : L’évaluation s’est déroulée le 18 septembre 2017 à Kirtchima suivi du recensement des ménages le 9 octobre 2017.
Zone d’évaluation : le site de Kirtchima est situé dans la sous-préfecture de Liwa, sur l’axe kiskraDiamerom, à 29 Km au nord du canton de kiskra et environ 38 Km de la ville de Bagasola.
Sa position géographique telle qu’indiquée sur la carte ci-contre, correspond à 14°00’48.74” de longitude et 14°02’24.49” de latitude.
Date : 13 Septembre 2017
Zone d’évaluation: le site des déplacés de Karam-Ngouboua est situé à environ 46 km de Kiskra dans la sous-préfecture de Liwa, département de Foulli. le site ne possède pas de village hôte, il se localise avec les coordonnées GPS suivantes : Latitude: 13°56’28.62” et Longitude: 14°02’29.71”. ce site n’a pas été indiqué par une autorité permettant l’installation officielle de la population déplacée mais elle a été choisie par lien ancestrale selon le chef de site.
The ECDC Communicable Disease Threats Report (CDTR) is a weekly bulletin for epidemiologists and health professionals on active public health threats. This issue covers the period 10-16 December 2017 and includes updates on diphtheria, influenza, Salmonella and cholera.
Chad: The outbreak seems to be under control. As per the end of W48, only the Regional Health Delegation of Salamat reported few sporadic cases. Based on the sitreps available (accessible online under “Current Outbreaks/Chad”), as per W49, no new cases were reported.
Nigeria: Only 2 LGAs in North East Nigeria are reported the remaining cases (Guzamala and Monguno).
Persons of concern - refugees, asylum seekers, IDPs and returnees - for UNHCR operations in Chad.
Refugees interviewed by the French Office for the Protection of Refugees and Stateless persons (OFPRA) for potential resettlement.
Go and see/ Come and tell
visits undertaken by Sudanese and Chadian refugees in accordance with the Tripartite Agreements.